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. 2019 May 2;21(5):e12522. doi: 10.2196/12522

Table 5.

Evaluation of content.

Indicators Criteria
Substance (n=31)
  Content types (n=15)
    Factual information (n=14) [18,30,40,41,43,45,46,49,53,62-64,67,69]
      Evidence based (+a) Objectivity (+)
      Clinically proven (+) Objectivity (+)
      Statistics and numbers (+) Objectivity (+)
      Concrete examples (+) Practicality (+)
      Objective facts (±b) Objectivity (+), Balanced (–)
      Ideological and magical information (–c) Accuracy (–)
      Unproven and uncertain scientific information (–) Accuracy (–), Objectivity (–)
    Personal experiences (n=9) [30,40,41,45,46,49,63]
      First hand (+) Accuracy (+)
      Practical advice (+) Practicality (+)
      Personal experiences (±) Objectivity (–), Practicality (+), Identification (+)
      Personal opinion (–) Objectivity (–), Expertise (–)
  Content attributes (n=29)
    Balance (n=6) [43,46,48,63,64,67]
      Alternative medicine (+) Balanced (+)
      Conflicting views (+) Balanced (+)
      Both professional and patient viewpoints (+) Balanced (+)
      Potential side effects (+) Complete (+), Transparency (+)
    Depth (n=5) [18,46,49,51,62]
      At the right level of complexity and depth (+) Understandability (+)
      Increasing in depth overtime (+) Usefulness (+)
      In-depth information (+) Expertise (+)
    Quantity (n=5) [18,46,62,67]
      The right amount (+) Understandability (+)
      Too much text (–) Understandability (–)
    Specificity (n=5) [18,46,47,49,67]
      Various levels of detail for different needs (+) Usefulness (+)
      Specific and detailed (+) Understandability (+)
      Overall and general information (–) Usefulness (–)
    Consensus among sources (n=20) [13,18,30,38-43,55-57,59-61,63,65-67,69]
      Reaching agreement among media sources (+) Popularity (+)
      Verified by general practitioners or other health professionals (+) Expertise (+)
      Crowd consensus (+) Popularity (+)
      Endorsed by celebrities (±) Trustworthiness (+), Objectivity (–)
  Specific content elements (n=3) [47,61,67]
  Natural ingredients (+) Trustworthiness (+)
  Amount of investment on an intervention (+) Trustworthiness (+)
  Copyright information (+) Trustworthiness (+)
  Local support and contact information (+) Usefulness (+), Relevance (+)
  Argument strength (n=6) [30,32,41,48,56,69]
  Reasonable (+) Believability (+)
  Sound plausible and scientific (+) Believability (+)
  Biased or misleading (–) Objectivity (–)
Writing and language (n=19) [18,30,32,42,43,46,48,49,51,52,56-58,60,62-64,67,69]
  Spelling and grammar errors (–) Understandability (–), Expertise (–), Trustworthiness (–)
  Long sentences (–) Readability (–)
  Professional writing (+) Expertise (+)
  Concise (+) Comprehensiveness (+), Readability (+)
  Use simple, plain, straightforward, and clear language (+) Understandability (+)
  Familiar sounding and inclusive language (+) Understandability (+), Identification (+)
  Sensational (–) Objectivity (–)
  Patronizing tone (–) Identification (–)
  Use of professional medical terms and technical vocabularies (±) Understandability (–), Expertise (+)
  Easy reading level (–) Expertise (–)
Presentation of content (n=12)
  Organization (n=10) [18,32,44,45,49,54,59,62,66,68]
    Clear layout and organization (+) Readability (+)
    An overview of the information on a site (+) Readability (+)
    Use of bolding and shading (+) Readability (+)
    Bulleted points (+) Readability (+)
    Headings (+) Readability (+)
    Prioritizing content (+) Understandability (+)
    Structure of scientific papers: general approaches and research design (+) Expertise (+)
    Structure of scientific papers: presence of variables or factors (+) Expertise (+)
    Structure of scientific papers: research purposes (+) Expertise (+)
  Labeling (n=2) [43,63]
  Presence of an informative title (+) Understandability (+)
  Clearly marked personal experience (+) Transparency (+)
References (n=10) [30,39,43,45,56-58,63,64,69]
  Links to original documents (+) Transparency (+)
  Number of references included (+) Trustworthiness (+), Expertise (+)
  Reference to scientific publications (+) Objectivity (+), Expertise (+)
  Reference to a credible person (+) Trustworthiness (+), Expertise (+)
  Reference to a specific project or institution (+) Transparency (+), Trustworthiness (+)
Authorship (n=16) [30,32,40,42,45,60,62-64,66,67]
  Explicitly listing authors and author’s credentials (+) Transparency (+)
  Reference to previous work or curriculum vitae (+) Trustworthiness (+), Expertise (+)
  Picture of the author (+) Trustworthiness (+), Transparency (+)
  Health professionals (+) Expertise (+)
  Journalists (+) Expertise (+)
  Consumers (±) Practicality (+), Identification (+), Expertise (–), Objectivity (–)
  Economic gains for its authors (–) Objectivity (–)
  Religious figures (–) Objectivity (–)
Audience (n=11) [32,45-48,51,53,57,58,61,63]
  Targeted to geographical location (+) Relevance (+)
  Translated information (+) Understandability (+), Accessibility (+)
  Tailored and personalized information (+) Usefulness (+)
  Targeted to minority women (+) Identification (+)
  Targeted to professions (+) Relevance (+)
  Targeted to age group (+) Relevance (+)
  Seeing a face that looked similar to theirs (+) Identification (+)
  Written for the most educated audience (+) Expertise (+)
  Aimed at younger children (–) Relevance (–), Accuracy (–)
Date/updating (n=12) [30,39,41,43,44,46,53,59,60,63,67,69]
  The appearance of publication date (+) Transparency (+)
  Access all the latest research (+) Currency (+), Completeness (+)
  New interventions (±) Currency (+), Accuracy (–)
  Up to date (+) Currency (+)
  Regular updating (+) Transparency (+), Currency (+)
Advertisements (n=17) [30,32,39,40,42,43,46,49,54,55,59,62-64,66-68]
  Presence of ads (–) Objectivity (–)
  Pushing to sell something (–) Objectivity (–)
  The appearance of commercial links (–) Objectivity (–)

a+ indicates a positive evaluation of quality or that a criterion is judged positively.

b± indicates both positive and negative evaluations or a criterion could be judged both positively and negatively.

c– indicates a negative evaluation of quality or that a criterion is judged negatively.