Using the internet for enhancing parental self-efficacy
1. Using the Internet for enhancing parental self-efficacy in infant care A quasi-experimental study among attendees of maternal education in the district of Granada, Spain Patricia Lima Pereira Student of Master in Social and Health Protection Institute of Public Health Jagiellonian University Medical CollegeKrakow, 15th June 2010
4. Why maternal education as setting of this study?Objectivesandmethods Results Discussion 5. Conclusions
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6. InstitutoNacional de Estadística (INE). Encuestasobreequipamiento y uso de tecnologías de la información y comunicación en los hogares. [Online table generator]. 2007 [Cited: 26 March 2009].
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10. More than 40% of pregnant women in Andalucía attended this kind of classes in the public sector. INTRODUCTION García Calvante, María del Mar. Evaluación de Programas de Salud Materno Infantil Andalucía 1984 - 1994. . Vols. Junta de Andalucía - Escuela Andaluza de Salud Pública. Granada, 1996.
11. OBJECTIVES To determinate if the perceived usefulness of the Internet as an information source is related to parental self-efficacy in infant care To determinate if midwife’s advice on how to enhance the use of the Internet could have an effect in parental self-efficacy To calculate the validity of the developed scale To characterize the maternal education in Granada, Spain To describe the use of the Internet as a health information source To identify other factors related to parental self-efficacy
12. METHODS A quasi-experimental study on group level among attendees of maternal education in the district of Granada, Spain Pilot study 32 cases Control groups Intervention groups 2009
19. 6 groups: 73 participants Bermúdez Tamayo C, García Mochón L, Corpas Nogales E, Moya Garrido MN. Selección y evaluación de sitios web dirigidos a pacientes referidos al campo de la salud 2.0. Granada: AETSA; 2008.
23. RESULT 1 To determinate if the perceived usefulness of the Internet as an information source is related to parental self-efficacy in infant care To determinate if midwife’s advice on how to enhance the use of the Internet could have an effect in parental self-efficacy To calculate the validity of the developed scale To characterize the maternal education in Granada, Spain To describe the use of the Internet as a health information source To identify other factors related to parental self-efficacy
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25. RESULT 2 To determinate if the perceived usefulness of the Internet as an information source is related to parental self-efficacy in infant care To determinate if midwife’s advice on how to enhance the use of the Internet could have an effect in parental self-efficacy To calculate the validity of the developed scale To characterize the maternal education in Granada, Spain To describe the use of the Internet as a health information source To identify other factors related to parental self-efficacy
26. How widespread is the use of the Internet as a health information source?
33. RESULT 3 To determinate if the perceived usefulness of the Internet as an information source is related to parental self-efficacy in infant care To determinate if midwife’s advice on how to enhance the use of the Internet could have an effect in parental self-efficacy To calculate the validity of the developed scale To characterize the maternal education in Granada, Spain To describe the use of the Internet as a health information source To identify other factors related to parental self-efficacy
36. RESULT 4 To determinate if the perceived usefulness of the Internet as an information source is related to parental self-efficacy in infant care To determinate if midwife’s advice on how to enhance the use of the Internet could have an effect in parental self-efficacy To calculate the validity of the developed scale To characterize the maternal education in Granada, Spain To describe the use of the Internet as a health information source To identify other factors related to parental self-efficacy
38. Enhanced parental self-efficacy was clearly related to parity after controlling for age, gender, education, use of the internet, place of living, weeks of pregnancy
39. 93 % of women who had previously given birth had high parental self-efficacy comparing with 41 % of primiparous women (p<0.001).
41. Women older than 30 years had statistically significant lower perception of parental self-efficacy, when parity was controlled. (34 % vs. 52%, p=0.03) after controlling for gender, education, use of the internet, place of living, weeks of pregnancy. P<0.001
42. No statistically significant differences Gender number of assisted antenatal classes features of antenatal classes: teacher's experience total hours of classes including physical exercise in teaching programme use of audiovisual support
43. RESULTS 5 & 6 To determinate if the perceived usefulness of the Internet as an information source is related to parental self-efficacy in infant care To determinate if midwife’s advice on how to enhance the use of the Internet could have an effect in parental self-efficacy To calculate the validity of the developed scale To characterize the maternal education in Granada, Spain To describe the use of the Internet as a health information source To identify other factors related to parental self-efficacy
44. Is there a relationship between the Internet and parental self-efficacy ?
45. Our hypothesis was “the higher the perceived usefulness of the Internet the higher would be self-efficacy in infant care score”
46. Our hypothesis was “the higher the perceived usefulness of the Internet the higher would be self-efficacy in infant care score” Corelation between self-efficacy and value given to the internet. Total sample n=194. Correlation between self-efficacy and value given to the internet. Medline’s users n=19. Spearman’s coefficient 0.158, p=0.03 Spearman’s coefficient 0.515, p=0.02
47. Is the perceived usefulness of the Internet related to parental self-efficacy? Yes, if the people access good websites
48. How can we encourage them to access good websites? Providing advice ?
49. 44% would use it in the future 40% used it and found it useful n =48 Without advice With advice Access Medline 6% 18% (Chi squared test, p=0.007)
50. Correlation between self-efficacy and value given to the internet. Medline’s users in interv. group n=12. Correlation between self-efficacy and value given to the internet. Medline’s users n=19. Spearman’s coefficient 0.52 p=0.02 Spearman’s coefficient 0.62 p=0.02
52. DISCUSSION Social Cognitive Theory Knowledge Functional use Self-efficacy Previous experience Vicarious experience Social persuasions Personal state Bandura A. Social Cognitive Theory: An agentic perspective. Annual Rev Psychol. 2001; 52:1-26.
53. If people are being capable to identify what information they are lacking for performing a task… …they might feel capable of performing this task ? …after learning how to do it Active role of information seeker
58. 1 out of 5 women and 1 out of 4 men preferred it as their first source
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60. McMullan M. Patients using the Internet to obtain health information: how this affects the patient-health professional relationship. Patient EducCouns. 2006; 63(1-2):24-8.
61. Wald HS, Dube CE , Anthony DC. An Untangling the Web - the impact of Internet use on health care and the physician-patient relationship. Patient EducCouns. 2007; 68(3):218-24.