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社交媒体健康传播中的利益冲突和资金问题:系统评价。

Conflict of interest and funding in health communication on social media: a systematic review.

机构信息

Faculty of Medicine, American University of Beirut, Beirut, Lebanon.

Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.

出版信息

BMJ Open. 2023 Aug 14;13(8):e072258. doi: 10.1136/bmjopen-2023-072258.

Abstract

OBJECTIVES

To synthesise the available evidence on the reporting of conflicts of interest (COI) by individuals posting health messages on social media, and on the reporting of funding sources of studies cited in health messages on social media.

DATA SOURCES

MEDLINE (OVID) (2005-March 2022), Embase (2005-March 2022) and Google Scholar (2005-August 2022), supplemented with a review of reference lists and forward citation tracking.

DESIGN

Reviewers selected eligible studies and abstracted data in duplicate and independently. We appraised the quality of the included studies using the Mixed Methods Appraisal Tool. We summarised the results in both narrative and tabular formats. We followed the PRISMA 2020 checklist for reporting our study.

RESULTS

Of a total of 16 645 retrieved citations, we included 17 eligible studies. The frequency of reporting of conflicts of interest varied between 0% and 60%, but it was mostly low. In addition, a significant proportion, ranging between 15% and 80%, of healthcare professionals using social media have financial relationships with industry. However, three studies assessed the proportion of conflicts of interest of physicians identified through Open Payment Database but not reported by the authors. It was found that 98.7-100% of these relationships with industry are not reported when communicating health-related information. Also, two studies showed that there is evidence of a potential association between COI and the content of posting. No data was found on the reporting of funding sources of studies cited in health messages on social media.

CONCLUSIONS

While a significant proportion of healthcare professionals using social media have financial relationships with industry, lack of reporting on COI and undisclosed COI are common. We did not find studies on the reporting of funding sources of studies cited in health messages on social media.

TRIAL REGISTRATION

dx.doi.org/10.17504/protocols.io.5jyl8jj4rg2w/v1.

摘要

目的

综合现有关于个人在社交媒体上发布健康信息时报告利益冲突(COI)以及社交媒体上发布的健康信息中引用的研究资金来源报告情况的证据。

数据来源

MEDLINE(OVID)(2005 年-2022 年 3 月)、Embase(2005 年-2022 年 3 月)和 Google Scholar(2005 年-2022 年 8 月),并辅以对参考文献列表和引文跟踪的审查。

设计

审查员分别独立地选择合格的研究并提取数据。我们使用混合方法评估工具评估纳入研究的质量。我们以叙述和表格格式总结结果。我们遵循 PRISMA 2020 清单报告我们的研究。

结果

在总共检索到的 16645 条引用中,我们纳入了 17 项合格研究。利益冲突报告的频率在 0%到 60%之间不等,但大多数都很低。此外,很大比例(15%至 80%)使用社交媒体的医疗保健专业人员与行业有财务关系。然而,有三项研究评估了通过公开支付数据库确定但作者未报告的医师利益冲突的比例。结果发现,在传播与健康相关的信息时,这些与行业的关系中有 98.7-100%未被报告。此外,有两项研究表明,利益冲突与发布内容之间存在潜在关联的证据。我们没有发现关于社交媒体上发布的健康信息中引用的研究资金来源报告情况的研究数据。

结论

虽然很大比例的使用社交媒体的医疗保健专业人员与行业有财务关系,但缺乏对利益冲突的报告和未披露的利益冲突是很常见的。我们没有找到关于社交媒体上发布的健康信息中引用的研究资金来源报告情况的研究。

试验注册

dx.doi.org/10.17504/protocols.io.5jyl8jj4rg2w/v1。

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