{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:58:28Z","timestamp":1792807108418,"version":"4.5.0"},"reference-count":88,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T00:00:00Z","timestamp":1732233600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Health information systems (HISs) should provide accessible and high-quality information to patients. However, the challenge lies in understanding patients\u2019 trust preferences for health information. This study explores how different information sources (e.g., online platforms, interpersonal sources) are trusted under varying health conditions, focusing on symptom intensity and disease type.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using a 2\u2009\u00d7\u20092\u2009\u00d7\u20094 between-subject design, 243 participants from a US college were presented with vignettes of acute or chronic diseases with varying symptom intensities and information sources. Participants rated their trust levels, including both cognitive and behavioral trust, in the health information and recommendations provided by one of the information sources, which was randomly assigned. Logistic regression and ANOVA were employed for the statistical analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The analysis results revealed that trust is generally higher for interpersonal sources like doctors and family\/friends compared to online sources like WebMD and Wikipedia when patients are making health decisions. Doctors are the most trusted source during health-related decision making. However, there are no significant differences in cognitive trust among interpersonal sources or among online sources. Furthermore, symptom intensity and disease type did not significantly alter trust levels across various information sources. These findings suggest that people prefer professional medical advice regardless of their health conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The study highlights the need for HIS to incorporate features that provide \u201cdoctor-verified\u201d information and promote interactive engagement to enhance patients\u2019 trust in information source. Additionally, it distinguishes between cognitive and behavioral trust, revealing distinct trust patterns that can inform the strategic development of HIS for varied health conditions. Understanding these trust dynamics can inform the design of effective, patient-centered HIS that better support health education, information seeking, and decision-making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2024.1478502","type":"journal-article","created":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T08:09:32Z","timestamp":1732262972000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":21,"title":["Exploring trust dynamics in health information systems: the impact of patients\u2019 health conditions on information source preferences"],"prefix":"10.3389","volume":"12","author":[{"given":"Mingming","family":"Song","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel","family":"Elson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tin","family":"Nguyen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Obasi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Pintar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhundy","family":"Bastola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,11,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1016\/j.cca.2013.09.027","article-title":"The role of informatics and decision support in utilization management","volume":"427","author":"Baron","year":"2014","journal-title":"Clin Chim Acta"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"911","DOI":"10.1002\/asi.23023","article-title":"Beyond quality and accessibility: source selection in consumer health information searching","volume":"65","author":"Zhang","year":"2014","journal-title":"J Assoc Inf Sci Technol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1211285","DOI":"10.3389\/fpubh.2023.1211285","article-title":"Editorial: digital information for patient education","volume":"11","author":"Guo","year":"2023","journal-title":"Front Public Health"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1108\/S2050-206020180000015002","article-title":"Trust in health information sources and channels, then and now: evidence from the health information national trends survey (2005\u20132013)","volume-title":"eHealth: current evidence, promises, perils and future directions","author":"Thai","year":"2018"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"2618","DOI":"10.1001\/archinte.165.22.2618","article-title":"Trust and sources of health information: the impact of the internet and its implications for health care providers: findings from the first health information national trends survey","volume":"165","author":"Hesse","year":"2005","journal-title":"Arch Intern Med"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"e67","DOI":"10.2196\/jmir.2466","article-title":"Preferred sources of health information in persons with multiple sclerosis: degree of trust and information sought","volume":"15","author":"Marrie","year":"2013","journal-title":"J Med Internet Res"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"2339","DOI":"10.1186\/s12889-022-14707-3","article-title":"What did the pandemic teach us about effective health communication? 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