Evaluation of the quality of online patient information at the intersection of complementary and alternative medicine and hypertension

Ng, Jeremy Y.; Jomy, Jane; Vacca, Alexandra

doi:10.1186/s40885-021-00193-z

Table 2 DISCERN instrument ratings

From: Evaluation of the quality of online patient information at the intersection of complementary and alternative medicine and hypertension

Section		SECTION 1 Is the publication reliable?								SECTION 2 How good is the quality of information on treatment choices?							SECTION 3 Overall rating of the publication
DISCERN question		1. Are the aims clear?	2. Does it achieve its aims?	3. Is it relevant?	4. Is it clear what sources of information were used to compile the publication (other than the author or producer)?	5. Is it clear when the information used or reported in the publication was produced?	6. Is it balanced and unbiased?	7. Does it provide details of additional sources of support and information?	8. Does it refer to areas of uncertainty?	9. Does it describe how each treatment works?	10.Does it describe the benefits of each treatment?	11. Does it describe the risks of each treatment?	12. Does it describe what would happen if no treatment is used?	13. Does it describe how the treatment choices affect overall quality of life?	14. Is it clear that there may be more than one possible treatment choice?	15. Does it provide support for shared decision-making?	16. Based on the answers to all of the above questions, rate the overall quality of the publication as a source of information about treatment choices	SD of Overall Score (Q16)	DISCERN Score (Sum of Q1-Q15)
Medicine Net	https://www.medicinenet.com	5.00	4.00	5.00	4.00	5.00	5.00	4.50	5.00	4.00	5.00	4.00	4.50	4.00	5.00	5.00	4.60	0.00	69.00
WebMD	https://www.webmd.com	5.00	5.00	5.00	4.00	5.00	5.00	4.50	5.00	3.00	4.00	4.00	5.00	4.50	5.00	5.00	4.60	0.09	69.00
Verywell Health	https://www.verywellhealth.com	5.00	5.00	4.00	4.00	4.50	5.00	4.50	5.00	3.00	5.00	4.00	4.00	5.00	5.00	5.00	4.53	0.00	68.00
Mayo Clinic	https://www.mayoclinic.org	5.00	4.50	5.00	4.00	5.00	5.00	3.50	5.00	4.00	5.00	3.00	5.00	3.50	5.00	5.00	4.50	0.05	67.50
Health Line	https://www.healthline.com	4.50	5.00	4.00	4.00	5.00	5.00	5.00	5.00	3.00	5.00	2.00	4.50	3.50	5.00	5.00	4.37	0.14	65.50
National Center for Complementary and Integrative Health	https://www.nccih.nih.gov	5.00	5.00	4.50	3.00	5.00	4.50	5.00	5.00	4.00	5.00	3.00	3.00	3.00	5.00	5.00	4.33	0.09	65.00
University of Wisconsin	https://www.fammed.wisc.edu	4.50	5.00	4.00	4.00	3.00	4.00	3.50	4.50	4.00	5.00	4.50	5.00	3.00	5.00	5.00	4.27	0.00	64.00
Verywell Mind	https://www.verywellmind.com	5.00	5.00	4.00	4.50	5.00	4.00	5.00	1.00	4.50	5.00	2.50	1.50	5.00	4.50	5.00	4.10	0.05	61.50
Vior	https://viorlife.com	4.50	5.00	4.00	4.50	5.00	4.00	4.00	3.00	2.50	5.00	1.50	5.00	2.00	5.00	5.00	4.00	0.09	60.00
Nursing Times	https://www.nursingtimes.net	5.00	5.00	3.00	3.50	4.50	3.00	4.00	5.00	5.00	5.00	5.00	1.00	3.00	5.00	3.00	4.00	0.00	60.00
Clinical Advisor	https://www.clinicaladvisor.com	5.00	4.50	3.50	4.50	5.00	4.50	4.00	4.50	3.00	5.00	3.00	2.00	1.00	5.00	5.00	3.97	0.14	59.50
Physicians Weekly	https://www.physiciansweekly.com	5.00	4.00	4.00	4.00	5.00	4.50	5.00	5.00	2.00	4.00	3.00	1.00	2.00	5.00	5.00	3.90	0.05	58.50
St. Luke’s Hospital	https://www.stlukes-stl.com	5.00	4.00	4.00	4.00	5.00	4.50	5.00	5.00	2.00	4.00	3.00	1.00	2.00	5.00	5.00	3.90	0.05	58.50
Medical News Today	https://www.medicalnewstoday.com	4.50	5.00	4.00	4.50	3.00	4.00	4.50	5.00	4.00	5.00	1.50	5.00	2.00	5.00	1.00	3.87	0.09	58.00
Hypertension Institute	https://hypertensioninstitute.com	5.00	4.50	4.50	1.00	2.00	2.00	3.50	5.00	3.00	4.00	3.50	5.00	4.00	5.00	5.00	3.80	0.09	57.00
Today’s Dietician	https://www.todaysdietitian.com	5.00	4.00	4.00	2.50	2.50	4.00	1.00	5.00	4.00	5.00	3.00	5.00	1.00	5.00	5.00	3.73	0.00	56.00
The Healthy	https://www.thehealthy.com	5.00	3.50	4.00	4.00	3.00	4.00	5.00	5.00	3.00	5.00	1.00	1.00	2.00	5.00	5.00	3.70	0.05	55.50
Blood Pressure UK	http://www.bloodpressureuk.org	4.50	5.00	4.00	1.00	2.00	3.00	3.00	4.50	2.50	4.00	4.00	3.50	3.50	5.00	5.00	3.63	0.05	54.50
Greatlist	https://greatist.com	3.50	5.00	3.50	5.00	5.00	4.00	3.00	4.50	3.00	4.50	1.50	1.50	2.50	5.00	2.50	3.60	0.00	54.00
American Heart Association	https://professional.heart.org	1.50	2.00	3.00	4.50	5.00	5.00	3.00	5.00	4.00	4.00	2.00	2.00	3.00	5.00	5.00	3.60	0.28	54.00
Everyday Health	https://www.everydayhealth.com	4.50	5.00	4.00	1.50	2.50	4.50	2.00	5.00	4.00	5.00	4.00	1.00	1.00	5.00	5.00	3.60	0.09	54.00
Johns Hopkins Medicine	https://www.hopkinsmedicine.org	5.00	4.50	4.50	1.00	1.00	3.00	3.00	4.00	3.00	4.00	2.50	4.50	3.00	5.00	5.00	3.53	0.00	53.00
Institute for Nature Medicine	https://naturemed.org	5.00	3.50	4.00	2.50	1.50	2.50	3.00	2.00	2.00	5.00	2.00	5.00	4.00	5.00	5.00	3.47	0.09	52.00
FxMedicine	https://www.fxmedicine.com.au	5.00	4.00	2.50	3.50	3.50	3.50	4.00	1.50	3.50	4.50	1.50	2.00	4.00	3.50	5.00	3.43	0.33	51.50
Penn Medicine	https://www.pennmedicine.org	5.00	3.50	3.00	1.50	2.50	4.00	4.00	1.00	2.00	4.00	3.00	4.00	4.00	4.50	5.00	3.40	0.19	51.00
Accredited Naturopathic Medical Schools	https://aanmc.org	4.00	3.00	3.00	2.50	2.50	2.00	1.50	5.00	4.00	5.00	2.50	3.00	3.00	5.00	4.50	3.37	0.05	50.50
Elcies	http://elcies.com	4.00	4.00	4.00	3.00	1.50	1.50	3.00	2.00	4.00	5.00	1.50	5.00	4.00	3.00	3.00	3.23	0.14	48.50
Avicenna	https://www.avicennaherbs.co.uk	5.00	4.00	4.00	1.00	1.00	4.50	1.00	3.50	3.00	4.00	1.50	3.00	2.50	5.00	5.00	3.20	0.00	48.00
Cleveland Clinic	https://health.clevelandclinic.org	5.00	3.50	4.50	3.00	2.50	2.50	3.00	4.50	3.00	5.00	1.50	2.00	1.00	5.00	1.00	3.13	0.28	47.00
University of Rochester Medical Center	https://www.urmc.rochester.edu	3.00	3.00	3.00	1.00	2.50	2.50	1.50	5.00	3.00	4.00	4.00	1.00	2.00	5.00	5.00	3.03	0.05	45.50
Providence Health & Services	https://oregon.providence.org	3.00	3.00	4.00	1.00	1.00	2.00	1.00	5.00	2.50	4.50	2.00	3.00	2.50	5.00	5.00	2.97	0.05	44.50
Florida Medical Clinic	https://www.floridamedicalclinic.com	2.50	3.00	4.00	1.00	2.50	3.00	1.50	1.50	2.00	4.00	1.50	4.50	2.50	5.00	5.00	2.90	0.05	43.50
Harvard Medical School	https://www.health.harvard.edu	5.00	3.00	3.50	1.00	2.50	4.00	1.50	1.50	2.50	4.00	1.00	1.50	2.00	5.00	5.00	2.87	0.00	43.00
iHealth Labs	https://ihealthlabs.com	4.00	3.50	3.00	1.00	2.50	2.00	1.50	1.00	3.00	4.00	2.00	5.00	2.00	5.00	1.00	2.70	0.05	40.50
British Health Foundation	https://www.bhf.org.uk	1.50	1.00	3.00	1.00	1.00	2.50	3.50	2.00	3.00	3.00	1.50	5.00	2.00	5.00	5.00	2.67	0.09	40.00
Integrative Practitioner	https://www.integrativepractitioner.com	5.00	3.00	2.00	1.00	2.50	3.00	5.00	4.00	1.00	3.50	1.50	1.00	1.00	3.00	1.00	2.50	0.14	37.50
American Fitness Professionals & Associates	https://www.afpafitness.com	4.50	4.50	3.00	1.50	2.50	2.00	1.50	1.00	3.00	4.00	1.00	1.00	1.50	3.00	2.00	2.40	0.09	36.00
Philadelphia Integrative Medicine	https://philly-im.com	4.50	2.00	2.50	1.00	2.50	2.00	3.00	1.00	2.50	4.50	1.00	2.00	1.00	4.50	1.00	2.33	0.09	35.00
Allegheny Health Network	https://www.ahn.org	4.00	3.00	3.00	1.00	1.00	1.50	1.00	1.00	1.00	1.00	1.00	1.00	1.00	4.50	5.00	2.00	0.00	30.00
UC Health	https://www.uchealth.org	3.00	2.00	2.00	1.00	1.50	1.50	1.50	1.00	2.00	2.00	1.00	1.00	1.50	1.50	5.00	1.83	0.14	27.50
Total means		4.38	3.90	3.69	2.64	3.13	3.45	3.19	3.61	3.04	4.34	2.41	3.03	2.63	4.68	4.25	3.49	0.08	52.34
Total SD		0.95	1.04	0.76	1.46	1.47	1.16	1.38	1.67	0.90	0.86	1.14	1.66	1.18	0.77	1.44	0.71	0.08	10.69

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