Noora Hirvonen

Noora Hirvonen
University of Oulu · Department of Information studies

Doctor of Philosophy

About

65
Publications
5,361
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
1,509
Citations
Additional affiliations
January 2021 - present
University of Oulu
Position
  • Professor (Assistant)
January 2017 - December 2020
University of Oulu
Position
  • PostDoc Position
January 2017 - August 2019
Åbo Akademi University
Position
  • Researcher

Publications

Publications (65)
Article
Purpose The purpose of this paper is to examine the role of one particular online discussion forum as a potentially authoritative health information source for its users. The concept of cognitive authority is used as a starting point for understanding information evaluation in this context. The focus is placed on the types of information users see...
Article
Socio-technical changes have transformed information practices and challenged conceptions of cognitive authorities, referring to information sources that are deemed credible and legitimate and influence people's thinking. Cognitive authorities in group-based knowledge-construction projects in health education lessons were explored in this study. Ne...
Article
Purpose This study aims to increase the understanding of the early-stage identity-related information needs of transgender people. Design/methodology/approach This study draws on social constructivism, queer theory and information practice research. In accordance with the queer phenomenological approach which emphasises lived experiences, data was...
Article
This paper contributes to the pedagogical discussion on how to promote critical thinking among adolescents in modern media environments. It argues that teachers play an essential role in guiding students’ assessment of and decision between credible information sources. The study was carried out among eighth-grade health education teachers and stude...
Article
Full-text available
Purpose This study examines the information literacy practices of young video bloggers, focusing on the ways in which they construct their cognitive authority through a health-related information creation process. Design/methodology/approach This study draws upon socially oriented information literacy research and nexus analysis as its methodologi...
Conference Paper
Current research on electronic patient portals and electronic health records shows a broad range of benefits to patients, healthcare professionals and healthcare when patients are allowed to take part of their medical record information. There are, however, shortcomings in the current knowledge about patients’ and other stakeholders’ information in...
Chapter
Everyday health information literacy (EHIL) denotes people’s confidence and perceptions of their capability to obtain, evaluate, and use health information in everyday life. This paper presents results from a survey of older Finns on how EHIL relates to perceptions of digital health services. A postal survey was conducted with a random sample of 1,...
Article
Full-text available
Information behavior and practices (IBP) research has been repeatedly criticized for having little impact on information systems development (ISD). Claiming that there is a complete disconnect would be an exaggeration but it is apparent that it is not always easy to translate findings of IBP research to workable design recommendations. Based on a r...
Article
This article describes how Finnish health education teachers reflect on their views of multiliteracy and the instructional practices they used to implement it. Narrative interviews were conducted among eight junior high school and high school teachers. Nexus analysis was used to guide the analysis on the teachers’ views and practices. The results i...
Article
Background As the burden of treatment-resistant schizophrenia (TRS) on patients and society is high it is important to identify predictors of response to medications in TRS. The aim was to analyse whether baseline patient and study characteristics predict treatment response in TRS in drug trials. Methods A comprehensive search strategy completed i...
Article
Purpose The purpose of this study is to examine how dialogic spaces were co-constituted (opened, broadened and deepened) between students engaged in divergent and convergent collaborative learning tasks, orchestrated by teachers in Finnish primary and secondary schools. The concept of dialogic space refers to a dynamic, shared resource of ideas in...
Article
Full-text available
To explicate how experiences with patient-accessible electronic health records correspond to the expectations of the users, we present qualitative results of older adults’ experiences with the Finnish national patient-accessible health record My Kanta and similar services. 24 persons, 17 women and 7 men aged 55–73, took part in the study. We interv...
Article
Introduction. It is challenging for young people to determine who or what information sources they can trust in health issues. This study examines adolescents’ understanding of health, health information needs and credible health information sources and discusses the ways some information sources can be regarded as adolescents’ cognitive authoritie...
Article
This article describes how Finnish health education teachers verbalise and construct their teacher identity based on their lifestyle, subject area, and relationships with their students. Narrative interviews were conducted among eight secondary and upper secondary school teachers. Nexus analysis was used to analyse teachers’ methods of teaching stu...
Article
HPV-rokotteen avulla pyritään ehkäisemään ihmisen papilloomavirusten tartuntaa ja niiden aiheuttamia haittoja, erityisesti kohdunkaulan syöpiä. Suomessa rokotetta tarjotaan nuorille maksutta osana kansallista rokotusohjelmaa. Tässä tutkimuksessa tarkastellaan HPV-rokotteeseen liittyviä puhetapoja keskittyen kahteen päätöksentekoon liittyvään kysymy...
Article
Full-text available
Background People face varying obstacles when interacting with health information in their everyday lives. Objectives This study aims to examine the applicability of a multidimensional Everyday Health Information Literacy (EHIL) screening tool in detecting people with challenges in accessing, understanding, evaluating and using health information...
Conference Paper
Full-text available
Introduction. This study discusses the potential of nexus analysis in information literacy research. Nexus analysis is a theoretical-methodological approach that examines the linkages between discourse and action. Method. Nexus analysis is discussed in relation to other socially oriented approaches to information literacy research and illustrated w...
Chapter
To address the research gap on age-based differences in health information literacy (HIL), we investigated how younger (born 1960–) and older adults (1946–1960), and elderly citizens (–1945) differed from each other by their HIL competencies. Data were collected with an online survey of patients using the Swedish national electronic health record s...
Chapter
In Finland, health education is included as an independent subject in the core curriculum for basic education where it is suggested to promote students’ health literacy. In this qualitative study, we examine Finnish health education in schools through an information literacy lens. The material comprises the most recent Finnish core curricula for ba...
Article
A common critique is that insights from information behaviour and practises (IBP) research have difficulties to find their way to inform the design of new technologies, systems and services. There is a certain seed of truth of these statements but the situation is much more complex as are the requirements to improve the relevance of empirical obser...
Article
Full-text available
Background: Health literacy research seems to lack a consensus on what aspects to include into literacy in the context of health and on how to operationalize these concepts for measurement purposes. In addition to health literacy, several other concepts, such as electronic health (eHealth) literacy and mental health literacy, have been developed ac...
Article
The paper presents a study that examines older Finnish adults’ self-perceived capability to access, evaluate, understand and use health-related information, and their perceived ability to influence their health themselves, and the relationship between these factors and their current health, health behaviour and information seeking. Questionnaires w...
Article
In spite of the general interest in health information behaviour, there is little earlier research on how older adults, who are still active in working life but approaching retirement, differ from other age groups. A survey with Swedish patients who had ordered and read their medical record was conducted to map the preferences and motivations of ol...
Preprint
BACKGROUND Health literacy research seems to lack a consensus on what aspects to include into literacy in the context of health and on how to operationalize these concepts for measurement purposes. In addition to health literacy, several other concepts, such as electronic health (eHealth) literacy and mental health literacy, have been developed acr...
Conference Paper
Full-text available
This study systematically reviews concepts related to health literacy with an emphasis on the approach to information in their definitions. The focus was set on studies conducted in online information environments. In total, 180 full-text articles were screened and, of these, 71 articles were included in the analysis. Eight different literacy conce...
Article
The neurodevelopmental hypothesis of schizophrenia proposes that impaired brain development is a cause of the illness. Early motor developmental milestones, such as learning to walk, are predictors of later schizophrenia but studies have not been systematically reviewed. The aim of the present systematic review and meta-analysis was to explore the...
Article
Objective: The association between long-term antipsychotic treatment and changes in brain structure in schizophrenia is unclear. Our aim was to conduct a systematic review and a meta-analysis on long-term antipsychotic effects on brain structures in schizophrenia focusing on studies with at least 2 years of follow-up between MRI scans. Design: S...
Article
Background Online behavior-change programs may increase physical activity in adolescents, but their effects on subjective health and wellbeing are not well known. Purpose We investigated the effects of a mobile physical activity intervention on life satisfaction and self-rated health among young adolescent men. Methods In this population-based stud...
Article
Full-text available
The neurodevelopmental hypothesis of schizophrenia proposes that impaired brain development is a cause of the illness. Early motor developmental milestones, such as learning to walk, are predictors of later schizophrenia but studies have not been systematically reviewed. The aim of the present systematic review and meta-analysis was to explore the...
Article
Highlights • The study examines the everyday health information literacy (EHIL) of young men. • EHIL is positively associated with health promoting behavior and physical fitness. • The associations are mostly independent of socio-economic characteristics. • Health information literacy screening may be used as a basis for health counseling.
Article
Full-text available
The aim of this article is to bring forward the benefits of a better integration of a comprehensive understanding of individuals’ information behaviour in the design and development of e-health services. This study is a descriptive review based on a non-exhaustive selection of literature that describes the state-of-the-art, problems and opportuniti...
Conference Paper
The everyday health information literacy (EHIL) of students with different cultural backgrounds is compared. The data were collected with a self-assessment based EHIL screening tool from Namibian university students (n = 271) and Finnish upper secondary school students (n = 217). The tool corresponds to the definition of health information literacy...
Poster
Introduction. Everyday health information literacy refers to the abilities needed to identify and retrieve relevant health information, assess its quality and applicability and analyze, understand, and use the information to make good health decisions in everyday life (MLA 2003). Based on this definition, Niemelä et al. (2012) developed a screening...
Article
Introduction Treatment-resistant schizophrenia (TRS) is a severe form of schizophrenia. From one fifth to one third of all patients with schizophrenia are resistant to treatment. Objective To determine the knowledge on TRS and to find out the extent and the quality of research on TRS. Aims To conduct a systematic review of the current literature on...
Article
This cross-sectional population-based study aims at identifying differences in the aspects of everyday health information literacy among young healthy men and adults with an increased risk for metabolic syndrome. Data were collected with a self-assessment-based 10-item screening tool administered at the Finnish Defence Force’s call-ups (n=2507, res...
Thesis
This study increases the understanding of young men’s everyday health information literacy and behaviour in relation to their health behaviour, physical health, and socio-demographic characteristics. The conceptual framework of the study builds upon theories of information behaviour, practices and literacy, and health behaviour change. The empirica...
Conference Paper
In this study we investigate young men’s seeking and avoidance of physical activity and exercise information. Stage of exercise behavior change as identified in the Transtheoretical Model and everyday health information literacy are studied in relation to these actions. The data were collected with a questionnaire survey (n=1,040) administered at t...
Article
Introduction. The aim of the study is to increase knowledge of the perceptions of the fear appeal message strategy as a factor affecting information use. The associations between perceptions and individual characteristics, namely education, everyday health information literacy, self-estimated and objectively measured physical health status, and the...
Article
Introduction. Everyday health information literacy refers to the competencies needed to find relevant information, evaluate its reliability, and use it to make decisions concerning health in everyday life. More evidence is needed of the determinants of health information literacy to better understand how it is acquired and through which mechanisms...
Article
In this study we investigate young men's seeking and avoidance of physical activity and exercise information. Stage of exercise behavior change as identified in the Transtheoretical Model and everyday health information literacy are studied in relation to these actions. The data were collected with a questionnaire survey (n=1,040) administered at t...
Conference Paper
The use of a screening tool for assessing everyday health information literacy (EHIL) is examined in counselling on healthy eating and lifestyle in the intervention study Improved Methods of Lifestyle Modification for Patients at High Risk for Metabolic Syndrome (PrevMetSyn) ongoing in Finland from 2013 to 2016. A case study with quantitative metho...
Article
Tailored feedback on personal physical activity behavior has been used to inform individuals and promote physical activity among different populations. This study aimed to increase the understanding of factors associated with young men's preferences for feedback message tactics in the context of physical activity and exercise. How preferences vary...
Article
The authors have empirically examined the persuasive properties of digital games from a multidisciplinary perspective. Besides the relevant cultural and psychological theories related to the game phenomenon, the authors have included a case study where a persuasive online activation service was tested among young men (N=280, average 17.9 year old)...
Article
Objective We aimed to investigate associations between family history of psychosis and long-term occupational, social and global (i.e. combined occupational, social and clinical) outcome in schizophrenia.MethodA systematic search to identify potentially relevant studies was conducted using seven electronic databases and a manual search of literatur...
Article
Background Duration of untreated psychosis (DUP) is one of the few potentially modifiable predictors of outcomes of schizophrenia. Long DUP as a predictor of poor short-term outcome has been addressed in previous meta-analyses, but the long-term effects of DUP remain unclear. Aims To analyse the associations between DUP and long-term outcomes o...
Article
Nuorten miesten heikko terveystiedon lukutaito on yhteydessä vähäiseen liikkumiseen ja heikompaan fyysiseen kuntoon. Yhteydet eivät kuitenkaan ole yksiselitteisiä. Terveyteen liittyvä tieto ei välttämättä kiinnosta, sitä ei koeta itselle sopivaksi tai sitä voi olla vaikeaa ymmärtää ja soveltaa omaan arkeen. Terveystiedon räätälöinti on keino ottaa...
Article
The findings from a case study conducted to increase understanding of health-related everyday life information behavior in the context of an e-health intervention to preventing cardiovascular diseases are reported. The theoretical framework combines the concepts of information behavior and practices and related factors. The data, consisting of semi...
Article
Objective: Our primary aims were (a) to identify the proportion of individuals with schizophrenia and related psychoses who met recovery criteria based on both clinical and social domains and (b) to examine if recovery was associated with factors such as gender, economic index of sites, and selected design features of the study. We also examined i...
Article
This study augments the transtheoretical model (TTM) of behavior change with the concepts of information behavior and employs this framework to understand young men's needs for and practices of obtaining and avoiding information on physical activity and exercise in relation to their readiness to change exercise behavior. The results, based on stati...

Network

Cited By

Projects

Projects (9)
Project
The main purpose of BRIDGE is to create a transnational cooperation network for the exchange of good practices and resources for the joint promotion of information and digital literacy as a way of underpinning education in equality values in primary schools. This will enable key actors to make better use of digital technologies, develop innovative teaching, training and learning methods, promote non-formal learning and have quality resources to develop activities. The proposal is aimed for children in the middle primary school stage (aged 8-11 years) and intends to take advantage of the educational potential of children’s literature (especially picture books) and transmedia to engage with students about equality, diversity and inclusiveness and global citizenship, and as a door to information and digital literacy activities that help to foster inquisitiveness, informed, enquiry-led learning and critical thinking. The key role of school libraries will also be boosted, and overall the proposal aims to raise awareness among educational institutions and to provide good practices and implementation suggestions for primary school teachers and other education stakeholders.
Project
This qualitative study examines the ways people use and value diverse sources of knowledge in making a decision on vaccination. The study is positioned within research on information literacy and examines the concepts of agency, understood as the capacity of a human to act, and authority, viewed as knowledge sources that influences thinking in ways that are consider legitimate. The main material for this study is collected in two municipalities in Northern Finland with relatively low human papilloma virus (HPV) vaccine rates. The HPV vaccine is included in the national vaccination program, provided to school-aged girls, and aims to prevent cervical cancer. By combining material collected from media sources and through observation and interviews in schools, the study attempts to increase understanding on information literacy as a social phenomenon and and the role of different information sources in decision-making on health.
Archived project
CogAHealth project examines what data sources young people consider reliable and how authority is constructed in modern, multimodal health communication. The findings can be used to promote health, wellbeing and health equality of the young.