Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Australia.
J Med Internet Res. 2022 Sep 8;24(9):e37337. doi: 10.2196/37337.
Health-related misinformation can be propagated via social media and is a threat to public health. Several quality assessment tools and principles to evaluate health-related information in the public domain exist; however, these were not designed specifically for social media.
This study aims to develop Principles for Health-related Information on Social Media (PRHISM), which can be used to evaluate the quality of health-related social media content.
A modified Delphi approach was used to obtain expert consensus on the principles and functions of PRHISM. Health and social media experts were recruited via Twitter, email, and snowballing. A total of 3 surveys were administered between February 2021 and May 2021. The first survey was informed by a literature review and included open-ended questions and items from existing quality assessment tools. Subsequent surveys were informed by the results of the proceeding survey. Consensus was deemed if ≥80% agreement was reached, and items with consensus were considered relevant to include in PRHISM. After the third survey, principles were finalized, and an instruction manual and scoring tool for PRHISM were developed and circulated to expert participants for final feedback.
A total of 34 experts consented to participate, of whom 18 (53%) responded to all 3 Delphi surveys. In total, 13 principles were considered relevant and were included in PRHISM. When the instructions and PRHISM scoring tool were circulated, no objections to the wording of the final principles were received.
A total of 13 quality principles were included in the PRHISM tool, along with a scoring system and implementation tool. The principles promote accessibility, transparency, provision of authoritative and evidence-based information and support for consumers' relationships with health care providers. PRHISM can be used to evaluate the quality of health-related information provided on social media. These principles may also be useful to content creators for developing high-quality health-related social media content and assist consumers in discerning high- and low-quality information.
健康相关的错误信息可以通过社交媒体传播，这对公众健康构成威胁。现已有一些评估公共领域健康相关信息的质量评估工具和原则，但这些工具和原则并非专门针对社交媒体设计的。
本研究旨在制定社交媒体健康相关信息原则（PRHISM），用于评估健康相关社交媒体内容的质量。
采用改良 Delphi 法就 PRHISM 的原则和功能获取专家共识。通过 Twitter、电子邮件和滚雪球的方式招募健康和社交媒体专家。共进行了 3 次调查，时间为 2021 年 2 月至 2021 年 5 月。第 1 次调查的依据是文献综述，包括来自现有质量评估工具的开放性问题和项目。后续的调查依据前一次调查的结果进行。如果达成≥80%的一致意见，则认为达成共识，具有共识的项目被认为与纳入 PRHISM 相关。第 3 次调查后，确定了原则，并制定了 PRHISM 的使用说明和评分工具，并分发给专家参与者，以征求最终反馈。
共有 34 名专家同意参与，其中 18 名（53%）专家对所有 3 次 Delphi 调查都做出了回应。共有 13 项原则被认为相关，并纳入 PRHISM。当分发使用说明和 PRHISM 评分工具时，最终原则的措辞没有收到反对意见。
PRHISM 工具中包含 13 项质量原则、评分系统和实施工具。这些原则促进了信息的可及性、透明度、提供权威性和基于证据的信息，并支持消费者与医疗保健提供者的关系。PRHISM 可用于评估社交媒体上提供的健康相关信息的质量。这些原则也可能对内容创作者开发高质量的健康相关社交媒体内容有用，并帮助消费者辨别高质量和低质量的信息。
