Suchergebnisse

Abstract The aim of this thesis was twofold: firstly, to increase understanding about the user of health information; namely about differences of users´ characteristics of health information behaviour, and secondly, to contribute to the research on factors that could be used as bases to tailor health information. Health information behaviour was scrutinised as information needs and seeking and information use in particular. It was also studied in relation to individuals´ physical health status. More studies on information use are needed, because understanding individual characteristics in issues related to information use has been considered critical for promoting healthy behaviours. Moreover, the thesis addressed the gap in research on the relationship between health information behaviour and tailoring health information. The thesis consists of three empirical studies and a literature review. The empirical research environments were provided by an intervention study aiming to prevent type 2 diabetes among a high risk population and by a population-based study among military conscription aged men. The setting was the City of Oulu in Northern Finland with the University of Oulu and the Oulu Deaconess Institute as the main operators of the studies. The empirical data were collected through questionnaires as well as through physiological and biochemical measurements during years 2010 and 2011. The data were analysed with statistical methods. Moreover, a literature review of tailored interventions studies using a computer as the medium of delivery in the context of physical activity, nutrition and weight management, was conducted. The findings indicate differences in health information users´ characteristics related to their information use as such and in relation to the indicators of their physical health status. It is suggested that, for example, health information presentation could be tailored on the basis of found differences and different message strategies and tactics could be used for different kinds of individuals. In addition, in the literature review the biases of tailored intervention studies stood out as influential on their outcomes. The thesis contributes to the current field of research on both health information behaviour and tailoring health communication. Moreover, the findings can support the development of more effective health promotion programs and intervention studies. ; Tiivistelmä Väitöskirjatutkimukseni tavoitteena on lisätä ymmärrystä terveystiedon käyttäjistä ja erityisesti heidän terveysinformaatiokäyttäytymiseensä liittyvistä ominaisuuksista. Tutkimukseni tuottaa tietoa tekijöistä, joita voidaan käyttää terveystiedon räätälöinnin lähtökohtana. Terveysinformaatiokäyttäytymistä tarkastelen tiedontarpeiden ja -hankinnan sekä erityisesti tiedon käytön näkökulmasta. Informaatiokäyttäytymistä tutkitaan myös suhteessa tiedon käyttäjän fyysiseen terveydentilaan. Tutkimukseni vastaa tarpeeseen tutkia tiedon käyttäjiä, sillä tiedon käyttöön liittyvien yksilöllisten ominaisuuksien ymmärtäminen on keskeistä terveyden edistämisessä. Väitöskirja tuottaa uutta tietoa myös informaatiokäyttäytymisen ja terveystiedon räätälöinnin välisestä suhteesta. Väitöskirjani käsittää neljä osajulkaisua: kolme empiiristä tutkimusta ja kirjallisuuskatsauksen. Empiiriset tutkimukset toteutettiin tyypin 2 diabeteksen ehkäisyyn tähtäävän interventiotutkimuksen (PreDiabEx) ja väestöpohjaisen tutkimuksen (MOPO) tarjoamissa tutkimusympäristöissä. Tutkimusten kohteina olivat miehet ja naiset, joiden riski sairastua tyypin 2 diabetekseen oli korkea sekä kutsuntaikäiset miehet. Tutkimukset toteutettiin Oulussa ja päätoteuttajia olivat Oulun yliopisto ja Oulun Diakonissalaitos. Empiirinen aineisto kerättiin kyselyillä sekä fysiologisilla ja biokemiallisilla terveydentilaa ilmaisevilla mittareilla vuosien 2010 ja 2011 aikana. Aineisto analysoitiin tilastollisesti. Kirjallisuuskatsauksessa analysoidaan fyysisen aktiivisuuden, ravitsemuksen ja painonhallinnan interventiotutkimuksia, joissa tarkastellaan terveystiedon räätälöinnin vaikuttavuutta silloin, kun tiedonvälitykseen käytetään tietokonetta. Empiiristen tutkimusten tulokset viittaavat siihen, että niin terveystiedonkäyttäjien ominaisuuksissa informaatiokäyttäytymisessä kuin sen suhteessa heidän fyysisen terveydentilaansa on eroja. Terveystietoa tulisikin esittää eri tavoin erilaisille ihmisille, muun muassa erilaisia viestistrategioita ja -taktiikoita käyttäen. Kirjallisuuskatsauksen tulokset lisäsivät ymmärrystä siitä, miten tutkimusasetelman vinoumat voivat vaikuttaa interventiotutkimusten tuloksiin.

Abstract Background: Playing video games, a form of sedentary behaviour, is associated with poor well-being and increased risk of morbidity due to chronic disease. However, the association between health behaviours and video gaming is poorly understood. The purpose of this population-based study was to reveal the differences in dietary habits and physical activity for adolescent men with high amount of video games on weekdays, as compared to their peers who play less often. Methods: Seven hundred ninety-six adolescent men (age: mean = 17.8, SD = 0.6) attended compulsory conscription for military service in 2013 and completed a questionnaire regarding the amount and frequency of their video gaming. They also participated in a medical examination and underwent physiological measurements. The participants who played video games more than 3 h/d on weekdays were compared with those who played 3h/d or less. The association between health behaviours and the amount of playing video gaming was analysed using multivariable logistic regression analysis. Results: 24.1% (n = 192) of the participants reported video gaming in excess of 3 h/d. This group had higher incidence of having low physical fitness, having poor eating habits, and being obese. No differences were found in smoking or alcohol drinking habits. Other factors, including low leisure-time physical activity (OR = 1.94; 95% CI, 1.29–2.91), low consumption of vegetables and fruits (OR = 0.83; 95% CI, 0.72–0.97), high consumption of sweetened soft drinks (OR = 1.28; 95% CI, 1.06–1.55) and high amount of sitting time (OR = 1.40; 95% CI, 1.28–1.52), explained one-fourth of the difference. Conclusion: In this population-based study, adolescent men who played video games a lot on weekdays had lower physical fitness, were more often obese, and had poorer dietary habits, as compared to their peers who played less often. Because playing video games typically adds to a person's total sedentary time, this activity may be associated with adverse health outcomes at a very young age— especially in combination with poor health behaviours. The results of this study can be utilized to promote health interventions targeted at adolescent men so as to raise their awareness of the disadvantages of excessive video gaming.

Executive summary We are witnessing an emerging digital revolution. For the past 25–30 years, at an increasing pace, digital technologies—especially the internet, mobile phones and smartphones—have transformed the everyday lives of human beings. The pace of change will increase, and new digital technologies will become even more tightly entangled in human everyday lives. Artificial intelligence (AI), the Internet of Things (IoT), 6G wireless solutions, virtual reality (VR), augmented reality (AR), mixed reality (XR), robots and various platforms for remote and hybrid communication will become embedded in our lives at home, work and school. Digitalisation has been identified as a megatrend, for example, by the OECD (2016; 2019). While digitalisation processes permeate all aspects of life, special attention has been paid to its impact on the ageing population, everyday communication practices, education and learning and working life. For example, it has been argued that digital solutions and technologies have the potential to improve quality of life, speed up processes and increase efficiency. At the same time, digitalisation is likely to bring with it unexpected trends and challenges. For example, AI and robots will doubtlessly speed up or take over many routine-based work tasks from humans, leading to the disappearance of certain occupations and the need for re-education. This, in turn, will lead to an increased demand for skills that are unique to humans and that technologies are not able to master. Thus, developing human competences in the emerging digital era will require not only the mastering of new technical skills, but also the advancement of interpersonal, emotional, literacy and problem-solving skills. It is important to identify and describe the digitalisation phenomena—pertaining to individuals and societies—and seek human-centric answers and solutions that advance the benefits of and mitigate the possible adverse effects of digitalisation (e.g. inequality, divisions, vulnerability and unemployment). This requires directing the focus on strengthening the human skills and competences that will be needed for a sustainable digital future. Digital technologies should be seen as possibilities, not as necessities. There is a need to call attention to the co-evolutionary processes between humans and emerging digital technologies—that is, the ways in which humans grow up with and live their lives alongside digital technologies. It is imperative to gain in-depth knowledge about the natural ways in which digital technologies are embedded in human everyday lives—for example, how people learn, interact and communicate in remote and hybrid settings or with artificial intelligence; how new digital technologies could be used to support continuous learning and understand learning processes better and how health and well-being can be promoted with the help of new digital solutions. Another significant consideration revolves around the co-creation of our digital futures. Important questions to be asked are as follows: Who are the ones to co-create digital solutions for the future? How can humans and human sciences better contribute to digitalisation and define how emerging technologies shape society and the future? Although academic and business actors have recently fostered inclusion and diversity in their co-creation processes, more must be done. The empowerment of ordinary people to start acting as active makers and shapers of our digital futures is required, as is giving voice to those who have traditionally been silenced or marginalised in the development of digital technology. In the emerging co-creation processes, emphasis should be placed on social sustainability and contextual sensitivity. Such processes are always value-laden and political and intimately intertwined with ethical issues. Constant and accelerating change characterises contemporary human systems, our everyday lives and the environment. Resilience thinking has become one of the major conceptual tools for understanding and dealing with change. It is a multi-scalar idea referring to the capacity of individuals and human systems to absorb disturbances and reorganise their functionality while undergoing a change. Based on the evolving new digital technologies, there is a pressing need to understand how these technologies could be utilised for human well-being, sustainable lifestyles and a better environment. This calls for analysing different scales and types of resilience in order to develop better technology-based solutions for human-centred development in the new digital era. This white paper is a collaborative effort by researchers from six faculties and groups working on questions related to digitalisation at the University of Oulu, Finland. We have identified questions and challenges related to the emerging digital era and suggest directions that will make possible a human-centric digital future and strengthen the competences of humans and humanity in this era.