Tuesday, December 02, 2008

"Cyberchondria: Studies of the Escalation of Medical Concerns in Web Search"


Source: Ryen White; Eric Horvitz, Microsoft Research,November 2008

Abstract: "The World Wide Web provides an abundant source of medical information. This information can assist people who are not healthcare professionals to better understand health and disease, and to provide them with feasible explanations for symptoms. However, the Web has the potential to increase the anxieties of people who have little or no medical training, especially when Web search is employed as a diagnostic procedure. We use the term cyberchondria to refer to the unfounded escalation of concerns about common symptomatology, based on the review of search results and literature on the Web. We performed a large-scale, longitudinal, log-based study of how people search for medical information online, supported by a large-scale survey of 515 individuals’ health-related search experiences. We focused on the extent to which common, likely innocuous symptoms can escalate into the review of content on serious, rare conditions that are linked to the common symptoms. Our results show that Web search engines have the potential to escalate medical concerns. We show that escalation is influenced by the amount and distribution of medical content viewed by users, the presence of escalatory terminology in pages visited, and a user’s predisposition to escalate versus to seek more reasonable explanations for ailments. We also demonstrate the persistence of post-session anxiety following escalations and the effect that such anxieties can have on interrupting user’s activities across multiple sessions. Our findings underscore the potential costs and challenges of cyberchondria and suggest actionable design implications that hold opportunity for improving the search and navigation experience for people turning to the Web to interpret common symptoms."

Read the New York Times coverage of the report.

Comment: There is a temptation to treat this story facetiously. We all have a tendency towards hypochondria and we all get concerned when we discover a new symptom may be related to a disease (about which we had never thought before). However, the study illustrates the need for information literacy. You can get into real trouble with health problems, and basing decisions on seeking care and treatment on information of dubious quality can be quite dangerous. JAD

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