TY - JOUR AU - Cole, Jennifer AU - Watkins, Chris AU - Kleine, Dorothea PY - 2016 DA - 2016/01/06 TI -来自互联网论坛的健康建议:危险有多严重?JO - J Med Internet Res SP - e4 VL - 18 IS - 1kw -电子健康KW -通信KW -互联网KW -社交媒体KW -健康扫盲率KW -医疗保健信息系统KW -信息搜索KW -信息科学KW -医学2.0 KW -基于网络和移动健康干预AB -背景:对在线健康信息搜索行为的关注指向了不正确、不完整或有偏见的信息可能导致的潜在危害。然而，对健康信息的系统审查发现，几乎没有记录在案的伤害可以直接归因于网上劣质信息的例子。目的:本研究的目的是提高我们对在线论坛网站中发现的信息质量和质量特征的理解，以便评估其作为点对点健康信息共享平台的可能价值。方法:从3个网站(Reddit、Mumsnet和Patient)共选择了25个健康讨论线程，涵盖3种健康状况(人类免疫缺陷病毒[HIV]、糖尿病和水痘)。评估人员被要求根据5个标准对讨论线程中发现的信息进行评级:准确性、完整性、回答的合理性、他们认为提问者会如何行动，以及他们认为提问者会发现这些回答的有用程度。结果:总共有17人(8人是合格的医生，9人不是)返回78个完全完成的评估。当分析评估中给出的评分时，25个评估将讨论线程放在最高的评分区间，评分在5到10之间，38个评分在11到15之间，12个评分在16到20之间，3个评分在最低的评分区间(21到25)。这表明，互联网论坛网站上的健康话题更有可能(以4:1的比例)包含高质量或相当高质量的信息。极其糟糕的信息是罕见的; the lowest available assessment rating was awarded only 11 times out of a possible 353, whereas the highest was awarded 54 times. Only 3 of 78 fully completed assessments rated a discussion thread in the lowest possible overall band of 21 to 25, whereas 25 of 78 rated it in the highest of 5 to 10. Quality assessments differed depending on the health condition (chickenpox appeared 17 times in the 20 lowest-rated threads, HIV twice, and diabetes once). Although assessors tended to agree on which discussion threads contained good quality information, what constituted poor quality information appeared to be more subjective. Conclusions: Most of the information assessed in this study was considered by qualified medical doctors and nonmedically qualified respondents to be of reasonably good quality. Although a small amount of information was assessed as poor, not all respondents agreed that the original questioner would have been led to act inappropriately based on the information presented. This suggests that discussion forum websites may be a useful platform through which people can ask health-related questions and receive answers of acceptable quality. SN - 1438-8871 UR - //www.mybigtv.com/2016/1/e4/ UR - https://doi.org/10.2196/jmir.5051 UR - http://www.ncbi.nlm.nih.gov/pubmed/26740148 DO - 10.2196/jmir.5051 ID - info:doi/10.2196/jmir.5051 ER -