title: Internet use of parents before attending a general pediatric outpatient clinic: does it change their information level and assessment of acute diseases?
abstract: Before seeing a pediatrician, parents often look online to obtain child health information. We aimed to determine the influence of IUC (internet use regarding the reason for consultation) on their subjective information level, their assessment of acute diseases and the change in this assessment. Secondary objectives were to identify the most commonly used online resources and factors with an influence on IUC.
  
  
  
  This cross-sectional observational study was conducted at a general pediatric outpatient clinic located in Vienna, Austria. An anonymous, voluntary and 14-items-containing questionnaire served to gather all data. A total number of 500 questionnaires were collected.
  
  
  
  Of the parents attending the outpatient clinic, 21 % use the internet before the appointment (= IUC). Most common online resources utilized for this purpose are websites run by doctors (61.3 %), the outpatient clinic's homepage (56.3 %), Google (40 %), Wikipedia (32.5 %), health advisory services provided by doctors (28.7 %), health portals (21.3 %) and health forums and communities (18.8 %). The information level in terms of the reason for consultation is rated as good by 50.6 %, as average by 46.7 % and as insufficient by 2.7 % (internet users: 42.7 %, 55.3 %, 1.9 %). Acute diseases of the children are estimated to be mild by 58.4 %, to be moderate by 41.1 % and to be severe by 0.5 % (internet users: 54.9 %, 45.1 %, 0 %). After having used any source of information, this assessment is unchanged in 82.8 %, acute diseases are rated as more severe in 13.8 % and as less severe in 3.4 % (internet users: 79.2 %, 16.7 %, 4.2 %). Internet users and non-users do not differ with respect to their information level (p = 0.178), the assessment of acute diseases (p = 0.691) and the change in this assessment (p = 0.999). A higher education level of parents (mothers: p = 0.025, fathers: p = 0.037), a young age of their children (p = 0.012) and acute diseases of their children (p = 0.046) predispose to IUC.
  
  
  
  Against the common perception that online health information might fuel panic-mongering, we could not determine a link between IUC and the assessment of acute diseases. The information level of internet users and non-users does not differ either. Further research is needed to clarify causes for high and low IUC.
authors.affiliation: First Vienna Pediatric Medical Center, Donau-City-Straße 1, 1220, Wien, Austria. christian.sebelefsky@kinderarzt.at.
authors.forename: Christian
authors.initials: C
authors.lastname: Sebelefsky
authors.affiliation: Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Wien, Austria.
authors.forename: Jasmin
authors.initials: J
authors.lastname: Voitl
authors.affiliation: First Vienna Pediatric Medical Center, Donau-City-Straße 1, 1220, Wien, Austria.
authors.forename: Denise
authors.initials: D
authors.lastname: Karner
authors.affiliation: Independent Statistician, Augsburg, Germany.
authors.forename: Frederic
authors.initials: F
authors.lastname: Klein
authors.affiliation: First Vienna Pediatric Medical Center, Donau-City-Straße 1, 1220, Wien, Austria.|Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Wien, Austria.
authors.forename: Peter
authors.initials: P
authors.lastname: Voitl
authors.affiliation: Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Wien, Austria.
authors.forename: Andreas
authors.initials: A
authors.lastname: Böck
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000554:Ambulatory Care Facilities; D001317:Austria; D002648:Child; D002675:Child, Preschool; D054626:Consumer Health Information / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D020407:Internet / Q000706:statistics & numerical data*; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D010290:Parents / Q000523:psychology*; D010372:Pediatrics; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Assessment of acute diseases; Influencing factors; Information level; Internet child health information; Online resources; Parents