Table 2.

Relevance and representativeness of IAM items

Items	Relevant?	Representativ?	Decision
Reasons for information search	Number of ratings = 4253
1. Address a clinical question/problem/decision-making about a specific patient	YES	YES	Retain
	31%	98%
2. Fulfill an educational or research objective	YES	YES	Retain
	10%	98%
3. Search in general or for curiosity	YES	YES	Retain
	12%	12%
4. Look up something I had forgotten	YES	YES	Retain
	16%	88%
5. Share information with a patient/ caregiver	YES	YES	Retain
	15%	93%
6. Exchange information with other health professionals	YES	YES	Retain
	12%	97%
7. Plan, manage, coordinate, delegate or monitor tasks with other health professionals	NO	YES	Consider removal
	5%	86%
Cognitive impact
Items of Positive Impact	Number of ratings = 6329
1. My practice was (will be) changed and improved	YES	YES	Retain
	15%	83%
2. I learned something new	YES	YES	Retain
	30%	80%
3. This information confirmed I did (I am doing) the right thing.	YES	YES	Retain
	24%	88%
4. I was reassured	YES	YES	Retain
	23%	90%
5. I recalled something	YES	NO	Consider modification
	18%	78%
Items of Negative Impact	Number of ratings = 166
6. I was dissatisfied as this information had no impact on my practice	YES	YES	Retain
	47%	83%
7. I was dissatisfied as there was a problem with this information	YES	YES	Retain
	40%	83%
8. I disagree with this information	NO	NO	Consider removal
	4%	66%
9. I think this information is potentially harmful	NO	YES	Consider removal
	8%	80%
Information use for a specific patient	Number of units = 737
1. To modify the management of this patient	YES	NO	Consider modification
	19%	53%
2. To justify or maintain the management of this patient	YES	YES	Retain
	39%	92%
3. To better understand a particular issue related to this patient	YES	YES	Retain
	28%	97%
4. To persuade other health professionals or patients to make changes	YES	NO	Consider modification
	14%	79%
Patient health benefit	Number of units = 766
1. Increasing patient knowledge about heath or healthcare	YES	YES	Retain
	23%	96%
2. Avoiding unnecessary or inappropriate treatment, diagnostic procedure or preventative intervention	YES	YES	Retain
	21%	88%
3. Increasing patient acceptability of treatment, diagnostic procedure or preventative intervention	YES	NO	Consider modification
	18%	3%
4. Preventing disease or health deterioration (including acute episodes of chronic diseases)	YES	NO	Consider modification
	17%	64%
5. Improving patient health or functioning or resilience (i.e., how well the patient faces difficulties)	YES	NO	Consider modification
	20%	66%