The Effect of Computer-Mediated Social Support in Online Communities on Patient Empowerment and Doctor–Patient Communication

Abstract

In the context of diabetes, this study tested a mechanism through which Korean diabetes patients' exchange of computer-mediated social support (CMSS) in diabetes online communities influences their sense of empowerment and intention to actively communicate with the doctor. Analysis of data from 464 Korean diabetes patients indicates significant relationships among diabetes patients' online community activities, perceived CMSS, sense of empowerment, and their intention to actively communicate with the doctor. Diabetes patients who have engaged more in online community activities perceived greater social support from other members of the community. Perceived CMSS significantly predicted their intention to actively communicate with the doctor through sense of empowerment. Sense of empowerment was a valid underlying mechanism that explains how patients' perceived CMSS influences their intention to actively communicate with the doctor. The implications for health communication research and practice are discussed.

Notes

¹Detailed gamma estimates for exogenous variables are available from the corresponding author.

^2.Sobel's z = a*b/SQRT(b ²*s _a ² + a ²*s _b ²) where a is the unstandardized regression coefficient for the association between CMSS and sense of empowerment (s_a = standard error of a) and b is the unstandardized regression coefficient for the association between sense of empowerment and intention to actively communicate with the doctor (s_b = standard error of b).