Maintenance Notice

Due to necessary scheduled maintenance, the JMIR Publications website will be unavailable from Wednesday, July 01, 2020 at 8:00 PM to 10:00 PM EST. We apologize in advance for any inconvenience this may cause you.

Who will be affected?

Accepted for/Published in: JMIR Aging

Date Submitted: Sep 6, 2022
Date Accepted: Oct 4, 2023
Date Submitted to PubMed: Oct 19, 2023

The final, peer-reviewed published version of this preprint can be found here:

Older Adults’ Trust and Distrust in COVID-19 Public Health Information: Qualitative Critical Incident Study

Shiroma K, Zimmerman T, Xie B, Fleischmann KR, Rich K, Lee MK, Verma N, Jia C

Older Adults’ Trust and Distrust in COVID-19 Public Health Information: Qualitative Critical Incident Study

JMIR Aging 2023;6:e42517

DOI: 10.2196/42517

PMID: 37856774

PMCID: 10637349

Older Adults’ Trust and Distrust in COVID-19 Public Health Information: A Qualitative Critical Incident Study

  • Kristina Shiroma; 
  • Tara Zimmerman; 
  • Bo Xie; 
  • Kenneth R. Fleischmann; 
  • Kate Rich; 
  • Min Kyung Lee; 
  • Nitin Verma; 
  • Chenyan Jia

ABSTRACT

Background:

The COVID-19 infodemic imposes a disproportionate burden on older adults who face increased challenges in accessing and assessing public health information, but little is known about the factors influencing older adults’ trust in public health information during COVID-19.

Objective:

This study is intended to identify sources that older adults turn to for trusted COVID-19 public health information and the factors influencing their trust. Additionally, we explore the relationship between public health information sources and trust factors.

Methods:

Older adults aged 65+ (N = 30; age range, 65–84; mean age = 71.6 years; SD = 5.57) were recruited using Prime Panels (online research panel aggregator). Semi-structured phone interviews, guided by critical incident technique, were conducted in October and November 2020. Participants were asked about their sources of COVID-19 public health information, the trustworthiness of that information, and factors influencing their trust. Interview data were examined with thematic analysis.

Results:

Mass media, known individuals, and the internet were the main sources older adults turned to for COVID-19 public health information. Although they used social media for entertainment and personal communication, older adults actively avoided accessing or sharing COVID-19 information on social media. Factors influencing older adults’ trust in COVID-19 public health information included confirmation bias, personal research, resigned acceptance, and personal relevance.

Conclusions:

These findings shed light on older adults’ use of information sources and their criteria for evaluating the trustworthiness of public health information during a pandemic. They have implications for future development of effective public health communication, policies, and interventions for older adults during health crises.


 Citation

Please cite as:

Shiroma K, Zimmerman T, Xie B, Fleischmann KR, Rich K, Lee MK, Verma N, Jia C

Older Adults’ Trust and Distrust in COVID-19 Public Health Information: Qualitative Critical Incident Study

JMIR Aging 2023;6:e42517

DOI: 10.2196/42517

PMID: 37856774

PMCID: 10637349

Download PDF


Request queued. Please wait while the file is being generated. It may take some time.

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.