Development of the CUE-tool through an e-Delphi study: The Credible and Usable Evaluation of patient education tool for web-sites (Preprint)
BACKGROUND As patients are increasingly searching for information about their medical condition on the Internet, there is a need for health professionals to be able to guide patients towards reliable and suitable information sources on the Internet. OBJECTIVE To develop a clinical tool for healthcare professionals to assess the usability and quality of the content of websites containing medical information that could be recommended to patients. METHODS A three round modified e-Delphi study was conducted with 20 health care professionals RESULTS In round one of the e-Delphi study, of the 68 items initially created, 41 items (29 on usability, 12 on content) were rated as important or very important by more than half of the panel and selected for further evaluation in round two. In round two, of the 41 items left from round 1, 19 items were selected (9 usability, 10 content) as important or very important, by more than half of the panel, for further evaluation. As a result of round three, two items were put together as one, leaving the instrument with 18 items in total (8 usability, 10 content). We developed a webpage with the tool (which is free to access) available at: www.cesar-network.com. CONCLUSIONS The CUE-tool can be used to (a) evaluate the usability and reliability of the content of websites before recommending them to patients as a good information source; (b) identify websites that have not reliable content and/or may be difficult for patients to use; (c) develop quality websites by using the criteria in the CUE-tool; (d) identify different qualities between different websites. CLINICALTRIAL