Quality framework
The quality of information on the internet is highly variable. One of the key goals of this website is to make it easier for you to find trustworthy and reliable health information. Rather than re-invent the wheel and write much content, we have aimed to link the user to existing resources and make the process as quick and simple as possible. Fundamental to this is the development of a quality framework to guide the selection of reliable and trustworthy websites and online resources. Ultimately, all websites & resources listed within the website will need to be screened and assessed using this assessment process. Websites that do not meet the minimum standards will be excluded and where multiple resources/websites are identified for a particular topic, the assessment checklist will be used by the Reference Groups to assist selection of the best ones.
The following framework is provided as a starting point for the Steering Group to review & modify as appropriate.
The basis of this framework is a brief literature review conducted to identify the key quality standards and guidelines developed both nationally and internationally. Multiple website guidelines and patient information standards have now been developed. The following were identified as the most relevant for this project.
HON – Health on the Net Foundation www.healthonnet.org
Commission of the European Communities – Quality Criteria www.hon.ch/index.html
JUDGE – Websites for Health – Support Group Guidelines & Consumer Guidelines www.judgehealth.org.uk
DISCERN – www.discern.org.uk
Canadian Health Network quality framework – www.canadian-health-network.ca
Health Insite – www.healthinsite.gov.au/
Net-Wellness – www.netwellness.org
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Process Overview
Step 1: Initial processing – Recommended websites are forwarded to the most appropriate Reference Group team leader
Step 2: Assessment using the Quality Checklist – The team leader then forwards these to Working Group members who then screen the website or resource using the Assessment Checklist
Step 3: Reference Group Review – Resources that meet the minimum standard are then reviewed by the Reference Group
Step 4: Permission to use or link – is then requested from the website’s organisation
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Minimum Standards
The following standards and issues were identified as essential for any resource or website to be included:
1. Responsible partnering –trustworthy individual or organisation
2. Content accurate and reliable
3. Balanced & unbiased
4. Evidence-based or supports current best practice when guidelines don’t exist
5. Content – appropriate & relevant for the intended audience
6. Current – considered up to date, preferably reviewed or updated within last 2 yrs
7. Responsible advertising – no drug advertising and minimal commercial/product advertising
8. Independent of drug companies (resources developed by independent group may be sponsored by unrestricted drug grant)
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Desirable Features
1. Quality of Information & Content – Adheres to HON or equivalent quality framework, evidence levels,
2. Design & Aesthetics – Layout, visual appeal, loads quickly, text size options etc.
3. Readability – reading & comprehension level appropriate
4. Authority, Authentication & Currency – Authorship, ownership and credibility clearly stated and appropriate (eg professional, govt, or NGO) Contact details, editorial process, disclosure, advertising distinct from content
5. Cultural Competence -Concepts and examples culturally appropriate? Language options?
6. Navigation (particularly for website links) – User friendly, search option, large file warning, Loading speed , features for special needs etc
7. Accessibility and Availability
8. Collaborative Care & Self Management Focus – Motivational, supportive or enabling, informed choice, shared decisions, goal-setting etc