title: Internet interventions for long-term conditions: patient and caregiver quality criteria.
abstract: BACKGROUND
  Interactive health communication applications (IHCAs) that combine high-quality health information with interactive components, such as self-assessment tools, behavior change support, peer support, or decision support, are likely to benefit people with long-term conditions. IHCAs are now largely Web-based and are becoming known as "Internet interventions." Although there are numerous professionally generated criteria to assess health-related websites, to date there has been scant exploration of patient-generated assessment criteria even though patients and professionals use different criteria for assessing the quality of traditional sources of health information.
  
  
  OBJECTIVE
  We aimed to determine patients' and caregivers' requirements of IHCAs for long-term conditions as well as their criteria for assessing the quality of different programs.
  
  
  METHODS
  This was a qualitative study with focus groups. Patients and caregivers managing long-term conditions used three (predominantly Web-based) IHCAs relevant to their condition and subsequently discussed the strengths and weaknesses of the different IHCAs in focus groups. Participants in any one focus group all shared the same long-term condition and viewed the same three IHCAs. Patient and caregiver criteria for IHCAs emerged from the data.
  
  
  RESULTS
  There were 40 patients and caregivers who participated in 10 focus groups. Participants welcomed the potential of Internet interventions but felt that many were not achieving their full potential. Participants generated detailed and specific quality criteria relating to information content, presentation, interactivity, and trustworthiness, which can be used by developers and purchasers of Internet interventions.
  
  
  CONCLUSIONS
  The user-generated quality criteria reported in this paper should help developers and purchasers provide Internet interventions that better meet user needs.
authors.affiliation: Department of Primary Care and Population Sciences, University College London, United Kingdom. c.kerr [at] pcps.ucl.ac.uk
authors.forename: Cicely
authors.initials: C
authors.lastname: Kerr
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Murray
authors.forename: Fiona
authors.initials: F
authors.lastname: Stevenson
authors.forename: Charles
authors.initials: C
authors.lastname: Gore
authors.forename: Irwin
authors.initials: I
authors.lastname: Nazareth
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease / Q000628:therapy*; D004522:Educational Status; D019317:Evidence-Based Medicine; D005260:Female; D017144:Focus Groups; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D017060:Patient Satisfaction; D011369:Professional-Patient Relations; D036301:Qualitative Research; D011785:Quality Assurance, Health Care / Q000379:methods*; D017216:Telemedicine / Q000379:methods*; D009626:Terminology as Topic; D006113:United Kingdom; D014584:User-Computer Interface