Dietary and herbal supplement consumer health information for pain: A cross-sectional survey and quality assessment of online content

Background: Patients are increasingly utilizing the internet to learn about dietary and herbal supplements (DHSs) for various diseases/conditions, including pain management. Online health information has been found to be inconsistent and of poor quality in prior studies, which may have detrimental e...

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Main Authors: Jeremy Y Ng, Sahar Popal, Sathurthika Selvanayagam
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Integrative Medicine Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2213422023000756
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author Jeremy Y Ng
Sahar Popal
Sathurthika Selvanayagam
author_facet Jeremy Y Ng
Sahar Popal
Sathurthika Selvanayagam
author_sort Jeremy Y Ng
collection DOAJ
description Background: Patients are increasingly utilizing the internet to learn about dietary and herbal supplements (DHSs) for various diseases/conditions, including pain management. Online health information has been found to be inconsistent and of poor quality in prior studies, which may have detrimental effects on patient health. This study assessed the quality of online DHSs consumer health information for pain. Methods: Six search items related to DHSs and pain were used to generate the first 20 websites on Google across four English-speaking countries. The identified 480 webpages produced 68 eligible websites, which were then evaluated using the DISCERN tool. The mean scores and standard deviations (SD) of the reviewers’ ratings on each of the 15 DISCERN instrument items as well as the overall total score were calculated. Results: The mean summed score for the 68 eligible websites was 46.6 (SD = 10.1), and the mean overall rating was 3.3 (SD = 0.8). Websites lacked information regarding areas of uncertainty, the effects of no treatment being used, and how treatments affect the overall quality of life. These shortcomings were especially apparent across commercial websites, which frequently displayed bias, failed to report the risks of DHS products, and lacked support for shared decision-making regarding the use of DHSs. Conclusion: Variability exists in the quality of online consumer health information regarding DHS use for pain. Healthcare providers should be aware of and provide guidance to patients regarding the identification of reliable online resources so that they can make informed decisions about DHS use for pain management.
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spelling doaj-art-dba0b2ca1dfc4ccb8649541fc8f7d5882025-08-20T02:04:24ZengElsevierIntegrative Medicine Research2213-42202023-12-0112410099610.1016/j.imr.2023.100996Dietary and herbal supplement consumer health information for pain: A cross-sectional survey and quality assessment of online contentJeremy Y Ng0Sahar Popal1Sathurthika Selvanayagam2Corresponding author at: Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, Michael G. DeGroote Centre for Learning and Discovery, McMaster University, Room 2112, 1280 Main Street West, Hamilton, Ontario L8S 4K1, Canada.; Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, Michael G. DeGroote Centre for Learning and Discovery, McMaster University, Hamilton, Ontario, CanadaDepartment of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, Michael G. DeGroote Centre for Learning and Discovery, McMaster University, Hamilton, Ontario, CanadaDepartment of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, Michael G. DeGroote Centre for Learning and Discovery, McMaster University, Hamilton, Ontario, CanadaBackground: Patients are increasingly utilizing the internet to learn about dietary and herbal supplements (DHSs) for various diseases/conditions, including pain management. Online health information has been found to be inconsistent and of poor quality in prior studies, which may have detrimental effects on patient health. This study assessed the quality of online DHSs consumer health information for pain. Methods: Six search items related to DHSs and pain were used to generate the first 20 websites on Google across four English-speaking countries. The identified 480 webpages produced 68 eligible websites, which were then evaluated using the DISCERN tool. The mean scores and standard deviations (SD) of the reviewers’ ratings on each of the 15 DISCERN instrument items as well as the overall total score were calculated. Results: The mean summed score for the 68 eligible websites was 46.6 (SD = 10.1), and the mean overall rating was 3.3 (SD = 0.8). Websites lacked information regarding areas of uncertainty, the effects of no treatment being used, and how treatments affect the overall quality of life. These shortcomings were especially apparent across commercial websites, which frequently displayed bias, failed to report the risks of DHS products, and lacked support for shared decision-making regarding the use of DHSs. Conclusion: Variability exists in the quality of online consumer health information regarding DHS use for pain. Healthcare providers should be aware of and provide guidance to patients regarding the identification of reliable online resources so that they can make informed decisions about DHS use for pain management.http://www.sciencedirect.com/science/article/pii/S2213422023000756Consumer health informationDietary and herbal supplementsInformation assessmentQuality of informationPain
spellingShingle Jeremy Y Ng
Sahar Popal
Sathurthika Selvanayagam
Dietary and herbal supplement consumer health information for pain: A cross-sectional survey and quality assessment of online content
Integrative Medicine Research
Consumer health information
Dietary and herbal supplements
Information assessment
Quality of information
Pain
title Dietary and herbal supplement consumer health information for pain: A cross-sectional survey and quality assessment of online content
title_full Dietary and herbal supplement consumer health information for pain: A cross-sectional survey and quality assessment of online content
title_fullStr Dietary and herbal supplement consumer health information for pain: A cross-sectional survey and quality assessment of online content
title_full_unstemmed Dietary and herbal supplement consumer health information for pain: A cross-sectional survey and quality assessment of online content
title_short Dietary and herbal supplement consumer health information for pain: A cross-sectional survey and quality assessment of online content
title_sort dietary and herbal supplement consumer health information for pain a cross sectional survey and quality assessment of online content
topic Consumer health information
Dietary and herbal supplements
Information assessment
Quality of information
Pain
url http://www.sciencedirect.com/science/article/pii/S2213422023000756
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AT sathurthikaselvanayagam dietaryandherbalsupplementconsumerhealthinformationforpainacrosssectionalsurveyandqualityassessmentofonlinecontent