Evidence map›Paper›PMID 37610815›Full record

ArticleJournal of medical Internet research2023

Understanding Trust Determinants in a Live Chat Service on Familial Cancer: Qualitative Triangulation Study With Focus Groups and Interviews in Germany.

Hanna Luetke Lanfer, Doreen Reifegerste, Annika Berg, Paula Memenga, Eva Baumann, Winja Weber, Julia Geulen, Anne Müller, Andrea Hahne, Susanne Weg-Remers

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Hanna Luetke LanferSchool of Public Health, Bielefeld University, Bielefeld, Germany.ORCID 0000-0002-3118-248X
Doreen ReifegersteSchool of Public Health, Bielefeld University, Bielefeld, Germany.ORCID 0000-0002-8961-7220
Annika BergSchool of Public Health, Bielefeld University, Bielefeld, Germany.ORCID 0009-0002-4000-0913
Paula MemengaDepartment of Journalism and Communication Research, Hochschule für Musik, Theater und Medien Hannover, Hannover, Germany.ORCID 0000-0001-5067-0430
Eva BaumannDepartment of Journalism and Communication Research, Hochschule für Musik, Theater und Medien Hannover, Hannover, Germany.ORCID 0000-0002-2357-2138
Winja WeberKrebsinformationsdienst, Heidelberg, Germany.ORCID 0000-0003-4966-197X
Julia GeulenKrebsinformationsdienst, Heidelberg, Germany.ORCID 0009-0001-7696-2885
Anne MüllerBRCA-Netzwerk, Bonn, Germany.ORCID 0009-0004-9922-9098
Andrea HahneBRCA-Netzwerk, Bonn, Germany.ORCID 0009-0009-9715-4957
Susanne Weg-RemersKrebsinformationsdienst, Heidelberg, Germany.ORCID 0000-0003-0476-6102
Bielefeld University · DEHanover University of Music Drama and Media · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn dealing with familial cancer risk, seeking web-based health information can be a coping strategy for different stakeholder groups (ie, patients, relatives, and those suspecting an elevated familial cancer risk). In the vast digital landscape marked by a varied quality of web-based information and evolving technologies, trust emerges as a pivotal factor, guiding the process of health information seeking and interacting with digital health services. This trust formation in health information can be conceptualized as context dependent and multidimensional, involving 3 key dimensions: information seeker (trustor), information provider (trustee), and medium or platform (application). Owing to the rapid changes in the digital context, it is critical to understand how seekers form trust in new services, given the interplay among these different dimensions. An example of such a new service is a live chat operated by physicians for the general public with personalized cancer-related information and a focus on familial cancer risk.

objectiveTo gain a comprehensive picture of trust formation in a cancer-related live chat service, this study investigates the 3 dimensions of trust-trustor, trustee, and application-and their respective relevant characteristics based on a model of trust in web-based health information. In addition, the study aims to compare these characteristics across the 3 different stakeholder groups, with the goal to enhance the service's trustworthiness for each group.

methodsThis qualitative study triangulated the different perspectives of medical cancer advisers, advisers from cancer support groups, and members of the public in interviews and focus group discussions to explore the 3 dimensions of trust-trustor, trustee, and application-and their determinants for a new live chat service for familial cancer risk to be implemented at the German Cancer Information Service.

resultsThe results indicate that experience with familial cancer risk is the key trustor characteristic to using, and trusting information provided by, the live chat service. The live chat might also be particularly valuable for people from minority groups who have unmet needs from physician-patient interactions. Participants highlighted trustee characteristics such as ability, benevolence, integrity, and humanness (ie, not a chatbot) as pivotal in a trustworthy cancer live chat service. Application-related characteristics, including the reputation of the institution, user-centric design, modern technology, and visual appeal, were also deemed essential. Despite the different backgrounds and sociodemographics of the 3 stakeholder groups, many overlaps were found among the 3 trust dimensions and their respective characteristics.

conclusionsTrust in a live chat for cancer information is formed by different dimensions and characteristics of trust. This study underscores the importance of understanding trust formation in digital health services and suggests potential enhancements for effective, trustworthy interactions in live chat services (eg, by providing biographies of the human medical experts to differentiate them from artificial intelligence chatbots).

Indexed as

Artificial IntelligenceNeoplasmsFocus GroupsGermanyHumansTrustcancerlive chatqualitative researchtrustweb-based health seeking

Identifiers

PMID37610815
PMCPMC10483292
OpenAlexW4383428734

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.