From Stanford Center for Research in Disease Prevention, Stanford University School of Medicine, Stanford, Calif (Dr Robinson); Graduate School of Public Health, San Diego State University, San Diego (Dr Patrick); Office of Disease Prevention and Health Promotion, US Department of Health and Human Services, Washington, DC (Dr Eng); and University of Wisconsin, Madison (Dr Gustafson).
Objective.— To examine the current status of interactive health communication (IHC)
and propose evidence-based approaches to improve the quality of such applications.
Participants.— The Science Panel on Interactive Communication and Health, a 14-member,
nonfederal panel with expertise in clinical medicine and nursing, public health,
media and instructional design, health systems engineering, decision sciences,
computer and communication technologies, and health communication, convened
by the Office of Disease Prevention and Health Promotion, US Department of
Health and Human Services.
Evidence.— Published studies, online resources, expert panel opinions, and opinions
from outside experts in fields related to IHC.
Consensus Process.— The panel met 9 times during more than 2 years. Government agencies
and private-sector experts provided review and feedback on the panel's work.
Conclusions.— Interactive health communication applications have great potential to
improve health, but they may also cause harm. To date, few applications have
been adequately evaluated. Physicians and other health professionals should
promote and participate in an evidence-based approach to the development and
diffusion of IHC applications and endorse efforts to rigorously evaluate the
safety, quality, and utility of these resources. A standardized reporting
template is proposed to help developers and evaluators of IHC applications
conduct evaluations and disclose their results and to help clinicians, purchasers,
and consumers judge the quality of IHC applications.
Robinson TN, Patrick K, Eng TR, Gustafson D, for the Science Panel on Interactive Communication and Health . An Evidence-Based Approach to Interactive Health CommunicationA Challenge to Medicine in the Information Age. JAMA. 1998;280(14):1264-1269. doi:10.1001/jama.280.14.1264