医护人员的社交媒体虚假健康信息纠正意图研究——基于SEM与fsQCA方法

Exploring the Cognitive Factors of Healthcare Professionals’Health Misinformation Correcting Intention on Social Media--Using SEM and fsQCA

探究医护人员在社交媒体上纠正虚假健康信息的影响因素,对减少虚假健康信息的传播具有重要意义。本研究整合第三人效果、保护动机理论和启发系统式模型,使用结构方程模型(SEM)和模糊集定性比较分析(fsQCA),探究医护人员虚假健康信息纠正意图的认知动因及其构型。SEM发现第三人效果、社交媒体信任、自我效能、反应效能和职业认同正向影响虚假健康信息纠正意图;信息处理模式影响社交媒体信任和第三人效果;自我效能和反应效能在社交媒体信任与虚假健康信息纠正意图间存在中介作用。fsQCA发现三类触发虚假健康信息纠正意图的前因构型,第三人效果、自我效能、反应效能和职业认同是重要的前因变量。研究结果呼吁和鼓励更多的医护人员参与社交媒体的虚假健康信息纠正,以降低虚假健康信息的不良影响,维护公众健康。

This paper aimed to explore the factors of healthcare professionals’health misinformation correcting intention on social media.The results of this study can be useful to reduce the spread of health misinformation.Based on Third-Person Effects(TPE),Protective Motivation Theory(PMT)and Heuristic System Model(HSM),this paper employed Structural Equation Model(SEM)and Fuzzy-Set Qualitative Comparative Analysis(fsQCA)to explore the influencing factors of healthcare professionals’health misinformation correcting intention and its configurations.The path analyses showed that third-person effect,social media trust,self-efficacy,response efficacy and professional identity can positively affect health misinformation correcting intention;Information processing affected social media trust and the third-person effect;Social media trust positively affected self-efficacy and response efficacy,and these two variables had mediating effects between social media trust and health misinformation correcting intention.The fsQCA found that there were three configurations leading to health misinformation correcting intention.Third-person effect,self-efficacy,response efficacy,and professional identity were important antecedents.This study can call for and encourage more healthcare professionals to participate in the correction of health misinformation on social media,thus reducing the adverse effects of misinformation and safeguarding public health.