Journal of Medical Internet Research - International Scientific Journal for Medical Research, Information and Communication on the Internet #Preprint #PeerReviewMe: Warning: This is a unreviewed preprint. Readers are warned that the document has not been peer-reviewed by expert/patient reviewers or an academic editor, may contain misleading claims, and is likely to undergo changes before final publication, if accepted, or may have been rejected/withdrawn. Readers with interest and expertise are encouraged to sign up as peer-reviewer, if the paper is within an open peer-review period. Please cite this preprint only for review purposes or for grant applications and CVs (if you are the author). Background: The Internet has become a major means of acquiring health information due to the increasing demand for health information and the development of the Internet. However, Internet health information is of mixed quality and may therefore significantly affects health-related behaviour and decisions. The trust of patients in their physicians may potentially change because of health information obtained from the Internet, thereby affecting their compliance to medical diagnoses and treatment. Hence, it is significant to discuss the relationship between Internet health information and patient compliance from the perspective of trust. Objective: This study aimed to discuss the relationship between Internet health information and patient compliance from the dimensions of quality and source through theoretical principle (i.e. cognition- and affect-based trust) and empirical study. Methods: An online survey involving 375 participants from 28 cities in China was conducted to assess the research model, which included two independent variables (i.e. Internet health information quality and source of Internet health information), two mediator variables (i.e. cognition- and affect-based trust) and one dependent variable (i.e. patient compliance). All variables were measured using multiple-item scales from previously validated instruments. The scales’ reliability and validity were analysed, demographic analysis was performed and hypotheses were tested using structural equation modelling (SEM). Results: The questionnaire response was 89.6%, and the reliability and validity was acceptable (Cronbach’s α = .950 > .700, KMO = .907 > .700, P < .001). This study indicated that the quality and source of Internet health information impacted cognition- and affect-based trust, consequently, patient compliance. In addition, Internet health information source also directly affected patient compliance, and the Internet health information quality was more important than the source of information. Furthermore, cognition- and affect-based trust had significant positive impacts on patient compliance, and cognition-based trust had a significant impact on affect-based trust. Unexpectedly, a nonsignificant relationship between source of Internet health information and affect-based trust was found. Conclusions: The Internet health information quality plays a more important role than the source of information in impacting patient trust, consequently, patient compliance. Therefore, patient compliance should be improved by strengthening the management of Internet health information quality and urging physicians to focus on health websites, and acquire health information from these websites to understand the information accessed by patients and enrich their knowledge structure to show their specialization and reliability in their interaction with patients. Cognition- and affect-based trust directly impact patient compliance. Therefore, physicians can communicate with patients through health websites to allow patients to acquire health information from physicians online and establish cognition-based trust in advance. Furthermore, physicians should focus on providing care and respect for patients and foster a safe atmosphere in which patients can express themselves sufficiently.

The q-rung orthopair fuzzy sets (q-ROFSs), originated by Yager, are good tools to describe fuzziness in human cognitive processes. The basic elements of q-ROFSs are q-rung orthopair fuzzy numbers (q-ROFNs), which are constructed by membership and nonmembership degrees. As realistic decision-making is very complicated, decision makers (DMs) may be hesitant among several values when determining membership and nonmembership degrees. By incorporating dual hesitant fuzzy sets (DHFSs) into q-ROFSs, we propose a new technique to deal with uncertainty, called q-rung dual hesitant fuzzy sets (q-RDHFSs). Subsequently, we propose a family of q-rung dual hesitant fuzzy Heronian mean operators for q-RDHFSs. Further, the newly developed aggregation operators are utilized in multiple attribute group decision-making (MAGDM). We used the proposed method to solve a most suitable supplier selection problem to demonstrate its effectiveness and usefulness. The merits and advantages of the proposed method are highlighted via comparison with existing MAGDM methods. The main contribution of this paper is that a new method for MAGDM is proposed.

Few studies have investigated the effect of supervisor–subordinate guanxi (s–s guanxi) on employee voice behavior. From a social exchange perspective, the current study sheds light on the effect of s–s guanxi on employee voice behavior through the mediating roles of psychological ownership and psychological empowerment. A theoretical model is developed and empirically tested with a sample of 299 supervisor–subordinate dyads. The results generally support our hypothesis that s–s guanxi can influence employee voice through the mediating roles of psychological ownership and psychological empowerment. However, counter to our hypothesis, we find no support for psychological ownership mediating between s–s guanxi and promotive voice. Implications and contributions are discussed.

Employing self-determination theory, in this study, we explore how workplace ostracism (being ignored and excluded by others) affects newcomer’s voice behavior. Through an empirical study with 353 matched supervisor–subordinate pairs from a large high-technology company, we find that workplace ostracism has negative influence on newcomer’s both promotive and prohibitive voice through the mediating effect of psychological needs satisfaction. In addition, narcissism moderates the effects of ostracism on psychological needs satisfaction. Theoretical and practical implications of these findings are discussed.