Low-quality Information Research Articles

Quality of information regarding abnormal uterine bleeding available online

IntroductionThe Internet and electronic devices with Internet access allow for a greater fluidity of information and speed of communication, especially in the field of health. Abnormal uterine bleeding (AUB) affects approximately 3–30% of women and can negatively impact their health and quality of life. Information regarding AUB that is available on the Internet may not be clear or accurate, rendering it difficult to understand and likely to result in delayed medical evaluation, which subsequently leads to worsening of the AUB. ObjectiveTo evaluate the quality of the information regarding AUB currently available on the Internet, including information regarding treatments. MethodsThe Google Trends website was searched for the most widely used English terms related to AUB. The identified descriptors were searched individually on the Google, Yahoo!, and Bing search engines. The first 10 results of each search were pre-selected and evaluated for inclusion in this study. Selected websites were categorically divided into two groups (news/magazine and academic) and individually analyzed by three experts using the DISCERN quality criteria (reliability, general quality, and quality of information) and the presence or absence of the Health on the Net Foundation Code of Conduct (HONcode®) seal. ResultsOf the 168 websites included in this study, 60.1% were allocated to the news/magazine group and 39.9% were allocated to the academic group. Over half of the websites (54.2%) did not have the HONcode® quality seal. Websites in the academic group were more likely to include accurate information regarding AUB with greater reliability than websites in the news/magazine group. There were no statistical differences regarding the general quality of the websites. Most websites were rated as either moderate quality (70.8%) or low quality (28.6%). The HONcode® criterion was found to be a confounding factor of the analyses, as the grouping and quality results of websites without this seal were significantly associated. In addition, websites in the news/magazines group were 6.7 times more likely to provide low quality information than websites in the academic group (odds ratio: 6.7; 95% confidence interval: 2.1–21.4). ConclusionThe information regarding AUB that is available on the Internet is of low to moderate quality. Academic websites present more reliable information of greater quality. The presence of the HONcode® seal is considered important to determine the quality of the content of a website, especially for news/magazine websites, and may help Internet users identify websites that contain more reliable information. Algorithms and applications that categorize the quality of information and the reliability of health content may be useful tools that can help patients clarify their symptoms for several conditions including AUB.

Quality and accuracy of youtube videos about the COVID vaccine in pregnancy

Healthcare decisions are influenced by online resources. Therefore, vaccine hesitancy among pregnant individuals may reflect low-quality information on social platforms. This study aims to assess quality and accuracy of YouTube videos discussing COVID vaccination in pregnancy.

Unlocking the monetary value: investigating the importance of quality information in Australian red meat chains

Context This study assesses the monetary value of product quality information, specifically feedback from slaughter and production methods, within the Australian beef and sheep meat supply chains. Aims The primary objective was to investigate the value assigned by supply chain actors to product quality information, measured as willingness to pay for receiving it or willingness to accept payment for providing it. The study also aimed to explore how the value of this information varies based on information quality and quantity. Methods A contingent valuation approach was employed, utilising survey data from 104 producers. Logit models were used to identify the factors influencing meat producers’ willingness to accept payment and willingness to pay. Key results Over one-third of cattle and sheep producers expressed interest in receiving feedback from slaughter information and providing production methods information. Production methods information had the highest mean value at the premium information quality and quantity level, with values of AU$20.49/head in the beef industry and AU$10.13/head in the sheep industry. Conversely, feedback from slaughter information had the lowest mean value at the low information quality and quantity level, with values of AU$0.83/carcass in beef and AU$0.14/carcass in sheep. Farmers’ experience and education level significantly influenced their willingness to accept payment and willingness to pay for product quality information. Conclusions A significant proportion of producers within the Australian beef and sheep meat supply chains express a desire to provide or pay for product quality information. The value assigned to this information demonstrates a positive relationship with higher information quality and quantity. However, variations in expressed value of different information types, and the influence of farmer and farm characteristics, suggest the presence of chain failures that disrupt information valuation. Implications These findings have important implications for improving the performance of the red meat supply chains. Understanding the factors that influence the valuation of product quality information allows stakeholders to develop targeted strategies to enhance the efficiency and effectiveness of information exchange. This may involve addressing chain failures, and implementing measures to ensure consistent and accurate valuation of information. Ultimately, these improvements can contribute to enhanced decision-making processes and overall supply chain performance in the Australian beef and sheep meat industry.

Acceptability and feasibility of a digital educational intervention designed to improve the psychological well-being of parents with a preterm infant at the neonatal intensive care unit: A pilot project

BackgroundFamilies experience psychological distress when their preterm infant is in the Neonatal Intensive Care Unit. A tailored educational intervention may be beneficial for their psychological well-being. Unfortunately, existing websites have moderate to low information quality and there is no educational website for French-speaking parents. AimTo measure the acceptability and feasibility of a digital educational intervention designed to improve the psychological well-being of parents with a preterm infant, as well as the acceptability and feasibility of the study methods used. MethodsA pilot randomized controlled trial was conducted. Participants were randomized to have access to either an educational website or information pamphlet. They were invited to complete an online questionnaire about stress and depressive symptoms 2 and 4 weeks after recruitment. An online questionnaire regarding the acceptability of the intervention and the data collection process was completed 5 weeks after recruitment. ResultsTwenty parents participated. All participants with access to the website considered it was acceptable in terms of the appropriateness, convenience, and efficiency to meet their informational needs. 85 % of participants assigned to the website viewed it 1 to 3 times per day during the data collection period and 69.4 % consulted the website for 5 to 20 min each time. The data collection process was acceptable for 85 % to 95 % of participants. DiscussionThe educational website was an acceptable and feasible intervention and the data collection process used was acceptable according to participants.

The quality of informational social support in online health communities: A content analysis of cancer-related discussions.

Informational social support is one of the main reasons for patients to visit online health communities (OHCs). Calls have been made to investigate the objective quality of such support in the light of a worrying number of inaccurate online health-related information. The main aim of this study is to conceptualize the Quality of Informational Social Support (QISS) and develop and test a measure of QISS for content analysis. A further aim is to investigate the level of QISS in cancer-related messages in the largest OHC in Slovenia and examine the differences among various types of discussion forums, namely, online consultation forums, online support group forums, and socializing forums. A multidimensional measurement instrument was developed, which included 20 items in a coding scheme for a content analysis of cancer-related messages. On a set of almost three million posts published between 2015 and 2019, a machine-learning algorithm was used to detect cancer-related discussions in the OHC. We then identified the messages providing informational social support, and through quantitative content analysis, three experts coded a random sample of 403 cancer-related messages for the QISS. The results demonstrate a good level of interrater reliability and agreement for a QISS scale with six dimensions, each demonstrating good internal consistency. The results reveal large differences among the social support, socializing, and consultation forums, with the latter recording significantly higher quality in terms of accuracy (M = 4.48, P < .001), trustworthiness (M = 4.65, P < .001), relevance (M = 3.59, P < .001), and justification (M = 3.81, P = .05) in messages providing informational social support regarding cancer-related issues. This study provides the research field with a valid tool to further investigate the factors and consequences of varying quality of information exchanged in supportive communication. From a practical perspective, OHCs should dedicate more resources and develop mechanisms for the professional moderation of health-related topics in socializing forums and thereby suppress the publication and dissemination of low-quality information among OHC users and visitors.

Enhancement Infrared-Visible Image Fusion Using the Integration of Stationary Wavelet Transform and Fuzzy Histogram Equalization

Image fusion is the process of merging two or more images to obtain complementary features from source images. Imaging techniques in real-world applications provide images with a different texture than the other, where visible images provide spatial information while infrared images provide spectral information. Hence the importance of image fusion, which aims to combine spatial and spectral information in one image. Wavelet transform is a method used in the process of image fusion as feature extraction, and images are decomposed into a series of low and high-frequency subbands. Wavelet transform provides images with good representation and is a multi-resolution analysis. However, the resulting image after the wavelet-based fusion process has low-quality information which is blurry. In addition, infrared images by their nature suffer from blur. In this paper, a novel image fusion method has been proposed to enhance visible-infrared image fusion using the integration of stationary wavelet transform and fuzzy histogram equalization. Firstly, input the images. Secondly, preprocessing the images. Thirdly, stationary wavelet transform has been used for decomposing the images in 2 levels. Fourthly, Averaging fusion rule is used for fusing the approximation coefficients. Finally, fuzzy histogram equalization is used in reconstructing the level 2 process to obtain the final enhanced image. The performance of the proposed method is evaluated by using seven metrics that proved the superiority of the proposed method compared to the standard methods.

The Acceptance, Usability, and Utility of a Web Portal for Back Pain as Recommended by Primary Care Physicians: Qualitative Interview Study With Patients

An ever-increasing number of patients seek health information via the internet. However, there is an overabundance of differing, often low-quality information available, while a lack of health literacy makes it difficult for patients to understand and assess the quality and trustworthiness of the information at hand. The web portal tala-med was thus conceived as an evidence-based, up-to-date, and trustworthy information resource for lower back pain (LBP), which could be used by primary care physicians (PCPs) and patients during and following consultations for LBP. The current evidence demonstrates that patients with LBP could benefit from web portals. However, the use of such portals by patients remains low, thus limiting their effectiveness. Therefore, it is important to explore the factors that promote or hinder the use of web portals and investigate how patients perceive their usability and utility. In this study, we investigated the acceptance, usability, and utility of the web portal tala-med from the patient perspective. This qualitative study was based on telephone interviews with patients who had access to the web portal tala-med from their PCP. We used a semistructured interview guide that consisted of questions about the consultation in which patients were introduced to tala-med, in addition to questions regarding patient perceptions, experiences, and utilization of tala-med. The interviews were recorded, transcribed, and analyzed through framework analysis. A total of 32 half-hour interviews were conducted with 16 female and 16 male patients with LBP. We identified 5 themes of interest: the use of tala-med by PCPs during the consultation, the use of tala-med by patients, its usability, added values derived from its use, and the resultant effects of using tala-med. PCPs used tala-med as an additional information resource for their patients and recommended the exercises. The patients appreciated these exercises and were willing to use tala-med at home. We also identified factors that promoted or hindered the use of tala-med by patients. Most patients rated tala-med positively and considered it a clear, comprehensible, trustworthy, and practical resource. In particular, the trustworthiness of tala-med was seen as an advantage over other information resources. The possibilities offered by tala-med to recap and reflect on the contents of consultations in a time-flexible and independent manner was perceived as an added value to the PCP consultation. Tala-med was well accepted by patients and appeared to be well suited to being used as an add-on to PCP consultations. Patient perception also supports its usability and utility. Tala-med may therefore enrich consultations and assist patients who would otherwise be unable to find good-quality web-based health information on LBP. In addition, our findings support the future development of digital health platforms and their successful use as a supplement to PCP consultations. RR2-10.1186/s12875-019-0925-8.

The value of information in the face of new global disorder

We analyzed how the media disseminate information based on five filters indicated by Chomsky and Herman (2003): Filter 1: Importance, ownership, and benefits orientation of the media; Filter 2: Advertising as the primary source of income; Filter 3: The supply of news to the media; Filter 4: Corrective measures as a method to discipline the media; Filter 5: Anticommunism as a control mechanism. The analysis showed that in addition to fake news, real news is manipulated and oriented to polarize ideologically, requiring an adaptation of society in building regulatory frameworks. At the same time, companies and their logarithms cannot counteract the global networks of disinformation that cross countries, continents, and languages. When there are news sources for us to access more efficiently, the convenience of following the communication channels that we have more identification with our interests can become a well-designed trap, as demonstrated by Chomsky and Herman's (2003) 5 filters. We need to distinguish the reliability of the information, and it is necessary to use some analytical skills. Many people do not understand these manipulation mechanisms; it becomes easier to believe this information and share it again, making a continuous cycle of sharing and feedback of low-quality information.

Ototoxicity of Topical Antibiotic Ear Drops in Chronic Suppurative Otitis Media in Humans: A Review of the Literature.

An electronic search of the literature was performed for reported cases of ototoxicity associated with the use of topical antibiotic ear drops in humans. The dosage, duration, and type of ototoxic preparations involved were recorded. Due to the scant quantity of low-quality information that is currently available, there was uncertainty about the usefulness of topical antibiotics in enhancing the resolution of ear discharge in patients with chronic suppurative otitis media. However, despite this uncertainty, there are some data to show that using topical antibiotics in comparison to a placebo or in conjunction with a systemic antibiotic may be useful. Additionally, there is ambiguity regarding the relative efficacy of various kinds of antibiotics; it is impossible to say with absolute certainty whether quinolones are superior to or inferior to aminoglycosides. Although the adverse impact profiles of these two classes of chemicals varied, there are not enough data from the included trials to draw any conclusions about them. Negative effects were generally underreported.

Quality of Information for Post-Prostatectomy Incontinence Treatments on YouTube

ObjectiveTo assess the quality of information on YouTube regarding post-prostatectomy incontinence treatments. The 2019 American Urological Association(AUA)/(SUFU) Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction guidelines recommend the placement of a male sling or artificial urinary sphincter. Patient education is essential for appropriate expectations and patient satisfaction. MethodsThe top 100 most relevant (default setting) YouTube videos searched with terms “post-prostatectomy incontinence” and “male stress incontinence” were assessed using the validated DISCERN instrument, Patient Education Materials Assessment Tool for Audiovisual Materials, and a misinformation Likert Scale. Videos with poor video/audio quality, duplicates, and non-English videos were excluded. Four independent raters were randomly assigned such that each video had 2 raters. Data was analyzed using multivariate linear regression, and inter-rater reliability was measured using Cohen's kappa. ResultsThe median DISCERN score was 2.5 with 71% of videos scoring <=3. The median PEMAT Actionability and Understandability scores were 64.6 (range 0-100) and 79.9 (range 52-100), respectively. The median misinformation Likert score was 1 range (1-4). Less than half of the videos discussed realistic treatment outcomes or the risks (39% and 24%, respectively). PEMAT Actionability and risk discussion significantly predicted average DISCERN score (p < .001). There were no significant disagreements between raters. ConclusionOur study shows most videos on post-prostatectomy incontinence had moderate to low quality information and were published by medical professionals. The majority did not sufficiently discuss realistic outcomes and risks, which are hallmarks of informed decision making. This provides an opportunity for the urologic community to create educational materials that adequately supplement shared-decision making for patients treated for post-prostatectomy incontinence.

Assessing the readability and quality of online information about benign prostatic hyperplasia.

Benign prostatic hyperplasia (BPH) affects nearly half of men in their fifties. Patients often search the Internet to better understand their diagnosis, but online health information is not well regulated and can be difficult for patients to comprehend. This study aims to evaluate not only readability, but also the quality of online information about BPH, as well as the effect of commercial bias on readability and quality. Three search engines (Google, Bing, and DuckDuckGo) were used with broad search terms including "BPH," "BPH treatment," and "BPH surgery," to mimic a patient diagnosed with BPH seeking further information. 204 total websites were identified, of which 62 were unique websites. Among those unique websites, 23 were advertisements. Three readability formulas (Flesch-Kincaid Grade Level, Flesch-Kincaid Reading Ease, SMOG) were used to generate readability scores. DISCERN standardized questionnaire was used to evaluate website quality. Average reading level of online information about BPH was significantly higher than the recommended level by the American Medical Association (AMA) and United States Department of Health and Human Services (USDHHS). Advertisements had significantly easier readability than nonadvertisements. Average website quality was "excellent" for nonadvertisements, but only "fair" for advertisements. Although advertisements may hold optimal search result positions and have better readability than nonadvertisements, they have biased and lower quality information. It is important to guide patients to high quality online information of appropriate reading level. Continued efforts should be made to create and share with patients high quality resources with improved readability to facilitate comprehension and minimize misinformation.

It is time for health institutions to invest in persuasive communication to combat low quality information: A lesson learned from the COVID-19 infodemic

It is time for health institutions to invest in persuasive communication to combat low quality information: A lesson learned from the COVID-19 infodemic

The real effects of local mutual funds: Evidence from corporate innovation

AbstractThis paper investigates whether the proximity between mutual funds and firms could explain corporate innovation. I find that local mutual funds tend to increase firms' R&amp;D expenditures and productivity. Firms with greater local ownership produce more patents and patents with bigger impact. The positive relations are more pronounced for firms with low information quality and poor corporate governance. Further, local funds with more innovative firms outperform the ones with less innovative firms. Finally, firms with higher local ownership are less likely to fire CEOs who engage in innovation, which incentivizes CEOs for risky investments.

ESG performance, auditing quality, and investment efficiency: Empirical evidence from China.

Dramatic changes in the business environment have created demands for additional information such as management discussions, governance information, and financial statement notes that go beyond the coverage of traditional financial reporting. Environmental, social, and governance (ESG) information can help gain stakeholder trust, reduce transaction costs, and improve investment efficiency. Taking Chinese A-share listed companies from 2011 to 2020 as a sample, we run fixed effect regressions to test the effect of ESG performance on investment efficiency. ESG performance is measured with the ESG score from the Bloomberg database. The results show that (a) good ESG performance significantly improves investment efficiency, (b) auditing quality partially mediates the relationship between ESG performance and investment efficiency, and (c) the role of ESG performance is stronger in non-state-owned enterprises, undeveloped regions, and firms with low accounting information quality. This paper contributes to the literature on ESG performance and provides references for ESG practice and sustainable corporate development in emerging countries.

Quality Assessment and Content Analysis of Youtube Videos on Glaucoma Surgery

The aim of this study is to evaluate the accuracy, quality and reliability of the videos on glaucoma surgery on YouTube which is an online video-sharing platform.The material has been obtained by a video search carried out on the Youtube -online video platform- with the keyword “Trabeculectomy” is kind of glaucoma surgery. A total of 44 videos for the keyword “trabeculectomy” were analyzed. When evaluated according to the exclusion criteria, a total of 10 videos were included in the analysis, and the 34 videos were excluded. Thus, after carving out the secondary data, a number of statistical analyses were performed namely Shapiro-Wilks, Kruskall-Wallis, Mann-Whitney U and Backward Linear Regression. In this framework, statistical analyzes were made via using the Stata software. Statistical significance value (threshold) was accepted as %10 (p&lt;0.05). When the videos were evaluated according to the information content they provided, it was found that 5 videos had low quality information content, 4 videos had medium quality information content, 1 video had good quality information content. Moreover, it was statistically determined that the parameter affecting the number of views was the number of likes (p&lt;0.05). This is the first study in ophthalmology to analyze publicly available online data evaluating glaucoma patients.YouTube videos are essentially insufficient as an educational material and an English source of information for the glaucoma surgery. Health professionals need to pay more attention to online platforms so that patients can access accurate information.

Rewards for information provision in patient referrals: A theoretical model and an experimental test

We study whether bonus payments for information provision can improve the information flow between physicians. A primary care physician (PCP) decides on the provision of information of varying qualities to a specialist while referring a patient. Our theoretical model, which includes altruism and loss aversion, predicts that bonus payments increase the provision of both high- and low-quality information. Running a controlled laboratory experiment we find support for this prediction. If the beneficiary of information provision receives a higher payoff than the PCP, we observe that PCPs more often pass on high-quality information when the beneficiary is a patient. If the beneficiary receives a lower payoff than the PCP, the type of the beneficiary (specialist or patient) does not affect the provision of high-quality information.

Why Over-Guarantee Crises Always Cluster? Exploring Peer Effect in Financial Distress

PurposeThis paper attributes the clustered occurrence of over-guarantee crises of Chinese listed firms to behavioural interactions among them when engaged in guarantee decisions, verifying the existence of the peer effect (PE) and its role in the formation mechanism of such crises.Design/methodology/approachReviewing the literature, the authors constructed a panel dataset of Chinese listed firms from 2011 to 2019 to empirically verify two types of PE by constructing industrial and regional PE indicators. The authors conduct grouped regressions according to firm heterogeneity and managers’ individual characteristics to explain the motives for the over-guaranteeing PE and also analysed the interaction between the financial market and the PE to reveal the external governance mechanism.FindingsThe authors find that the over-guarantee behaviour of Chinese listed firms exhibits strong industrial and regional correlations, which may lead to guarantee crises clustering. Firms with lower information quality, smaller asset size, and higher managerial overconfidence will be more likely to be influenced by other listed firms to over-guarantee. A favourable financial market environment can effectively inhibit listed firms from imitating the guaranteeing behaviour of peer firms.Research limitations/implicationsThis study’s results challenge the traditional theoretical perspective of independent financial decision-making, describe the interaction among listed firms in decision-making, and expand the existing theoretical literature on over-guaranteeing. The stickiness of guarantee behaviour may affect the accuracy of the authors’ estimations, and the differences between the industrial and regional PE require further research.Practical implicationsThe PE of over-guaranteeing shows that a single firm has a “spill-over effect” on the guarantee decisions of other firms in the same industry or region. Improving the information environment of listed firms financing decision-making and establishing a more demanding guarantee access mechanism may reduce this dependence on listed firms’ decisions. Firms should also appropriately strengthen decision-making constraints on managers to avoid istortions in financial decisions due to managers’ personal cognitive biases.Originality/valueUsing PE theory, the authors explain the influence mechanisms of financial distress of Chinese listed firms due to industrial and regional clustering of over-guarantee behaviour from the perspective of behavioural interaction.

Quality of online video resources concerning patient education for neck pain: A YouTube-based quality-control study.

BackgroundMore than 70 percent of the world's population is tortured with neck pain more than once in their vast life, of which 50–85% recur within 1–5 years of the initial episode. With medical resources affected by the epidemic, more and more people seek health-related knowledge via YouTube. This article aims to assess the quality and reliability of the medical information shared on YouTube regarding neck pain.MethodsWe searched on YouTube using the keyword “neck pain” to include the top 50 videos by relevance, then divided them into five and seven categories based on their content and source. Each video was quantitatively assessed using the Journal of American Medical Association (JAMA), DISCERN, Global Quality Score (GQS), Neck Pain-Specific Score (NPSS), and video power index (VPI). Spearman correlation analysis was used to evaluate the correlation between JAMA, GQS, DISCERN, NPSS and VPI. A multiple linear regression analysis was applied to identify video features affecting JAMA, GQS, DISCERN, and NPSS.ResultsThe videos had a mean JAMA score of 2.56 (SD = 0.43), DISCERN of 2.55 (SD = 0.44), GQS of 2.86 (SD = 0.72), and NPSS of 2.90 (SD = 2.23). Classification by video upload source, non-physician videos had the greatest share at 38%, and sorted by video content, exercise training comprised 40% of the videos. Significant differences between the uploading sources were observed for VPI (P = 0.012), JAMA (P < 0.001), DISCERN (P < 0.001), GQS (P = 0.001), and NPSS (P = 0.007). Spearman correlation analysis showed that JAMA, DISCERN, GQS, and NPSS significantly correlated with each other (JAMA vs. DISCERN, p < 0.001, JAMA vs. GQS, p < 0.001, JAMA vs. NPSS, p < 0.001, DISCERN vs. GQS, p < 0.001, DISCERN vs. NPSS, p < 0.001, GQS vs. NPSS, p < 0.001). Multiple linear regression analysis suggested that a higher JAMA score, DISCERN, or GQS score were closely related to a higher probability of an academic, physician, non-physician or medical upload source (P < 0.005), and a higher NPSS score was associated with a higher probability of an academic source (P = 0.001) than of an individual upload source.ConclusionsYouTube videos pertaining to neck pain contain low quality, low reliability, and incomplete information. Patients may be put at risk for health complications due to inaccurate, and incomplete information, particularly during the COVID-19 crisis. Academic groups should be committed to high-quality video production and promotion to YouTube users.

Quality analysis of the most viewed videos on YouTube about cervical cancer in Brazil

Cervical cancer is a major cause of preventable death in women. Health education strategies on preventive and protective methods are decisive for health promotion. In view of the popularity of the YouTube platform, this study evaluated 169 most viewed videos, selected based on the keyword "cervical cancer" in Brazil. These were downloaded and transcribed and analyzed for technical information and content analysis compared to information from the World Health Organization. Most of the analyzed videos are short; posted by laypeople (37.9%) and widely viewed (1,400 to more than 62,000). Although the majority try to disseminate information content, more than 58.9% do not cover the definition of cervical cancer, its risk factors (80.47%), signs and symptoms (68.64%), primary prevention (68.5%) and tertiary prevention (74.56%). Secondary prevention was addressed in 49.70%, but only 1.2% with correct and complete information. In general, 57.4% of the videos were rated as bad or very bad, pointing to the low quality of information about cervical cancer prevention on YouTube in Brazil. In conclusion, YouTube has been used in Brazil to discuss important issues about cervical cancer, but the quality of the video content is quite limited.

Development of Principles for Health-Related Information on Social Media: Delphi Study.

BackgroundHealth-related misinformation can be propagated via social media and is a threat to public health. Several quality assessment tools and principles to evaluate health-related information in the public domain exist; however, these were not designed specifically for social media.ObjectiveThis study aims to develop Principles for Health-related Information on Social Media (PRHISM), which can be used to evaluate the quality of health-related social media content.MethodsA modified Delphi approach was used to obtain expert consensus on the principles and functions of PRHISM. Health and social media experts were recruited via Twitter, email, and snowballing. A total of 3 surveys were administered between February 2021 and May 2021. The first survey was informed by a literature review and included open-ended questions and items from existing quality assessment tools. Subsequent surveys were informed by the results of the proceeding survey. Consensus was deemed if ≥80% agreement was reached, and items with consensus were considered relevant to include in PRHISM. After the third survey, principles were finalized, and an instruction manual and scoring tool for PRHISM were developed and circulated to expert participants for final feedback.ResultsA total of 34 experts consented to participate, of whom 18 (53%) responded to all 3 Delphi surveys. In total, 13 principles were considered relevant and were included in PRHISM. When the instructions and PRHISM scoring tool were circulated, no objections to the wording of the final principles were received.ConclusionsA total of 13 quality principles were included in the PRHISM tool, along with a scoring system and implementation tool. The principles promote accessibility, transparency, provision of authoritative and evidence-based information and support for consumers’ relationships with health care providers. PRHISM can be used to evaluate the quality of health-related information provided on social media. These principles may also be useful to content creators for developing high-quality health-related social media content and assist consumers in discerning high- and low-quality information.