Skip to main content
Log in

Contemplating public policy in HIV/AIDS online content, then where is the technology spirit?

  • Original Article
  • Published:
European Journal of Information Systems

Abstract

Adaptive structuration theory (AST) has long been an accepted framework for investigating structures within technological artifacts and work environments. Information systems, organization science and communication scholars have prefaced AST context in terms of collaborative, group decision support systems. The social structures, however, can be characterized by features of rules, resources and capabilities along with a communicative spirit. Spirit is said to enable the user to better understand and interpret the meaning of a technology. Our research varies from the traditional focus of AST studies given that our context is not in single, for-profit organization with a common corporate mission or objective. Rather, we concentrate on the HIV/AIDS pandemic among Black women and the spirit communicated to this population by a principal government healthcare website. By interacting with a group of healthcare experts and practitioners during a 14-month period, we sought to understand the site's meaning and indications as its mission is to disseminate HIV/AIDS and other pertinent medical information. Further, our findings suggest that AST is a research framework that functions as a source for the notion of spirit. The (un)intended spirit inscribed on information and communication technologies (ICT) may be (ex)inclusive with regard to the population or society it intends to serve. Hence, grassroots approaches and audiences can, in fact, offer effective insight into user-centered designs focused on educational and prevention content among those most affected and infected by chronic diseases, such as HIV.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Figure 6
Figure 7
Figure 8
Figure 9

Similar content being viewed by others

References

  • Aday LA (1994) Health status of vulnerable populations. Annual Review of Public Health 15, 487–509.

    Article  Google Scholar 

  • Baskerville RL and Wood-Harper AT (1998) Diversity in information systems action research methods. European Journal of Information Systems 7 (2), 90–107.

    Article  Google Scholar 

  • Black AIDS Institute (2008) Left behind – black America: a neglected priority in the global AIDS epidemic report.

  • Brock A (2005) A belief in humanity is a belief in colored men: using culture to span the digital divide. Journal of Computer Mediated Communication 11, 357–374.

    Article  Google Scholar 

  • Center of Disease Control (2005) HIV/AIDS update. A glance at the HIV epidemic. Retrieved 1 June 2006 from http://www.cdc.gov/nchstp/od/news/At-a-Glance.pdf.

  • Center for Disease Control and Prevention (2007) HIV/AIDS surveillance report: cases of HIV infection and AIDS in the United States and dependent areas.

  • Consumer Health WebWatch (2009) Joint project of the health improvement institute, WebWatch and consumer reports. Retrieved 15 May 2009, from http://www.HealthRatings.org.

  • Cushman M and Klecun E (2006) IFIP international federation for information processing, 208. In Social Inclusion: Societal and Organizational Implications for Information Systems (TRAUTH E, HOWCROFT D, BUTLER T, FITZGERALD B and DEGROSS J, Eds), pp 347–364, Springer, Boston.

    Chapter  Google Scholar 

  • DeSanctis G and Poole MS (1994) Capturing the complexity in advanced technology use: adaptive structuration theory. Organization Science 5 (2), 121–147.

    Article  Google Scholar 

  • Fox S and Rainie L (2002) Vital Decisions: How Internet Users Decide What Information to Trust When They or Their Loved Ones are Sick. Pew Internet and American Life, Washington, DC.

    Google Scholar 

  • Galliers RD (2003) Change as crisis or growth? Toward a trans-disciplinary view of information systems as a field of study: a response to Benbasat and Zmud's call for returning to the IT artifact. Journal of the Association of Information Systems 4 (6), 337–351.

    Google Scholar 

  • Grint K and Woolgar S (1997) The Machine At Work. Polity, Cambridge Health People 2010. Retrieved 1 August 2006 from http://www.healthypeople.gov/.

    Google Scholar 

  • Gurstein M (2003) Effective use: a community informatics strategy beyond the digital divide. First Monday 8 (12).

  • Harvard School of Public Health (2005) Health disparities and the body politics. Working Group on Health Disparities.

  • Henry Kaiser Family Foundation (2007) Kaiser daily health policy report, New York times examines cost, technology behind electronic health reports. Retrieved 1 August 2007, from www.kaisernetwork.org.daily_reports.

  • Hutchby I (2001) Technologies, texts and affordances. Sociology 35 (2), 441–456.

    Article  Google Scholar 

  • Isaacs SL (2004) Class – the ignored determinant of the nation's health. The New England Journal of Medicine 351 (11), 137–142.

    Article  Google Scholar 

  • Israel BA, Eng E, Schulz AJ and Parker EA (2005) Methods in Community-Based Participatory Research for Health. Jossey-Bass, San Francisco, CA.

    Google Scholar 

  • Kalichman SC, Weinhardt L, Benotsch E and Cherry C (2002) Closing the digital divide in HIV/AIDS care: development of a theory-based intervention to increase internet access. AIDS Care 14 (4), 523–537.

    Article  Google Scholar 

  • Kiwanuka-Tondo J and Payton FC (2009) The coverage of the AIDS epidemic in Tanzania: a content analysis of the daily news coverage 1998–2002. Under Review.

  • Klecun E and Cornford T (2005) A critical approach to evaluation. European Journal of Information Systems 14, 229–243.

    Article  Google Scholar 

  • Klein HK and Hirschheim R (2001) Choosing between competing design ideals in information systems development. Information Systems Frontiers 3 (1), 75–90.

    Article  Google Scholar 

  • Kovak C. (2005) Toward a digital health-care ecosystem. The Wall Street Journal, 25, October.

  • Kvasny L and Payton FC (2007) Minorities and information technology: critical issues and trends in digital divide research. In Encyclopedia of Information Science and Technology (KHOSROW-POUR, Ed), 2nd edn, Number 1-803. Hershey, PA: Information Science Publishing.

    Google Scholar 

  • Kvasny L, Chong J and Payton. FC (2006) Minority women and eHealth: social inclusion in online HIV/AIDS information. Poster Presentation at the IFIP 8.2.

  • Spooner T, and Raine L (2000) African-Americans Internet. Pew Internet and American Life Project.

    Google Scholar 

  • LaVeist TA (2005) Minority Populations and Health. Jossey-Bass, San Francisco, CA.

    Google Scholar 

  • Lazarus W and Lipper L (2000) Online content for low-income and underserved Americans: the digital divide's new frontier. Report available at the Children's Partnership, SantaMonica, CA.

  • Madden M and Fox S (2006) Finding answers online in sickness and in health. Pew Internet and American Life Project.

  • Madon S (2005) Governance lessons from the experience of telecentres in Kerala. European Journal of Information Systems 14, 401–416.

    Article  Google Scholar 

  • Medical Records Institute (2006) Evolving to a connected health marketplace technology-enabled change in the U.S. healthcare system. Retrieved 1 August 2007 from http://www.medrecinst.com/libarticle.asp?id=83.

  • Miles MB and Huberman AM (1994) Qualitative Data Analysis: A Sourcebook of New Methods 2nd edn, Sage, Thousand Oaks, CA.

    Google Scholar 

  • Mize SJS, Robinson BE, Bockting WO and Scheltema KE (2002) Meta-analysis of the effectiveness of HIV prevention interventions for women. AIDS Care 14 (2), 163–180.

    Article  Google Scholar 

  • Nakamura L (2002) Cybertypes: Race, Ethnicity, and Identity on the Internet. Routledge, New York.

    Google Scholar 

  • National Institute of Health (Year) Retrieved 19 May 2009, from http://nih.gov/.

  • National Minority AIDS Education and Training Center (2002) Be Safe: A Cultural Competence Model for African Americans. Howard University, Retrieved 4 August 2008, from www.nmaetc.org.

  • National Science Board (2006) Science and Engineering Indicators: National Science Foundation. National Science Board, Arlington, VA.

  • O’Harrow Jr. R (2009) The machinery behind health-care reform: how an industry lobby scored a swift, unexpected victory by channeling billions to electronic records. The Washington Post.

  • Payton FC (2003) e-Health leading to B2E commerce in the human resource function. Journal of Organizational Computing and Electronic Commerce 13 (2), 147–161.

    Article  Google Scholar 

  • Payton FC (2008) Digital divide or digital equity: other considerations? In International Encyclopedia of the Social Sciences (DARITY WA, Jr. Ed), 2nd edn, Vol. 9. Macmillan Reference U.S.A, Detroit.

    Google Scholar 

  • Payton FC and Brennan PF (1999) Examining systems utilization of a community health information network. Communications of the ACM 42 (12), 85–89.

    Article  Google Scholar 

  • Payton FC and Ginzberg MJ (2001) Interorganizational healthcare systems implementations: an exploratory study of early electronic commerce initiatives. Healthcare Management Review 26 (2), 20–32.

    Article  Google Scholar 

  • Payton FC and Tan J (2009) Online health information seeking. In Adaptive Healthcare Management Information Systems (TAN J and PAYTON FC, Eds), 3rd edn, Jones & Bartlett Publishing, Sudbury, MA.

    Google Scholar 

  • Pew Internet & American Life Project (2006) Online health search 2006. Retrieved 10 June 2008, from http://www.pewinternet.org/pdfs/PIP_Online_Health_2006.pdf.

  • Prather C, Fuller TR, King W, Brown M, Moering M, Little S and Phillips K (2006) Diffusing an HIV prevention intervention for African American women: integrating Afrocentric components into the SISTA diffusion strategy, AIDS Education and Prevention. 18 (A), 149–160.

    Article  Google Scholar 

  • Ryer JC (1997) Health Net: Your Essential Resource for the Most Up-to-Date Medical Information Online. John Wiley and Sons, Inc, New York, NY.

    Google Scholar 

  • Satcher D (2005) Foreword. In Methods in Community-Based Participatory Research for Health (ISRAEL BA, ENG E, SCHULZ AJ and PARKER, Eds), Jossey-Bass, San Francisco, CA.

    Google Scholar 

  • Schulz AJ, Freudenberg N and Daniels J (2006) Intersections of race, class and gender in public health interventions. In Gender, Race, Class and Health (SCHULZ AJ and MULLINGS L, Eds), Jossey-Bass, San Francisco, CA.

    Google Scholar 

  • Scott KD, Gilliam A and Braxton K (2005) Culturally competent HIV prevention strategies for women of color in the United States. Healthcare for Women International 26, 17–45.

    Article  Google Scholar 

  • Shi L and Stevens GD (2005) Vulnerable Populations in the United States. Jossey-Bass, San Francisco, CA.

    Google Scholar 

  • Spooner T and Raine L (2000) African‐Americans and the Internet. Pew Internet and American Life Project. http://www.pewinternet.org/reports/2000/AfricanAmericans-and-the-Internet.aspx.

  • Ulin PR, Robinson ET and Tolley EE (2005) Qualitative Methods in Public Health: A Field Guide for Applied Research. Jossey-Bass, San Francisco, CA.

    Google Scholar 

  • U.S. Department of Health and Human Services (2000) Healthy People 2010: Understanding and Improving Health 2nd edn, U.S. Government Printing Office, Washington, DC, November.

  • U.S. Department of Health and Human Services (2005) Transforming the Face of Health Professions through Cultural and Linguistic Competence Education: The Role of HSRA Centers of Excellence. U.S. Department of Health and Human Services, Washington, DC.

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Payton, F., Kiwanuka-Tondo, J. Contemplating public policy in HIV/AIDS online content, then where is the technology spirit?. Eur J Inf Syst 18, 192–204 (2009). https://doi.org/10.1057/ejis.2009.16

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1057/ejis.2009.16

Keywords

Navigation