背景:老年人通过随意的互联网搜索寻求与健康相关的信息。然而,研究人员将重点放在同行评审的期刊和会议演示文稿上,作为主要的传播策略。大众媒体的代表被警告(被动扩散)新的研究或建议,但是共享信息的真实性并不经常被分析,当它是,分析往往不全面。然而,大多数老年人无法获得同行评审的期刊文章或更有信誉的媒体的付费订阅服务。
目的:我们旨在确定哪些信息是现成的(即,开放访问)给可以随便在互联网上搜索体育活动建议的老年人。
方法:我们进行了6个部分的范围审查,以确定研究问题和现有证据,并使用流行的在线搜索引擎在开放获取的热门歌曲中提取数据。结果按具有来源类别的传播模型进行分类,频道,观众,和信息。
结果:在迭代搜索过程之后,包括92篇独特的文章并进行了编码。只有5个(5%)引用了体育锻炼指南,大多数被编码为促进健康衰老(82/92,89%)和阳性框架(84/92,91%)。大多数文章被认为是有教育意义的,但作者的证书很少被报道(即,22%的时间)。很少报道老年人身体活动指南中的肌肉加强和平衡成分(72/92,78%和80/92,87%,分别)或报告不准确(3/92,3%和3/92,3%,分别)。
结论:不一致的信息导致对科学和公共卫生代表的不信任。这项工作强调了现有开放获取资源中缺乏证据。需要进一步努力,以确保基于证据的公共卫生信息存在于老年人使用的来源和渠道中,以告知他们的知识和行为。
BACKGROUND: Older adults seek health-related information through casual internet searches. Yet, researchers focus on peer-reviewed journals and conference presentations as primary dissemination strategies. Representatives of mass media are alerted (passive diffusion) of new studies or recommendations, but the veracity of the information shared is not often analyzed, and when it is, the analysis is often not comprehensive. However, most older adults do not have access to peer-reviewed journal articles or paid subscription services for more reputable media outlets.
OBJECTIVE: We aimed to determine what information was readily available (ie, open access) to older adults who may casually search the internet for physical activity recommendations.
METHODS: We performed a 6-part scoping review to determine the research question and available evidence, and extract data within open-access top hits using popular online search engines. Results were categorized by a dissemination model that has categories of sources, channels, audience, and messages.
RESULTS: After the iterative search process, 92 unique articles were included and coded. Only 5 (5%) cited physical activity
guidelines, and most were coded as promoting healthy aging (82/92, 89%) and positive framing (84/92, 91%). Most articles were posed as educational, but the authors\' credentials were rarely reported (ie, 22% of the time). Muscle strengthening and balance components of the physical activity
guidelines for older adults were rarely reported (72/92, 78% and 80/92, 87%, respectively) or inaccurately reported (3/92, 3% and 3/92, 3%, respectively).
CONCLUSIONS: Inconsistent messages lead to mistrust of science and public health representatives. This work highlights the lack of evidence within existing open-access resources. Further efforts are needed to ensure evidence-based public health messages are in the sources and channels older adults are using to inform their knowledge and behaviors.