Clinical guidelines about diabetes and the accuracy of peer information in an unmoderated online health forum for retired persons
Clinical guidelines about diabetes and the accuracy of peer information in an unmoderated online health forum for retired persons
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DOI：
10.1080/17538150902865136
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发表时间：
2009-03-01
影响因子：
2.4
通讯作者：
Thomson, Maria D.
中科院分区：
文献类型：
--
作者：
Hoffman-Goetz, Laurie;Donelle, Lorie;Thomson, Maria D.
本研究的目的是确定是否同行的建议，以回应用户查询非胰岛素依赖型II型糖尿病在网上健康论坛的退休人员是在协议糖尿病临床实践指南。对2006年1月1日至12月31日加拿大退休人员在线健康论坛中发生的II型糖尿病对话进行了内容分析。针对发布的糖尿病问题的建议与已出版的加拿大糖尿病临床实践指南进行了比较。7个糖尿病相关问题产生了17个答复和35个建议。与循证来源的建议比较表明，91%（32，135）与H型糖尿病的最佳实践临床指南一致。讨论主题包括糖尿病体征和症状、血糖控制、神经病变、视网膜病变、饮食和体力活动建议以及泼尼松与血糖控制的相互作用。关于II型糖尿病护理和管理的在线同行建议的准确性的担忧并不支持这些结果。该论坛介绍了一组知识渊博的老年人之间的信息共享，具有较高的互动健康素养技能。未来的研究需要确定偏离“准确”的在线信息是否真的有害，或者代表外行专家对自我护理程序的适应。
The objective of this study was to determine whether peer recommendations made in response to user queries about non-insulin dependent type II diabetes in an online health forum for retired persons were in agreement with diabetes clinical practice guidelines. A content analysis was conducted on type II diabetes conversations occurring in an online health forum for Canadian retired persons from 1 January to 31 December 2006. Recommendations responding to posted questions about diabetes were compared with published Canadian diabetes clinical practice guidelines. Seven diabetes-related questions generated 17 responses and 35 recommendations. Comparison of recommendations with evidence-based sources indicated that 91% (32,135) were in agreement with the best practice clinical guidelines for type H diabetes. Discussion themes included diabetic signs and symptoms, glycemic control, neuropathy, retinopathy, diet and physical activity recommendations and interactions of prednisone with glucose control. Concerns about the accuracy of online peer recommendations about type II diabetes care and management have not supported these results. This forum presents information sharing among a group of knowledgeable older adults with high interactive health literacy skills. Future research is needed to determine whether deviations from 'accurate' online information are truly harmful or represent lay expert adaptations to self-care routines.