Working together to achieve better outcomes for patients with heart failure

Apps, Tracey; Phelan, A.

doi:10.7748/phc.2018.e1348

Cited by 1 publication

(1 citation statement)

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“…Heart failure continues to have a poor 5 year survival (45.5%), despite many advances in both pharmacological and non‐pharmacological therapies (Taylor et al, 2019). It is estimated that there are around 900,000 people in the UK and 26 million people worldwide, living with heart failure (Apps & Phelan, 2018; Chew et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

An analysis of the diagnostic accuracy and peer‐to‐peer health information provided on online health forums for heart failure

Farnood

Johnston

Mair

2021

Journal of Advanced Nursing

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Aims: To examine the accuracy of diagnostic responses and types of information provided on online health forums. Design: Qualitative descriptive study. Methods: This paper reports the findings of a thematic analysis of peer responses to posts included on heart failure online health forums, to understand the quality and types of information provided. Responses posted between March 2016 and March 2019 were screened, collected and analysed thematically using Braun & Clarke.Themes were conceptually underpinned by Normalization Process Theory. Responses were assessed for quality against the NICE and SIGN guidelines to determine whether they were evidence based or not. Results:The total number of responses collected for analysis was 639. Five main themes were identified: diagnostic, experiential, informational, peer relations and relationships with healthcare professionals. Out of 298 diagnostic responses, 5% were guideline evidence-based and 6% had information that were partly evidence-based.Non-evidence based and potentially dangerous responses were 10%. Experiential responses were 10%; 23% included advice that was not supported with any clinical evidence; and 46% signposted users to other online references/healthcare professionals. Conclusion:Online health communication largely focuses on provision of experiential responses to assist those in need of pre-or post-diagnosis advice and support.However, there is evidence of inaccurate information provision which suggests the use of a moderator would be beneficial.Impact: This study suggests heart failure online health forums are a source of support, however, there are potential risks. Increasing nurses and other health care professional's awareness of online health forums will be important. Additional training is needed to help them learn more about patient's use of online health forums, to gain a better understanding about the types of information sought, and how best to address such knowledge deficits. Healthcare systems must ensure sufficient time and resources are available to meet information needs for people with heart failure.

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Section: Introductionmentioning

confidence: 99%