Do Internet interventions for consumers cause more harm than good? A systematic review.
Objective To systematically review the effect of consumer use of online health information on decision-making, attitudes, knowledge, satisfaction and health outcomes and utilization. Search strategy Electronic databases searched included the Cochrane Controlled Trials Register, MEDLINE, PREMEDLINE (...
| Published in: | Health Expectations Vol. 5; no. 1; pp. 28 - 38 |
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| Main Authors: | , , , , , |
| Format: | research systematic review Journal Article |
| Published: |
Wiley-Blackwell
Mar2002
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106096642&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106096642 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13696513 EVY jtl: Health Expectations issn: 13696513 maglogo: Y pubinfo: dt: Mar2002 vid: 5 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106096642 2009446672 10.1046/j.1369-6513.2002.00156.x NLM11906539 106096642 ppf: 28 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Do Internet interventions for consumers cause more harm than good? A systematic review. aug: au: Bessell TL Mcdonald S Silagy CA Anderson JN Hiller JE Sansom LN sug: subj: Consumer Satisfaction Decision Making Health Education Methods Information Services Utilization Internet Utilization Attitude to Health Consumer Participation Health Behavior Health Services Needs and Demand Treatment Outcomes Human ab: Objective To systematically review the effect of consumer use of online health information on decision-making, attitudes, knowledge, satisfaction and health outcomes and utilization. Search strategy Electronic databases searched included the Cochrane Controlled Trials Register, MEDLINE, PREMEDLINE (to 14 March 2001), CINAHL, Australian Medical Index, Health and Society, National Institutes of Health Clinical Trials Database and CenterWatch. Inclusion criteria All post-1995 comparative studies (including controlled studies, before and after studies, and interrupted time series analyses) of Internet users vs. non-Internet users and other communications mediums, and Internet characteristics such as e-mail vs. other communication mediums, were included. Outcomes included consumer decision-making, attitudes, knowledge, satisfaction and measurable changes in health status or health utilization. Data extraction and synthesis One reviewer screened all papers then two reviewers independently assessed studies against the selection criteria and any discrepancies were resolved by discussion with a third reviewer. No attempt was made to combine the data for further statistical analysis. Main results We identified 10 comparative studies. Studies evaluated the effectiveness of using the Internet to deliver a smoking cessation programme, cardiac and nutrition educational programmes, behavioural interventions for headache and weight loss, and pharmacy and augmentative services. All studies showed some positive effects on health outcomes, although the methodological quality of many studies was poor. Conclusions Despite widespread consumer Internet use to obtain health-care information, there is almost a complete lack of evidence of any effects this may have on health outcomes. pubtype: Academic Journal doctype: research systematic review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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