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Perceived Community Support, Users’ Interactions, and Value Co-Creation in Online Health Community: The Moderating Effect of Social Exclusion

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  • Wenlong Liu

    (College of Economics and Management, Nanjing University of Aeronautics and Astronautics, Nanjing 211106, China
    School of Management, Fudan University, Shanghai 200433, China)

  • Xiucheng Fan

    (School of Management, Fudan University, Shanghai 200433, China)

  • Rongrong Ji

    (College of Economics and Management, Nanjing University of Aeronautics and Astronautics, Nanjing 211106, China)

  • Yi Jiang

    (College of Economics and Management, Nanjing University of Aeronautics and Astronautics, Nanjing 211106, China)

Abstract

Online health communities (OHCs) face the same problem as other social media platforms in terms of decreasing activity and user attrition. Drawing upon organizational support theory, this study explores how perceived community support affects user interactions and value co-creation which in turn influence their continuous participation. OHCs act as both health knowledge-sharing platforms and important social media for patients, and thus, interpersonal interactions in OHCs are categorized into health-related and general topic interactions. Considering the identity of patients, this study also examines the moderating effect of user-perceived social exclusion on the relationship between community support and user interaction. A total of 292 valid samples from a diabetic patient community in China were used to examine the proposed hypotheses through structural equation modeling. The results show that: (1) Community support has a positive effect on health topic and general topic interactions; (2) both types of interactions have significant positive effects on users’ perceived functional and social values, while general topic interaction is also related positively to users’ perceived affective value; (3) perceived functional value can result directly in continuous participation, while perceived social value contributes indirectly to continuous participation intention through perceived affective value; and (4) users perceived higher social exclusion are more influenced by community support to participate in health topic interactions than those who perceived lower social exclusion, while no significant difference in general topic interactions between two groups. The results of this study can provide implications for both researchers and practitioners.

Suggested Citation

  • Wenlong Liu & Xiucheng Fan & Rongrong Ji & Yi Jiang, 2019. "Perceived Community Support, Users’ Interactions, and Value Co-Creation in Online Health Community: The Moderating Effect of Social Exclusion," IJERPH, MDPI, vol. 17(1), pages 1-22, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2019:i:1:p:204-:d:302553
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    1. Kandaurova, Maria & Lee, Seung Hwan (Mark), 2019. "The effects of Virtual Reality (VR) on charitable giving: The role of empathy, guilt, responsibility, and social exclusion," Journal of Business Research, Elsevier, vol. 100(C), pages 571-580.
    2. Sanghee Oh, 2012. "The characteristics and motivations of health answerers for sharing information, knowledge, and experiences in online environments," Journal of the American Society for Information Science and Technology, Association for Information Science & Technology, vol. 63(3), pages 543-557, March.
    3. Georgi, Dominik & Mink, Moritz, 2013. "eCCIq: The quality of electronic customer-to-customer interaction," Journal of Retailing and Consumer Services, Elsevier, vol. 20(1), pages 11-19.
    4. Charla Mathwick & Caroline Wiertz & Ko de Ruyter, 2008. "Social Capital Production in a Virtual P3 Community," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 34(6), pages 832-849, November.
    5. Busser, James A. & Shulga, Lenna V., 2018. "Co-created value: Multidimensional scale and nomological network," Tourism Management, Elsevier, vol. 65(C), pages 69-86.
    6. Yuhyung Shin & Won-Moo Hur & Tae Won Moon & Soomi Lee, 2019. "A Motivational Perspective on Job Insecurity: Relationships Between Job Insecurity, Intrinsic Motivation, and Performance and Behavioral Outcomes," IJERPH, MDPI, vol. 16(10), pages 1-16, May.
    7. Lu Yan & Yong Tan, 2014. "Feeling Blue? Go Online: An Empirical Study of Social Support Among Patients," Information Systems Research, INFORMS, vol. 25(4), pages 690-709, December.
    8. Steven L. Johnson & Hani Safadi & Samer Faraj, 2015. "The Emergence of Online Community Leadership," Information Systems Research, INFORMS, vol. 26(1), pages 165-187, March.
    9. Fiedler, Marina & Sarstedt, Marko, 2014. "Influence of community design on user behaviors in online communities," Journal of Business Research, Elsevier, vol. 67(11), pages 2258-2268.
    10. Sheth, Jagdish N. & Newman, Bruce I. & Gross, Barbara L., 1991. "Why we buy what we buy: A theory of consumption values," Journal of Business Research, Elsevier, vol. 22(2), pages 159-170, March.
    11. Luo, Nuan & Zhang, Mingli & Hu, Mu & Wang, Yu, 2016. "How community interactions contribute to harmonious community relationships and customers’ identification in online brand community," International Journal of Information Management, Elsevier, vol. 36(5), pages 673-685.
    12. Sanghee Oh, 2012. "The characteristics and motivations of health answerers for sharing information, knowledge, and experiences in online environments," Journal of the Association for Information Science & Technology, Association for Information Science & Technology, vol. 63(3), pages 543-557, March.
    13. Wei, Wei & Lu, Ying (Tracy) & Miao, Li & Cai, Liping A. & Wang, Chen-ya, 2017. "Customer-customer interactions (CCIs) at conferences: An identity approach," Tourism Management, Elsevier, vol. 59(C), pages 154-170.
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    Cited by:

    1. Jingfang Liu & Jiayu Wang, 2021. "Users’ Intention to Continue Using Online Mental Health Communities: Empowerment Theory Perspective," IJERPH, MDPI, vol. 18(18), pages 1-18, September.

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