Comparing clinician knowledge and online information regarding Alli (Orlistat).

Comparing clinician knowledge and online information regarding Alli (Orlistat).
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DOI:
10.1016/j.ijmedinf.2009.07.003
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发表时间:
2009-11
影响因子:
4.9
通讯作者:
Bernstam EV
Bernstam EV
中科院分区:
医学2区
文献类型:
--
作者:
Nelson S;Hwang KO;Bernstam EV

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许多消费者加入关注健康的在线社区。在线论坛是消费者之间交流健康信息的流行媒介,因此确定在线论坛上发布的信息的准确性和完整性非常重要。我们比较了来自论坛和临床医生的有关 FDA 批准的非处方减肥药 Alli(奥利司他)信息的准确性和完整性。我们确定了在线论坛上发布的与 Alli 相关的问题,然后向 11 名初级保健提供者提出了这些问题。然后我们将临床医生的答案与论坛上给出的答案进行比较。一个盲法专家小组以 0 - 4 分的标准评估答案的准确性和完整性。另一个盲法专家小组根据临床经验与文献综述将问题分类为最佳答案。回复的准确性和完整性略好于论坛回复,但没有显着差异(2.3 vs 2.1,p = 0.5)。只有一个论坛答案包含如果遵循建议可能会造成伤害的信息。论坛的答案在准确性和完整性方面与临床医生的答案相当,但两个来源的答案都不能令人满意。
Many consumers join online communities focused on health. Online forums are a popular medium for the exchange of health information between consumers, so it is important to determine the accuracy and completeness of information posted to online forums. We compare the accuracy and completeness of information regarding the FDA-approved over-the counter weight-loss drug Alli (Orlistat) from forums and from clinicians. We identified Alli-related questions posted on online forums and then posed the questions to 11 primary care providers. We then compared the clinicians' answers to the answers given on the forums. A panel of blinded experts evaluated the accuracy and completeness of the answers on a scale of 0 - 4. Another panel of blinded experts categorized questions as being best answered based on clinical experience versus review of the literature. The accuracy and completeness of responses was slightly better than forum responses, but there was no significant difference (2.3 vs 2.1, p = 0.5). Only one forum answer contained information that could potentially cause harm if the advice was followed. Forum answers were comparable to clinicians' answers with respect to accuracy and completeness, but answers from both sources were unsatisfactory.
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