An analysis of the diagnostic accuracy and peer-to-peer health information provided on online health forums for heart failure

Farnood, A., Johnston, B. and Mair, F. S. (2022) An analysis of the diagnostic accuracy and peer-to-peer health information provided on online health forums for heart failure. Journal of Advanced Nursing, 78(1), pp. 187-200. (doi: 10.1111/jan.15009) (PMID:34369604)

Abstract

Aims: To examine the accuracy of diagnostic responses and types of information provided on online health forums. Design: Qualitative descriptive study. Methods: This paper reports the findings of a thematic analysis of peer responses to posts included on heart failure online health forums, to understand the quality and types of information provided. Responses posted between March 2016 and March 2019 were screened, collected and analysed thematically using Braun & Clarke. Themes were conceptually underpinned by Normalization Process Theory. Responses were assessed for quality against the NICE and SIGN guidelines to determine whether they were evidence based or not. Results: The total number of responses collected for analysis was 639. Five main themes were identified: diagnostic, experiential, informational, peer relations and relationships with healthcare professionals. Out of 298 diagnostic responses, 5% were guideline evidence-based and 6% had information that were partly evidence-based. Non-evidence based and potentially dangerous responses were 10%. Experiential responses were 10%; 23% included advice that was not supported with any clinical evidence; and 46% signposted users to other online references/healthcare professionals. Conclusion: Online health communication largely focuses on provision of experiential responses to assist those in need of pre- or post-diagnosis advice and support. However, there is evidence of inaccurate information provision which suggests the use of a moderator would be beneficial. Impact: This study suggests heart failure online health forums are a source of support, however, there are potential risks. Increasing nurses and other health care professional's awareness of online health forums will be important. Additional training is needed to help them learn more about patient's use of online health forums, to gain a better understanding about the types of information sought, and how best to address such knowledge deficits. Healthcare systems must ensure sufficient time and resources are available to meet information needs for people with heart failure.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Farnood, Annabel and Mair, Professor Frances and Johnston, Professor Bridget
• Authors: Farnood, A., Johnston, B., and Mair, F. S.
• College/School: College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > General Practice and Primary Care; College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Nursing and Health Care
• Journal Name: Journal of Advanced Nursing
• Publisher: Wiley
• ISSN: 0309-2402
• ISSN (Online): 1365-2648
• Published Online: 09 August 2021
• Copyright Holders: Copyright © 2021 The Authors
• First Published: First published in Journal of Advanced Nursing 78(1): 187-200
• Publisher Policy: Reproduced under a Creative Commons License