BMC Med Inform Decis Mak - An evaluation of the content and quality of tinnitus information on websites preferred by General Practitioners.

Tópicos

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Resumo

CKGROUND: Tinnitus is a prevalent and complex medical complaint often co-morbid with stress, anxiety, insomnia, depression, and cognitive or communication difficulties. Its chronicity places a major burden on primary and secondary healthcare services. In our recent national survey of General Practitioners (GPs) from across England, many reported that their awareness of tinnitus was limited and as a result were dissatisfied with the service they currently provide. GPs identified 10 online sources of information they currently use in clinical practice, but welcomed further concise and accurate information on tinnitus assessment and management. The purpose of this study was to assess the content, reliability, and quality of the information related to primary care tinnitus assessment and management on these 10 websites.METHODS: Tinnitus related content on each website was assessed using a summative content analysis approach. Reliability and quality of the information was assessed using the DISCERN questionnaire.RESULTS: Quality of information was rated using the validated DISCERN questionnaire. Significant inter-rater reliability was confirmed by Kendall's coefficient of concordance (Wt) which ranged from 0.48 to 0.92 across websites. The website Map of Medicine achieved the highest overall DISCERN score. However, for information on treatment choice, the British Tinnitus Association was rated best. Content analysis revealed that all websites lacked a number of details relating to either tinnitus assessment or management options.CONCLUSIONS: No single website provides comprehensive information for GPs on tinnitus assessment and management and so GPs may need to refer to more than one if they want to maximise their coverage of the topic. From those preferred by GPs we recommend several specific websites as the current 'best' sources. Our findings should guide healthcare website providers to improve the quality and inclusiveness of the information they publish on tinnitus. In the case of one website, our preliminary findings are already doing so. Such developments will in turn help facilitate best practice in primary care.

Resumo Limpo

ckground tinnitus preval complex medic complaint often comorbid stress anxieti insomnia depress cognit communic difficulti chronic place major burden primari secondari healthcar servic recent nation survey general practition gps across england mani report awar tinnitus limit result dissatisfi servic current provid gps identifi onlin sourc inform current use clinic practic welcom concis accur inform tinnitus assess manag purpos studi assess content reliabl qualiti inform relat primari care tinnitus assess manag websitesmethod tinnitus relat content websit assess use summat content analysi approach reliabl qualiti inform assess use discern questionnaireresult qualiti inform rate use valid discern questionnair signific interrat reliabl confirm kendal coeffici concord wt rang across websit websit map medicin achiev highest overal discern score howev inform treatment choic british tinnitus associ rate best content analysi reveal websit lack number detail relat either tinnitus assess manag optionsconclus singl websit provid comprehens inform gps tinnitus assess manag gps may need refer one want maximis coverag topic prefer gps recommend sever specif websit current best sourc find guid healthcar websit provid improv qualiti inclus inform publish tinnitus case one websit preliminari find alreadi develop will turn help facilit best practic primari care

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