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数字世界中的健康建议:关于阿尔茨海默病预防的在线信息质量与内容

Health Advice in a Digital World: Quality and Content of Online Information about the Prevention of Alzheimer's Disease.

作者信息

Robillard Julie M, Feng Tanya L

出版信息

J Alzheimers Dis. 2017;55(1):219-229. doi: 10.3233/JAD-160650.

Abstract

BACKGROUND

As the number of older adults turning to the Internet for health information increases, so does the potential for online information to have a substantial impact on the patient-physician relationship and on their health. Inaccurate information may weaken patient-physician relationships or result in increased physician visits and health anxiety, while high quality information may allow Internet users to make better decisions about their health.

OBJECTIVE

To assess the quality and content of available online resources about the prevention of Alzheimer's disease (AD).

METHODS

A sample of 308 articles related to the prevention of AD was collected from the first three pages of location-independent keyword searches on Google.com between September 17-30, 2014. Content analysis was applied to articles that met criteria (n = 298) and a quality evaluation tool was developed to generate a quality score for each of the articles (n = 290).

RESULTS

We found that articles on the high end of the quality spectrum focused on modifiable risk factors and tended to present balanced information, while articles of low quality emphasized nutrition as a method of prevention and were more likely to be in conflict of interest.

CONCLUSION

This study provides the first insight into the content and quality of prevention information for AD currently available online and highlights the importance of future research to better understand the impact of this information on the patient-physician relationship and health decision-making of older adults.

摘要

背景

随着越来越多的老年人转向互联网获取健康信息,在线信息对医患关系及其健康产生重大影响的可能性也在增加。不准确的信息可能会削弱医患关系,或导致就诊次数增加和健康焦虑,而高质量的信息则可能使互联网用户对自身健康做出更好的决策。

目的

评估有关阿尔茨海默病(AD)预防的现有在线资源的质量和内容。

方法

2014年9月17日至30日期间,从Google.com上与AD预防相关的前三页不依赖地理位置的关键词搜索中收集了308篇文章样本。对符合标准的文章(n = 298)进行内容分析,并开发了一个质量评估工具,为每篇文章(n = 290)生成质量得分。

结果

我们发现,质量谱高端的文章关注可改变的风险因素,并倾向于提供平衡的信息,而低质量的文章则强调营养作为一种预防方法,并且更有可能存在利益冲突。

结论

本研究首次深入了解了目前在线提供的AD预防信息的内容和质量,并强调了未来研究的重要性,以便更好地理解这些信息对医患关系和老年人健康决策的影响。

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