Evidence map›Paper›PMID 38198205›Full record

SynthesisJournal of medical Internet research2024

High-Quality eHealth Websites for Information on Endometriosis: Systematic Search.

Diksha Sirohi, Cecilia Hoi Man Ng, Niranjan Bidargaddi, Helen Slater, Melissa A Parker, Mary Louise Hull, Rebecca O'Hara

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Journal of medical Internet research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Diksha SirohiRobinson Research Institute, Adelaide Medical School, University of Adelaide, North Adelaide, Australia.ORCID 0000-0003-4485-7877
Cecilia Hoi Man NgSchool of Clinical Medicine, Division of Obstetrics and Gynaecology, University of New South Wales, Sydney, Australia.ORCID 0000-0002-8637-9861
Niranjan BidargaddiDigital Health, College of Medicine and Public Health, Flinders University, Adelaide, Australia.ORCID 0000-0003-2868-9260
Helen SlaterCurtin School of Allied Health, Curtin University, Perth, Australia.ORCID 0000-0002-4868-4988
Melissa A ParkerCanberra Endometriosis Centre, Centenary Hospital for Women and Children, ACT Health, Canberra, Australia.ORCID 0000-0002-4213-7166
Mary Louise HullRobinson Research Institute, Adelaide Medical School, University of Adelaide, North Adelaide, Australia.ORCID 0000-0003-1813-3971
Rebecca O'HaraRobinson Research Institute, Adelaide Medical School, University of Adelaide, North Adelaide, Australia.ORCID 0000-0002-7482-1691
The University of Adelaide · AUCentenary Institute · AUCurtin University · AUFlinders University · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundeHealth websites are increasingly being used by community members to obtain information about endometriosis. Additionally, clinicians can use these websites to enhance their understanding of the condition and refer patients to these websites. However, poor-quality information can adversely impact users. Therefore, a critical evaluation is needed to assess and recommend high-quality endometriosis websites.

objectiveThis study aimed to evaluate the quality and provide recommendations for high-quality endometriosis eHealth websites for the community and clinicians.

methodsPRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) 2020 guidelines informed 2 Google searches of international and Australian eHealth websites. The first search string used the terms "endometriosis," "adenomyosis," or "pelvic pain," whereas "Australia" was added to the second search string. Only free eHealth websites in English were included. ENLIGHT, a validated tool, was used to assess the quality across 7 domains such as usability, visual design, user engagement, content, therapeutic persuasiveness, therapeutic alliance, and general subjective evaluation. Websites with a total score of 3.5 or more were classified as "good" according to the ENLIGHT scoring system and are recommended as high-quality eHealth websites for information on endometriosis.

resultsIn total, 117 eHealth websites were screened, and 80 were included in the quality assessment. Four high-quality eHealth websites (ie, those that scored 3.5 or more) were identified (Endometriosis Australia Facebook Page, Endometriosis UK, National Action Plan for Endometriosis on EndoActive, and Adenomyosis by the Medical Republic). These websites provided easily understood, engaging, and accurate information. Adenomyosis by the Medical Republic can be used as a resource in clinical practice. Most eHealth websites scored well, 3.5 or more in the domains of usability (n=76, 95%), visual design (n=64, 80%), and content (n=63, 79%). However, of the 63 websites, only 25 provided references and 26 provided authorship details. Few eHealth websites scored well on user engagement (n=18, 23%), therapeutic persuasiveness (n=2, 3%), and therapeutic alliance (n=22, 28%). In total, 30 (38%) eHealth websites scored well on general subjective evaluation.

conclusionsAlthough geographical location can influence the search results, we identified 4 high-quality endometriosis eHealth websites that can be recommended to the endometriosis community and clinicians. To improve quality, eHealth websites must provide evidence-based information with appropriate referencing and authorship. Factors that enhance usability, visual design, user engagement, therapeutic persuasiveness, and therapeutic alliance can lead to the successful and long-term uptake of eHealth websites. User engagement, therapeutic persuasiveness, and therapeutic alliance can be strengthened by sharing lived experiences and personal stories and by cocreating meaningful content for both the community and clinicians. Reach and discoverability can be improved by leveraging search engine optimization tools.

trial registrationPROSPERO CRD42020185475; https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=185475&VersionID=2124365.

Indexed as

AdenomyosisEndometriosisTelemedicineAustraliaAuthorshipFemaleHumansadenomyosisdigital healtheHealtheHealth websitesendometriosispelvic pain

Identifiers

PMID38198205
PMCPMC10809066
OpenAlexW4389062541

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.