Sunday, April 30, 2017

Evaluation of a Web 2.0 Tool



          With the advancement of Web 2.0 tools, web pages are now user-centric and support the participation of individuals, facilitating their exchange of information.  WebMD is an example of a Web 2.0 tool that was created to provide a platform that supports the interaction of individuals, facilitating their exchange information.  These interactions and exchanges are providing not only information and advice, but also emotional support (Hall, Stellefson, & Bernhardt, 2012).
            However, there are risks involved with the use of these innovative technologies. It is imperative that they are used ethically, professionally, responsibly.  Some of the possible risks are violations of privacy and confidentiality or inaccurate self-diagnosis.  I have established five criteria for evaluating a Web 2.0 tool that are fashioned from the recommendations of Hall, Stellefson, and Bernhardt (2012).  The evaluation involves the “who, what, where, when, and why" questions.  The evaluation criteria can assist consumers in using them more confidently and safely (Hall, Stellefson, & Bernhardt, 2012). 
              First, individuals can evaluate the Web 2.0 tool by asking who questions.  Who is the author of the information and what are their credentials? Is the author qualified to be providing the information? Examining the credentials of the author can help to determine whether the author or organization has the required expertise and training to provide the information (Hall, Stellefson, & Bernhart, 2012).
What questions. What is the websites source of money? The source of a Web site’s funding should be provided. The National Center for Complementary and Integrative Health (NCCIH, 2014), explains that websites with addresses ending in “.gov,” are funded by the U.S. government, while website ending in “.edu” are sponsored by educational institutes.  Noncommercial organizations often use website addresses ending in “.org.” A website ending in “.com” suggests that it is backed by a commercial organization. The source of a websites funding can provide a clue of what the websites purpose is and what the owner wants to accomplish on the site (NCCIH, 2014).
Where questions. Where did the information come from?  Are the sources of information on the website provided? Are they reliable sources of information?  Is the information a result of evidence-based studies? Or is information from member’s experiences, based on testimonials, or authors opinions?
When questions. When was the website created?  When was the information last updated?  Healthcare information is constantly changing at an increasingly rapid pace. Therefore, any health or medical information found on the internet should be updated regularly.
            Why questions.  Why was the website created?  Is it for providing reliable health education, supporting awareness, and fostering healthy relationships between the members and provider? Or is the goal to promote and sell a product?
WebMD Message Boards are an example of an online health community (OHC), a Web 2.0 tool that provides a platform for information exchange.  OHC can encourage autonomy and self-care (Huh, Marmor, & Jiang, 2016).  I have used the five criteria of evaluating WebMD Message Boards based on the questions who, what, where, when and why.  The results of my evaluation are below:
Who is the author of the information and what are their credentials? According to WebMD (2016) Terms and Conditions of Use, the information is provided solely by community members who are not required to have any qualifications.  The information is not authored by or edited by WebMD staff.  Any information or advice provided within the communities should never replace the instructions or recommendations of a qualified healthcare provider (WebMD, 2016).
What is the websites source of money? WebMD (2016) uses advertisement to fund its operations, which allow consumers to access the information for free. According to their policies, they are not responsible for, and do not recommend the advertised content (WebMD, 2016). 
Where did the information come from?  The information provided on WebMD is a collection of contributions from OHC members.  The information found within OHCs is from member’s experience and advice.  WebMD (2016) claims no responsibility of the information and instructs members to never use the information in place of a qualified doctor’s instructions (WebMD, 2016).
When? When the information within the communities was written depends on the member’s contributions. Each posting is stamped with a date and time.  OHC members should always check when the information was added to the site.
Why? The WebWD OHC’s are a platform that can offer members the ability to exchange information, experience, and support.  This can offer individuals an opportunity to connect with other people with similar experiences and find emotional support and personal advice.
WebMD clearly labels it website pages, notifying member that the information that is provided within the community is authored and edited only by OHC members and should not be used in place of a qualified physician’s advice.  According to Huh, Marmor, and Jiang (2016) the use of moderators within the communities stopped in January 2013, possibly because they were deterring individuals from participating.  If used correctly, WebMD OHC can offer individuals emotional support and comfort as they manage their health. However, WebMD should never be used as a more credible source of medical information or advice (Huh, Maromr, and Jiang, 2016).


Lessons Learned
          The growth of the internet has contributed to changes in how people are finding and exchanging information. This phenomenon is evident especially in how people are searching and exchanging healthcare information.  The information available on the internet was once provided in a one-directional relationship using Web 1.0 tools.  The users searched and received information that was published on websites, and that was where the process ended. The advancement of these tools has provided an environment that can foster independence, emotional support, and advice from community member that are living with similar health conditions. 
          OHCs were developed to connect patients to others with similar disease processes in an attempt to provide emotional and informational support. While some communities such as WebMD have experimented with incorporating paid moderators to foster strong discussions, it was removed because it is believed that the the community's exchanges were sought because they were not governed by medical professionals.  
         Health information on WebMD can be accessed freely and therefore can create more equal and widespread distribution of information.  In my evaluation of WebMD's communities, I believe that it is creating a platform for communities to develop and individuals can find the support and information exchange they are looking for without the governance of a professional.  As long as users read the policies that are openly posted and do not seek professional consultation, WebMD is a great tool for health information consumers.  
   
References
Hall, A. K., Stellefson, M., & Bernhardt, J. M. (2012). Healthy aging 2.0 the potential of new media and technology. Retrieved from: www.medscape.com/viewarticle/761515_2
Huh, J., Marmor, R., & Jiang, X. (2016). Lessons learned for online health community moderator roles: A mixed methods study of moderators resigning from WebMD communities. Journal of Medical Internet Research, 18(9), e247. doi:10.2196/jmir.6331 
National Center for Complementary and Integrative Health (NCCIH, 2014). Finding and evaluating online resources. Retrieved from: https://nccih.nih.gov/health/webresources
WebMD (2016). Terms and conditions of use. Retrieved from:  https://www.webmd.com/about-webmd-policies/about-terms-and-conditions-of-use