Evidence map›Paper›PMID 41943225›Full record

ArticleJournal of primary care & community health

Clinician Recommendations for Discussing Online Health Information With Adolescents: A Qualitative Study.

Cambray Smith, Sarah Rebbeor, Melissa B Gilkey, Betsy Sleath, Christopher M Shea, Leah Frerichs, Bianca A Allison

Abstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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.

Cambray SmithUniversity of North Carolina at Chapel Hill, USA.ORCID 0000-0001-9723-891X
Sarah RebbeorUniversity of North Carolina at Chapel Hill, USA.ORCID 0009-0005-4381-835X
Melissa B GilkeyUniversity of North Carolina at Chapel Hill, USA.
Betsy SleathUniversity of North Carolina at Chapel Hill, USA.ORCID 0000-0002-8861-6955
Christopher M SheaUniversity of North Carolina at Chapel Hill, USA.
Leah FrerichsUniversity of North Carolina at Chapel Hill, USA.ORCID 0000-0002-2507-3789
Bianca A AllisonUniversity of North Carolina at Chapel Hill, USA.

Funding

CTSA K12 Program at UNCK12TR004416 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Michelle Hernandez, Jonathan J Juliano · 2023 to 2026
$6.5M
NCATS NIH HHS K12 TR004416
6 · The paper itself

Abstract

INTRODUCTION/

objectivesAdolescents frequently encounter online health information (OHI). We aimed to synthesize clinician recommendations for engaging adolescents about OHI during clinical encounters.

methodsUnited States clinicians with expertise in adolescent sexual and reproductive health (SRH) participated in virtual semi-structured interviews. Transcripts were analyzed using rapid qualitative methods to generate descriptive themes.

resultsTwenty-four clinicians from all U.S. regions participated. Participants emphasized the importance of addressing OHI given its accessibility, ubiquity, broad topical relevance (eg, SRH, nutrition, vaccines), and variable health impacts (ie, positive and negative). Clinicians described 4 entry points for discussion: patient initiation, screening, topic-specific conversations, and resource provision. They suggested strategies to build digital literacy (eg, assessing content creator motivations) and health literacy (eg, contextualizing population risks without dismissing personal anecdotes). Communication approaches included acknowledging partial truths before providing medical context and avoiding blanket dismissal of online content. Clinicians advised against directly labeling patients' claims as "misinformation," recommending instead more neutral, patient-friendly language.

conclusionsAs clinicians increasingly navigate OHI in practice, these expert recommendations can help support digital and health literacy while fostering trust and improving adolescent-clinician communication.

Indexed as

CommunicationConsumer Health InformationInternetPhysician-Patient RelationsAdolescentDigital HealthDigital MediaFemaleHealth LiteracyHumansInterviews as TopicMaleQualitative ResearchReproductive HealthSexual HealthUnited Statesadolescentscommunicationmisinformationonline health informationsocial media

Identifiers

PMID41943225
PMCPMC13053968

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Registered trials

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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.