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论文编号：	16010
作者编号：	1120221310
上传时间：	2026/6/2 18:49:27
中文题目：	基于实践理论的家庭健康信息交流行为研究
英文题目：	Health Information Sharing Behavior within Family Based on Practice Theory
指导老师：	李月琳
中文关键字：	健康信息交流；家庭；实践理论；健康信息行为
英文关键字：	health information sharing; family; practice theory, health information behavior.
中文摘要：	在健康中国战略推动预防导向和全过程健康管理的背景下，健康信息在健康治理中的重要性不断提升。该战略发展的新趋势倡导以预防目标、全周期的健康管理，不仅要求个体成为健康的第一责任人，也更加强调家庭这一健康管理重要情境在其中的协作作用，而健康信息交流是协作的重要基础。已有信息行为研究充分探讨了用户如何搜寻、利用健康信息，但对家庭这一健康管理的重要情境中的健康信息交流关注不足，因此有必要从家庭情境出发探讨健康信息需求与家庭信息交流行为。基于此，本文旨在基于实践理论，探讨家庭情境下的个体健康信息需求特征与实践的影响机制、家庭健康信息交流的行为特征与模式，并进一步探讨这些模式形成的影响因素以及信息需求在其中的作用。 本研究采用了探索式序列研究设计。在质性研究阶段，本研究采用了案例研究法的研究设计，以家庭为案例以及家庭中的成员为次级分析单位，采用半结构化深度访谈、日志记录表、问卷调查等方法收集案例数据。在数据分析阶段，通过质性编码分析、模式匹配、跨案例比较等分析技术进行分析，识别家庭健康信息交流模式以及影响。随后，本研究采用社会网络分析法验证研究第一阶段识别的家庭健康信息交流模式。在数据收集阶段，使用问卷作为数据收集工具，让受访者提名家庭成员并报告与家庭成员的交流情况，在数据分析阶段基于家庭层面的交流集中度、同代交流与跨代交流的差异等变量采用K-mean聚类方法进行聚类。最后，本研究采用问卷调查法收集影响因素与交流特征相关数据，并采用PLS-SEM方法检验交流特征与影响因素之间的相关关系，然后通过机器学习的方法探索变量间的交互效应。 在健康信息需求特征及其形成方面，本研究从需求的特征与所需信息的特征描述健康信息需求，并将其归纳为健康信息需求的激发状态和信息判断标准。健康信息需求的激发状态表现为需求的特征，信息判断标准表现为所需健康信息的特征。在形成方面，本研究表明健康问题情境构成健康信息需求产生的基础条件，在此基础上，健康实践要素进一步塑造了健康信息需求的具体特征。其中，健康实践的动机因素和健康问题特征主要影响健康信息需求的激发状态，健康实践的规则、实践理解、一般理解以及可行资源等因素主要影响健康信息需求的信息判断标准。在探索家庭健康信息交流的行为特征时，本研究从触发条件、交流目的、交流方向、交流内容与交流结果五个方面进行系统描述。在梳理上述行为特征的基础上，本研究通过案例比较进一步识别出四类家庭健康信息交流模式：同代平等型、整体协作型、中心传递型和代际分层型。四类模式主要基于信息流向、交流目的与交流结果三个维度构建，并通过聚类分析方法进行了量化识别。在家庭健康信息交流的影响因素方面，本研究进一步发现家庭成员在健康实践中的动机、规则、实践理解、一般理解等方面存在差异，因此其健康信息需求的激发状态与信息判断标准也存在差异，这些差异进一步影响其健康信息交流行为。一方面，不同成员在信息需求的激发程度上存在差异，导致部分家庭成员的交流参与度显著高于其他家庭成员，从而信息交流向某一成员集中。而当以上差异存在时，在感知健康能力的调节下，部分家庭成员承担起更多的健康信息获取与交流工作，从而提高交流集中度。另一方面，家庭成员在健康信息判断标准上存在差异，这些差异进一步影响其对家庭中交流的健康信息的内在质量和情境质量的判断，进而影响代际交流冲突。在健康实践要素存在差异的基础上，家庭健康信息交流的代际障碍进一步受到感知健康能力、家庭沟通风格以及关系亲密度等因素的调节，从而在不同家庭中呈现出不同程度，最终形成不同类型的家庭健康信息交流模式。以上影响机制在定量分析中部分得到检验。 以上研究发现深化了对个体健康信息需求特征的描述以及产生与形成的理论解释，并在健康信息交流这一行为类型中扩展了信息需求的作用的理解。信息需求不仅是信息搜寻的动机与目标，也塑造个体信息交流的能力、动机和内容。此外，本研究构建了家庭健康信息交流的模式分类与影响因素模型，揭示了微观社交关系网络中健康信息的交流与流动机制，并提供了基于健康管理实践活动的情境化解释。以上研究结果能够为健康信息服务与教育、信息技术设计等实践工作提供指导，帮助设计融入用户健康实践的健康信息服务与教育项目、信息技术，为健康信息传播和服务提供家庭交流模式识别工具，以促进健康在家庭单元中的传递。图11幅，表39个，参考文献479篇。
英文摘要：	The Healthy China strategy emphasizes prevention-oriented and life-course health management. The importance of health information in health management has been increasingly recognized. Existing information behavior research shows that activities and social relationships within specific contexts profoundly shape information behavior. However, relatively limited attention has been paid to health information sharing behavior within the family context. Based on this premise, this study aims to investigate the characteristics of individuals’ health information needs in the family context and the mechanisms through which practices influence these needs. It also examines the behavioral characteristics and patterns of family health information sharing, and further explores the factors shaping these patterns as well as the role played by information needs in this process. To answer these research questions, this study adopts an exploratory sequential research design. In the qualitative phase, a case study design was employed, with families as cases and family members as embedded units of analysis. Data were collected through semi-structured in-depth interviews, diaries, and questionnaires. During data analysis, grounded theory coding, pattern matching, and cross-case comparison were conducted to identify family health information sharing patterns and influencing factors. Subsequently, social network analysis was used to validate the family health information sharing patterns identified in the first phase. Family health information sharing data were collected through self-nomination questionnaires. K-means clustering analysis was applied to classify information sharing patterns. Finally, questionnaire surveys were used to collect data on influencing factors and sharing characteristics. Partial least squares structural equation modeling （PLS-SEM） was employed to test relationships among variables, followed by machine learning methods to explore interaction effects. Regarding the characteristics of health information needs and their generation mechanisms, this study describes health information needs from two aspects: the characteristics of the needs themselves and the characteristics of the information needed. The characteristics of the needs constitute the activation state of health information needs, while the information judgment orientation is mainly manifested through the characteristics of the information needed. In terms of the generation mechanism, this study shows that the health problem situation forms the basic condition for the emergence of health information needs. On this basis, elements of health practices further shape the specific characteristics of these needs. Specifically, the motivation of health practices and the characteristics of health problems primarily influence the activation state of health information needs, whereas factors such as rules of practice, practical understandings, general understandings, and available resources mainly influence the information judgment orientation of health information needs. In exploring the behavioral characteristics of family health information sharing, this study provides a description from five aspects: triggers, purposes of sharing, directions of sharing, sharing content, and sharing outcomes. Based on the analysis of these behavioral characteristics, this study further identifies four types of family health information sharing patterns through case comparison: same-generation sharing, collaborative sharing, centralized sharing, and generation-stratified sharing. These four patterns are constructed mainly along three dimensions and are quantitatively identified using cluster analysis, including directions of sharing, sharing purpose, and sharing outcome. Regarding the influencing factors of family health information sharing, this study further finds that the health practices of family members converge at the family level. Differences exist among family members in terms of the teleo-affective structure, rules, practical understandings, and general understandings. Consequently, differences also arise in their activation states of health information needs and information judgment orientations. On the one hand, variations in the degree of activation of information needs lead to unequal levels of participation in information sharing among family members, causing information sharing to concentrate around certain individuals. When such differences exist, and under the moderating effect of perceived health competence, some family members take on more responsibilities for acquiring and sharing health information, thereby increasing the centralization of information sharing. On the other hand, differences in information judgment orientation among family members further influence how they evaluate the intrinsic quality and contextual quality of health information shared within the family, which in turn affects intergenerational communication conflicts. On the basis of differences in health practice elements, family health information sharing is further shaped by factors such as the family health responsibility structure, perceived health competence, family communication style, and relational closeness. These factors moderate the process of information sharing to varying degrees across families, ultimately leading to different patterns of family health information sharing. The findings of this study deepen the description of the characteristics of individual health information needs and provide a theoretical explanation for their emergence and formation. They also extend the understanding of the role of information needs within the health information sharing. Information needs are not only the motivations and goals of information seeking, but also influence the ability, motivation, and contents of information sharing. In addition, this study develops a classification of family health information sharing patterns and a model of influencing factors, revealing the mechanisms through which health information is transmitted and circulated within micro-level social relationship networks. It also provides a contextualized explanation grounded in health management practices. These findings can offer guidance for relevant work in health information services and education, as well as information technology design. Specifically, they can help in designing health information services, educational programs, and information technologies that are integrated with users’ health practices, and provide tools for identifying family health information sharing patterns in order to support the dissemination and provision of health information and promote the transmission of health knowledge within the family unit. This dissertation contains 11 figures, 39 tables, and 479 references.
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