Comparing clinician knowledge and online information regarding Alli (Orlistat)

Int J Med Inform. 2009 Nov;78(11):772-7. doi: 10.1016/j.ijmedinf.2009.07.003. Epub 2009 Aug 28.

Abstract

Background: Many consumers join online communities focused on health. Online forums are a popular medium for the exchange of health information between consumers, so it is important to determine the accuracy and completeness of information posted to online forums.

Objective: We compared the accuracy and completeness of information regarding the FDA-approved over-the counter weight-loss drug Alli (Orlistat) from forums and from clinicians.

Methods: We identified Alli-related questions posted on online forums and then posed the questions to 11 primary care providers. We then compared the clinicians' answers to the answers given on the forums. A panel of blinded experts evaluated the accuracy and completeness of the answers on a scale of 0-4. Another panel of blinded experts categorized questions as being best answered based on clinical experience versus review of the literature.

Results: The accuracy and completeness of clinician responses was slightly better than forum responses, but there was no significant difference (2.3 vs. 2.1, p=0.5). Only one forum answer contained information that could potentially cause harm if the advice was followed.

Conclusions: Forum answers were comparable to clinicians' answers with respect to accuracy and completeness, but answers from both sources were unsatisfactory.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Consumer Health Information / statistics & numerical data*
  • Drug Information Services / statistics & numerical data*
  • Evidence-Based Medicine / statistics & numerical data*
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Lactones / classification*
  • Lactones / therapeutic use*
  • Obesity / prevention & control*
  • Online Systems
  • Orlistat

Substances

  • Lactones
  • Orlistat