{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:19:03Z","timestamp":1783383543522,"version":"3.54.6"},"reference-count":100,"publisher":"JMIR Publications Inc.","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Internet Res"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Typically, web-based consumer health information is considered more beneficial for people with high levels of education and income. No evidence shows that equity-oriented information offers equal benefits to all. This is important for parents of low socioeconomic status (SES; low levels of education and income and usually a low level of literacy).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study is based on a conceptual framework of information outcomes. In light of this, it aims to compare the perception of the outcomes of web-based parenting information in low-SES mothers with that of other mothers and explore the perspective of low-SES mothers on contextual factors and information needs and behavior associated with these outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A participatory mixed methods research was conducted in partnership with academic researchers and Na\u00eetre et grandir (N&amp;G) editors. N&amp;G is a magazine, website, and newsletter that offers trustworthy parenting information on child development, education, health, and well-being in a format that is easy to read, listen, or watch. Quantitative component (QUAN) included a 3-year longitudinal observational web survey; participants were mothers of 0- to 8-year-old children. For each N&amp;G newsletter, the participants\u2019 perception regarding the outcomes of specific N&amp;G webpages was gathered using a content-validated Information Assessment Method (IAM) questionnaire. Differences between participants of low SES versus others were estimated. Qualitative component (QUAL) was interpretive; participants were low-SES mothers. The thematic analysis of interview transcripts identified participants\u2019 characteristics and different sources of information depending on information needs. Findings from the two components were integrated (QUAN+QUAL integration) through the conceptual framework and assimilated into the description of an ideal-typical mother of low SES (Kate). A narrative describes Kate\u2019s perception of the outcomes of web-based parenting information and her perspective on contextual factors, information needs, and behavior associated with these outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>QUAN\u2014a total of 1889 participants completed 2447 IAM responses (50 from mothers of low SES and 2397 from other mothers). N&amp;G information was more likely to help low-SES participants to better understand something, decrease worries, and increase self-confidence in decision making. QUAL\u2014the 40 participants (21 N&amp;G users and 19 nonusers) used 4 information sources in an iterative manner: websites, forums, relatives, and professionals. The integration of QUAN and QUAL findings provides a short narrative, Kate, which summarizes the main findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This is the first study comparing perceptions of information outcomes in low-SES mothers with those of other mothers. Findings suggest that equity-oriented, web-based parenting information can offer equal benefits to all, including low-SES mothers. The short narrative, Kate, can be quickly read by decision policy makers, for example, web editors, and might encourage them to reach the underserved and provide and assess trustworthy web-based consumer health information in a format that is easy to read, listen, or watch.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/22440","type":"journal-article","created":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T16:49:22Z","timestamp":1600188562000},"page":"e22440","source":"Crossref","is-referenced-by-count":15,"title":["Outcomes of Equity-Oriented, Web-Based Parenting Information in Mothers of Low Socioeconomic Status Compared to Other Mothers: Participatory Mixed Methods Study"],"prefix":"10.2196","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9274-7720","authenticated-orcid":false,"given":"Pierre","family":"Pluye","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6392-517X","authenticated-orcid":false,"given":"Reem","family":"El Sherif","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7102-4972","authenticated-orcid":false,"given":"Araceli","family":"Gonzalez-Reyes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8967-716X","authenticated-orcid":false,"given":"Emmanuelle","family":"Turcotte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3620-3526","authenticated-orcid":false,"given":"Tibor","family":"Schuster","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6297-9240","authenticated-orcid":false,"given":"Gillian","family":"Bartlett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1591-613X","authenticated-orcid":false,"given":"Roland M","family":"Grad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0518-8850","authenticated-orcid":false,"given":"Vera","family":"Granikov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2478-604X","authenticated-orcid":false,"given":"Melanie","family":"Barwick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4562-7563","authenticated-orcid":false,"given":"Genevi\u00e8ve","family":"Doray","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0500-0301","authenticated-orcid":false,"given":"Fran\u00e7ois","family":"Lagarde","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9828-3090","authenticated-orcid":false,"given":"Christine","family":"Loignon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2020,11,10]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1111\/1468-0009.12112"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1728-4457.2011.00412.x"},{"key":"ref3","author":"Mikkonen, J","year":"2010","journal-title":"Social Determinants of Health: Canadian Perspectives"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-0009.2007.00498.x"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2011.772"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2012.07.022"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-1842.2009.00870.x"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6302"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.bushor.2006.01.003"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2008.09.025"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.167.14.1503"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.4126"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1149"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1145\/2470654.2470702"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1145\/1629096.1629101"},{"key":"ref16","unstructured":"MarkoffJMicrosoft Examines Causes of 'Cyberchondria'The New York Times2020-02-15http:\/\/www.nytimes.com\/2008\/11\/25\/technology\/internet\/25symptoms.html?_r=0"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2013.12.007"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.9326"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1002\/asi.23411"},{"key":"ref20","author":"Case, D","year":"2016","journal-title":"Looking for Information: a Survey of Research on Information Seeking, Needs, and Behavior. Fourth Edition"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1108\/jd-01-2015-0023"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1108\/pmm-01-2016-0001"},{"key":"ref23","author":"Glanz, K","year":"2015","journal-title":"Health Behavior and Health Education. Fifth Edition"},{"key":"ref24","author":"Richard, C","year":"2016","journal-title":"La communication professionnelle en sant\u00e9"},{"key":"ref25","first-page":"2760535223","author":"Tho\u00ebr, C","year":"2012","journal-title":"Internet et sant\u00e9"},{"key":"ref26","first-page":"1","author":"Connelly, R","year":"2017","journal-title":"Health Literacy and Child Health Outcomes"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1007\/978-3-319-50799-6_2","author":"Speer, M","year":"2017","journal-title":"Health Literacy and Child Health Outcomes"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1007\/978-3-319-50799-6_4","author":"Connelly, R","year":"2017","journal-title":"Health Literacy and Child Health Outcomes"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/978-3-319-50799-6_5","author":"Gupta, A","year":"2017","journal-title":"Health Literacy and Child Health Outcomes"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1007\/978-3-319-50799-6_6","author":"Turner, T","year":"2017","journal-title":"Health Literacy and Child Health Outcomes"},{"key":"ref31","first-page":"261","author":"Ronson McNichol, B","year":"2016","journal-title":"Social Determinants of Health: Canadian Perspectives"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2012-000964"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-10-459"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-50799-6"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1007\/s10826-016-0608-1"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-6524-8"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2007.01600.x"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-0971-3"},{"key":"ref39","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7736"},{"key":"ref40","doi-asserted-by":"publisher","DOI":"10.5817\/cp2013-2-2"},{"key":"ref41","doi-asserted-by":"publisher","DOI":"10.2196\/14289"},{"key":"ref42","doi-asserted-by":"publisher","DOI":"10.1016\/j.appdev.2007.12.002"},{"key":"ref43","doi-asserted-by":"publisher","DOI":"10.1108\/00220411311295351"},{"key":"ref44","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1697"},{"key":"ref45","doi-asserted-by":"publisher","DOI":"10.29173\/cais522"},{"key":"ref46","doi-asserted-by":"publisher","DOI":"10.1002\/(sici)1097-4571(199603)47:3<193::aid-asi3>3.0.co;2-t"},{"key":"ref47","doi-asserted-by":"publisher","DOI":"10.1177\/0165551504044666"},{"key":"ref48","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocv204"},{"key":"ref49","unstructured":"PalumboRAdinolfiPAnnarummaCMusellaMThe special information needs of low health literate patients. Exploratory insights from an Italian surveyProceedings Management in a Digital World2016XXVIII Sinergie Annual Conference Referred Electronic Conference2016Udine, ItaliaItaliaDecisions, Production, Communication"},{"key":"ref50","doi-asserted-by":"publisher","DOI":"10.33788\/rcis"},{"key":"ref51","doi-asserted-by":"publisher","DOI":"10.1002\/asi.24178"},{"key":"ref52","doi-asserted-by":"publisher","DOI":"10.2307\/25148742"},{"key":"ref53","doi-asserted-by":"publisher","DOI":"10.1002\/asi.20682"},{"key":"ref54","doi-asserted-by":"publisher","DOI":"10.2307\/23043493"},{"key":"ref55","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-017-0648-y"},{"key":"ref56","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-018-3775-5"},{"key":"ref57","author":"Creswell, J","year":"2018","journal-title":"Designing and conducting mixed methods research"},{"key":"ref58","doi-asserted-by":"publisher","DOI":"10.29034\/ijmra.v10n1a3"},{"key":"ref59","doi-asserted-by":"crossref","DOI":"10.1057\/9781137452511","author":"Roelen, K","year":"2015","journal-title":"Mixed methods research in poverty and vulnerability: sharing ideas and learning lessons"},{"key":"ref60","author":"Cappelleri, J","year":"2014","journal-title":"Patient-reported Outcomes: Measurement, Implementation and Interpretation"},{"key":"ref61","doi-asserted-by":"publisher","DOI":"10.3233\/efi-190348"},{"key":"ref62","doi-asserted-by":"publisher","DOI":"10.2196\/resprot.2908"},{"key":"ref63","doi-asserted-by":"publisher","DOI":"10.1002\/pra2.2017.14505401107"},{"key":"ref64","doi-asserted-by":"publisher","DOI":"10.1016\/j.evalprogplan.2017.09.011"},{"key":"ref65","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.7.3.238"},{"key":"ref66","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.16.3.231"},{"key":"ref67","unstructured":"LowryRThe confidence interval for the difference between two independent proportions web calculator20192020-10-05http:\/\/vassarstats.net\/prop2_ind.html"},{"key":"ref68","doi-asserted-by":"publisher","DOI":"10.1002\/(sici)1097-0258(19980430)17:8<873::aid-sim779>3.0.co;2-i"},{"key":"ref69","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-12-181"},{"key":"ref70","author":"Bazeley, P","year":"2013","journal-title":"Qualitative data analysis with NVivo"},{"key":"ref71","doi-asserted-by":"publisher","DOI":"10.1177\/160940690600500107"},{"key":"ref72","author":"Weber, M","year":"1995","journal-title":"\u00c9conomie et soci\u00e9t\u00e9: les cat\u00e9gories de la sociologie"},{"issue":"1","key":"ref73","doi-asserted-by":"crossref","first-page":"12","DOI":"10.24095\/hpcdp.34.1.03","volume":"34","author":"Pampalon, R","year":"2014","journal-title":"Chronic Dis Inj Can"},{"key":"ref74","doi-asserted-by":"publisher","DOI":"10.1097\/PHH.0000000000000366"},{"issue":"3","key":"ref75","first-page":"285","volume":"79","author":"Keller, J","year":"2000","journal-title":"Child Welfare"},{"key":"ref76","doi-asserted-by":"publisher","DOI":"10.2307\/1131779"},{"key":"ref77","doi-asserted-by":"publisher","DOI":"10.1111\/j.0022-2445.2005.00010.x"},{"key":"ref78","doi-asserted-by":"publisher","DOI":"10.1017\/S1463423613000194"},{"key":"ref79","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-0009.2012.00662.x"},{"key":"ref80","doi-asserted-by":"publisher","DOI":"10.1023\/A:1016863921662"},{"key":"ref81","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-8624.1984.tb00275.x"},{"key":"ref82","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2004.12.004"},{"key":"ref83","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2004.03302.x"},{"key":"ref84","author":"Gerteis, M","year":"1993","journal-title":"Through the patient's eyes: understanding and promoting patient-centered care"},{"key":"ref85","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2014.06.009"},{"key":"ref86","doi-asserted-by":"publisher","DOI":"10.2196\/10175"},{"key":"ref87","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2015.03.014"},{"key":"ref88","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2885.1992.tb00042.x"},{"key":"ref89","first-page":"0804726256","author":"Luhmann, N","year":"1995","journal-title":"Social systems"},{"key":"ref90","author":"Luhmann, N","year":"2006","journal-title":"La confiance: un m\u00e9canisme de r\u00e9duction de la complexit\u00e9 sociale"},{"key":"ref91","author":"Luhmann, N","year":"2001","journal-title":"La l\u00e9gitimation par la proc\u00e9dure"},{"key":"ref92","doi-asserted-by":"publisher","DOI":"10.5220\/0006734401690177"},{"key":"ref93","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2018.1511658"},{"key":"ref94","doi-asserted-by":"publisher","DOI":"10.1080\/13691180600858606"},{"key":"ref95","first-page":"219","author":"O'Neill, O","year":"2013","journal-title":"Reading Onora O'Neill"},{"key":"ref96","doi-asserted-by":"publisher","DOI":"10.1177\/1062860617751639"},{"key":"ref97","doi-asserted-by":"publisher","DOI":"10.1016\/j.tele.2017.07.007"},{"key":"ref98","doi-asserted-by":"publisher","DOI":"10.1111\/1468-0009.12349"},{"key":"ref99","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.12.113985"},{"key":"ref100","doi-asserted-by":"publisher","DOI":"10.15171\/ijhpm.2018.110"}],"container-title":["Journal of Medical Internet Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jmir.org\/2020\/11\/e22440","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:31:02Z","timestamp":1782840662000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jmir.org\/2020\/11\/e22440"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,10]]},"references-count":100,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2196\/22440","relation":{"has-preprint":[{"id-type":"doi","id":"10.2196\/preprints.22440","asserted-by":"object"}]},"ISSN":["1438-8871"],"issn-type":[{"value":"1438-8871","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,10]]}}}