Quality of Information Management in Online Healthcare Social Networks
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Abstract
Background: Quality of information is identified as one of the main limitations in online healthcare social network services (OH-SNS). Weitzman identified several quality limitations in OH-SNS including lack of alignment with clinical guidelines, accuracy, misinformation, etc. The IMIA Consumer Health Informatics WG alerted about the need for measuring/assessing quality of social networked interventions. Despite the apparent reduced complexity (technical) of OH-SNS deployment, the real challenge is quality of information assurance in such collaborative environments.
Objective: The objective of the paper is to contribute to the analysis of OH-SNS by proposing a methodology for quality of information (QI) management.
Methods: The development process (methodology) follows an architectural paradigm. It analyses several aspects (domains of interest) of the system (OH-SNS), describing its system elements (services) and interrelations (functions). This paper is focused on the QI domain. QI management begins with a needs-assessment identifying the OH-SNS’ scope and nature of information. The next step is the definition of QI policies. Finally, the technical implementation is provided. The methodology was evaluated in an OH-SNS case study, deployed for supporting Health Promotion and Education Programs of the Medical Service at University of Cauca, Colombia.
Results: (1). Needs-assessment. An online-survey was performed inquiring potential users about the information they expect to be offered/managed. 180 responses were collected, 56% male, 64% with ages ranging from 17-34years. 54% were students, 24% faculty, and 20% administrative staff. The more frequent topics (> 50%) were: Nutrition (69%), sexually-transmitted infections (62%), gastritis (61%), contraception (61%), breast-cancer (54%) and early-childhood care (50%). Main topics of interest in adults (>=35 years) were cervix-cancer, and early-childhood care. Sexually-transmitted infections and vaccination are topics of major interest in younger adults (>35 years). Hypertension and diabetes were the preferred topics of responders aged 55 or more. Participants were asked about their preferred publication format: text (57%), images (63%), or video (74%).
(2). Quality of Information Policy. A QI policy was developed based on existing policies, e.g., the EU quality-criteria for health-websites, the HON code of conduct and AMA and APHA quality policies. The policy included the definition of quality-attributes and metrics: accuracy, readability and relevance. Details of the quality-attributes. in: (https://docs.google.com/open?id=0ByUQwIyzpZ1YWUZxelJGNHNUQUNTNzlpd1g1WXVZdw)
(3). OH-SNS Implementation. The platform is a configuration of the Elgg platform, offering services like: user’s profile, Blogs, Groups, Twitter and e-mail. The needs-assessment supported the definition of Groups. Quality-attributes were used for selecting 50 “opening†resources to be published as Blogs entries. An expert used the quality-criteria for selecting the resources (videos, documents or web-pages). For the selection, a formal evaluation of available Web resources was performed, assessing each quality indicator per resource. Resources scoring greater than 7 (max 10) were chosen. The list of resources and scores are in: (https://docs.google.com/open?id=0ByUQwIyzpZ1YR01JczRXeGZUdkNaWHhhNHVOeGJnUQ).
Conclusion: The needs assessment and quality policy are necessary to manage quality of content in OH-SNS. The paper proposes a methodology for quality of information management in OH-SNS. Based on the results, an OH-SNS was implemented (http://esalud.unicauca.edu.co/redunisalud/). Our future work is to provide an evaluation of the QI published, from the user´s perspective.
Objective: The objective of the paper is to contribute to the analysis of OH-SNS by proposing a methodology for quality of information (QI) management.
Methods: The development process (methodology) follows an architectural paradigm. It analyses several aspects (domains of interest) of the system (OH-SNS), describing its system elements (services) and interrelations (functions). This paper is focused on the QI domain. QI management begins with a needs-assessment identifying the OH-SNS’ scope and nature of information. The next step is the definition of QI policies. Finally, the technical implementation is provided. The methodology was evaluated in an OH-SNS case study, deployed for supporting Health Promotion and Education Programs of the Medical Service at University of Cauca, Colombia.
Results: (1). Needs-assessment. An online-survey was performed inquiring potential users about the information they expect to be offered/managed. 180 responses were collected, 56% male, 64% with ages ranging from 17-34years. 54% were students, 24% faculty, and 20% administrative staff. The more frequent topics (> 50%) were: Nutrition (69%), sexually-transmitted infections (62%), gastritis (61%), contraception (61%), breast-cancer (54%) and early-childhood care (50%). Main topics of interest in adults (>=35 years) were cervix-cancer, and early-childhood care. Sexually-transmitted infections and vaccination are topics of major interest in younger adults (>35 years). Hypertension and diabetes were the preferred topics of responders aged 55 or more. Participants were asked about their preferred publication format: text (57%), images (63%), or video (74%).
(2). Quality of Information Policy. A QI policy was developed based on existing policies, e.g., the EU quality-criteria for health-websites, the HON code of conduct and AMA and APHA quality policies. The policy included the definition of quality-attributes and metrics: accuracy, readability and relevance. Details of the quality-attributes. in: (https://docs.google.com/open?id=0ByUQwIyzpZ1YWUZxelJGNHNUQUNTNzlpd1g1WXVZdw)
(3). OH-SNS Implementation. The platform is a configuration of the Elgg platform, offering services like: user’s profile, Blogs, Groups, Twitter and e-mail. The needs-assessment supported the definition of Groups. Quality-attributes were used for selecting 50 “opening†resources to be published as Blogs entries. An expert used the quality-criteria for selecting the resources (videos, documents or web-pages). For the selection, a formal evaluation of available Web resources was performed, assessing each quality indicator per resource. Resources scoring greater than 7 (max 10) were chosen. The list of resources and scores are in: (https://docs.google.com/open?id=0ByUQwIyzpZ1YR01JczRXeGZUdkNaWHhhNHVOeGJnUQ).
Conclusion: The needs assessment and quality policy are necessary to manage quality of content in OH-SNS. The paper proposes a methodology for quality of information management in OH-SNS. Based on the results, an OH-SNS was implemented (http://esalud.unicauca.edu.co/redunisalud/). Our future work is to provide an evaluation of the QI published, from the user´s perspective.
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