Crespo-Gonzalez Carmen, Benrimoj Shalom I, Frommer Michael, Dineen-Griffin Sarah
School of Clinical Medicine, Population Child Health Research Group, University of New South Wales, Randwick, NSW, Australia.
Pharmaceutical Care Research Group, Faculty of Pharmacy, University of Granada, Granada, Spain.
Digit Health. 2024 Oct 29;10:20552076241286815. doi: 10.1177/20552076241286815. eCollection 2024 Jan-Dec.
Communities' use of technology and the internet for online health information (OHI) is increasing exponentially. An understanding of how and why individuals access OHI, and how this information influences decisions on health, medicines and self-care practices is critical. This review aims to: (1) identify the factors influencing OHI-seeking behaviour; (2) evaluate the evidence of OHI on self-care practices; and (3) outline strategies to improve online informed decision-making and assess the impact of these strategies on consumer outcomes.
A review of systematic reviews was conducted in November of 2023, following the and PRISMA guidelines, and using PubMed, Scopus, Web of Science and EBSCOhost databases. The methodological quality of retrieved reviews was appraised using the AMSTAR 2 tool.
The search retrieved 1725 records. Of these, 943 were screened, and 33 were included in the final analysis. The most frequently identified reasons for seeking OHI were to retrieve diagnostic and treatment information, and well-being and emotional support. Level of education and socio-economic status influenced OHI-seeking. OHI directly influenced self-care decision-making by individuals and their relationships and communication with healthcare providers. Overall, OHI-seeking (and interventions to promote the use of OHI) enhanced individuals' confidence, skills and knowledge.
The findings highlight the benefits of OHI-seeking and its potential influence on self-care decisions. Future research should focus on strategies that would promote the pursuit of high-quality, up-to-date OHI and on the development of interventions for healthcare professionals to improve patients' use of OHI in self-care and self-efficacy.
社区对技术和互联网用于在线健康信息（OHI）的使用正在呈指数级增长。了解个人如何以及为何获取OHI，以及这些信息如何影响健康、药物和自我护理实践方面的决策至关重要。本综述旨在：（1）确定影响寻求OHI行为的因素；（2）评估OHI对自我护理实践的证据；（3）概述改善在线明智决策的策略，并评估这些策略对消费者结果的影响。
2023年11月，按照相关指南和PRISMA指南，使用PubMed、Scopus、Web of Science和EBSCOhost数据库对系统评价进行了综述。使用AMSTAR 2工具评估检索到的综述的方法学质量。
检索到1725条记录。其中，943条经过筛选，33条纳入最终分析。寻求OHI最常见的原因是检索诊断和治疗信息以及幸福感和情感支持。教育水平和社会经济地位影响寻求OHI的行为。OHI直接影响个人的自我护理决策及其与医疗保健提供者的关系和沟通。总体而言，寻求OHI（以及促进OHI使用的干预措施）增强了个人的信心、技能和知识。
研究结果突出了寻求OHI的益处及其对自我护理决策的潜在影响。未来的研究应侧重于促进获取高质量、最新OHI的策略，以及为医疗保健专业人员制定干预措施，以改善患者在自我护理和自我效能方面对OHI的使用。
