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基于证据的交互式健康传播方法:信息时代对医学的一项挑战。交互式传播与健康科学小组。

An evidence-based approach to interactive health communication: a challenge to medicine in the information age. Science Panel on Interactive Communication and Health.

作者信息

Robinson T N, Patrick K, Eng T R, Gustafson D

机构信息

Stanford Center for Research in Disease Prevention, Stanford University School of Medicine, CA, USA.

出版信息

JAMA. 1998 Oct 14;280(14):1264-9. doi: 10.1001/jama.280.14.1264.

Abstract

OBJECTIVE

To examine the current status of interactive health communication (IHC) and propose evidence-based approaches to improve the quality of such applications.

PARTICIPANTS

The Science Panel on Interactive Communication and Health, a 14-member, nonfederal panel with expertise in clinical medicine and nursing, public health, media and instructional design, health systems engineering, decision sciences, computer and communication technologies, and health communication, convened by the Office of Disease Prevention and Health Promotion, US Department of Health and Human Services.

EVIDENCE

Published studies, online resources, expert panel opinions, and opinions from outside experts in fields related to IHC.

CONSENSUS PROCESS

The panel met 9 times during more than 2 years. Government agencies and private-sector experts provided review and feedback on the panel's work.

CONCLUSIONS

Interactive health communication applications have great potential to improve health, but they may also cause harm. To date, few applications have been adequately evaluated. Physicians and other health professionals should promote and participate in an evidence-based approach to the development and diffusion of IHC applications and endorse efforts to rigorously evaluate the safety, quality, and utility of these resources. A standardized reporting template is proposed to help developers and evaluators of IHC applications conduct evaluations and disclose their results and to help clinicians, purchasers, and consumers judge the quality of IHC applications.

摘要

目的

探讨交互式健康交流(IHC)的现状,并提出基于证据的方法以提高此类应用的质量。

参与者

交互式交流与健康科学小组,这是一个由美国卫生与公众服务部疾病预防与健康促进办公室召集的、由14名成员组成的非联邦小组,成员在临床医学与护理、公共卫生、媒体与教学设计、卫生系统工程、决策科学、计算机与通信技术以及健康交流等领域具备专业知识。

证据

已发表的研究、在线资源、专家小组意见以及来自与IHC相关领域的外部专家的意见。

共识达成过程

该小组在两年多的时间里召开了9次会议。政府机构和私营部门专家对小组的工作进行了审查并提供了反馈。

结论

交互式健康交流应用具有改善健康的巨大潜力,但也可能造成危害。迄今为止,很少有应用得到充分评估。医生和其他卫生专业人员应促进并参与基于证据的方法来开发和推广IHC应用,并支持对这些资源的安全性、质量和效用进行严格评估的努力。提出了一个标准化报告模板,以帮助IHC应用的开发者和评估者进行评估并披露结果,同时帮助临床医生、购买者和消费者判断IHC应用的质量。

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