title: Health Information Seeking and Technology Use Among Veterans With Spinal Cord Injuries and Disorders.
abstract: BACKGROUND
  Access to health information is crucial to persons living with a spinal cord injury or disorder (SCI/D). Although previous research has provided insights on computer and Internet use among persons with SCI/D, as well as how and where persons with SCI/D gather health information, few studies have focused on U.S. veterans with SCI/D.
  
  
  OBJECTIVE
  To characterize health information seeking among veterans with SCI/D and to examine the association between technology use and the characteristics of veterans with SCI/D.
  
  
  METHODS
  Cross-sectional.
  
  
  METHODS
  Veterans Health Administration (VHA).
  
  
  METHODS
  Sample of 290 veterans with SCI/D who utilize services at 2 VHA SCI/D Centers.
  
  
  METHODS
  Postal mail survey.
  
  
  METHODS
  Extent of computer, Internet, and text messaging use, information source use, and e-Health literacy rates.
  
  
  RESULTS
  The survey response rate was 38%. The majority of respondents were male (97.2%), younger than 65 years (71.0%), and white (71.7%). Of the respondents, 64.8% indicated that they use a computer, 62.9% reported use of the Internet, and 26.2% reported use of text messaging. The mean overall e-Health Literacy Scale score was 27.3 (standard deviation = 7.2). Similar to findings reported in studies focused outside the veteran population, the most frequent source that veterans turned to for information about SCI/D was a health professional (85.1%); this was also the most frequent source that veterans indicated they would turn to first to get information about SCI/D (75.9%). Other frequently reported sources of information included other persons with SCI/D (41.0%), Internet resources (31.0%), and family and friends (27.9%).
  
  
  CONCLUSIONS
  Fairly high levels of computer and Internet use exist among veterans with SCI/D. Veterans with SCI/D also have a strong preference for people-particularly health professionals, and to a lesser extent peers and family and friends-as sources of information about SCI/D. These findings highlight the importance of combining technology and human interaction to meet the information needs of this population.
authors.affiliation: Center for Healthcare Organization and Implementation Research, eHealth Quality Enhancement Research Initiative, National eHealth Quality Enhancement Research Initiative Coordinating Center, Edith Nourse Rogers Memorial Veterans Hospital, Veterans Health Administration, 200 Springs Rd, Building 70 (152), Bedford, MA 01730(∗); Division of Health Informatics and Implementation Science, Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA(∗). Electronic address: timothy.hogan@va.gov.
authors.forename: Timothy P
authors.initials: TP
authors.lastname: Hogan
authors.affiliation: Center of Innovation for Complex Chronic Health Care, Spinal Cord Injury Quality Enhancement Research Initiative, Edward Hines Jr VA Hospital, Veterans Health Administration, Hines, IL(†)(‡)(¶)(‡‡).
authors.forename: Jennifer N
authors.initials: JN
authors.lastname: Hill
authors.affiliation: Center of Innovation for Complex Chronic Health Care, Spinal Cord Injury Quality Enhancement Research Initiative, Edward Hines Jr VA Hospital, Veterans Health Administration, Hines, IL(†)(‡)(¶)(‡‡).
authors.forename: Sara M
authors.initials: SM
authors.lastname: Locatelli
authors.affiliation: Center of Innovation for Complex Chronic Health Care, Spinal Cord Injury Quality Enhancement Research Initiative, Edward Hines Jr VA Hospital, Veterans Health Administration, Hines, IL(†)(‡)(¶)(‡‡); Stritch School of Medicine, Loyola University, Maywood, IL(¶).
authors.forename: Frances M
authors.initials: FM
authors.lastname: Weaver
authors.affiliation: VISN 15 Regional MS Center of Excellence, St. Louis VA Medical Center, St. Louis, MO(§); Department of Neurology & Psychiatry, St. Louis University, St. Louis, MO(§).
authors.forename: Florian P
authors.initials: FP
authors.lastname: Thomas
authors.affiliation: Veterans and Consumers Health Informatics Office, Office of Informatics & Analytics, Veterans Health Administration, Washington, DC(∗∗).
authors.forename: Kim M
authors.initials: KM
authors.lastname: Nazi
authors.affiliation: Spinal Cord Injury QUERI, SCI/D Services VACO, University of Washington, Seattle, WA(††).
authors.forename: Barry
authors.initials: B
authors.lastname: Goldstein
authors.affiliation: Center of Innovation for Complex Chronic Health Care, Spinal Cord Injury Quality Enhancement Research Initiative, Edward Hines Jr VA Hospital, Veterans Health Administration, Hines, IL(†)(‡)(¶)(‡‡); Department of Pediatrics, Northwestern University, Chicago, IL(‡‡).
authors.forename: Bridget M
authors.initials: BM
authors.lastname: Smith
mesh_terms: D000368:Aged; D003197:Computer Literacy; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D057226:Information Seeking Behavior; D020407:Internet / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D013119:Spinal Cord Injuries / Q000523:psychology*; D060145:Text Messaging / Q000706:statistics & numerical data*; D014481:United States; D014728:Veterans / Q000523:psychology*