Online Health Information Research Articles

Purchasing medicines and functional foods on the internet: a cross-sectional study investigating the knowledge, attitudes, and experience of Vietnamese people in 2023

ObjectiveTo investigate Vietnamese people’s knowledge, attitudes, and experience in purchasing medicines and functional foods online.MethodsVia an online survey, the data of 1,070 participants were collected, including their general characteristics, Internet use, previous experience, knowledge, and attitudes towards purchasing medicines/functional foods online. Factors associated with their knowledge and attitudes were identified via multivariate linear regression models.ResultsDuring 2022–2023, about 97.2% of participants used the Internet to seek health information (self-diagnosis: 65.0%, self-medication: 72.6%). Roughly 52.8% bought medicines and/or functional foods online. Among 565 buyers, 41.8% felt satisfied. Only 19.9% understood that selling medicines online was illegal in Vietnam. The main benefits of purchasing medicines/functional foods online that many people agreed on included convenience (87.1%), freedom from location (84.8%), and being able to order/buy products after opening hours (84.7%). Many people felt worried about the ability to buy counterfeit or substandard products (87.7%), inaccurate product information (85.0%), the lack of supervision of the authorities (83.7%), and increasing risks of drug abuse, self-medication, and treatment non-adherence (82.5%). Roughly 84.3% found distinguishing between legal and illegal online pharmacies difficult. Participants’ average knowledge and attitude scores were 6.514 ± 2.461 (range: 0–16) and 89.330 ± 13.720 (range: 23–115), respectively. The main factors associated with people’s knowledge and attitudes towards purchasing these products online included their frequency of Internet use, seeking health information online for self-medication, feeling satisfied with previous experience, and having at least one chronic disease.ConclusionsMany Vietnamese people’s knowledge about purchasing medicines/functional foods online was limited. With the increasing need for online shopping, enhancing their knowledge is paramount. In the forthcoming years, when the Ministry of Health and relevant authorities publish legal documents and enact laws involving online pharmacies and trading medicines on the Internet, ways to recognize licensed online pharmacies must be widely propagated and disseminated in the community.

The Digital Health Revolution: Exploring the Impact of Online Cancer Information on Self-Reported Preventive Behaviors.

Cancer, one of the leading causes of death worldwide, is a disease characterized by uncontrolled cell growth within the body. While there have been many improvements in the treatment of cancer clinically, there is now an urgent need to improve cancer-related communication. This study explores the impact of online health information, specifically cancer-related information and prevention, among members of the general public. Through a randomized survey, we examined what information leads people to take action to minimize their cancer risk and communicate with their providers. Through evaluation of the various modes of communication, we were able to provide insight into which are more effective and better received by members of the general public. Through this, ways of bettering these avenues of communication and strengthening the bond between them will be highlighted and more easily elaborated on by future studies. The results of our study indicated that 60% of participants asserted that they are motivated by online preventive information to take steps to limit their cancer risk, while only roughly 44% of participants overall agreed that their doctor has communicated with them about when proper cancer screenings should be scheduled for the future. Although patients may be turning to the Internet now more than ever due to various reasons, when comparing self-reported rates of comprehension among the study participants, 35% agreed that the cancer-related information they can access online is confusing, while fewer than 22% of participants agreed that the cancer-related information they receive directly from their doctor is confusing. This is indicative of the limitations the Internet may have when undertaking the role of being a medical resource, especially when acting as a replacement for in-person medical appointments where patients can communicate directly with their physicians. Ultimately, these results provide a unique perspective into how people receive, evaluate, and implement cancer-preventive steps and general health-related information in a post-COVID-19 world, where the Internet is now strongly embedded in healthcare.

Abstract B025: Assessing the content and quality of online patient education material on clinical trials from NCI-designated comprehensive cancer centers

Abstract Background: Online patient educational material on cancer clinical trials is available on NCI- designated comprehensive cancer center websites and official YouTube channels. Online health information is an important resource for patients seeking to learn more about treatment options. Objective: Examine the quality and content themes in online patient educational material (PEM) related to cancer clinical trials published by comprehensive cancer centers. Methods: A random sample of comprehensive cancer centers (21) was chosen to represent the national network of cancer centers. Each website was searched for webpages containing patient-oriented clinical trial information. Official YouTube channels were also searched for relevant video material. Each webpage and video (N=196) were assessed for quality and content themes. Quality was measured using an abbreviated Patient Education Materials Assessment Tool which scores understandability and actionability of text and audio-visual materials, and content themes were assessed by the use of a content characteristic codebook. Results: Common content themes in the sample (N=196) of online PEM from comprehensive cancer centers were defines purpose of trials, physician speaker, animated or illustrated elements, and defines phases of trials. Online PEM had an average score of 83 for understandability and 26 for actionability, an area for improvement. Only 10% of materials reviewed scored high for understandability (>90) and for actionability (>70). Online webpages that mixed text and video scored highest on the quality assessment. Video-only content scored lowest on the quality assessment. Only a small percentage of PEM included FAQs (10%), instructions on how to find a trial (16%), mentioned consent (14%) or costs associated with trials (12%). Mentions or depictions of minority populations were not commonly observed in the material (11%). Conclusions: Online PEM published by comprehensive cancer centers is an important and easily accessible resource for patients looking to learn more about clinical trials. Cancer centers should add various audio-visual formats and interactive tools to their webpages to increase the quality of the clinical trial resources. Including representation of historically underserved populations and adding actionable advice for patients has the potential to engage patients’ interest and increase enrollment in cancer clinical trials. Citation Format: Trista Beard, Diana Morales, Fatimata Sanogo, Chanita Hughes Halbert. Assessing the content and quality of online patient education material on clinical trials from NCI-designated comprehensive cancer centers [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B025.

COVID-19 pandemic and women transitioning from incarceration: a study of online health information seeking among underserved and marginalized women

ABSTRACT Based on interviews with 118 women recently released from incarceration in the U.S. Midwest, this study examines changes in their online health information consumptions and evaluations throughout the COVID-19 pandemic (2020–2022). Findings show that women transitioning from incarceration, who are often marginalized at the intersection of gender, socioeconomic status, and race, faced challenges navigating and assessing online health information during the pandemic. We use a feminist framework in analyzing online health information seeking and assessments among women recently released from incarceration while acknowledging intersectional marginality experienced by this population. Given the limited existing research on reentry programs focusing specifically on justice-involved women, our study contributes to developing and improving health and information literacy programs for this underserved and marginalized population.

Maternal obesity management: a narrative literature review of health policies

Maternal obesity rates are increasing significantly, posing substantial risks to both mothers and their children. This study aims to introduce health policies addressing maternal obesity, identify preventive interventions, and highlight scientific gaps necessitating further research.We identified documents through electronic searches in PubMed, CINAHL Plus, EMBASE, and grey literature sources (ministry of health websites, national gynecology and obstetrics associations) from January 2013 to August 2023, updated in June 2024. The inclusion criteria focused on English-language documents discussing interventions or health policies that promote weight loss through lifestyle changes during pregnancy.A total of 22 documents (10 studies and 12 guidelines) were included. 12 studies (N=1244) identified via databases; included two Clinical Practice Guidelines (CPGs) from Canada and Singapore. Other 10 CPGs sourced from governmental websites and national associations: England (1), Australia (1), New Zealand (1), combined Australia and New Zealand (1), Canada (3), USA (1), Ireland (1), Germany (1). 10 guidelines focused on obesity in pregnancy, two on weight management during pregnancy. Covered interventions across pre-pregnancy, pregnancy, and postpartum periods (9 guidelines); pre-pregnancy and pregnancy (2); exclusively postpartum (1). Seven guidelines offered evidence-based recommendations on maintaining healthy weight in mothers, largely based on expert opinions.Maternal obesity poses significant risks to both mothers and children, underscoring the need for effective health policies and systems. However, few countries have integrated adequate responses into their healthcare policies and guidelines for professionals. Limited evidence exists on optimal practices to improve reproductive health outcomes in obese women. Hence, the crucial need to developing comprehensive guidelines and proactive strategies to manage maternal obesity. These measures can improve outcomes and reduce healthcare costs. Increased focus on research and policymaking is essential to protect the health of mothers and their children.

College students’ utilization of the Internet to search for mental health information: Effects on mental health literacy, stigma, and help-seeking

Objective The current study examined how college students search online for mental health information and the impact of these searches on mental health literacy, stigma, and help-seeking. Method Undergraduate participants (N = 270; Fall 2015 to Spring 2019) were randomly assigned to search online for information about coping with anxiety for themselves or a friend (experimental activity), or to utilize Google Maps to answer navigational questions (control). Results Participants who conducted an online search demonstrated greater mental health literacy including optimism about psychotherapy, and lower levels of certain types of stigma, but lower willingness to seek/recommend professional help. Participants were more likely to recommend professional help for a friend compared to themselves. Conclusions Online searches for mental health information have the potential to increase mental health literacy. Universities can harness the Internet to reduce help-seeking barriers but should also address when it is appropriate to engage in self-help versus seek professional help.

A - 7 An Examination of the Predictive Roles of Healthy Literacy and Age in Online and Print Health Information Search Performance among Older Adults

Abstract Objective As older adults increasingly seek health information online, evaluating complex technology-based everyday behaviors is important. This study examined the predictive roles of health literacy and age in health information search accuracy across online and print sources. Methods Participants were 96 community-dwelling older adults (age: M = 70.09, SD = 8.69; education: M = 16.57, SD = 2.14; 75% female; 96.88% White). Participants completed the Newest Vital Sign, a health literacy measure that required participants to interpret verbal and numerical information on a nutrition label, and a health search task (HST), which examined the ability to navigate web and print sources to search for health information. Results A multiple regression was conducted in which HST accuracy was regressed onto health literacy and age for web and print subtasks separately. Cognitive status (MoCA total score) was a covariate. Although health literacy was not a significant predictor of HST accuracy, age was a significant predictor for the web-based subtask, β = −0.29, b = −0.05, SEb = 0.02, 95% CI [−0.08, −0.02], t(92) = −2.94, p = 0.004, and cognitive status for the print-based subtask, β = 0.36, b = 0.18, SEb = 0.05, 95% CI [0.08, −0.28], t(92) = 3.50, p = 0.001. Conclusions Compared to health literacy, age and cognitive status were stronger predictors of health information search performance across online and print sources in community-dwelling older adults. Future studies should consider the impact of age and comfort with technology in examining older adults’ ability to successfully navigate online health sources.

Designing the Presentation of Hyperlinks to Reduce Overload in Online Health Information

This talk will present the results of a completed crowdsourced study with 82 participants. The study was guided by the question: how does the visual saliency of hyperlinks on a health information web page influence perceived information overload, emotional reactions, and task performance? Results indicate that different modes of presenting a high volume of hyperlinks can influence the experience of information overload.

Identifying the peripheral cues in the credibility assessment of online health information

Online health information varies, as well as what people choose to consume and believe. Previous research finds that hesitancy to follow health advice is often due to suspicion about credibility. The elaboration likelihood model suggests credibility assessments use both argument quality and source credibility. One important facet for understanding how and why people cling to misinformation about health advice is uncovering what drives their credibility assessment in the first place. Yet, little research focuses on what peripheral cues influence source credibility in online health information. Our mixed-method study, which combines an online experiment and qualitative analysis, explores how source, tone, and format affect credibility perceptions in health contexts. The results confirm ELM relationships and indicate credibility increases when information is physician-authored and objectively presented. Our findings address a gap in the literature by exploring what influences a person's credibility assessment of online health information, offering insights that could inform the design of future online health resources.

Information Support or Emotional Support? Social Support in Online Health Information Seeking among Chinese Older Adults.

Online Health Information Seeking (OHIS) serves as an alternative form of social capital that can help older adults alleviate offline medical-related stress. This study collected and analyzed user interaction data from Patient-to-Doctor and Patient-to-Peer platforms and compared the roles of social support between them. Significant differences were identified in the dimensions of social support (information, emotional, and companion) on the Patient-to-Peer platforms compared with Patient-to-Doctor platforms (p < 0.05). The overall and core-core network density values for social support on Patient-to-Peer platforms were higher than those on Patient-to-Doctor platforms. Patient-to-Doctor interactions focused on information support, displaying a more centralized and efficient network with structural holes pertaining to treatment effects. By contrast, Patient-to-Peer interactions provided more emotional support, with a dispersed and redundant network containing structural holes related to individual information. Companion support was found to be weaker on both platforms. Additionally, digital literacy, surrogate seeking, and altruistic information significantly explained the variances between the two platforms (p < 0.01), with surrogate seeking playing a crucial role. These findings enhance our understanding of OHIS disparities among older adults and their surrogates, offering valuable insights for developing effective support systems and regulatory frameworks for health information platforms.

Online Patient Education in Obstructive Sleep Apnea: ChatGPT versus Google Search.

The widespread implementation of artificial intelligence technologies provides an appealing alternative to traditional search engines for online patient healthcare education. This study assessed ChatGPT-3.5's capabilities as a source of obstructive sleep apnea (OSA) information, using Google Search as a comparison. Ten frequently searched questions related to OSA were entered into Google Search and ChatGPT-3.5. The responses were assessed by two independent researchers using the Global Quality Score (GQS), Patient Education Materials Assessment Tool (PEMAT), DISCERN instrument, CLEAR tool, and readability scores (Flesch Reading Ease and Flesch-Kincaid Grade Level). ChatGPT-3.5 significantly outperformed Google Search in terms of GQS (5.00 vs. 2.50, p < 0.0001), DISCERN reliability (35.00 vs. 29.50, p = 0.001), and quality (11.50 vs. 7.00, p = 0.02). The CLEAR tool scores indicated that ChatGPT-3.5 provided excellent content (25.00 vs. 15.50, p < 0.001). PEMAT scores showed higher understandability (60-91% vs. 44-80%) and actionability for ChatGPT-3.5 (0-40% vs. 0%). Readability analysis revealed that Google Search responses were easier to read (FRE: 56.05 vs. 22.00; FKGL: 9.00 vs. 14.00, p < 0.0001). ChatGPT-3.5 delivers higher quality and more comprehensive OSA information compared to Google Search, although its responses are less readable. This suggests that while ChatGPT-3.5 can be a valuable tool for patient education, efforts to improve readability are necessary to ensure accessibility and utility for all patients. Healthcare providers should be aware of the strengths and weaknesses of various healthcare information resources and emphasize the importance of critically evaluating online health information, advising patients on its reliability and relevance.

Adesão ao uso da estratégia NutriSUS para fortificação alimentar infantil em municípios de Goiás

Introduction: The high demand for nutrients in children under five years of age, added to low nutritious diets, makes them vulnerable to micronutrient deficiencies. The NutriSUS Strategy, launched as part of the School Health Program (PSE) in 2014, aims to combat these deficiencies through the distribution of micronutrient sachets. The effectiveness of this strategy in Goiás, considering the weaknesses in the municipalities, needs to be evaluated. The objective of this study was to verify adherence to the NutriSUS Strategy in municipalities in the state of Goiás and the list of sachets used by agreed and added day care centers. Methods: A retrospective observational study analyzed data on micronutrient supplementation provided by the NutriSUS Strategy in the state of Goiás, between 2017 and 2019. The database available on the Ministry of Health website was used to identify adherence and coverage of the program in 10 regional health departments. The inclusion criteria were municipalities that implemented the strategy during the period studied, while those that did not adhere or did not show interest were excluded. The analysis was performed using absolute and relative frequencies in the EPI Info 7.2.6.0 program. Results: The NutriSUS Strategy was implemented in 35 (14.23%) of the total municipalities (n=246). Micronutrient supplementation targets were constant throughout the period from 2017 to 2019, with some cities, such as Araguapaz, Britânia, and Santa Helena de Goiás, exceeding their supplementation targets in some of the periods, while others, such as Aragarças, Hidrolândia, Piracanjuba, São Luís de Montes Belos, and Buriti Alegre, did not reach the expected targets. The analysis, by semester of supplementation coverage in daycare centers, showed significant fluctuations: a drop in 2017 from 45.44% to 32.60% from the first to the second semester. In 2018, the percentage was 34.43% in the first half of the year, but there was a significant increase to 52.37% in the second half of the year. In 2019, coverage rose to an average of 61.63% in the first half, followed by a drop to 35.74% in the second half. The data also revealed variations in standard deviation, reflecting fluctuations in program adherence. Conclusion: The NutriSUS Strategy showed a variable implementation in the municipalities of Goiás in the period studied, with fluctuations in supplementation coverage over time. The analysis highlighted both success in some locations and difficulties in others, highlighting the importance of continuously monitoring and adjusting supplementation strategies to ensure that all counties adequately benefit children from micronutrient supplementation.

How individuals cope with anger- and sadness-induced narrative misinformation on social media: roles of transportation and correction

Abstract Purpose The spread of health conspiracies and misinformation online threatens public health as most Americans choose to acquire health information online. This study examines how discrete emotions like anger and sadness influence individuals’ responses to narrative-based health misinformation, proposing a theoretical model of narrative misinformation coping and exploring the mechanisms through which these emotions affect risk perception and misinformation coping. Design/methodology/approach Through a 2 (Misinformation type: narrative vs. non-narrative) × 2 (Issue: climate change vs. fentanyl overdose) × 2 (Correction: present vs. absent) online experiment (N = 401), our results underscore the importance of both risk coping and misinformation coping in individuals’ responses to emotional narrative misinformation, along with the role of narrative transportation in intensifying felt emotions and facilitating both types of coping. Findings Our results elucidate how individuals cope with anger- and sadness-induced narrative misinformation. Specifically, sadness decreases susceptibility to narrative misinformation’s negative effects, and anger prompts intuitive actions. Narrative transportation deepened felt emotions and both coping processes, and corrections reduced the perceived truthfulness of misinformation. Practical implications Our findings offer practical strategies for mitigating misinformation by disrupting narrative transportation, particularly for anger-induced stories. Social implications Our findings can contribute to the development of targeted policies aimed at mitigating online misinformation dissemination and provide a roadmap to executing effective correction measures. Originality/value This study proposes and tests a theoretical model of people’s responses to narrative misinformation addressing both misinformation coping and risk coping through cognitive and behavioral routes. The model also explains how transportation, along with different appraisal tendencies, can intensify both coping processes.

Leveraging the use of a social media app as a collaborative medical information and knowledge sharing tool—insights from experiential use and survey of a CME WhatsApp community

Background and aimContinuing Medical Education (CME) is crucial for physicians to stay current in the rapidly advancing field of medicine. A WhatsApp (WA) based community of physicians was initiated in 2016 ‘WhatsApp CME India Group’ to facilitate learning, knowledge sharing, and discussion among physicians. Due to participant size constraints of the technology, it evolved into seven distinct WA groups, overseen by a central administrator. A survey undertaken in the group’s 7th year aimed to evaluate its effectiveness in achieving its goals, measure participant engagement, and uncover the primary factors driving its usage.MethodsThe survey questionnaire was distributed to 3500 members across the 07 WhatsApp CME groups for voluntary participation. Data collected was analysed using SPSS version 24.0 (SPSS Inc., Chicago, IL, USA) and reported using descriptive statistics.ResultsAmong the 581 survey respondents, the study found 43% of physicians use the WhatsApp academic groups for CME content, with 32% accessing their group over four times daily. The primary motivation for 77% was to discuss challenging cases and to gain knowledge updates from fellow physician (70%). Medical websites (57%), referral books (49%), and Google (43%) were other significant resources. Every participant (100%) found the WhatsApp CME India group the most beneficial resource for daily medical science updates. A significant portion (57%) of the respondents found the group valuable for real-time information exchange. Over 78% stated it kept them current with knowledge and guidelines. Notably, 94% viewed WhatsApp CME as complementary to physical conferences, not a replacement. The post-conference/webinar summaries were appreciated by 81% participants. Case discussions (31%) and update posts from fellow physicians sharing their insights and learnings (24%) were noted as activities of great academic interest.ConclusionThis study underscores the potential of digital platforms like WhatsApp in supplementing CME in India and potentially other comparable settings. The blend of digital and traditional resources suggests a balanced learning approach. While real-time engagement is a strength, challenges like information overload and privacy concerns require careful management. Striking a balance is crucial for ensuring content quality, structured discussions and privacy. As the digital age advances, professionals must critically assess shared information on these platforms to guarantee evidence-based and reliable knowledge dissemination.Trial registrationARK 001.

Mental Health Aftercare Availability for Juvenile Justice-Involved Youth in New York City.

The goal of our study was to describe the availability of community child and adolescent mental health services, trauma-informed care, and the geographic accessibility of these services for juvenile justice-involved (JJ) youth who received mental health services while in secure detention. Data collection occurred through direct contact with the child and adolescent outpatient clinics listed on the New York State Office of Mental Health website. Zip codes were collected from the juvenile secure detention census. Of the clinics contacted, 88.5 percent accepted JJ youth; however, 43.5 percent accepted them on a conditional basis. Only 62.1 percent offered trauma-informed care, including evidence-based interventions and unspecified care. Although 84.5 percent of the clinics that would accept this population reported currently accepting new patients, reported wait times were as high as six or more months. When JJ residents' home zip codes and those of the clinics were geographically mapped, there were few clinics in the zip codes where most residents lived. The clinics that accepted youth on a conditional basis often refused high-risk patients, essentially ruling out a large majority of this population. The geographical inaccessibility of these clinics limits their ability to provide care for this vulnerable population.

Quality and Readability Analysis of Turbinoplasty on the Web.

This study aimed to assess the quality, credibility, and readability of online health information concerning turbinoplasty, given the increasing reliance on internet resources for health education. Using four search terms related to turbinoplasty, we analyzed 71 text-based webpages from Google.com, Bing.com, and Yahoo.com. Readability was evaluated using the Flesch-Kincaid grade level, Gunning-Fog Index, SMOG Index, and Coleman-Liau Index were utilized. Web page quality was computed through the DISCERN Instrument (DISCERN), the Journal of the American Medical Association benchmark criteria (JAMA), Novel Turbinoplasty Index (NTI), and presence of code certification by Health on The Net (HON). Seventy-one text-based web pages were assessed. Information quality was measured by an average DISCERN score of 47.4±7.40, indicating "fair" quality. The average readability was a grade level of 9.7±1.57, notably higher than AMA and NIH recommendations. Of all web pages, only 11 (15.49%) proficiently met all 4 listed JAMA criteria. Significant correlations between web page classification and average DISCERN (P=0.0042), as well as JAMA score (P<0.001) were discovered. The web pages that had HON code certification revealed significantly higher quality metrics such as DISCERN scores (P<0.001), JAMA scores (P<0.001), and NTI scores (P=0.038). Online health information for turbinoplasty is of "fair" quality, and the average readability is several grade levels above current AMA and NIH recommendations. Health care providers should aim to guide their patients on finding appropriate educational resources and should improve the readability of their patient education materials.

P156 HYPERTENSIVES USERS OF A HEALTH WEB PORTAL

Background and objective: In Canada, approximately 1 in 4 adults live with high blood pressure. These people, concerned about their health, often turn to health information Web portals. To meet this need for information, Quebec Society of Vascular Sciences (QSVS) du Québec has created a web portal (www.yourvascularhealth.ca). However, limited data is available to describe the characteristics and motivations of hypertensive users of these websites. Method In this multicenter study, participants had to be ≥18 years old, hypertensive and able to use digital tools. They were approached by collaborating physicians (n=30) during routine consultations. An anonymous, validated electronic questionnaire assessed socio-demographic variables, digital competence, and motivations for using a health website. Adapted Technology Acceptance Model III was used as a framework. Results: Forty-three participants were recruited mean age of 70.3 ± 10.5 years, 67% male, 33% had achieved a university level of education. For health behaviors, less than 30% attained the 150 weekly minutes of exercise promoted in Canada while a less than half (44%) say that they eat according to DASH guidelines. The vast majority don’t smoke (67%) and drink less than once a month (86%). Preliminary analysis show that most participants (84%) use search engine. When questioned (on a Likert scale 1 to 7) about the portal, they perceived it was useful (6.0 ± 1.1), easy to use (5.4 ± 1.2) and expressed the intention of using the portal again (5.7 ± 1.5). When motivation was assessed; autonomous motivation was highest (5.83 ± 0.99) followed by amotivation (3.83 ± 1.35) and controlled motivation (3.13 ± 1.39). Conclusion: Patients with hypertension are consulting websites to obtain more information and this even later in life. It is our responsibility to provide websites that are designed for this population and scientifically based. This study will contribute to a better characterization of health website users and may guide the development and dissemination of health websites.

54723 Large Language Models as a Tool to Reduce Reading Grade-level of Online Health Information on Generalized Pustular Psoriasis

54723 Large Language Models as a Tool to Reduce Reading Grade-level of Online Health Information on Generalized Pustular Psoriasis

The Impact of Information Quantity on Cognitive Load and User Perceptions in Medical Website Design

The Impact of Information Quantity on Cognitive Load and User Perceptions in Medical Website Design

Trends in Online Health Information Searches on Sleep Disorders During the First Seven Months of the COVID-19 Pandemic in Iran

Introduction: The COVID-19 pandemic has led to a global rise in sleep disorders, serving as a critical indicator of societal mental health. This study aims to examine the trends in health information searches related to sleep disorders during the first seven months of the COVID-19 pandemic in Iran, comparing these trends with the same period two years prior. Methods: This descriptive study analyzed the internet search behavior of Iranians seeking health information between 2017 and 2022. Data were collected on sleep disorder-related searches during the initial seven months of the COVID-19 pandemic in Iran using Google Trends. A one-way analysis of variance (ANOVA) was employed to compare the volume and percentage of searches related to sleep disorders during the pandemic with those in the corresponding periods of the previous years. Additionally, Pearson's correlation was used to assess the relationship between the daily trends in COVID-19-related deaths and the volume of internet searches concerning sleep disorders. Results: The volume of searches related to sleep disorders significantly increased (p&lt;0.001) during the first seven months of the COVID-19 pandemic in Iran compared to the same period in the two preceding years. These searches initially exhibited an upward trend, followed by a decline, eventually stabilizing. A strong (r = 0.8) and significant (p&lt;0.05) correlation was observed between the number of sleep disorder-related searches and the number of COVID-19-related deaths during the early months of the pandemic. Conclusion: The COVID-19 pandemic led to a marked increase in searches for information on sleep disorders, potentially driven by heightened anxiety and lifestyle changes during this period.