Quality assessment of web-based information on type 2 diabetes

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Didem Ölçer ◽  
Tuğba Taşkaya Temizel

PurposeThis paper proposes a framework that automatically assesses content coverage and information quality of health websites for end-users.Design/methodology/approachThe study investigates the impact of textual and content-based features in predicting the quality of health-related texts. Content-based features were acquired using an evidence-based practice guideline in diabetes. A set of textual features inspired by professional health literacy guidelines and the features commonly used for assessing information quality in other domains were also used. In this study, 60 websites about type 2 diabetes were methodically selected for inclusion. Two general practitioners used DISCERN to assess each website in terms of its content coverage and quality.FindingsThe proposed framework outputs were compared with the experts' evaluation scores. The best accuracy was obtained as 88 and 92% with textual features and content-based features for coverage assessment respectively. When both types of features were used, the proposed framework achieved 90% accuracy. For information quality assessment, the content-based features resulted in a higher accuracy of 92% against 88% obtained using the textual features.Research limitations/implicationsThe experiments were conducted for websites about type 2 diabetes. As the whole process is costly and requires extensive expert human labelling, the study was carried out in a single domain. However, the methodology is generalizable to other health domains for which evidence-based practice guidelines are available.Practical implicationsFinding high-quality online health information is becoming increasingly difficult due to the high volume of information generated by non-experts in the area. The search engines fail to rank objective health websites higher within the search results. The proposed framework can aid search engine and information platform developers to implement better retrieval techniques, in turn, facilitating end-users' access to high-quality health information.Social implicationsErroneous, biased or partial health information is a serious problem for end-users who need access to objective information on their health problems. Such information may cause patients to stop their treatments provided by professionals. It might also have adverse financial implications by causing unnecessary expenditures on ineffective treatments. The ability to access high-quality health information has a positive effect on the health of both individuals and the whole society.Originality/valueThe paper demonstrates that automatic assessment of health websites is a domain-specific problem, which cannot be addressed with the general information quality assessment methodologies in the literature. Content coverage of health websites has also been studied in the health domain for the first time in the literature.

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Hannah C Cai ◽  
Leanne E King ◽  
Johanna T Dwyer

ABSTRACT We assessed the quality of online health and nutrition information using a Google™ search on “supplements for cancer”. Search results were scored using the Health Information Quality Index (HIQI), a quality-rating tool consisting of 12 objective criteria related to website domain, lack of commercial aspects, and authoritative nature of the health and nutrition information provided. Possible scores ranged from 0 (lowest) to 12 (“perfect” or highest quality). After eliminating irrelevant results, the remaining 160 search results had median and mean scores of 8. One-quarter of the results were of high quality (score of 10–12). There was no correlation between high-quality scores and early appearance in the sequence of search results, where results are presumably more visible. Also, 496 advertisements, over twice the number of search results, appeared. We conclude that the Google™ search engine may have shortcomings when used to obtain information on dietary supplements and cancer.


2013 ◽  
Vol 80 (2) ◽  
pp. 662-671 ◽  
Author(s):  
Kanokporn Kampoo ◽  
Rawee Teanpaisan ◽  
Ruth G. Ledder ◽  
Andrew J. McBain

ABSTRACTType 2 diabetes mellitus is increasingly common in Thailand and elsewhere. In the present investigation, the bacteriological composition of saliva and supragingival plaque in Thai diabetics with and without active dental caries and in nondiabetics was determined by differential culture and eubacterial DNA profiling. Potential associations between fasting blood sugar and glycosylated hemoglobin (biomarkers of current and historical glucose control, respectively) with decayed, missing, and filled teeth and with salivaryStreptococcusandLactobacilluscounts were also investigated. The incidence of active dental caries was greater in the Thai diabetics than in nondiabetics, and the numbers of total streptococci and lactobacilli were significantly higher in supragingival plaque from diabetics than in nondiabetics.Lactobacilluscounts in the saliva and supragingival plaque of diabetics with active caries were significantly higher than those in diabetics without active caries. Oral eubacterial DNA profiles of diabetic versus nondiabetic individuals and of diabetics with active caries versus those without active caries could not be readily differentiated through cluster analysis or multidimensional scaling. The elevated caries incidence in the Thai diabetics was positively associated with numbers of bacteria of the acidogenic/acid-tolerant generaStreptococcusandLactobacillus. Lactobacillusbacterial numbers were further elevated in diabetics with active caries, although salivary eubacterial DNA profiles were not significantly altered.


2015 ◽  
Vol 45 (4) ◽  
pp. 524-541
Author(s):  
Emma Derbyshire ◽  
Carrie Ruxton

Purpose – This review aims to evaluate and review literature published in the area of rising concerns that red meat consumption may be associated with risk of type 2 diabetes mellitus (T2DM), although there have been discrepancies between study findings, and put the findings into context. Design/methodology/approach – Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic literature review was undertaken to locate and summarise relevant studies which included epidemiological and clinical studies published between 2004 and 2014. Findings – A total of 23 studies were found, with 21 epidemiological and two clinical studies meeting the criteria. Overall, the totality of the evidence indicates that while processed meat consumption appears to be associated with T2DM risk, the effect is much weaker for red meat, with some associations attenuated after controlling for body weight parameters. Where studies have considered high intakes in relation to T2DM risk, meat intake has tended to exceed 600 g per week. Therefore, keeping red meat intakes within recommended guidelines of no more than 500 g per week, while opting for lean cuts or trimming fat, would seem to be an evidence-based response. Research limitations/implications – The majority of studies conducted to date have been observational cohorts which cannot determine cause and effect. Most of these used food frequency questionnaires which are known to be subject to misclassification errors (Brown, 2006). Clearly, more randomised controlled trials are needed to establish whether red meat consumption impacts on markers of glucose control. Until then, conclusions can only be viewed as speculative. Originality/value – This paper provides an up-to-date systematic review of the literature, looking at inter-relationships between red meat consumption and T2DM risk.


2018 ◽  
Vol 7 (4) ◽  
pp. e000353 ◽  
Author(s):  
Luke A Turcotte ◽  
Jake Tran ◽  
Joshua Moralejo ◽  
Nancy Curtin-Telegdi ◽  
Leslie Eckel ◽  
...  

BackgroundHealth information systems with applications in patient care planning and decision support depend on high-quality data. A postacute care hospital in Ontario, Canada, conducted data quality assessment and focus group interviews to guide the development of a cross-disciplinary training programme to reimplement the Resident Assessment Instrument–Minimum Data Set (RAI-MDS) 2.0 comprehensive health assessment into the hospital’s clinical workflows.MethodsA hospital-level data quality assessment framework based on time series comparisons against an aggregate of Ontario postacute care hospitals was used to identify areas of concern. Focus groups were used to evaluate assessment practices and the use of health information in care planning and clinical decision support. The data quality assessment and focus groups were repeated to evaluate the effectiveness of the training programme.ResultsInitial data quality assessment and focus group indicated that knowledge, practice and cultural barriers prevented both the collection and use of high-quality clinical data. Following the implementation of the training, there was an improvement in both data quality and the culture surrounding the RAI-MDS 2.0 assessment.ConclusionsIt is important for facilities to evaluate the quality of their health information to ensure that it is suitable for decision-making purposes. This study demonstrates the use of a data quality assessment framework that can be applied for quality improvement planning.


2021 ◽  
Vol 20 ◽  
pp. 153473542110660
Author(s):  
Megan E. Sansevere ◽  
Jeffrey D. White

Background: Complementary and alternative medicine (CAM) is often used by cancer patients and survivors in the US. Many people turn to the internet as their first source of information. Health information seeking through the internet can be useful for patients to gain a better understanding of specific CAM treatments to discuss with their healthcare team, but only if the information is comprehensive, high quality, and reliable. The aim of this article is to examine the content, writing/vetting processes, and visibility of cancer CAM online informational resources. Methods: Online CAM resources were identified by Google and PubMed searches, literature reviews, and through sources listed on various websites. The websites were analyzed through a modified online health information evaluation tool, DISCERN (score range = 1-5). The website’s features relevant to the quality assessment were described. Results: Eleven CAM websites were chosen for analysis. The DISCERN analysis showed a range of quality scores from 3.6 to 4.9. Lower DISCERN scores were generally due to deficiencies in describing the writing, editing, and updating processes. A lack of transparency with authorship and references was commonly present. Conclusion: Cancer patients interested in CAM need unbiased, evidence-based, reliable, high-quality, easily accessible educational materials. Individuals should use the guidelines followed in this analysis (including DISCERN and Medline Plus) to find reliable sources. Website developers can use CAM Cancer (NAFKAM), Beyond Conventional Cancer Therapies, Memorial Sloan Kettering Cancer Center, breastcancer.org , Office of Dietary Supplements, National Center for Complementary and Integrative Health, and Cancer.gov as models for trustworthy content.


2016 ◽  
Vol 46 (2) ◽  
pp. 161-170 ◽  
Author(s):  
Prince Chikwere ◽  
Reginald Adjetey Annan

Purpose – The purpose of this paper was to review evidence spanning the relation of dietary habits and other lifestyles to the lipid profile of type 2 diabetes patients. Design/methodology/approach – Search was done in PubMed, Biomed, Cochrane and Nutrition and Metabolism databases from 20 to 29 June 2013 for studies published on dietary intakes and lifestyle effect on lipid profile of type 2 diabetes patients. Findings – A total of 54 studies met the inclusion criteria for this review. These included observational, randomized control trials, prospective, cross-sectional and retrospective studies. Studies obtained covered macronutrients, micronutrients, dietary pattern, specific foods and lifestyle (alcohol intake, smoking, physical activity level and fasting). Research limitations/implications – The review did not consider unpublished articles/findings, and only studies in the English language and on humans were considered. Practical implications – The results of the review evidenced limited data on the lifestyle pattern of type 2 diabetes patients. Social implications – Dietary habits and other lifestyle patterns for a good lipid profile among type 2 diabetes patients have not been established. Originality/value – The review demonstrates the need for studies in dietary pattern and other lifestyle patterns in relation to lipid profile of type 2 diabetes patients.


Author(s):  
Chinedu I. Ossai ◽  
Nilmini Wickramasinghe ◽  
Steven Goldberg

The prevalence of diabetes type 2 among the population and the increasing rate of new diagnoses as well as other co-morbidities make it imperative that we develop a richer understanding of type 2 diabetes. An Australian survey of diabetes type 2 people for different co-morbidities was carried out to obtain information about the possible connections of the co-morbidities with type 2 diabetes. The analysis is done with the logit model and Pearson's chi-square and the results indicate that gender, age of the patients, and the duration of the diabetes type 2 diagnosis play a significant role in the exposure of individuals to different comorbidities. The influence of the duration of diagnosis and age of the patients is limited in comparison to the gender, which has females at a very high risk of developing the studied co-morbidities compared to males. The findings can improve diabetes type 2 management to boost high quality, proactive, and cost-effective caregiving for the patients.


Author(s):  
Kleopatra Alamantariotou

Recent statistics show that the World Wide Web has now grown to over 100 million sites: a phenomenal expansion in only 15 years (Mulligan 2007). It has been estimated that there are 100,000 sites offering health related information (Wilson 2002). As the amount of health information increases, the public find it increasingly difficult to decide what to accept and what to reject (Burgess 2007). Searching for information on the internet is both deceptively easy and the same time frustratingly difficult (Kiley 2002). The challenge for consumers is to find high quality, relevant information as quickly as possible. There has been ongoing debate about the quality of information aimed at patients and the general public and opinions differ on how it can be improved (Stepperd 1999). The purpose of this chapter is to provide a brief overview of the different perspectives on information quality and to review the main criteria for assessing the quality of health information on the internet. Pointers are provided to enable both clinicians and patients find high quality information sources. An understanding of these issues should help health professionals and patients to make effective use of the internet.


2020 ◽  
Vol 65 (1) ◽  
pp. e01422-20
Author(s):  
Harindra D. Sathkumara ◽  
Karyna Hansen ◽  
Socorro Miranda-Hernandez ◽  
Brenda Govan ◽  
Catherine M. Rush ◽  
...  

ABSTRACTComorbid type 2 diabetes poses a great challenge to the global control of tuberculosis. Here, we assessed the efficacy of metformin (MET), an antidiabetic drug, in mice infected with a very low dose of Mycobacterium tuberculosis. In contrast to diabetic mice, infected nondiabetic mice that received the same therapeutic concentration of MET presented with significantly higher disease burden. This warrants further studies to investigate the disparate efficacy of MET against tuberculosis in diabetic and nondiabetic individuals.


2020 ◽  
Vol 70 (698) ◽  
pp. e668-e675
Author(s):  
Hajira Dambha-Miller ◽  
Simon J Griffin ◽  
Ann Louise Kinmonth ◽  
Jenni Burt

BackgroundThere is little evidence on the impact of national pressures on primary care provision for type 2 diabetes from the perspectives of patients, their GPs, and nurses.AimTo explore experiences of primary care provision for people with type 2 diabetes and their respective GPs and nurses.Design and settingA qualitative primary care interview study in the East of England.MethodSemi-structured interviews were conducted, between August 2017 and August 2018, with people who have type 2 diabetes along with their respective GPs and nurses. Purposive sampling was used to select for heterogeneity in glycaemic control and previous healthcare experiences. Interviews were audio-recorded and analysed thematically. The consolidated criteria for reporting qualitative research were followed.ResultsThe authors interviewed 24 patients and 15 GPs and nurses, identifying a changing landscape of diabetes provision owing to burgeoning pressures that were presented repeatedly. Patient responders wanted GP-delivered care with continuity. They saw GPs as experts best placed to support them in managing diabetes, but were increasingly receiving nurse-led care. Nurses reported providing most of the in-person care, while GPs remained accountable but increasingly distanced from face-to-face diabetes care provision. A reluctant acknowledgement surfaced among GPs, nurses, and their patients that only minimum care standards could be maintained, with aspirations for high-quality provision unlikely to be met.ConclusionType 2 diabetes is a tracer condition that reflects many aspects of primary care. Efforts to manage pressures have not been perceived favourably by patients and providers, despite some benefits. Reframing expectations of care, by communicating solutions to both patients and providers so that they are understood, managed, and realistic, may be one way forward.


Sign in / Sign up

Export Citation Format

Share Document