Development of a questionnaire measuring individual goals of health information seeking (GAINS)

Article type
Authors
Chasiotis A1, Wedderhoff O1, Rosman T1, Mayer A1
1Leibniz Institute for Psychology Information, Trier
Abstract
Background:
Individual goals of health information seeking have been widely neglected by previous research, let alone systematically assessed. Identifying these goals, however, would facilitate meeting patients´ and relatives´ health information needs by providing information tailored to their respective goals.

Objectives:
We developed the 16-item Goals Associated with Health Information Seeking (GAINS) questionnaire measuring the four goals ‘understanding’, ‘action planning’, ‘hope’, and ‘reassurance’ on four scales (see Figure 1 for sample items), and additionally, a general need for health information. The goals are differentiated by coping focus (i.e. problem versus emotion) and by regulatory focus (i.e. promotion versus prevention; see Figure 2).

Methods and results:
We conducted two studies with independent samples to assess the psychometric properties of the questionnaire. In the first study (N = 150), reliability of the scales was adequate, and all items had a satisfying discriminatory power. We eliminated three of the original 19 items for reasons of parsimony. Factorial validity was corroborated by an acceptable model fit in a confirmatory factor analysis. In the second study (N = 283), the GAINS again proved to be reliable and the proposed factor structure was replicated. Nomological relationships with personality as well as situational variables provided evidence for construct validity.

Conclusions:
The GAINS is a reliable and valid assessment tool. It may assist patients in finding out about their motivation to search for specific health information in a particular context, which could lead to a more precise search and to personally satisfying results. Practitioners and researchers may draw on the GAINS to develop information material and to provide information tailored to their patients´ individual needs.

Patient or healthcare consumer involvement:
We did not involve current patients in our research.