The Internet has become the first source of consumer health information. Most theoretical and empirical studies are centered on information needs and seeking, rather than on information outcomes. This review's purpose is to explore and explain health outcomes of Online Consumer Health Information (OCHI) in primary care. A participatory systematic mixed studies review with a framework synthesis was undertaken. Starting from an initial conceptual framework, our specific objectives were to (a) identify types of OCHI outcomes in primary care, (b) identify factors associated with these outcomes, and (c) integrate these factors and outcomes into a comprehensive revised framework combining an information theory and a psychosocial theory of behavior. The results of 65 included studies were synthesized using a qualitative thematic data analysis. The themes derived from the literature underwent a harmonization process that produced a comprehensive typology of OCHI outcomes. The revised conceptual framework specifies four individual and one organizational level of OCHI outcomes, while including factors such as consumers' information needs and four interdependent contextual factors. It contributes to theoretical knowledge about OCHI health outcomes, and informs future research, information assessment methods, and tools to help consumers find and use health information.

中文翻译：

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在线消费者健康信息的健康结果：系统性混合研究综述与框架综合


互联网已成为消费者健康信息的第一来源。大多数理论和实证研究都集中在信息需求和寻求上，而不是信息结果上。本综述的目的是探讨和解释初级保健中在线消费者健康信息 (OCHI) 的健康结果。进行了一项具有框架综合的参与式系统混合研究审查。从最初的概念框架开始，我们的具体目标是（a）确定初级保健中 OCHI 结果的类型，（b）确定与这些结果相关的因素，以及（c）将这些因素和结果整合到一个综合修订框架中，该框架结合了信息论和行为的心理社会理论。使用定性主题数据分析综合了 65 项纳入研究的结果。来自文献的主题经历了一个协调过程，产生了 OCHI 结果的综合类型。修订后的概念框架规定了 OCHI 结果的四个个人和一个组织级别，同时包括消费者信息需求和四个相互依赖的背景因素等因素。它有助于提供有关 OCHI 健康结果的理论知识，并为未来的研究、信息评估方法和工具提供信息，以帮助消费者查找和使用健康信息。