A150. Rice, R. E., Sundar, S. S., & Kim, H-S. (2021). Role of technology in health communication: Trends and trajectories. In T. L. Thompson & N. G. Harrington (Eds.), Routledge Handbook of health communication (3rd ed.) (Chapter 26, pp. 381-396). Routledge.


People are using online media and a diverse host of other Internet-based technologies for their health communication needs at an unprecedented rate, a reality that has been in the making for more than 20 years and has been exacerbated during the COVID-19 crisis. The latest Health Information National Trends Survey ( HINTS, 2019) reports that, within the prior 12 months, 71.9% of U.S. adults used the Internet to find health-related information for themselves, 47.4% have one or more apps related to health and wellness on their tablet or smartphone, 26.7% have used an electronic wearable device, 14.4% shared health information on social networking sites, 36.7% watched a health-related video on YouTube, and 36.5% have sent a text message to or received a text message from a doctor or other healthcare professional. This chapter provides an overview of significant trends and trajectories for studying digital and online health communication technology. Because of the vast literature in this area, we can only provide a snapshot based on mostly very recent publications that largely emphasize these topics. The reviews and studies in this chapter are characterized by a strongly social science and scientific perspective and thus provide little by way of interpretive or critical-cultural studies. Other sources, however, such as Neto and Flynn’s (2019) edited comprehensive review of information and communication technologies and health in the Brazilian context, do apply qualitative methods and critical perspectives.

Health communication technologies can be categorized in a variety of ways. The Medical Futurist Institute (2020) discusses examples of health innovations, applications, and contributions of 3D printing, artificial intelligence, augmented reality, genomics, health sensors, medical robots, nanotechnological devices, social media and smartphones, and virtual reality. Risling et al. (2017) categorize based on purpose: one-way discrete (reminders, announcements), two-way discrete (assessment/Q&A, consultations), one-way ongoing (reference material), and two-way ongoing (community building, knowledge sharing, engage/coordinate extended healthcare team). Our review of the literature suggests that there are three broad, overlapping classes of health communication technologies—electronic media (or eHealth, the broadest of the three, which focuses on traditional web-based technologies and more general institutional and societal systems), mobile media (or mHealth, which relies on smartphones and their apps), and ambient media (or aHealth, technologies such as conversational agents, wearables, and games).

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