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Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern Atlantic Region From Snake Oil to Penicillin: Evaluating Consumer Health Information on the Internet

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Objective  At the end of this workshop, you will be able to:  Determine the accuracy, authority, bias, currency, and coverage of health information and its appropriate use as a consumer health information resource for the public.

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Page 1: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

Terri Ottosen, MLIS, AHIPConsumer Health CoordinatorNational Network of Libraries of Medicine, Southeastern Atlantic Region

From Snake Oil to Penicillin: Evaluating Consumer Health Information on the Internet

Page 2: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

Whom to Trust?

Page 3: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

Objective

At the end of this workshop, you will be able to:

Determine the accuracy, authority, bias, currency, and coverage of health information and its appropriate use as a consumer health information resource for the public.

Page 4: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

Pretest T F All health information on the web is

accurate and reliable.

T F Reference librarians can provide advice about health information.

T F About half of Internet health seekers thoroughly check the source and

timeliness of information, and are vigilant about verifying a site’s information every time they search for health information.

Name three criteria for evaluating a web site.

Page 5: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

The Issue Increased number of:

Patients accessing information on the Internet Creating health-related web sites

Patients believe Web is a reliable source of information

The results of one study was published in JAMA (JAMA. 2001 May 23-30; 285(20):2612-21).

Page 6: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

Types of Web sites

What is the purpose of the Web page?

Advocacy (American Heart Association)

Business/marketing (Pfizer)

Informational (National Center for Health Statistics)

News (CNN)

Entertainment (Official Star Wars Fan Club)

Page 7: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

5 Basic Criteria

Accuracy, Authority, Bias, Currency, Coverage Each of these alone is

meaningless, but together they create solid guidelines for evaluation. If you cannot answer the following questions, the web site your patient/patron is looking at is suspect!

Page 8: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

Accuracy

Is the information accurate? Remember:

Anyone can publish on the web

Many web pages are not reviewed or verified by editors or peers

Web standards to ensure accuracy don’t exist.

Page 9: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

http://www.malepregnancy.com/

Accuracy example

Page 10: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

Authority Is the author an authority on the subject?

Remember:

It is often difficult to determine the authorship of Web pages

If a name is listed, his/her qualifications are frequently absent

Check if the Web page has the backing of a well-established organization, institution, or agency.

Page 11: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

The URL

The Tilde ~

The Domain “Dot coms”

Contact Information

About Us

Page 12: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

http://members.tripod.com/~tourette13/

Authority example

Page 13: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

Bias

Does the author bring any biases in posting the information? Remember:

Web pages often are “soapboxes”

Goals of the author aren’t clearly stated

Watch out for the emotional “kick”…photographs, exclamation points, huge fonts

Page 14: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

http://www.dhmo.org/

Bias example

Page 15: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

Currency

Is the information current and timely? Remember:

Dates are not always included

If dates are included, it may not be clear if the date is the date created, the date revised, or the date the page was placed on the Web

Page 16: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

http://www.webmd.com/menopause/features/hrt-revisiting-the-hormone-decision

Currency example

Page 17: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

Coverage

Many health sites are not comprehensive. The information may be accurate but important information may be left out. Remember:

How does this information compare with other sources on the same topic?

Is a better source available?

Does the site have a disclaimer?

Page 18: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

http://www.medical-library.net/

Coverage example

Page 19: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

Additional Resources

Quackwatch.com Site developed by a

psychiatrist

His is anti-alternative/anti-complementary

Site can be used to gather background information on questionable treatments

Page 20: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

Additional Resources (cont.)

MedlinePlus.gov Click on Health Topics

(select health fraud)

Page 21: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

Posttest T F All health information on the web is

accurate and reliable.

T F Reference librarians can provide advice about health information.

T F About half of Internet health seekers thoroughly check the source and

timeliness of information, and are vigilant about verifying a site’s information every time they search for health information.

Name three criteria for evaluating a web site.

Page 22: Terri Ottosen, MLIS, AHIP Consumer Health Coordinator National Network of Libraries of Medicine, Southeastern…

How to Reach Us

Web site: http://nnlm.gov/

Phone: 1.800.338.7657