A comparative study of strategies for identifying credible sources of mental health information online: Can clinical services deliver a youth-specific internet prescription?


Journal

Early intervention in psychiatry
ISSN: 1751-7893
Titre abrégé: Early Interv Psychiatry
Pays: Australia
ID NLM: 101320027

Informations de publication

Date de publication:
06 2022
Historique:
received: 13 07 2021
accepted: 15 08 2021
pubmed: 3 9 2021
medline: 7 6 2022
entrez: 2 9 2021
Statut: ppublish

Résumé

Adolescents and young adults undertake internet searches before and after attending mental health consultations, but they express concerns about how they can identify reliable online mental health information (OMHI). This action research project examines how clinicians might direct young people towards credible OMHI by analysing which search strategies are most helpful for developing an 'internet prescription' targeted at a youth audience. Recently qualified doctors undertook searches for OMHI about the diagnosis and treatment of seven mental health conditions. Rankings of websites in search results were compared with reliability and quality ratings derived from established evaluation instruments [the Brief DISCERN and the 12-item Health on the Net (HoN) tool]. Of 140 websites identified through seven Google searches, only 15% of those evaluated were categorized as high quality. About 17% of websites were selling a treatment or service and about 25% were regarded as untrustworthy. Also, higher rankings in the search results were not indicative of better quality OMHI (Wilcoxon signed rank test: Z = -5.28; p < .001). Although the HoN and DISCERN tools provided useful insights into the credibility of OMHI, investigators did not think either instrument could be recommended for independent use by youth. Our findings suggest that clinical services should take responsibility for identifying a range of credible sources of OMHI. The next step in translating the research strategy into clinical practice involves collaboration with young people to select those platforms most orientated to their needs and to develop rating instruments that enable youth to evaluate OMHI.

Sections du résumé

BACKGROUND
Adolescents and young adults undertake internet searches before and after attending mental health consultations, but they express concerns about how they can identify reliable online mental health information (OMHI). This action research project examines how clinicians might direct young people towards credible OMHI by analysing which search strategies are most helpful for developing an 'internet prescription' targeted at a youth audience.
METHODS
Recently qualified doctors undertook searches for OMHI about the diagnosis and treatment of seven mental health conditions. Rankings of websites in search results were compared with reliability and quality ratings derived from established evaluation instruments [the Brief DISCERN and the 12-item Health on the Net (HoN) tool].
RESULTS
Of 140 websites identified through seven Google searches, only 15% of those evaluated were categorized as high quality. About 17% of websites were selling a treatment or service and about 25% were regarded as untrustworthy. Also, higher rankings in the search results were not indicative of better quality OMHI (Wilcoxon signed rank test: Z = -5.28; p < .001). Although the HoN and DISCERN tools provided useful insights into the credibility of OMHI, investigators did not think either instrument could be recommended for independent use by youth.
CONCLUSIONS
Our findings suggest that clinical services should take responsibility for identifying a range of credible sources of OMHI. The next step in translating the research strategy into clinical practice involves collaboration with young people to select those platforms most orientated to their needs and to develop rating instruments that enable youth to evaluate OMHI.

Identifiants

pubmed: 34474508
doi: 10.1111/eip.13209
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

643-650

Informations de copyright

© 2021 John Wiley & Sons Australia, Ltd.

Références

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Auteurs

Molly Flint (M)

Bristol Royal Infirmary, University Hospitals Bristol and Weston, Bristol, UK.

Georgina Inglis (G)

Chelsea and Westminster Hospital, London, UK.

Annabel Hill (A)

Aintree University Hospital, Liverpool, UK.

Mabli Mair (M)

Royal Liverpool University Hospital, Liverpool, UK.

Sophie Hatrick (S)

Epsom and St Helier University Hospitals Trust, London, UK.

Mary Jane Tacchi (MJ)

Northumberland Tyne and Wear NHS Foundation Trust, Newcastle upon Tyne, UK.

Jan Scott (J)

Institute of Neuroscience, Newcastle University, Newcastle, UK.

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