Published on 08.10.13 in Vol 15, No 10 (2013): October
Wikis and Collaborative Writing Applications in Health Care: A Scoping Review
Background: Collaborative writing applications (eg, wikis and Google Documents) hold the potential to improve the use of evidence in both public health and health care. The rapid rise in their use has created the need for a systematic synthesis of the evidence of their impact as knowledge translation (KT) tools in the health care sector and for an inventory of the factors that affect their use.
Objective: Through the Levac six-stage methodology, a scoping review was undertaken to explore the depth and breadth of evidence about the effective, safe, and ethical use of wikis and collaborative writing applications (CWAs) in health care.
Methods: Multiple strategies were used to locate studies. Seven scientific databases and 6 grey literature sources were queried for articles on wikis and CWAs published between 2001 and September 16, 2011. In total, 4436 citations and 1921 grey literature items were screened. Two reviewers independently reviewed citations, selected eligible studies, and extracted data using a standardized form. We included any paper presenting qualitative or quantitative empirical evidence concerning health care and CWAs. We defined a CWA as any technology that enables the joint and simultaneous editing of a webpage or an online document by many end users. We performed qualitative content analysis to identify the factors that affect the use of CWAs using the Gagnon framework and their effects on health care using the Donabedian framework.
Results: Of the 111 studies included, 4 were experimental, 5 quasi-experimental, 5 observational, 52 case studies, 23 surveys about wiki use, and 22 descriptive studies about the quality of information in wikis. We classified them by theme: patterns of use of CWAs (n=26), quality of information in existing CWAs (n=25), and CWAs as KT tools (n=73). A high prevalence of CWA use (ie, more than 50%) is reported in 58% (7/12) of surveys conducted with health care professionals and students. However, we found only one longitudinal study showing that CWA use is increasing in health care. Moreover, contribution rates remain low and the quality of information contained in different CWAs needs improvement. We identified 48 barriers and 91 facilitators in 4 major themes (factors related to the CWA, users’ knowledge and attitude towards CWAs, human environment, and organizational environment). We also found 57 positive and 23 negative effects that we classified into processes and outcomes.
Conclusions: Although we found some experimental and quasi-experimental studies of the effectiveness and safety of CWAs as educational and KT interventions, the vast majority of included studies were observational case studies about CWAs being used by health professionals and patients. More primary research is needed to find ways to address the different barriers to their use and to make these applications more useful for different stakeholders.
J Med Internet Res 2013;15(10):e210
- collaborative writing applications;
- collaborative authoring;
- knowledge management;
- medical informatics;
- Google Docs;
- Google Knol;
- Web 2.0;
- knowledge translation;
- evidence-based medicine;
- participatory med
Health care decision makers—providers, patients, managers, and policy makers—are failing to use research evidence to inform their decisions . By involving knowledge users in the creation and dissemination of knowledge [ ], social media—highly accessible, Web-based, interactive vehicles of communication—have the potential to empower users to apply knowledge in practice. Acknowledging this potential and recognizing that social media capitalizes on the free and open access to information, scientists, opinion leaders, and patient advocates have called for research to determine whether social media can equip decision-making constituencies to improve health care delivery [ , ] decrease its costs [ , , ], accelerate knowledge discovery [ - ], and improve access to knowledge within developing countries [ , - ].
Collaborative writing applications (CWAs) [, ] are a category of social media that has surged in popularity in recent years, including within the health care sector [ , , , ]. CWAs consist of software that allows users to create online content that anyone who has access can edit or supplement [ ]. With these contributions, CWAs can become rich multimodal communication tools enriched with hyperlinks, images, videos, and audio. For example, Internet users have turned to wikis [ , ] to produce a Wikipedia entry on the Global Plan to Stop Tuberculosis [ ]; to Google Knol [ , ] to exchange research on influenza at the Public Library of Science [ ]; and to Google Docs [ , ] to review the literature on emergency medicine [ , ]. Although now defunct, Google Knol was a Google project that aimed to include user-written articles on a range of topics that could be edited only if the original authors gave access to editing the text. CWAs can also be classified based on who has access. There are open or public CWAs such as Wikipedia, which can be edited by anyone in the world and can also be seen by anyone. There are also partially public CWAs, which can be seen by anyone, but can be edited only by certain members of a restricted community (eg, Ganfyd [ ]). There are also closed or private CWAs, part of central knowledge management systems (eg, Intelink [ ]) or online learning systems (eg, Blackboard [ ]), which are edited by members of the institution and are visible only to members of the institution.
Among the types of CWAs, wikis and its most famous representative—Wikipedia—are perhaps the most popular. Wikipedia is an online encyclopedia whose medical articles are viewed about 150 million times per month and exist in 271 languages . Moreover, readership of Wikipedia’s medical content is continuing to increase [ ]. New wikis have appeared in all fields of health care [ , , - ], and studies of developed countries report 70% of junior physicians using Wikipedia weekly [ ]. Patients use wikis to share their experiences [ ] and to find information [ ]. The Canadian Agency for Drugs and Technologies in Health is exploring the use of wikis to update knowledge syntheses [ - ]; the United States’ National Institutes of Health is training its scientists in editing them [ , ]; and the World Health Organization is using a wiki format to update the International Classification of Diseases [ ]. In addition, academic institutions have started using wikis to train health professionals [ , , , - ]. Wikis have come to exemplify social media’s tremendous promise to enable health professionals, patients, and policy makers to implement evidence-based practice at remarkably low cost [ , , , , ]. In doing so, they could contribute to improving the health of millions of people around the world [ , ].
However, questions remain about the safety [- ], reliability [ - ], lack of traditional authorship [ , ], and the legal implications for decision making [ , ] regarding the use of CWAs in health care. Researchers question clinicians’ intentions to use the applications in their practice [ ] and to contribute knowledge collaboratively [ , , ]. Furthermore, it is unknown how CWAs can enhance the delivery of health care (eg, by empowering patients in decision making [ , ], by improving health care communication and education [ , , , , , , ]), and benefiting health in developing countries [ , ]. While researchers have conducted systematic reviews on Internet and communication technologies (ICTs) [ , ] social media in health care [ - ] and research on Wikipedia in general [ ], none have specifically focused on wikis and CWAs in health care. Not all social media share the same mechanisms of action [ ], therefore examining CWAs in health care is important. The overarching goal of this project was to explore the depth and breadth of evidence about the effective, safe, and ethical use of wikis and CWAs in health care. We conducted a scoping review with the following specific objectives: (1) to map the literature on the use of wikis and other CWAs in health care, (2) to compare the applications’ features by investigating how they were used in collaborative writing projects, (3) to synthesize the applications’ positive and negative effects as knowledge translation interventions in health care, (4) to inventory the barriers and facilitators that affect how they influence health care delivery, and (5) to produce a research agenda delimiting areas where further knowledge synthesis is needed and where more primary research remains to be done.
A detailed description of our peer-reviewed research protocol and conceptual framework can be found elsewhere . This review was planned, conducted, and reported in adherence to standards of quality for scoping reviews [ , ]. A summary of our six-stage methodology follows.
Stage 1: Identifying the Research Question
Our research question was developed by consulting a group of knowledge users to determine their needs and questions about using collaborative writing applications for knowledge translation. We defined “collaborative writing applications” as a category of social media that enables the joint and simultaneous editing of a webpage or an online document by many end users (eg, wikis, Wikipedia, Google Knol, Google Docs, Google Sites) . The participants targeted by this scoping review were health care stakeholders.
Stage 2: Identifying Studies and Grey Literature
Seven scientific databases (Cochrane Library, PubMed, EMBASE, CINAHL, PsycINFO, ERIC, ProQuest Dissertations and Theses) were searched systematically for the period covering January 1, 2001 (Wikipedia’s inaugural year), to September 16, 2011. Our search strategy was peer-reviewed using the PRESS criteria . The following keywords were used and adapted to each database: “wiki”, “wikis”, “Web 2.0”, “social media”, “Google Knol”, “Google Docs”, and “collaborative writing applications” (see ).
We did not exclude any citations based on language. In addition, study reference lists; the 2010 and 2011 editions of the Medicine 2.0, WikiSym, and American Medical Informatics Association conference proceedings; clinicaltrials.gov and Open Medicine’s websites; expert consultation (eg, the authors of WikiProject Medicine ), OpenSIGLE (before 2005), and the Health Technology Assessment international Vortal were searched. Furthermore, environmental scans of the grey literature indexed by Google, Bing, Yahoo, and Mednar were performed. Finally, via email, Twitter, Mendeley, Google Docs, and a health librarianship page (HLWIKI), we called for the crowdsourcing of studies that could potentially fall within the scope of this review.
|Pubmed ||Wiki*[All Fields] OR “Web 2.0”[TIAB] OR “Web2.0”[TIAB] OR (google* AND knol) OR (google* AND docs) OR “Social media” [TIAB] OR (Collaborative [tiab] AND writing [tiab]) OR (collaborative technolog*) OR (collaborative software*)|
|Embase ||wiki* OR “collaborative technology” OR “collaborative technologies” OR “collaborative writing” OR “collaborative writings” OR “collaborative software” OR “collaborative softwares” OR “google docs” OR “google knol” OR “ehealth 2.0” OR “health 2.0” OR “e+health 2.0” OR “Web 2.0”|
|CINAHL ||TI (wiki* or “google docs” or “google knol” or “medecine 2.0.” or “Web 2.0” or “collaborative technolog*” or “collaborative writing” or “ehealth” or “e-health” or emedicine or “e-medicine”) OR AB (wiki* or “google docs” or “google knol” or “medecine 2.0.” or “Web 2.0” or “collaborative technolog*” or “collaborative writing” or “ehealth” or “e-health” or emedicine or “e-medicine”)|
|PsychINFO ||(wiki* or “google docs” or “google knol” or “collaborative software” or “collaborative writing” or “collaborative technologies” or “collaborative technology” ):Any Field OR ( “medicine 2.0” or “emedicine” or e-medicine or “health 2.0” or “ehealth” or e-health or “Web 2.0” ):Title OR ( “medicine 2.0” or “emedicine” or e-medicine or “health 2.0” or “ehealth” or e-health or “Web 2.0” ):Abstract|
|ERIC ||((Keywords:wiki* or Keywords: “Web 2.0” or Keywords: “google docs” or Keywords: “google knol” or Keywords: “collaborative technologies” or Keywords: “collaborative technology” or Keywords: “collaborative software” or Keywords: “collaborative writing” or Keywords: “e-health” or Keywords: ehealth) or (Title: wiki* or Title: “Web 2.0” or Title: “google docs” or Title: “google knol” or Title: “collaborative technologies” or Title: “collaborative technology” or Title: “collaborative software” or Title: “collaborative writing” or Title: “e-health” or Title: ehealth) and (Thesaurus Descriptors: “Health services”))|
|Dissertation abstract & Thesis ||Citation & Abstract (wiki* or “health 2.0” or “Web 2.0” or “e-medicine” or emedicine or “google docs” or “google knol” or “collaborative technologies” or “collaborative technology” or “collaborative writing” or “collaborative software”)|
|Cochrane Library (n=56)||(wiki* or “Web 2.0” or ehealth or “e-health” or “google docs” or “google knol” or “collaborative writing”) in Title, Abstract or Keywords in All Cochrane Library|
|Google, Bing, and Yahoo (n=1200 in total)||“wiki in health care”; “Google Knol in health care”; “Google Docs in health care”; “collaborative writing applications in health care”|
Stage 3: Selecting Studies
Three teams of 2 reviewers (SR/MF, TB/AB, PA/CK) independently screened titles, abstracts, and grey literature and retained articles that presented empirical data about any CWA applied to the field of health care. In case of disagreements, a third reviewer was consulted (PA, TB, or SR). To reach a high level of agreement, we conducted 4 series of assignments (400 abstracts in total) whereby the screening of a number of studies was followed by a teleconference to reach agreement about which studies to include and to discuss uncertainties. Once consensus was reached for all cases, the remaining studies were coded by the same 3 pairs of screeners (SR/MF, TB/AB, PA/CK). Subsequently, 2 reviewers (TB and PA) conducted another round of screening based on full text studies. As a result, a narrowed definition of health care was applied in order to focus the analysis. Hence, studies that concerned the care of patients were included, and those from the fields of basic medical sciences, the conduct of clinical trials, biomedical library science and medical informatics were excluded.
Stage 4: Charting the Data
A data-charting form was developed and built into EPPI-Reviewer for the extraction of quantitative and qualitative variables and to facilitate data coding. It was tested and refined by 4 reviewers (PA, CN, ME, CF) using the first 50 studies. Three pairs of 2 reviewers (CN/CF, CN/ME, ME/CF) then independently extracted data from the remaining studies. Disagreements were resolved through discussion with a third reviewer (PA or TB). Using EPPI-Reviewer’s inductive coding function, we extracted all the pre-planned variables described in our published protocol .
Stage 5: Collating, Summarizing, and Reporting Results
We summarized the included studies in a table comparing each of the study’s characteristics. Attempting to present an organized description of the current literature on the use of CWAs in health care, we grouped studies based on purpose. Three emergent themes were the use patterns of CWAs (Theme 1), quality of information found in different CWAs (Theme 2), and CWAs used as knowledge translation interventions (Theme 3). We also added a description of each of the applications’ features (the type of CWA and software used) to examine CWA use among studies (Objective 2).
To compare the different CWA applications identified, a Venn diagram was constructed to situate each application in relation to the others depending on two features: their collaborative writing features and their conversational features. To create the most reliable representation of how different CWAs could be represented in relation to each other, each CWA was assessed by 2 reviewers using a scoring system we created based on a classification proposed by Kaplan et al . We attributed a score of 1-5 to characterize the extent of their collaborative writing features and a score of 1-5 to measure the extent of their conversational features. To design our Venn diagram, we plotted each different CWA on a graph presenting the conversational features score on the x axis and the collaborative writing score on the y axis.
Theme 1: Use Patterns of CWAs
Studies whose purpose was to describe the users and the frequency of CWA use were grouped together. We compared each study in a table presenting the population surveyed, the response rate of the population surveyed, the reported results, the prevalence of use, the contribution rate, the time of assessment, and the purpose of CWA use. We also used Eysenbach’s Medicine 2.0 map  to illustrate the extent to which the different CWAs described in the included studies involve three major stakeholder groups (consumers/patients, professionals, and researchers).
Theme 2: Quality of Information in Different CWAs
We synthesized papers that evaluated the quality of information in CWAs by constructing a table presenting a summary of each evaluation. Three reviewers (PA, TB, SG) assigned a score on a three-point scale based on the original authors’ own recommendations about future use of information contained in the different CWAs. When authors concluded that the information contained within the collaborative writing project was of high quality and that it could be used in medical decision making, we gave the paper a score of 1. When the authors concluded that the information reported was not reliable and should never be used in decision making, a score of 3 was attributed. When authors were uncertain and/or suggested that more research was needed, a score of 2 was given. This score was attributed after discussion between the three reviewers until consensus was achieved.
Theme 3: CWAs Used as Knowledge Translation Interventions
Three reviewers (PA, TB, SG) performed a mixed inductive and deductive thematic analysis of the content coded in Stage 4 to classify and interpret the perceived positive and negative effects related to the use of a CWA. They began by developing a coding scheme using qualitative content analysis, a method whereby reviewers interpreted the data subjectively by classifying and coding data and identifying patterns . Then, they read the data charted in Stage 4 repeatedly to immerse themselves and obtain a broad perspective [ ]. Subsequently, using constant comparison methodology [ ], they read the coded content by each reviewer in Stage 4, highlighting words that captured the positive or negative effects. A matrix was created to present any positive or negative effect reported in each study. We then assigned these effects specific codes, organized them into broad categories, and developed a tree diagram to organize the categories into a hierarchical structure [ ]. We consolidated codes and categories that expressed the same idea into a comprehensive coding scheme that constituted our taxonomy and guided reviewers’ content analysis of the rest of the data. The three reviewers discussed units of text that could not be coded with existing codes and created new codes if necessary.
The Donabedian framework  for quality improvement informed the classification of positive and negative effects into processes and outcomes. Elements from the Theoretical Domains Framework [ ] were drawn from to classify effects of CWAs on behavior. In order to produce a comprehensive taxonomy for all described positive and negative effects of CWAs in the health care field, we added new items to our taxonomy whenever any unique item was found in a paper. Whenever these items came from a specific theoretical framework, we noted the name of the framework and attempted to label the item using the same terminology as the original source framework.
A second thematic content analysis was performed on the data regarding barriers and facilitators to the use of CWAs in health care with the initial coding scheme reflecting an existing framework concerning the determinants of ICT adoption . Many new determinants of social media were inductively added to this framework. Our 3 reviewers created new codes for units of text that could not otherwise be coded using the original framework, thus refining and expanding the list. We also systematically searched each article to determine if a theoretical framework was used to report barriers and facilitators. If so, relevant elements were also added to the existing framework.
Stage 6: Consulting Knowledge Users
As specified in our published protocol , we held meetings with representatives from the organizations involved (ie, the Association of Faculties of Medicine of Canada (AFMC), the International Medical Informatics Association (IMIA), the Federation of Patients and Consumer Organization in the Netherlands (NPCF), and the Pan American Health Organization (PAHO)) at the beginning, midway, and draft manuscript stages of this research in order to generate results that were useful for these knowledge users. Knowledge users were selected to represent a broad range of potential stakeholders representing medical education (AFMC), public health (IMIA and PAHO), and patient representatives (NPCF).
Stages 1, 2, and 3: Mapping of the Literature and Study Selection
After removing duplicates (n=1372), we screened the title and abstract of 4436 citations as well as the studies/abstracts from the grey literature, conference proceedings, expert consultation, and reviewing of reference lists () . All disagreements (n=794) were resolved through discussion.
Crowdsourcing identified two studies through Google Docs that were excluded. After review, we included 111 citations. Among these 111 citations, there were 28 abstracts without published full text but with sufficient results to be included. Twenty-six studies were grouped into Theme 1 (use patterns of CWAs), 25 into Theme 2 (quality of information in different CWAs), and 73 into Theme 3 (use of CWAs as a knowledge translation intervention).shows the rapid growth of the number of publications for the period within our search strategy.
Stages 4 and 5: Charting Data, Collating, Summarizing, and Reporting Results
We found 4 experimental studies, 5 quasi-experimental, 5 observational analytic, 52 case studies, 22 describing the quality of wikis, and 23 surveys on wiki use (; [ , - , , , , , , , , , , , - ]). Wikis (n=106) and Google Docs (n=6) are the main types of CWAs used in health care. One grey literature report compared Google Knol to Wikipedia [ ]. Wikipedia was the focus of a large number of studies (n=36). The most frequently used wiki software were MediaWiki (n=44), PBworks (n=8), Wikispaces (n=6), Wetpaint (n=6), Microsoft SharePoint (n=3), and Google Sites (n=3). One paper described two wikis using Semantic MediaWiki (WikiEcho [ ] and WikiDoc [ , ]). There were studies describing custom-built hybrid wikis (Wikibreathe (n=2) [ , ], Orthochina (n=1) [ ], and FreyaWIKI (n=1) [ ]; the use of virtual learning environments (eg, Blackboard) to host wikis as aids for supporting educational activities (n=8); and the use of more sophisticated social media platforms (eg, Drupal [ ], MijnZorgNet [ ], Atlassian [ ], and MinJournal [ ]) that offer wikis and other social media such as blogs and social networking services. The importance of the collaborative writing features compared to conversational features for each of the CWA studied are presented in a Venn diagram ( ). This diagram shows that wikis and other hybrid wikis are centered more on their collaborative writing features compared to Google Knol, whose conversational features stand out more. Google Docs is different in that it offers both collaborative writing features (eg, real-time online editing) and conversational features (eg, linking documents to authors’ email allowing them to discuss a document while it is being created).
Two of the six studies pertaining to Google Docs were experimental [, ]. The two other experimental studies were conducted with wikis [ , ]. As seen in , the types of reported outcomes varied greatly depending on the context, goal, and framework used. Most outcomes concerned intermediate self-reported outcomes (eg, self-efficacy, usability scores, user satisfaction, dialogical communication scores), and some observed process outcomes (eg, wiki usage and contribution statistics, pre/post-test knowledge scores, quality of information, readability scores, number of communications). One study measured patient-oriented outcomes, such as blood pressure, physical activity, and cholesterol levels [ ].
Use Patterns of CWAs
We found a total of 26 studies that presented different patterns of CWA use in health care: who uses the different CWAs, how much, and for what reasons (; [ , , , - , , ]). Most of these studies were conducted in the United States, United Kingdom, or Australia, and 1 and 3 studies were performed in Spain and in Canada respectively. All studies were published after 2006. Study populations varied widely including health care professionals (n=12), students (n=9), consumers (n=4), teachers/educators (n=2), scholars (n=1), and librarians (n=1). Most recurrent reasons for use were for academic purposes (case-based learning, e-learning, use of Web 2.0 tools for teaching) [ - , ], for clinical purposes (to support patient care, to obtain drug information, to stay updated) [ , , - ], for personal use (by health care professionals and students) [ , - ] and for seeking health information [ - ] or about specific diseases [ , ]. Other reasons were to update a scoping review [ ] and to seek multiple stakeholder input [ , ]. shows that most CWAs described involve peer-to-peer communication between health professionals, followed by CWAs used by patients and researchers respectively.
In general, CWA use varied depending on the training level (eg, 70% or 132/188 first-year medical students using Wikipedia vs 37% or 86/234 third-year medical students ), the field of practice (eg, 9% or 4/44 pediatric neurologists used wikis [ ] vs 35% or 369/1056 pharmacists [ ]), and reason for use (eg, 100% or 51/51 radiology residents using a radiology department wiki [ ] vs 15% or 360/2400 first-year psychology students using Wikipedia for personal information needs [ ]). We found that a high prevalence of CWA use (ie, more than 50%) was reported in 58% (7/12) of surveys conducted with health care professionals and students (see ). The only longitudinal study conducted between 2005 and 2009 observed an increase in prevalence of Wikipedia use from 2% to 16% among undergraduate medical and biomedical students [ ]. Another study reported higher use among younger medical students (480/593, 81%) compared to older consultants (215/389, 55%) [ ]. Studies on the use of Wikipedia by pharmacists report rates of use ranging between 35% using this site for work-related questions in 2009 [ ] to 72% using it mainly for personal reasons in 2011 [ ]. For consumers, Wikipedia was ranked first when using search engines to find information about rare diseases [ ] and to find information on generic drugs [ ]. Wikipedia ranked as the second most consulted website both by a group of patients with Crohn’s disease [ ] as well as by students searching for biomedical information [ ]. While CWA rates of use are high, most reports present low rates of contributions to CWAs. From 6%-18% of students contribute to CWAs [ , , ] while 3%-22% of junior physicians were reported to contribute to a CWA [ , ]. Furthermore, less than 1% of scholars were reported to contribute to a wiki project aiming at updating a scoping review [ ]. Rarely, high rates of contribution were found in specific wiki projects [ , ].
Quality of the Information in Collaborative Writing Applications
We found 25 papers reporting on the quality of information in CWAs (; [ , , , , , , , , , , - , , , , - ]). With the exception of one paper evaluating the quality of information in 52 medical wikis other than Wikipedia [ ], all studies focused on evaluating the quality of medical information in Wikipedia (n=24). No studies evaluated the quality of information within projects using Google Docs; however, one did compare the quality of information within Wikipedia and Google Knol [ ]. Most studies (64%, 16/25) evaluated information destined to consumers while 32% (8/25) addressed the quality of information for students. Overall, 44% (11/25) of authors concluded that information within wikis and Wikipedia is partially reliable (ie, quality of information needs to be improved or updated) while 28% (7/25) reported that information within wikis and Wikipedia is not reliable and should not be used. Three studies reported no formal conclusion about quality of information [ , , ]. Three authors concluded that medical information in wikis and Wikipedia was reliable and of high quality [ , , ], yet only three used a validated quality assessment instrument [ , , ]. Of the latter, one concluded that expert-moderated wikis could produce higher quality of information [ ]. For example, wikis like WikiDoc [ ], ECGpedia [ ] and WikiKidney [ ] were among the top-rated wikis in this study [ ]. However, this study also concluded that all the wikis evaluated still needed improvements mainly concerning their completeness before they could safely be used for decision making. Another study concluded that Wikipedia was adequate for clinician and student education [ ] while the third study concluded that further improvement of orthognatic surgery information was needed in Wikipedia before referring consumers to the site to support decision making [ ]. A recurrent finding about Wikipedia was that its content is accurate, but that it often omits important medical facts and information [ , ].
As an educational tool, Wikipedia was reported to be comprehensive, of high quality, current, and appropriate for learning in gastroenterology and pathology [, ]. However, variability in the content, accuracy, completeness, and referencing of drug information was reported [ ]. Moreover, one study reported that 171 out of 271 (63%) of students do not verify the validity of references in Wikipedia articles [ ]. While some think that Wikipedia should not be used by students as a source for referencing [ ] or that it is unsuitable as a base for learning [ ], others believe that its use by students need not necessarily be discouraged [ ] and that it could be an informative and accurate source for education if used in combination with other learning materials [ ]. Furthermore, one author considered CWAs to be excellent sources for continuing education and that they could represent the future of medical education as they allow for self-directed and supplementary education as well as for remote access [ ].
Online Collaborative Writing Applications as Interventions
We identified four experimental studies in support of CWA use as educational and knowledge translation interventions (; [ , - ]). Three of these studies were conducted in the field of health professions education [ , , ], and one was in the field of secondary prevention of cardiovascular disease in patients with previous acute coronary syndrome [ ]. These studies found that the use of CWAs improved (1) physical activity and blood pressure control, (2) scientific writing skills among health science students, (3) medical student self-confidence and communication skills, and (4) nursing leadership skills. One study found that CWA use worsened diagnostic skills [ ].
Taxonomy for Perceived Positive and Negative Effects Associated With CWAs
We classified the perceived positive and negative effects associated with CWAs into a taxonomy, covering eight categories (; [ , , , , , , , , , , , - , , , - , , ]).
In total, 57 positive effects and 23 negative effects were identified. Among the categories of positive effects that we found, the most frequently reported were that CWAs improve collaboration (n=41), positively impact learning (n=30), influence psychological domains (n=28), facilitate knowledge management and accessibility to information (n=30), improve efficiency of health care (n=19), improve quality of health care (n=6), and prevent disease (n=3). Among these effects, the Theoretical Domains Framework  was used to label and classify 22 of them into 3 psychological domains (self-efficacy, motivation, emotion) and 2 learning effects (skills and knowledge).
We found 2 studies referring to theoretical frameworks to describe their effects. Among the frameworks, the concept of communities of practice  was used to classify 3 studies reporting that CWAs improved the communication of tacit knowledge. The Dialogic Theory of Public Relations [ ] was used to describe 5 positive effects wikis could have on public relations between health care organizations and consumers.
The most frequently cited negative effects were that CWAs could have unfavorable impacts on knowledge management (n=14) such as information overload (n=4) and fast dissemination of poorly validated information (n=4), as well as on certain psychological domains (n=6) such as added stress (n=1) and negative emotions (n=5). Some authors stated that CWAs could impede certain aspects of collaborative work (n=4) such as enhancing the perception of unequal work distribution (n=2) and encouraging conversation more than collaborative writing (n=1). Potentially serious negative effects of deletion of important medication information on Wikipedia by pharmaceutical companies (n=1)  and breaching of patient confidentiality (n=1) [ ] were reported only in the grey literature.
Taxonomy for Barriers and Facilitators to the Use of CWAs in Health Care
A total of 48 barriers and 91 facilitators to the use of CWAs in health care were identified, of which 20 barriers and 69 facilitators were new determinants (; [ , , , , - , , , , , , , - , - , - , , - , - , , , , , - ]).
Among the latter, some were specific to social media (eg, social aspects of ICT, presence of a moderator, presence of a community of practice) and others were not (eg, information overload, mobile access, lack of proficiency in English). Although we found only 5 studies [, , , , ] that used a theoretical framework to identify barriers and facilitators, many of these barriers (n=11) and facilitators (n=34) were among those deemed as new.
The five barriers most frequently mentioned, in order of frequency, were unfamiliarity with ICTs (n=8), time constraints and workload (n=6), lack of self-efficacy (belief in one’s competence to use ICT) (n=6), material resources—access to ICT (n=5), worries about the scientific quality of the information (n=5), and the presence of a closed wiki protected by a password (n=5). The five most recurrent facilitators were having had training (n=12), scientific quality of the information (n=10), ease of use (n=8), triability (n=7), presence of a community of practice or a community of learners (n=7), and presence of a moderator (n=7).
|Impacts||Number of papers in which the impacts perceived as positive||Number of papers in which the impacts perceived as negative|
|Processes (intermediate outcomes)a|
|1. Effects on psychological domainsb||28||6|
|1.1 Beliefs about capabilities (Self-efficacy)b|
|1.1.1 Self-Efficacy/empowerment: Not further specified||10 [, , , , - ]|
|1.1.2 Empowering environment||2 [, ]|
|1.1.3 Empowerment of families/relatives||1 |
|1.1.4 Patient participation||3 [, , ]|
|1.2.1 Engagement||7 [, - ]|
|1.3.1 Satisfaction||5 [, , , , ]||1 |
|1.3.2 Loss of autonomy/feeling of being monitored||1 |
|1.3.3 Feeling of working in isolation||1 |
|1.3.4 Feeling of guilt about not participating||1 |
|1.3.5 Frustration due to technical issues||1 |
|1.3.6 Added stress||1 |
|2. Learning effects||30||1|
|2.1 Subjective learning improvements: Not further specified||9 [, , , , , , , , ]|
|2.2.1 Communication skills eg, feedback||2 [, ]|
|2.2.2 Handle fears and feelings||1 |
|2.2.3 Adapt to different learning styles||4 [, , , ]|
|2.2.4 Information and communication technology skills||1 |
|2.2.5 Transfer of knowledge into practice||1 |
|2.2.6 More efficient critiquing and evaluating the medical literature||1 |
|2.2.7 Development of professionalism on students||1 |
|2.2.8 Enhanced understanding of concepts||1 |
|2.2.9 Decreased learning of diagnostic skills||1 |
|2.3.1 Knowledge (not further specified)||4 [, , , ]|
|2.3.2 Awareness of guidelines||1 |
|2.4 Better supervision by teachers||2 [, ]|
|2.5 Better exam preparation||2 [, ]|
|3.1 Communication: Not further specified (impedes/improves)||9 [, , , , , , - ]||2 [, ]|
|3.2 Feedback||2 [, ]|
|3.3 Collegiality||1 |
|3.4 Patient/health professionals communication||2 [, ]|
|3.5 Communication of tacit knowledgeb||3 [, , ]|
|3.6 Creates a network for families||1 |
|3.7 Apomediation (communication process whereby individuals “stand by” to guide consumers to high quality information without being a prerequisite to obtain that information in the first place)b||1 |
|3.8 Dialogical communication between organizations and individualsb|
|3.8.1 Mutuality (the recognition of organization–public relationships)b||1 |
|3.8.2 Propinquity (the temporality and spontaneity of interactions with publics)b||1 |
|3.8.3 Empathy (the supportiveness and confirmation of public goals and interests)b||1 |
|3.8.4 Risk (the willingness to interact with individuals and publics on their own terms)b||1 |
|3.8.5 Commitment (the extent to which an organization gives itself over to dialogue, interpretation, and understanding in its interactions with publics)b||1 |
|4.1 Collaboration: Not further specified (impedes/improves)||23 [, , , , , - , - , , , , , - ]||1 |
|4.2 Reduces geographical barriers||11 [, , , , , , , , , , ]|
|4.3 Perceived unequal/equal separation of work||3 [, , ]||2 [, ]|
|4.4 Asynchronous communication||1 |
|4.5 Wiki used as a conversational manner without contributing to the same text||1 |
|4.6 Define team responsibilities||1 |
|4.7 Interprofessional collaboration||1 |
|4.8 Creation of online presence||1 |
|5. Knowledge management and accessibility to information||30||14|
|5.1 Dissemination of information||8 [, , , , , - ]|
|5.2 Fast dissemination of poorly validated information||4 [, , , ]|
|5.3 Better access to information||8 [, , , , , , , ]|
|5.4 Better exposure to world||1 |
|5.5 Better knowledge translation across organizations||2 [, ]|
|5.6 Centralized knowledge management||5 [, , , , ]||1 |
|5.7 Constantly updated information||1 |
|5.8 Facilitates management of various content||1 |
|5.9 Privacy issues health related data||1 |
|5.10 Spam/vandalism||2 [, ]|
|5.11 Updating of knowledge synthesis||1 |
|5.12 Saves paper||1 |
|5.13 Information overload||4 [, , , ]|
|5.14 Wiki allows daily surveillance (looking for spurious edits)||1 |
|5.15 Compiling anonymous data||1 |
|5.16 Creativity/new ideas||1 |
|5.17 Editing wars||1 |
|6. Efficiency of health care||19||4|
|6.1 Efficiency: Not further specified||5 [, , , , ]||2 [, ]|
|6.2 Saves money||1 |
|6.3 Saves time/loses time||11 [, , , , , , , , , , ]||1 |
|6.4 Decreases/increases duplicate work||1 ||1 |
|6.5 Reduces workload||1 |
|7. Quality improvements||6||2|
|7.1 Quality improvements: Not further specified||5 [, , , , ]||1 |
|7.2 Wiki content didn’t meet users’ needs||1 |
|7.3 Reduces errors||1 |
|8. Disease prevention||3 [, , ]|
aThe Donabedian framework  for quality improvement was used to describe processes and outcomes.
bThese items are processes that were taken from other psychological and organizational frameworks for change and used to describe and classify the effects of CWAs found in this review [, , , ].
|Factors (Gagnon et al 2012 taxonomy)||Number of papers in which the factor was mentioned as a facilitator||Number of papers in which the factor was mentioned as a barrier|
|1. Factors related to ICT (CWA)|
|1.1 Design and technical concerns||13||8|
|1.1.1 Readability of the informationa||1 |
|1.1.2 Appearance of wiki (font, etc.)b||1 ||1 |
|1.1.3 Organization of informationb||5 [, , , , ]|
|1.1.4 Immediately available technical informationa||1 |
|1.1.5 Having a sense of continuity and stabilityb||1 |
|1.1.6 References not intrusive in lay language textsa||1 |
|1.1.7 Information overloada||2 [, ]|
|1.1.8 Mobile accessb||1 |
|1.1.9 Spam filtera||1 |
|1.1.10 System can improvea||1 |
|1.1.11 Rapid information changesb||1 ||1 |
|1.1.12 Design and technical concern – other||3 [, , ]|
|1.2 Characteristics of the innovation||33||5|
|1.2.1 Ease of use/complexity|
|126.96.36.199 Ease of content editinga||6 [, , , , , ]|
|188.8.131.52 Human/computer interactionsb|
|184.108.40.206.1 Consistency (principle of minimum amazement)b||1 |
|220.127.116.11.2 Prevent error messagesb||1 |
|18.104.22.168.3 Temporal contiguity (easy mental associations are made between verbal and visual)b||1 |
|22.214.171.124 Reduce short-term memory loadb||1 |
|126.96.36.199 Ease of use/complexity – other||8 [, , , , , , , ],||4 [, , , ]|
|188.8.131.52 Permit Easy Reversal of Actionsb||3 [, , ]|
|184.108.40.206 Triability – other||7 [, , , , , , ]|
|1.2.3 Relative advantage (usefulness) or lack of||1 |
|1.3 System reliability||2 [, ]|
|1.4 Interoperability (including Web browser interoperability)||3 [, , ]||2 [, ]|
|1.5 Legal issues||2||6|
|1.5.1 Confidentiality - privacy concerns||2 [, ]||3 [, , ]|
|1.5.2 Liabilitya||1 |
|1.5.3 Copyright concernsa||2 [, ]|
|1.6 Validity of the resources||16||9|
|1.6.1 Scientific quality of the information resources||10 [, , , , , , , , , ]||5 [, , , , ]|
|1.6.2 Content available (completeness)||2 [, ]||2 [, ]|
|1.6.3 Appropriate for the users (relevance)||2 [, ]||1 |
|1.6.4 Content updated frequentlya||1 |
|1.6.5 Highly prevalent diseasea||1 |
|1.6.6 Rapidly growing body of researcha||1 |
|1.7 Cost issues: low human and hardware costs||3 [, , ]||2 [, ]|
|1.8 Social aspects of ICTa||28||7|
|1.8.1 Integrated support tools within wiki (toolbox, FAQ, forum, policies)b||6 [, , , , , ]|
|1.8.2 Open access wikib||1 ||5 [, , , , ]|
|1.8.3 Good balance between restricted areas within wiki (private info) vs open areas (info for all)a||2 [, ]|
|1.8.4 Interface linking content to conversationsb||2 [, ]|
|1.8.5 Use of template and seed with core set of pagesa||4 [, , , ]|
|1.8.6 Webmetric tool integrated with ICT to measure use (eg, Google Analytics) and contributions/authorship (eg, Wikigenes)a||1 |
|1.8.7 Simultaneous real-time collaborative editinga||1 |
|1.8.8 Gives informative feedbackb||1 |
|1.8.9 Authorship transparent to increase reliabilitya||3 [, , ]|
|1.8.10 Socialization tactics (eg, welcome message)a||1 |
|1.8.11 Controversial contenta||1 |
|1.8.12 Important impact on a large number of health professionalsa||1 |
|1.8.13 Lack of interest in topica||1 |
|1.8.14 Wiki enabled with an RSS feed or email notifications (reminders)b||4 [, , , ]|
|1.8.15 Inappropriate automatic computer editinga||1 |
|2. Individual factors or health care professionals characteristics (knowledge and attitude)|
|2.1.1 Awareness of the existence and/or objectives of the ICT||2 [, ]|
|2.1.2 Familiarity with ICT|
|220.127.116.11 Skillsb||1 |
|18.104.22.168 Familiarity with ICT – other||8 [, , , , , , , ]|
|2.1.3 Lack of proficiency in English (the language of the Web)a||1 |
|2.1.4 Lack of knowledge about systematic review methodsa||1 |
|2.2.1 Agreement with the particular ICT|
|22.214.171.124 Challenge to autonomy||1 |
|126.96.36.199 Outcome expectancy (use of the ICT leads to desired outcome)||1 |
|188.8.131.52 Motivation to use the ICT (readiness)/resistance to use the ICT||4 [, , , ]|
|184.108.40.206 Motivation to contribute to the wiki (desire to participate and post messages/information)b||3 [, , ]||1 |
|220.127.116.11.1 Motivation to contribute needs to be consistent with the person’s goals, plans, values, beliefs and interestsb||2 [, ]||1 |
|18.104.22.168 Self-efficacy (believes in one’s competence to use the ICT)||6 [, , , , , ]||6 [, , , , , ]|
|22.214.171.124 Preference for private learning environment compared to open environmenta||2 [, ]|
|126.96.36.199 Impact on personal lifeb||1 |
|188.8.131.52 Confidence in ICT developer||1 |
|184.108.40.206 Agreement with the particular ICT – other||1 ||2 [, ]|
|2.2.2 Agreement with ICTs in general (welcoming/resistant)||1 ||2 [, ]|
|3. Human environment|
|3.1 Factors associated with patients||3||0|
|3.1.1 Patient/health professionals interaction|
|220.127.116.11 Sharing of information between doctors and patientsa||1 |
|18.104.22.168 Sharing of information between doctorsa||1 |
|22.214.171.124 Sharing of information between patientsa||1 |
|3.2 Factors associated with peers||25||7|
|3.2.1 Support and promotion of ICT by colleagues|
|126.96.36.199 Support by nursesb||1 |
|188.8.131.52 Support by physiciansb||1 |
|184.108.40.206 Support by traineesb||1 |
|220.127.116.11 Support and promotion by colleagues (not further specified)||3 [, , ]|
|3.2.2 Other factors associated with peers (relations between colleagues)|
|18.104.22.168 Credential verificationa||1 |
|22.214.171.124 Frustration about having someone else edit personal contributionb||3 [, , ]|
|126.96.36.199 Reluctance to team workb||3 [, , ]|
|188.8.131.52 Using constructivist theoretical framework to setup a wiki is helpfulb||3 [, , ]|
|184.108.40.206 Presence of a community of practice/community of learnersb|
|220.127.116.11.1 Critical mass of scholarsa||1 |
|18.104.22.168.2 Presence of a small group of motivated editorsa||1 |
|22.214.171.124.3 Presence of community of practice/community of learners (not further specified)b||7 [, , , , , , ]|
|126.96.36.199 Openness, trust and respectb||4 [, , , ]|
|188.8.131.52 Need for reciprocity (questions answered)b||2 [, ]|
|184.108.40.206 Create teams of two collaborators working on same wiki pagea||1 |
|4. Organizational environment|
|4.1 Internal environment||69||27|
|4.1.1 Work (nature of work)|
|220.127.116.11 Time constraints and workload|
|18.104.22.168.1 Ultra-rapid decision making environmentb||1 |
|22.214.171.124.2 Time constraints and workload – other||1 ||6 [, , , , , ]|
|4.1.2 Resources availability|
|126.96.36.199 Resources available (additional)||1 |
|188.8.131.52 Material resources (access to ICT)|
|184.108.40.206.1 Lack of constant Internet connection/accessb||2 [, ]|
|220.127.116.11.1.2 Material resources (access to ICT) – other||6 [, , , , , ]||5 [, , , , ]|
|18.104.22.168 Human resources (IT support)||4 [, , , ]||1 |
|22.214.171.124 Having a single platforma||1 |
|4.1.3 Organizational factors|
|126.96.36.199.1 Face-to-face trainingb||6 [, , , , , ]|
|188.8.131.52.2 Use smaller groups (n=15-20) for one on one feedbackb||1 |
|184.108.40.206.3 Educators must be aware of human-computer interactionsb||1 |
|220.127.116.11.4 Training medical educators in using Web 2.0 ICTsa||1 |
|18.104.22.168.5 Need for active learning/constructivist learningb||1 |
|22.214.171.124.6 Training –other||12 [, , , , , , , , , , , ]||1 |
|126.96.36.199 Management (strategic plan to implementing applications)|
|188.8.131.52.1 Start with pilot project (implementation strategy)a||1 |
|184.108.40.206.2 Index with Google - use Google Adwords (implementation strategya)||1 |
|220.127.116.11.3 Monitoring of use with Web metricsb||3 [, , ]|
|18.104.22.168.4 Management – other||2 [, ]|
|22.214.171.124 Presence and use of “champions”||1 |
|126.96.36.199 Participation of end-users in the design||1 |
|188.8.131.52 Communication (includes promotional activities)|
|184.108.40.206.1 Work with computer science department to implement a plan to generate traffic to wikia||1 |
|220.127.116.11.2 Getting new staff to participate for new looka||1 |
|18.104.22.168.3 Encourage writers to contribute using their own stylea||1 |
|22.214.171.124.4 Forcing students to edit wikia||1 |
|126.96.36.199.5 Participating in a community of wiki editorsa||1 |
|188.8.131.52.6 Communication – other||3 [, , ]|
|184.108.40.206 Ongoing administrative/organizational support|
|220.127.116.11.1 Interactive Web applications permitted and unblocked within the health care institutionb||1 |
|18.104.22.168.2 Administrative/ organizational support – other||3 [, , ]||1 |
|22.214.171.124 Incentive structures|
|126.96.36.199.1 Giving continuing medical education (CME) credita||1 |
|188.8.131.52.2 New set of scholarly impact metricsa||1 |
|184.108.40.206.3 Major cultural barrier in academia against participating in social mediaa||1 |
|220.127.116.11.4 Incentive structures – other||5 [, , , , ]||2 [, ]|
|18.104.22.168 Presence of a moderatorb||7 [, , , , , , ]|
|22.214.171.124 Presence of metacognitive participants and dialogical participantsb||2 [, ]|
|126.96.36.199 Accept that not all will participate and that lurkers will always exists/frustration about the lurkers who don’t contributeb||1 ||3 [, , ]|
|4.2 External environment||1||1|
|4.2.1 Financing of ICT/financial support||1 |
|4.2.2 Coupling traditional publications with wiki contributionsa||1 |
aThese new determinants did not exist in the Gagnon et al framework
bThese new determinants were identified in papers using a theoretical framework.
We confirmed that CWAs are currently being used frequently in health care, by a variety of stakeholders including patients, professionals, and researchers, for a large diversity of purposes. Our complete portrait of the literature shows that wikis are by far the most commonly studied type of CWA and that most studies had observational designs. Each type of CWA has different collaborative writing and conversational features that must be considered by decision makers when making a choice about which CWA to use in different collaborative projects. Many positive effects are attributed to the use of CWA in health professions education and knowledge translation. Further systematic synthesis of experimental and quasi-experimental evidence is needed before any clear policy recommendations can be made about implementing these tools in current practice. Moreover, there is an array of potential negative effects and barriers that need to be addressed in future primary research projects.
The Use of CWAs in Health Care
Despite the controversy surrounding the use of information in Wikipedia in clinical decision making [, ], a high proportion of health professionals and students are already using Wikipedia and other CWAs, with use apparently increasing, especially among younger professionals. Although more research is needed to confirm this trend, these findings are consistent with an overall trend to increased use of social media among health professionals [ , ]. Our systematic mapping of the literature shows that wikis are the most frequently studied type of CWA. Furthermore, the use of Wikipedia by students and professionals represents the focus of many of our included studies. Google Docs studies come second, and we found only one study about Google Knol. This is not surprising since Wikipedia is the sixth most visited website worldwide and appears in top 10 results of search engines concerning health questions [ ]. However, as readership of Wikipedia is rapidly changing, it is important to acknowledge that usage percentages depend not only on how you ask the question but also when you ask the question. Moreover, Google terminated the Knol project in 2011 despite interesting health projects using this platform including the PLOS Currents: Influenza project [ , ]. Besides the single publication we found about Google Knol comparing Knol to Wikipedia [ ], there are no published accounts of Google’s reasons for closing and transferring Knol to the Annotum platform.
Based on the Medicine 2.0 map , we demonstrated that current CWAs in use are mainly oriented towards health students and professionals’ peer-to-peer interactions. In fact, use of CWAs is a major area of research in health education [ , ]. In particular, of the 4 experimental studies identified, 3 were education studies showing that CWAs positively influenced learning processes and almost half (n=48) of all the studies in this review concerned health professions education. Albeit less common, there are also studies about CWAs involving consumers and professionals to co-create decision-making tools [ , , , ]. These four projects seem relevant given that patient-centered care has become a central aspect of knowledge translation and experts have called for new ways of involving patients in the implementation of evidence [ ]. Another remarkable finding is that even fewer CWAs involve consumers and researchers in sharing hard to find phenotype information about rare genetic and congenital diseases [ , ].
Researchers are starting to explore the use of CWAs, for example in updating a scoping review . Another expert/researcher driven wiki is the OpenMRS electronic medical record implementation wiki, an example of wikis’ full potential for improving health in developing countries. Although the World Health Organization is exploring the use of a wiki to update the 11th International Classification of Disease [ ], we did not find any published accounts on their experience, nor did we find any related to the discontinuation of Medpedia [ ]. The reasons for ending this ambitious project involving important stakeholders would provide lessons for the future.
CWAs Features and Implications for Health Care
After comparing how each CWA was used in different collaborative writing projects, we found that wikis and certain hybrid custom-built wikis have collaborative writing features that are more prominent compared to their conversational features. These collaborative writing features produce artefacts of synthesized knowledge that lend themselves more readily to daily use than those produced from conversational knowledge. For example, using a wiki to store and update care protocols readily applicable to the care of emergency department patients would be more useful in daily practice than reading the discussion page found in support of the wiki page itself. Conversely, Google Docs, certain knowledge management applications (eg, Google Sites, Microsoft Sharepoint) and other social media platforms (eg, MijnZorgNet, Atlassian Confluence, MinJournal) integrate additional features that favor conversation and deliberation between users. These additional conversational features produce discussions between users about the knowledge being shared and add to users’ understanding about the content found on the collaborative writing pages of these applications.
Effects of CWA and Wiki Use in Health Care
Most evidence stemmed from case reports and observational studies demonstrating perceived positive effects of CWA use in health care on behavior change, education, communication, collaboration, knowledge management and access to knowledge, and better quality and efficiency of health care. These findings support claims that CWAs and wikis facilitate that online professional communities create, share, and synthesize knowledge; increase access to health information; and offer opportunity for public participation and citizenship [, , ]. Although less frequently reported, we also found a series of perceived negative effects (ie, information overload, fast dissemination of poorly validated information, loss of autonomy, feeling of working in isolation, increased stress, perceived unequal distribution of tasks within teams, biased editing, editing wars, and vandalism/wikispam) that could mask some of the positive effects of CWAs. Innovative developments such as semantic wikis [ , , , , ] and bots [ , ] may decrease some of these negative effects. For example, to reduce the impression of information overload, certain authors are exploring semantic wikis to better organize and structure information based on a logical ontology [ , ]. Semantic wikis could help organize the knowledge being shared [ , , ], potentially improve its meaningful use [ , ] and eventually allow its integration into intelligent Web-based decision-support tools [ ]. Other authors are exploring the use of bots to decrease the risk of vandalism, biased editing, and spam [ , ]. A bot is a computer program that runs automatically and continuously within wikis and can conduct simple tasks like correcting spelling and syntax. Wikipedia contains many different bots that help ensure its quality [ ]. More complex bots exist like the one in WikiPathways that surveys the content and identifies potential inconsistencies, redundancies, and incomplete data [ ].
Barriers and Facilitators to the Use of CWAs and Wikis in Health Care
The use of CWAs in health care faces barriers that limit their use that are similar to those experienced in other fields: unfamiliarity with ICT , time constraints and workload [ ], lack of self-efficacy to use CWAs [ ], access to CWAs [ ], worries about the scientific quality of the information resources [ , , , ], readability of information [ ], the presence of a closed wiki protected by a password [ , ] and legal concerns [ , , ].
A recurrent finding about the information in Wikipedia was that it is in large part accurate, free, and easy to access. However, even though Wikipedia does not recommend including medication doses due to concerns about errors , it is often incomplete and can lack appropriate referencing of medical information [ , ], thereby possibly indirectly causing patient harm [ ]. One observational study demonstrated that involving moderators and experts in the sharing and curation of information within CWAs improves the quality of information [ ]. However, as previous authors have demonstrated, finding ways to get these experts to participate remains a challenge [ , , , , ].
Maintaining high-quality information as well as high contribution levels is a heated debate with opposing views (ie, password-protected wiki vs open wiki) [, , , , , , ]. Authors from multiple fields have explored modalities to stimulate participation [ , , , , - ]. Many facilitators reported from fields other than health care include training [ , ], scientific quality of the information resources [ , , ], ease of use [ ], having access to integrated support tools [ ], ease of content editing [ - ], access to CWA [ ], self-efficacy [ , ], and the use of incentives [ , , - ]. Some propose a set of scholarly metrics that would reward contributions to collaborative projects [ ]. The journal RNA Biology stimulates contributions to Wikipedia by scholars by requiring that manuscripts be summarized for a Wikipedia page before accepting to publish the article [ ]. The WikiGenes project has recognized the importance of authorship [ , ]. Finally, similar to other fields [ , , , ], the presence of a community and the sense of community is a frequently reported facilitator that increases contributions by health care stakeholders. Experts suggest that studying CWAs involves looking at both the technology and its community of users [ , , ]. Thus, understanding the success of a project using a CWA must also include exploring the fundamental elements of communities of practice [ ]. Communities of practice can meet online (ie, virtual community) or face to face. Similar to systematic reviews on communities of practice [ , ], our scoping review identified the presence of a moderator and/or a champion as a key factor for a successful collaborative writing project. Related to the concept of community, the success of a collaborative writing project also includes having a critical mass of participants, shared values, openness, trust, and respect.
We believe that our findings are important for consumers, professionals, researchers, and health care organizations around the world that are already using CWAs and/or planning to use a CWA to improve health care. Although we have found some evidence from experimental studies to support the use of CWAs as a health profession’s educational intervention and a large body of observational evidence supporting the use of CWAs as a knowledge translation intervention, a formal systematic review should be conducted to further synthesize the evidence and conduct a formal risk of bias assessment before making practice recommendations. Furthermore, the implementation of CWAs is fraught with barriers and the potential for adverse effects, requiring primary research to assess their safety.
Unfortunately, the breadth and depth of the literature on the use of CWAs specific to public health is scarce. However, based on some ongoing and promising projects [, , , , , ], it is clear that the uses of CWAs for public health are vast and far-reaching. Although more research is needed within this specific domain, CWAs improve information access, collaboration, and can improve health education—all tenets of public health. Patients and consumers often experience many barriers in the use of CWAs, with information quality being among the most reported. The readability of articles within Wikipedia is a key area that must be addressed, as it will improve health literacy and knowledge translation [ ]. There are also promising projects that may shed light on the effectiveness of involving patients in the development of clinical of guidelines [ ]. Evidence from experimental studies about engaging patients with CWAs is still rare and needs to be replicated in robust prospective trials before making recommendations.
Strengths of This Study
This is the first study that has conducted a scoping review to examine the depth and breadth of evidence about the use of CWAs in health care. We rigorously followed scoping review methodology and conducted a systematic and broad search of CWA use in multiple scientific databases and grey literature sources. A scoping review was the ideal methodology to employ for a number of reasons. First, it is an explorative method used when the relevant literature is considered to be broad and diverse . Moreover, the study of these applications is an emerging field that is being examined with diverse methods [ , , ], with different theoretical frameworks [ ] and in different contexts [ , ]. We used a high-quality collaborative Web-based software to manage our review, to import studies, to extract data and to create reports. Every step of our review has been extensively described. By including knowledge users and policy makers, we have produced a relevant synthesis of the evidence targeting their needs. Based on empirical results, this scoping review has also extended an existing taxonomy of adoption determinants to the study of a social media application. The original taxonomy had been developed using a rigorous mixed-methods systematic review methodology [ ]. Although our new extended taxonomy is very comprehensive, we believe that this level of detail was important to maintain in order to help future researchers explore the impact of these barriers and facilitators. Moreover, we have also created a new taxonomy of effects based on elements from other sociocognitive and organizational frameworks of change. Our use of the Donebadian framework was very useful because of its generalizability and overarching broad scope. Other more specific frameworks (eg, Theoretical Domains Framework) fit well within this overarching framework. Research should validate our two new taxonomies for future development, assessment, and implementation of other social media applications.
Limitations of This Study
Even though we did everything possible to minimize publication bias by systematically and extensively searching for any sources of the grey literature presenting negative results (eg, including a lay media newspaper article ), we believe publication bias is not excluded. For example, we have not found published reports explaining the failed attempts at maintaining Google Knol or Medpedia. Many other CWAs sites have also disappeared over the course of the years without any clear explanations. In 2009, David Rothman had listed 69 medical wikis, many of which are now inactive or simply do not exist anymore [ ]. Such reports describing the reasons for CWA failure would help generate important lessons for the advance of the science of collaborative writing.
Second, our scoping review methodology [, ] did not include formal quality assessment. However, we classified studies based on the strength of their design in order to help us identify areas for primary research and those that produced sufficiently robust evidence for making recommendations.
Third, our scoping review was limited to reviewing CWAs using a definition that excluded related applications like blogs, microblogs, discussion forums, and patient communities (eg, PatientsLikeMe). Even though these social media applications are collaborative as well and share some common features with CWAs, we believe that it is important to study them separately to better understand each application’s impact and interaction with other social media.
Finally, our search strategy is limited to studies published between January 1, 2001, and September 16, 2011, while several more recent studies about CWAs have been published [, , - ].
Unanswered Questions and Future Research
This scoping review has identified a number of research gaps. There is a need to conduct systematic reviews to further synthesize the results of experimental and quasi-experimental studies in the field of health professions education and to further synthesize evidence about implementation strategies addressing the different barriers identified. Given that the majority of the literature presently exists in the form of case reports with self-reported measurements, it is essential that further prospective trials with objective outcomes be conducted. Future trials should identify implementation processes that can be influenced by CWAs and how to measure them (possibly using Web metrics [, , ]) as intermediate outcomes of a complex knowledge translation intervention. In this respect, in addition to other frameworks defining evaluation plans of dynamic collaborative applications [ ], our taxonomies of CWA adoption determinants and effects will help plan such trials. This will help researchers understand the different mechanisms of action at play leading to improved patient-oriented outcomes (quality of life, morbidity, mortality). Although the feasibility of conducting a randomized clinical trial to study the effectiveness of CWAs seems daunting, other complex interventions have been studied using this methodology [ ].
Before conducting such trials, researchers and decision makers must reflect on defining the purpose of using a CWA as a knowledge translation intervention. Researchers must also find ways to adapt CWAs to the particular needs of different stakeholder groups (consumers, professionals, and researchers). Important barriers such as the quality of information contained in different wikis must be better addressed. As previous authors have stated [, ], measuring the quality of user-generated content and its change over time is a challenging task requiring research [ ]. Finding ways of assuring the scientific integrity of evidence within CWAs and recognizing authorship are significant stumbling blocks that need to be addressed for health care [ , , , , , ]. Studying each specific behavior involved in using CWAs (ie, to use, to contribute, to edit, to delete) with the help of theoretical frameworks will also help inform future interventions.
In addition to other technical considerations [, ], future studies should explore the impact of collaborative writing and conversational features on information sharing and investigate what kind of knowledge (explicit vs tacit [ ]) is shared. This could help knowledge users choose an appropriate CWA. As future communication tools, the impact of using different types of media embedded within CWAs (audio and video recordings) should also be explored. Finally, an important consideration to explore in future studies would be to determine the impact of using a closed vs an open CWA on the quality of the information found within the CWA and on the type of barriers experienced by users.
The prevalence of CWA use is high in various fields of health care, and they are used for a variety of purposes. They present many potential positive and negative effects as knowledge translation tools. Although we found some experimental and quasi-experimental evidence in favor of using CWAs as educational and knowledge translation interventions, the vast majority of included studies were observational case reports about CWAs being used by health professionals and patients. More research is needed to determine which stakeholders benefit the most from using CWAs, to address the barriers to their use, to find ways to ensure the quality of their content, to foster contributions, and to make these tools effective knowledge translation tools for different stakeholders. Answers to these questions are needed before clear policy recommendations can be made about the safe use of CWAs in health care.
Funding for this project was provided by a Canadian Institutes for Health Research Knowledge Synthesis Grant (FRN 116632); a Fonds de recherche du Québec—Santé career scientist award (24856); a Fonds de Recherche du Québec—Santé, Establishment of young researchers—Juniors 1 Grant (24856); and a research grant from the Centre de santé et services sociaux Alphonse-Desjardins (CHAU de Lévis). The funders had no role in study design, data collection, and analysis, decision to publish, or preparation of the manuscript.
We gratefully thank the following people for helping us with importing and reviewing the astonishing number of 7461 abstracts: Michèle Dugas, Cynthia Fournier, Mathieu Édmond, Azadeh Bojmehrani, Catherine Nadeau, and Hugo-Pierre Racine. We gratefully thank Elmie Peters and Monique Clar for their advice on search strategies in scientific databases. We thank Jennifer Petrela, Sandra Owens, and Laura Bégin for editing our manuscript. We also want to extend our gratitude to Bertalan Meskó, Dean Giustini, Lisa Kruesi, Lyndal Trevena, Michaël Laurent, Finn Årup Nielsen, Lynn McCleary, Jacob F. de Wolff, Holly Witteman, Robin Hervé, Linda Hawes Clever, and Tunde Varga-Atkins for providing links to articles, book chapters, and grey literature that were essential to the success of this initiative. We would also like to thank the board of directors of HLWIKI and Dean Giustini for allowing us to use their wiki to crowdsource references. We must also thank Peter Murray (IMIA) for giving us insight into what CWAs we should include in our scoping review. We are also very grateful for the help Ewa Dobrogowska offered in translating an article she wrote in Polish. Finally, we must thank our families for having supported us during the long hours conducting this review.
Conflicts of Interest
One of the authors (GE) is also editor of the Journal of Medical Internet Research (JMIR). Because of his involvement in the conduct of this research and writing of this paper, assessment and peer review have been carried out entirely by an associate editor (Potts), who was not made aware of the fact that GE was a coauthor. GE has not been involved in any editorial decisions related to this paper.
Multimedia Appendix 1
Characteristics of included studies.PDF File (Adobe PDF File), 262KB
Multimedia Appendix 2
Patterns of use of collaborative writing applications.PDF File (Adobe PDF File), 124KB
Multimedia Appendix 3
Quality of information in collaborative writing projects.PDF File (Adobe PDF File), 119KB
Multimedia Appendix 4
Characteristics and results of experimental studies.PDF File (Adobe PDF File), 66KB
- Straus SE, Tetroe J, Graham ID. In: Straus SE, Tetroe J, Graham I, editors. Knowledge Translation in Health Care: Moving from Evidence to Practice. Hoboken, NJ: Wiley-Blackwell; 2009.
- Eysenbach G. Medicine 2.0: social networking, collaboration, participation, apomediation, and openness. J Med Internet Res 2008;10(3):e22 [FREE Full text] [CrossRef] [Medline]
- The Change Foundation Health Strategy Innovation Cell. Using Social Media to Improve Healthcare Quality: A Guide to Current Practice and Future Promise. In: Part 1, Introduction and Key Issues in the Current Landscape. Toronto, Ontario, Canada: The Change Foundation; 2011.
- Heilman JM, Kemmann E, Bonert M, Chatterjee A, Ragar B, Beards GM, et al. Wikipedia: a key tool for global public health promotion. J Med Internet Res 2011;13(1):e14 [FREE Full text] [CrossRef] [Medline]
- Giustini D. How Web 2.0 is changing medicine. BMJ 2006 Dec 23;333(7582):1283-1284 [FREE Full text] [CrossRef] [Medline]
- Mandl KD, Kohane IS. Tectonic shifts in the health information economy. N Engl J Med 2008 Apr 17;358(16):1732-1737. [CrossRef] [Medline]
- Murray S, Choi S, Hoey J, Kendall C, Maskalyk J, Palepu A. Open science, open access and open source software at Open Medicine. Open Medicine 2008;2(1):e1.
- Giustini D. Web 3.0 and medicine. BMJ 2007 Dec 22;335(7633):1273-1274 [FREE Full text] [CrossRef] [Medline]
- Huss JW, Orozco C, Goodale J, Wu C, Batalov S, Vickers TJ, et al. A gene wiki for community annotation of gene function. PLoS Biol 2008 Jul 8;6(7):e175 [FREE Full text] [CrossRef] [Medline]
- Waldrop M. Big data: Wikiomics. Nature 2008 Sep 4;455(7209):22-25. [CrossRef] [Medline]
- Pico AR, Kelder T, van Iersel MP, Hanspers K, Conklin BR, Evelo C. WikiPathways: pathway editing for the people. PLoS Biol 2008 Jul 22;6(7):e184 [FREE Full text] [CrossRef] [Medline]
- de Silva V, Hanwella R. Why are we copyrighting science? BMJ 2010;341:c4738. [Medline]
- Godlee F, Pakenham-Walsh N, Ncayiyana D, Cohen B, Packer A. Can we achieve health information for all by 2015? Lancet 2004;364(9430):295-300. [CrossRef] [Medline]
- Trevena L. WikiProject medicine. BMJ 2011;342:d3387. [Medline]
- Chan L, Kirsop B, Arunachalam S. Towards open and equitable access to research and knowledge for development. PLoS Med 2011 Mar;8(3):e1001016 [FREE Full text] [CrossRef] [Medline]
- Chan L, Arunachalam S, Kirsop B. The chain of communication in health science: from researcher to health worker through open access. Open Med 2009;3(3):e111-e119 [FREE Full text] [Medline]
- Bates DW, Wright A. Evaluating eHealth: undertaking robust international cross-cultural eHealth research. PLoS Med 2009 Sep;6(9):e1000105 [FREE Full text] [CrossRef] [Medline]
- Chu LF, Young C, Zamora A, Kurup V, Macario A. Anesthesia 2.0: internet-based information resources and Web 2.0 applications in anesthesia education. Curr Opin Anaesthesiol 2010 Apr;23(2):218-227. [CrossRef] [Medline]
- Eapen BR. Collaborative writing: Tools and tips. Indian J Dermatol Venereol Leprol 2007;73(6):439-441 [FREE Full text] [Medline]
- McLean R, Richards BH, Wardman JI. The effect of Web 2.0 on the future of medical practice and education: Darwikinian evolution or folksonomic revolution? Med J Aust 2007 Aug 6;187(3):174-177. [Medline]
- Kaplan AM, Haenlein M. Users of the world, unite! The challenges and opportunities of Social Media. Business Horizons 2010 Jan;53(1):59-68. [CrossRef]
- Boulos MN, Maramba I, Wheeler S. Wikis, blogs and podcasts: a new generation of Web-based tools for virtual collaborative clinical practice and education. BMC Med Educ 2006;6:41 [FREE Full text] [CrossRef] [Medline]
- Leuf B, Cunningham W. The Wiki way: quick collaboration on the Web. Boston, Mass: Addison-Wesley; 2001.
- Levy S. Wired News. 2008. Google Throws Open Rival for Wikipedia-Anon Authors Discouraged URL: http://www.wired.com/software/coolapps/news/2008/07/google_knol?currentPage=all [WebCite Cache]
- Manber U. Google. 2007. Encouraging people to contribute URL: http://googleblog.blogspot.ca/2007/12/encouraging-people-to-contribute.html [WebCite Cache]
- Google Knol. Public Library of Science (PLoS) PLoS Currents: Influenza - a Collection by PLoS. 2011. URL: http://knol.google.com/k/plos/aims-and-scope/28qm4w0q65e4w/65 [accessed 2011-10-02] [WebCite Cache]
- Phadtare A, Bahmani A, Shah A, Pietrobon R. Scientific writing: a randomized controlled trial comparing standard and on-line instruction. BMC Med Educ 2009;9:27 [FREE Full text] [CrossRef] [Medline]
- Archambault PM, Légaré F, Lavoie A, Gagnon MP, Lapointe J, St-Jacques S, et al. Healthcare professionals' intentions to use wiki-based reminders to promote best practices in trauma care: a survey protocol. Implement Sci 2010;5:45 [FREE Full text] [CrossRef] [Medline]
- Archambault P, Blouin D, Poitras J, Couture M, Légaré F. Resident participation in an internet-based collaborative teaching tool (Google Docs). Open Medicine 2010;4(3):-.
- Ganfyd contributors. The Free Medical Knowledge Base. URL: http://www.ganfyd.org [WebCite Cache]
- U.S. Government. Intelink Driven by Mission, Enabled by Innovation. URL: http://www.intelink.gov [WebCite Cache]
- Varga-Atkins T, Dangerfield P, Brigden D. Developing professionalism through the use of wikis: A study with first-year undergraduate medical students. Med Teach 2010;32(10):824-829. [CrossRef] [Medline]
- Wikiproject Medicine contributors. Wikipedia: The Free Encyclopedia. Wikipedia:WikiProject Medicine/Popular pages URL: http://en.wikipedia.org/wiki/Wikipedia:WikiProject_Medicine/Popular_pages [accessed 2013-07-16] [WebCite Cache]
- Croteau S. Informatisation de l'urgence; AMUQ. 2011. URL: http://www.amuq.qc.ca/amuq/informatisation/ [WebCite Cache]
- de Carvalho EC, Batilana AP, Simkins J, Martins H, Shah J, Rajgor D, et al. Application description and policy model in collaborative environment for sharing of information on epidemiological and clinical research data sets. PLoS One 2010;5(2):e9314 [FREE Full text] [CrossRef] [Medline]
- Hoffmann R. A wiki for the life sciences where authorship matters. Nat Genet 2008 Sep;40(9):1047-1051. [CrossRef] [Medline]
- Martin JB, Hawes Clever L, Omenn GS, Kapor M. Medpedia: An open platform connecting people and information to advance medicine. 2007. URL: http://web.archive.org/web/20130115090302/http://www.medpedia.com/about [accessed 2013-05-05] [WebCite Cache]
- OpenWetWare Wiki contributors. OpenWetWare: Share your science. 2009. URL: http://openwetware.org/index.php?title=Main_Page&oldid=290994 [WebCite Cache]
- Rothman D. List of Medical Wikis. 2006. URL: http://davidrothman.net/list-of-medical-wikis/ [WebCite Cache]
- Waldrop MM. Science 2.0. Sci Am 2008 May;298(5):68-73. [Medline]
- Wikigenes contributors. Wikigenes. Collaborative publishing URL: http://www.wikigenes.org/ [accessed 2012-03-25] [WebCite Cache]
- Hughes B, Joshi I, Lemonde H, Wareham J. Junior physician's use of Web 2.0 for information seeking and medical education: a qualitative study. Int J Med Inform 2009 Oct;78(10):645-655. [CrossRef] [Medline]
- Wikia contributors. Wikia. Diabetes Wiki URL: http://diabetes.wikia.com/wiki/Diabetes_Wiki [accessed 2013-05-07] [WebCite Cache]
- Deshpande A, Khoja S, Lorca J, McKibbon A, Rizos C, Jadad A. Open Medicine. Asynchronous telehealth: a scoping review of analytic studies URL: http://wikisr.openmedicine.ca/index.php/Main_Page [accessed 2013-05-06] [WebCite Cache]
- Murray S, Giustini D, Loubani T, Choi S, Palepu A. Medical research and social media: Can wikis be used as a publishing platform in medicine? Open Med 2009;3(3):e121-e122 [FREE Full text] [Medline]
- McIntosh B, Cameron C, Singh S, Yu C, Ahuja T, Welton N, et al. Second-line therapy in patients with type 2 diabetes inadequately controlled with metformin monotherapy: A systematic review and mixed treatment comparisons meta-analysis. 2011. URL: http://livewiki.openmedicine.ca/Second-line_therapy_in_patients_with_type_2_diabetes_inadequately_controlled_with_metformin_monotherapy:_A_systematic_review_and_mixed_treatment_comparisons_meta-analysis [WebCite Cache]
- Caputo I. NIH staffers get into the wiki world: scientists learn online etiquette. 2009. URL: http://www.washingtonpost.com/wp-dyn/content/article/2009/07/27/AR2009072701912.html [WebCite Cache]
- National Institute of Health. Guidelines for Participating in Wikipedia from NIH 2011 URL: http://www.nih.gov/icd/od/ocpl/resources/wikipedia/ [WebCite Cache]
- World Health Organization. ICD11 Beta Draft URL: http://apps.who.int/classifications/icd11/browse/f/en.(Archived [accessed 2013-05-02] [WebCite Cache]
- McGee JB, Begg M. What medical educators need to know about "Web 2.0". Med Teach 2008;30(2):164-169. [CrossRef] [Medline]
- Sandars J, Haythornthwaite C. New horizons for e-learning in medical education: ecological and Web 2.0 perspectives. Med Teach 2007 May;29(4):307-310. [CrossRef] [Medline]
- Sandars J, Homer M, Pell G, Crocker T. Web 2.0 and social software: the medical student way of e-learning. Med Teach 2010 Jun 18:-. [CrossRef] [Medline]
- Kohli MD, Bradshaw JK. What is a wiki, and how can it be used in resident education? J Digit Imaging 2011 Feb;24(1):170-175 [FREE Full text] [CrossRef] [Medline]
- Kim JY, Gudewicz TM, Dighe AS, Gilbertson JR. The pathology informatics curriculum wiki: Harnessing the power of user-generated content. J Pathol Inform 2010;1:- [FREE Full text] [CrossRef] [Medline]
- Schreiber WE, Giustini DM. Pathology in the era of Web 2.0. Am J Clin Pathol 2009 Dec;132(6):824-828 [FREE Full text] [CrossRef] [Medline]
- Barsky E, Giustini D. Web 2.0 in physical therapy: a practical overview. Physiother Can 2008;60(3):207-214 [FREE Full text] [CrossRef] [Medline]
- Goodman MJ. Readers' and author's responses to "are traditional peer-reviewed medical articles obsolete?". MedGenMed 2006;8(1):70 [FREE Full text] [Medline]
- Devgan L, Powe N, Blakey B, Makary M. Wiki-Surgery? Internal validity of Wikipedia as a medical and surgical reference. Journal of the American College of Surgeons 2007 Sep;205(3):S76-S77. [CrossRef]
- Mason F. Medi-wiki worries? Open Med 2009;3(3):e122a [FREE Full text] [Medline]
- Rosenzweig R. Can History Be Open Source? Wikipedia and the Future of the Past. Journal of American History 2006 Jun 01;93(1):117-146. [CrossRef]
- Clauson KA, Polen HH, Boulos MN, Dzenowagis JH. Scope, completeness, and accuracy of drug information in Wikipedia. Ann Pharmacother 2008 Dec;42(12):1814-1821. [CrossRef] [Medline]
- Callis KL, Christ LR, Resasco J, Armitage DW, Ash JD, Caughlin TT, et al. Improving Wikipedia: educational opportunity and professional responsibility. Trends Ecol Evol 2009 Apr;24(4):177-179. [CrossRef] [Medline]
- Pender MP, Lasserre KE, Del Mar C, Kruesi L, Anuradha S. Is Wikipedia unsuitable as a clinical information resource for medical students? Med Teach 2009 Dec;31(12):1095-1096. [Medline]
- Arita M. A pitfall of wiki solution for biological databases. Brief Bioinform 2009 May;10(3):295-296 [FREE Full text] [CrossRef] [Medline]
- Giles J. Wikipedia rival calls in the experts. Nature 2006 Oct 5;443(7111):493. [CrossRef] [Medline]
- Kittur A, Suh B, Pendleton BA, Chi EH. He says, she says: conflict and coordination in Wikipedia. : ACM; 2007 Presented at: SIGCHI conference on Human factors in computing systems; 2007; San Jose, California, USA p. 453-462.
- Jain SH. Practicing medicine in the age of Facebook. N Engl J Med 2009 Aug 13;361(7):649-651. [CrossRef] [Medline]
- Cohen N. Complaint over doctor who posted inkblot test. 2009. URL: http://www.nytimes.com/2009/08/24/business/24inkblot.html [WebCite Cache]
- Logan DW, Sandal M, Gardner PP, Manske M, Bateman A. Ten simple rules for editing Wikipedia. PLoS Comput Biol 2010;6(9):- [FREE Full text] [CrossRef] [Medline]
- Adams SA. Revisiting the online health information reliability debate in the wake of "web 2.0": an inter-disciplinary literature and website review. Int J Med Inform 2010 Jun;79(6):391-400. [CrossRef] [Medline]
- Vogel L. Dr. YouTube will see you now. CMAJ 2011 Apr 5;183(6):647-648 [FREE Full text] [CrossRef] [Medline]
- Collier J. Wiki technology in the classroom: building collaboration skills. J Nurs Educ 2010 Dec;49(12):718. [CrossRef] [Medline]
- Naik AD, Singh H. Electronic health records to coordinate decision making for complex patients: what can we learn from wiki? Med Decis Making 2010 Dec;30(6):722-731. [CrossRef] [Medline]
- Wu L, Russel C, Patterson R. Infusing Information Literacy Skills by Researching “Never Events”. 2009 May Presented at: Conference of the Medical Library Association; 2009; Honolulu, Hawaii p. 15-20.
- Pathology Informatics Curriculum Wiki contributors. Pathology Informatics Curriculum Wiki. URL: http://pathinformatics.wikispaces.com/ [accessed 2013-05-06] [WebCite Cache]
- Seebregts CJ, Mamlin BW, Biondich PG, Fraser HS, Wolfe BA, Jazayeri D, OpenMRS Implementers Network. The OpenMRS Implementers Network. Int J Med Inform 2009 Nov;78(11):711-720. [CrossRef] [Medline]
- Black AD, Car J, Pagliari C, Anandan C, Cresswell K, Bokun T, et al. The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med 2011;8(1):e1000387 [FREE Full text] [CrossRef] [Medline]
- Gagnon MP, Desmartis M, Labrecque M, Car J, Pagliari C, Pluye P, et al. Systematic review of factors influencing the adoption of information and communication technologies by healthcare professionals. J Med Syst 2012 Feb;36(1):241-277. [CrossRef] [Medline]
- von Muhlen M, Ohno-Machado L. Reviewing social media use by clinicians. J Am Med Inform Assoc 2012 Jul;19(5):777-781 [FREE Full text] [CrossRef] [Medline]
- Chou WY, Prestin A, Lyons C, Wen KY. Web 2.0 for health promotion: reviewing the current evidence. Am J Public Health 2013 Jan;103(1):e9-18. [CrossRef] [Medline]
- Moorhead SA, Hazlett DE, Harrison L, Carroll JK, Irwin A, Hoving C. A new dimension of health care: systematic review of the uses, benefits, and limitations of social media for health communication. J Med Internet Res 2013;15(4):e85 [FREE Full text] [CrossRef] [Medline]
- Hollinderbäumer A, Hartz T, Uckert F. Education 2.0 -- how has social media and Web 2.0 been integrated into medical education? A systematical literature review. GMS Z Med Ausbild 2013;30(1):Doc14 [FREE Full text] [CrossRef] [Medline]
- Cheston CC, Flickinger TE, Chisolm MS. Social media use in medical education: a systematic review. Acad Med 2013 Jun;88(6):893-901. [CrossRef] [Medline]
- Eysenbach G, Powell J, Englesakis M, Rizo C, Stern A. Health related virtual communities and electronic support groups: systematic review of the effects of online peer to peer interactions. BMJ 2004 May 15;328(7449):1166 [FREE Full text] [CrossRef] [Medline]
- Okoli C, Mehdi M, Mesgari M, Nielsen F, Lanamäki A. The People’s Encyclopedia Under the Gaze of the Sages: A Systematic Review of Scholarly Research on Wikipedia. SSRN Journal 2012:-. [CrossRef]
- Archambault PM, van de Belt TH, Grajales Ill FJ, Eysenbach G, Aubin K, Gold I, et al. Wikis and collaborative writing applications in health care: a scoping review protocol. JMIR Res Protoc 2012;1(1):e1. [CrossRef] [Medline]
- Arksey H, O'Malley L. Scoping studies: towards a methodological framework. International Journal of Social Research Methodology 2005 Feb;8(1):19-32. [CrossRef]
- Levac D, Colquhoun H, O'Brien KK. Scoping studies: advancing the methodology. Implement Sci 2010;5:69 [FREE Full text] [CrossRef] [Medline]
- Sampson M, McGowan J, Lefebvre C, Moher D, Grimshaw J. PRESS: Peer Review of Electronic Search Strategies. Ottawa, Ontario, Canada: Canadian Agency for Drugs and Technologies in Health; 2008.
- Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005 Nov;15(9):1277-1288. [CrossRef] [Medline]
- Tesch R. Qualitative Research; Analysis Types and Software Tools. New York: Falmer Press; 1990.
- Morse JM. Qualitative research methods for health professionals. Thousand Oaks: Sage Publications; 1995.
- Donabedian A. Evaluating the quality of medical care. 1966. Milbank Q 2005;83(4):691-729 [FREE Full text] [CrossRef] [Medline]
- Michie S, Johnston M, Abraham C, Lawton R, Parker D, Walker A. Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Health Care 2005 Feb;14(1):26-33 [FREE Full text] [CrossRef] [Medline]
- IU Radiology Wiki contributors. Indiana University. 2013. IU Radiology Wiki URL: http://www.indyradres.org/ [WebCite Cache]
- Wu HY, Chen KH. A quantitative comparison on Online Encyclopedias - A case study of Wikipedia and Knol. 2010. URL: http://www.lis.ntu.edu.tw/~khchen/writtings/pdf/20101116NTNU02.pdf [WebCite Cache]
- Sulfi S, Voigt JU. Wiki Echo. 2012. URL: http://www.wikiecho.org [WebCite Cache]
- Gibson M. WikiDoc: The Living Textbook of Medicine. 2013. URL: http://www.wikidoc.org [WebCite Cache]
- Dobrogowska-Schlebusch E. Evaluation of the quality of 52 health-related websites, created with wiki technology. Zeszyty Naukowe Ochrony Zdrowia, Zdrowie Publiczne i Zarzadzanie 2009;7(1):102-109.
- Gupta S, Chignell M, Hall S, Straus SE. Online Collaboration Tool for Asthma Action Plan With Usability (OCTAPUS). Chest 2010 Oct 01;138(4 MeetingAbstracts):172A-172A. [CrossRef]
- Wan F. Reverse engineering of content as a task for finding usability problems: An evaluative case study using the Wikibreathe tool for online creation of asthma action plans. Canada: University of Toronto (Canada); 2009.
- Ma ZS, Zhang HJ, Yu T, Ren G, Du GS, Wang YH. Orthochina.org: case-based orthopaedic Wiki project in China. Clin Orthop Relat Res 2008 Oct;466(10):2428-2437 [FREE Full text] [CrossRef] [Medline]
- Van Der Schoor-Knijnenburg J, Den Breejen E, Nelen W, Hermens R, Kremer J. Broad collaboration for a new subfertility guideline in the Netherlands: The role of the patient. 2009 Jun 30 Presented at: 25th Annual Meeting of the European Society of Human Reproduction and Embryology; 2009; Amsterdam, Netherlands p. i58.
- Hanson AH, Krause LK, Simmons RN, Ellis JI, Gamble RG, Jensen JD, et al. Dermatology education and the Internet: traditional and cutting-edge resources. J Am Acad Dermatol 2011 Oct;65(4):836-842. [CrossRef] [Medline]
- Belt T, Knijnenburg J, Nelen W, Kremer JA. Wikis as an Opportunity to Improve Patient Participation in Developing Information Leaflets: A demonstration project in infertility patients. : Social Media, Mobile Apps,Internet/Web 20 in Health, MedicineBiomedical Research Conference; 2011 Presented at: Medicine 2.0: Social Media, Mobile Apps, and Internet/Web 2.0 in Health, Medicine and Biomedical Research Conference; 2011; Stanford, CA.
- Moen A, Smørdal O, Sem I. Web-based resources for peer support - opportunities and challenges. Stud Health Technol Inform 2009;150:302-306. [Medline]
- Ioannis Chiotelis I, Giannakopoulos A, Kalafati M, Koutsouradi M, Kallistratos M, Manolis AJ. Secondary prevention with internet support after an acute coronary syndrome in greek patients. European Journal of Cardiovascular Prevention and Rehabilitation 2011;18(1):S11.
- Moeller S, Spitzer K, Spreckelsen C. How to configure blended problem based learning-results of a randomized trial. Med Teach 2010;32(8):e328-e346. [CrossRef] [Medline]
- Stutsky BJ. Empowerment and leadership development in an online story-based learning community. Florida, United States: Nova Southeastern University; 2009.
- Williams B, Bearman M. Can wikis be used to support case-based learning in paramedic education? Journal of Paramedic Practice 2011;3(7):388-392.
- Dodson S, Gleason AW. Web 2.0 support for residents' and fellows' patient care and educational needs. Med Ref Serv Q 2011;30(2):95-101. [CrossRef] [Medline]
- Harris CM, Cameron SL. Displacing Wikipedia: Information literacy for first-year students. In: Dunn DS, Beins BC, McCarthy MA, editors. Best practices for teaching beginnings and endings in the psychology major: Research, cases, and recommendations. New York: Oxford University Press; 2010:125-136.
- Lemley T, Burnham JF. Web 2.0 tools in medical and nursing school curricula. J Med Libr Assoc 2009 Jan;97(1):50-52 [FREE Full text] [CrossRef] [Medline]
- Sandars J, Morrison C. What is the Net Generation? The challenge for future medical education. Med Teach 2007 Mar;29(2-3):85-88. [CrossRef] [Medline]
- Sandars J, Homer M, Pell G, Croker T. Web 2.0 and social software: the medical student way of e-learning. Med Teach 2008;30(3):308-312. [CrossRef] [Medline]
- Brokowski L, Sheehan AH. Evaluation of pharmacist use and perception of Wikipedia as a drug information resource. Ann Pharmacother 2009 Nov;43(11):1912-1913. [CrossRef] [Medline]
- Iyer AK. Drug information-seeking behavior among healthcare professionals within the University of Utah Community Clinics. Salt Lake City, Utah: The University of Utah; 2011.
- Usher W. Types of social media (Web 2.0) used by Australian allied health professionals to deliver early twenty-first-century practice promotion and health care. Soc Work Health Care 2011;50(4):305-329. [CrossRef] [Medline]
- Alkhateeb FM, Clauson KA, Latif DA. Pharmacist use of social media. Int J Pharm Pract 2011 Apr;19(2):140-142. [CrossRef] [Medline]
- González de Dios J, Camino-León R, Ramos-Lizana J. [The use of bibliographic information resources and Web 2.0 by neuropaediatricians]. Rev Neurol 2011 Jun 16;52(12):713-719 [FREE Full text] [Medline]
- Schweitzer NJ. Wikipedia and Psychology: Coverage of Concepts and Its Use by Undergraduate Students. Teaching of Psychology 2008 Apr 15;35(2):81-85. [CrossRef]
- Hickerson CA, Thompson SR. Dialogue through wikis: a pilot exploration of dialogic public relations and wiki websites. PRism Online PR Journal 2009;6(1):1-11.
- Judd T, Kennedy G. A five-year study of on-campus Internet use by undergraduate biomedical students. Computers & Education 2010 Dec;55(4):1564-1571. [CrossRef]
- Judd T, Kennedy G. Expediency-Based Practice? Medical Students' Reliance on Google and Wikipedia for Biomedical Inquiries. British Journal of Educational Technology 2011;42(2):351-360. [CrossRef]
- Laurent MR, Vickers TJ. Seeking health information online: does Wikipedia matter? J Am Med Inform Assoc 2009 Aug;16(4):471-479 [FREE Full text] [CrossRef] [Medline]
- Law MR, Mintzes B, Morgan SG. The sources and popularity of online drug information: an analysis of top search engine results and web page views. Ann Pharmacother 2011 Mar;45(3):350-356. [CrossRef] [Medline]
- Martin JR, Kramer S, Slack M. Information literacy skills of first year pharmacy students: Focus group results. 2011 Presented at: 112th Annual Meeting of the American Association of Colleges of Pharmacy; July; 2011; San Antonio, Texas p. 9-13.
- Limdi JK, Butcher RO. Information resources and inflammatory bowel disease. Inflamm Bowel Dis 2011 Aug;17(8):E89-E90. [CrossRef] [Medline]
- Santos Arrontes D, García González JI, Martín Muñoz MP, Jiménez Jiménez JI, Paniagua Andrés P. [Internet use in patients attending a hospital urology clinic]. Actas Urol Esp 2007 Dec;31(10):1161-1165. [Medline]
- Bender JL, O'Grady LA, Deshpande A, Cortinois AA, Saffie L, Husereau D, et al. Collaborative authoring: a case study of the use of a wiki as a tool to keep systematic reviews up to date. Open Med 2011;5(4):e201-e208 [FREE Full text] [Medline]
- Johnson PT, Chen JK, Eng J, Makary MA, Fishman EK. A comparison of world wide web resources for identifying medical information. Acad Radiol 2008 Sep;15(9):1165-1172. [CrossRef] [Medline]
- Friedlin J, McDonald CJ. An evaluation of medical knowledge contained in Wikipedia and its use in the LOINC database. J Am Med Inform Assoc 2010 Jun;17(3):283-287 [FREE Full text] [CrossRef] [Medline]
- Aldairy T, Laverick S, McIntyre GT. Orthognathic surgery: is patient information on the Internet valid? Eur J Orthod 2012 Aug;34(4):466-469 [FREE Full text] [CrossRef] [Medline]
- Czarnecka-Kujawa K, Abdalian R, Grover SC. The Quality of Open Access and Open Source Internet Material in Gastroenterology: Is Wikipedia Appropriate for Knowledge Transfer to Patients? Gastroenterology 2008 Apr;134(4):A-325-A-326. [CrossRef]
- Lavsa SM, Corman SL, Culley CM, Pummer TL. Reliability of Wikipedia as a medication information source for pharmacy students. Currents in Pharmacy Teaching and Learning 2011 Apr;3(2):154-158. [CrossRef]
- Haigh CA. Wikipedia as an evidence source for nursing and healthcare students. Nurse Educ Today 2011 Feb;31(2):135-139. [CrossRef] [Medline]
- Wood A, Struthers K. Pathology education, Wikipedia and the Net generation. Med Teach 2010;32(7):618. [CrossRef] [Medline]
- Bookstaver PB, Rudisill CN, Bickley AR, McAbee C, Miller AD, Piro CC, et al. An evidence-based medicine elective course to improve student performance in advanced pharmacy practice experiences. Am J Pharm Educ 2011 Feb 10;75(1):9 [FREE Full text] [Medline]
- Cobus L. Using blogs and wikis in a graduate public health course. Med Ref Serv Q 2009;28(1):22-32. [CrossRef] [Medline]
- Hamilton A, Edney P, Armijo-Olivo S. Mapping our way to the Future of Knowledge Transfer - Development of a Wiki in an Evidence-Based Practice Physical Therapy course. 2008 Presented at: Health Research Transfer Network of Alberta conference; September 28-30, 2008; Banff, Canada.
- Hulbert-Williams NJ. Facilitating Collaborative Learning Using Online Wikis: evaluation of their application within postgraduate psychology teaching. plat 2010;9(1):45. [CrossRef]
- Llambí L, Esteves E, Martinez E, Forster T, García S, Miranda N, et al. Teaching tobacco cessation skills to Uruguayan physicians using information and communication technologies. J Contin Educ Health Prof 2011;31(1):43-48. [CrossRef] [Medline]
- Philip CT, Unruh KP, Lachman N, Pawlina W. An explorative learning approach to teaching clinical anatomy using student generated content. Anat Sci Educ 2008 May;1(3):106-110. [CrossRef] [Medline]
- Shaw AC, van Balkom ID, Bauer M, Cole TR, Delrue MA, Van Haeringen A, et al. Phenotype and natural history in Marshall-Smith syndrome. Am J Med Genet A 2010 Nov;152A(11):2714-2726. [CrossRef] [Medline]
- Ciesielka D. Using a wiki to meet graduate nursing education competencies in collaboration and community health. J Nurs Educ 2008 Oct;47(10):473-476. [Medline]
- Cinnamon J, Schuurman N. Injury surveillance in low-resource settings using Geospatial and Social Web technologies. Int J Health Geogr 2010;9:25 [FREE Full text] [CrossRef] [Medline]
- Hamm KM, Simeonov IM, Heard SE. Using technology to harness and organize expertise in the development of health education materials: How a wiki can help you collaborate. 2009 Presented at: North American Congress of Clinical Toxicology Annual Meeting; Sept. 21-26, 2009; San Antonio, TX, United States p. 09-21.
- Kardong-Edgren SE, Oermann MH, Ha Y, Tennant MN, Snelson C, Hallmark E, et al. Using a wiki in nursing education and research. Int J Nurs Educ Scholarsh 2009;6:Article6. [CrossRef] [Medline]
- Kitson-Reynolds E. Energizing enquiry based learning through technology advances. British Journal of Midwifery 2009;17(2):118-122.
- Musil E, Hordesky S. A Technologically Enhanced (Wiki) Activity Series to Integrate Courses Across Curricular Departments. In: The American Journal of Pharmaceutical Education. 2011 Presented at: 112th Annual Meeting of the American Association of Colleges of Pharmacy; July 9-13, 2011; San Antonio, Texas p. 116-117.
- Andrus LC. Demonstration of interactive wiki website for clinical nursing student documentation. Communicating Nursing Research 2010;43:359.
- Koerner P, Elliot J, Heasley J. Utilization of a WIKI to Enhance Student Learning within an Elective Pediatric Course. In: The American Journal of Pharmaceutical Education. 2011 Presented at: 112th Annual Meeting of the American Association of Colleges of Pharmacy; July 9-13, 2011; San Antonio, Texas p. 66.
- Morley DA. Enhancing networking and proactive learning skills in the first year university experience through the use of wikis. Nurse Educ Today 2012 Apr;32(3):261-266. [CrossRef] [Medline]
- Jones P. Collaboration at a Distance: Using a Wiki to Create a Collaborative Learning Environment for Distance Education and On-Campus Students in a Social Work Course. Journal of Teaching in Social Work 2010 May 18;30(2):225-236. [CrossRef]
- Archambault P, Légaré F, Gagnon MP, Bilodeau A, Lavoie A, Lapointe J, et al. Emergency Physicians' Beliefs About Their Intention to Use Wiki-based Reminders to Promote Evidence-based Trauma Care. 2011 Presented at: Medicine 2.0: Social Media, Mobile Apps, and Internet/Web 2.0 in Health, Medicine and Biomedical Research Conference; 2011; Stanford, CA.
- Culley JM, Polyakova-Norwood V. Synchronous online role play for enhancing community, collaboration, and oral presentation proficiency. Nurs Educ Perspect 2012;33(1):51-54. [Medline]
- Umland E, Klootwyk J, Batool A, Halas C. Wiki Use to Compliment and Add Value to Learning in a Women's Health Elective Course. In: The American Journal of Pharmaceutical Education. 2011 Presented at: 112th Annual Meeting of the American Association of Colleges of Pharmacy; July 9-13, 2011; San Antonio, Texas p. 107-108.
- Lanning LC, Dadig BA. A strategy for incorporating palliative care and end-of-life instruction into physician assistant education. J Physician Assist Educ 2010;21(4):41-46. [Medline]
- Miller AD, Bookstaver PB, Norris LB. Use of Wikis in advanced pharmacy practice experiences. Am J Pharm Educ 2009 Dec 17;73(8):139 [FREE Full text] [Medline]
- Hawkins J, Campbell A. Wiki travels: using technology to teach global health concepts. Reflections on Nursing Leadership 2010;36(3):1.
- Dhillon S, Erichsen S, Crowther S, Pianta MJ, Lambert RG. Development of an online teaching resource based on the society of skeletal radiology's musculoskeletal radiology curriculum utilizing open access web material. Skeletal Radiology 2011;40(4):506-507.
- Mirk SM, Burkiewicz JS, Komperda KE. Student perception of a wiki in a pharmacy elective course. Currents in Pharmacy Teaching and Learning 2010 Mar;2(2):72-78. [CrossRef]
- Welsh A. Internal Wikis for procedures and training: from tacit knowledge to self-guided learning. Online 2007;31(6):26-29.
- Yates D, Paquette S. Emergency knowledge management and social media technologies: A case study of the 2010 Haitian earthquake. International Journal of Information Management 2011 Feb;31(1):6-13. [CrossRef]
- Moser R, Glasgow R, Hesse B. Wiki Approaches to Enhance Reach and Breadth of Stakeholder Involvement in Identification of Practical Patient-Reported Measures for Primary Care. 2011 Presented at: Medicine 2.0: Social Media, Mobile Apps, and Internet/Web 2.0 in Health, Medicine and Biomedical Research Conference; 2011; Stanford, CA.
- Meenan C, King A, Toland C, Daly M, Nagy P. Use of a wiki as a radiology departmental knowledge management system. J Digit Imaging 2010 Apr;23(2):142-151 [FREE Full text] [CrossRef] [Medline]
- Morose T. Using an interactive website to disseminate participatory ergonomics research findings: An exploratory study. Waterloo, Ontario: University of Waterloo; 2007.
- Muir S, Muir B, Ghahremani S, Hall T, Isidro C, Boechat I. Utilizing a wikispace, dedicated itunes/youtube channels, podcasts and twitter to advance radiology resident education. Pediatric Radiology 2010;40(4):605.
- Streeter JL, Lu MT, Rybicki FJ. Informatics in radiology: RadiologyWiki.org: the free radiology resource that anyone can edit. Radiographics 2007;27(4):1193-1200 [FREE Full text] [CrossRef] [Medline]
- Montano BS, Garcia Carretero R, Varela Entrecanales M, Pozuelo PM. Integrating the hospital library with patient care, teaching and research: model and Web 2.0 tools to create a social and collaborative community of clinical research in a hospital setting. Health Info Libr J 2010 Sep;27(3):217-226. [CrossRef] [Medline]
- Chiarella D, Hasman L, Chiarella DT. Health literacy: using Web 2.0 to create an autism resource. Journal of Consumer Health on the Internet 2009;13(3):281-286.
- Wright A, Bates DW, Middleton B, Hongsermeier T, Kashyap V, Thomas SM, et al. Creating and sharing clinical decision support content with Web 2.0: Issues and examples. J Biomed Inform 2009 Apr;42(2):334-346. [CrossRef] [Medline]
- Yu R, Crotty B. Wikis to better manage shared information in a hospitalist group. In: Journal of Hospital Medicine. 2011 Presented at: Society of Hospital Medicine. Research, Innovations, Clinical Vignettes Competition; May 10-13, 2011; Gaylord Texan Resort and Convention Center, Grapevine, TX p. 140-141.
- Steininger K, Ruckel D, Dannerer E, Roithmayr F. Healthcare knowledge transfer through a web 2.0 portal: an Austrian approach. IJHTM 2010;11(1/2):13. [CrossRef]
- Felsen U, Kunins H, Jeffers A, Stark R. Implementation of a wiki-based education and resource tool in a primary care residency program. Journal of General Internal Medicine 2010;25:S455-S4S6. [CrossRef]
- Gerber D, Eberle B, Trachsel S. A web-based knowledge database (Wiki platform) for Standard Operational Procedures (SOPS) in cardiac anesthesia. Journal of Clinical Monitoring and Computing 2010;24(1):12-13. [CrossRef]
- Blakely R. The Health Care Blog of the Times Newspaper. 2007. Beyond Wikipedia URL: http://thehealthcareblog.com/blog/2009/05/23/beyond-wikipedia/ [accessed 2012-06-04] [WebCite Cache]
- Jalali A, Mioduszewski M, Gauthier M, Varpio L. Wiki use and challenges in undergraduate medical education. Med Educ 2009 Nov;43(11):1117. [CrossRef] [Medline]
- Mosquera M. VA wrestles with physician use of commercial e-tools.: Government Health IT; 2010. URL: http://www.govhealthit.com/news/va-wrestles-physician-use-commercial-e-tools [WebCite Cache]
- Lauber CA. Using a Wiki for approved clinical instructor training. Athletic Therapy Today 2009;14(6):25-28.
- Krebs C. Evaluation of a comprehensive neuroanatomy website in a distributed medical curriculum. The FASEB Journal. (S1) 2009;23:476.
- McInnes N, Haglund BJ. Readability of online health information: implications for health literacy. Inform Health Soc Care 2011 Dec;36(4):173-189. [CrossRef] [Medline]
- Lorenz A, Türp JC. [Dentistry in Wikipedia: A quantitative and qualitative analysis]. Schweiz Monatsschr Zahnmed 2010;120(12):1117-1126. [Medline]
- Deshpande A, Khoja S, Lorca J, McKibbon A, Rizo C, Husereau D, et al. Asynchronous telehealth: a scoping review of analytic studies. Open Med 2009;3(2):e69-e91 [FREE Full text] [Medline]
- Michaud PR. PmWiki. 2013. URL: http://www.pmwiki.org [WebCite Cache]
- Planque F. More than a Blog. The EVO factory. 2003. URL: http://b2evolution.net [WebCite Cache]
- LibGuides Community Contributors. LibGuides Community. URL: http://libguides.com [accessed 2013-05-06] [WebCite Cache]
- Gohr A. DokuWiki. 2013. URL: https://www.dokuwiki.org [WebCite Cache]
- Sandars J, Schroter S. Web 2.0 technologies for undergraduate and postgraduate medical education: an online survey. Postgrad Med J 2007 Dec;83(986):759-762 [FREE Full text] [CrossRef] [Medline]
- Ayes KB, Bardsley CH. Wikipedia information for toxicologic emergencies: How reliable is it? Clinical Toxicology 2010;48(6):635.
- Zembowicz A. Dermpedia. URL: http://www.dermpedia.org [WebCite Cache]
- Martin JB, Hawes Clever L, Omenn GS, Kapor M. Medpedia. 2007. The Medpedia Project URL: http://www.medpedia.com/about [WebCite Cache]
- Buytaert D. Drupal: Come for the software, stay for the community. URL: http://drupal.org [WebCite Cache]
- Pathology Informatics Curriculum Wiki contributors. Path. Pathology Informatics Curriculum Wiki URL: http://pathinformatics.wikispaces.com/ [WebCite Cache]
- Leithner A, Maurer-Ertl W, Glehr M, Friesenbichler J, Leithner K, Windhager R. Wikipedia and osteosarcoma: a trustworthy patients' information? J Am Med Inform Assoc 2010;17(4):373-374 [FREE Full text] [CrossRef] [Medline]
- Mercer J. Wikipedia and open source mental health information. The Scientific Review of Mental Health Practice: Objective Investigations of Controversial and Unorthodox Claims in Clinical Psychology, Psychiatry, and Social Work 2007;17(4):373-374.
- Mühlhauser I, Oser F. Does WIKIPEDIA provide evidence based health care information? A content analysis. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen 2008 Jan;102(7):e1-e7. [CrossRef]
- Rajagopalan MS, Khanna V, Stott M, Leiter Y, Showalter TN, Dicker A, et al. Accuracy of cancer information on the Internet: A comparison of a Wiki with a professionally maintained database. Journal of Clinical Oncology 2010;28(15):-.
- Tulbert BH, Snyder CW, Brodell RT. Readability of Patient-oriented Online Dermatology Resources. J Clin Aesthet Dermatol 2011 Mar;4(3):27-33 [FREE Full text] [Medline]
- Buzzi M, Leporini B. Editing Wikipedia content by screen reader: easier interaction with the Accessible Rich Internet Applications suite. Disabil Rehabil Assist Technol 2009 Jul;4(4):264-275. [CrossRef] [Medline]
- Cousineau LK. Wikipedia-trica: A Library–Department of Pediatrics Collaboration for a Morning Report Wiki. : A Library–Department of Pediatrics Collaboration for a Morning Report Wiki. Conference of the Medical Library Association; 2009 Presented at: Conference of the Medical Library Association; May 15-20; Honolulu, Hawaii.
- Damani S, Fulton S. Collaborating with Clinical Teams Using Web 2.0 Tools. 2009 Presented at: Conference of the Medical Library Association; May 15-20; Honolulu, Hawaii.
- Kraft M. Getting wiki with it: using a wiki as a web site for regional health system libraries. 2009 Presented at: Conference of the Medical Library Association; May 15-20; Honolulu, Hawaii.
- Fetjek M, Krebs C, Wilson J, Findlay T, Chemey N. Neuroanatomy at UBC. 2006. URL: http://www.neuroanatomy.ca [WebCite Cache]
- Lanning L. Palliative Care Resources for Physician Assistants Home.: Wetpaint; 2009. URL: http://palliativecareforpas.wetpaint.com [WebCite Cache]
- OrthoChina contributors. 1997. OrthoChina: The Web on Orthopedics in China URL: http://www.orthochina.com/english/index.jsp [WebCite Cache]
- Matlin T, McGuiness S. Creating an Interactive Resource Guide to Improve Student Researching Skills. 2009 Presented at: Conference of the Medical Library Association; May 15-20; Honolulu, Hawaii.
- MinJournal contributors. MinJournal. URL: http://goo.gl/07MHm [WebCite Cache]
- Wikinvestigacion contributors. 2009. Wikinvestigacion URL: http://www.wikinvestigacion.org [WebCite Cache]
- CRE-MSD Researchers. Centre of Research Expertise for the Prevention of Musculoskeletal Disorders: University of Waterloo. URL: http://www.cre-msd.uwaterloo.ca/ [WebCite Cache]
- Muir S. Wikispaces. 2013. PediatricImaging URL: http://pediatricimaging.wikispaces.com [WebCite Cache]
- Powers E, Skica J, Pierce J, Travis L. “COOL” Libraries Use of Web 2.0 Tools. 2009 Presented at: Conference of the Medical Library Association; May 15-20; Honolulu, Hawaii.
- OpenMRS Community contributors. Open Source Atlassian Confluence. OpenMRS Community URL: https://wiki.openmrs.org [WebCite Cache]
- MSS Research Foundation. 2011. Marshall Smith Syndrome Research Foundation URL: http://www.marshallsmith.org [WebCite Cache]
- PBwiki inc. 2013. PBWORKS Online Team Collaboration URL: http://pbwiki.com [WebCite Cache]
- Freya WIKI contributors. FreyaWIKI. URL: http://www.freyawiki.nl [WebCite Cache]
- Clinfowiki contributors. 2013. Clinfowiki URL: http://www.clinfowiki.org [WebCite Cache]
- AskDrWiki contributors. 2012. AskDrWiki: A Medical Wiki with the goal of creating a collective online memory for physicians, nurses and medical students URL: http://askdrwiki.com/ [WebCite Cache]
- Toronto Public Library Wiki contributors. Canadian Health Information. 2010. URL: http://chis.wikidot.com/about [WebCite Cache]
- Wikibooks contributors. 2012. Demystifying Depression URL: http://en.wikibooks.org/wiki/Demystifying_Depression [WebCite Cache]
- Wikia contributors. Wikia. 2006. Diabetes Wiki URL: http://diabetes.wikia.com/wiki/Diabetes_Wiki [WebCite Cache]
- Wikibooks contributors. 2012. Diagnostic Radiology URL: http://en.wikibooks.org/wiki/Diagnostic_Radiology [WebCite Cache]
- Antwerpes F, Bartsch S, Beutler B. DocCheck Flexikon: The Cooperative Medical Dictionary. 2013. URL: http://flexikon.doccheck.com/en/Special:Mainpage [WebCite Cache]
- Schardt C, Odato K. EMB Librarian. URL: https://sites.google.com/site/ebmlibrarian/home [WebCite Cache]
- Wikibooks contributors. 2012. Open-Content Textbook of Emergency Medicine URL: http://en.wikibooks.org/wiki/Emergency_Medicine [WebCite Cache]
- Flu Wiki Forum contributors. 2006. Flu Wiki Forum URL: http://www.newfluwiki2.com [WebCite Cache]
- Wikibooks contributors. 2012. Handbook of Genetic Counseling URL: http://en.wikibooks.org/wiki/Handbook_of_Genetic_Counseling [WebCite Cache]
- HealthGrid wiki contributors. 2010. HealthGrid wiki URL: http://www.healthgrid.org/tools/wiki.php [WebCite Cache]
- Wikibooks contributors. 2012. Immunology URL: http://en.wikibooks.org/wiki/Immunology [WebCite Cache]
- Fadem SZ. Wikikidney. URL: http://www.wikikidney.org/index.php?title=Main_Page [WebCite Cache]
- Wikia contributors. Wikia. 2006. Medical Imaging URL: http://medicalimaging.wikia.com/wiki/Main_Page [WebCite Cache]
- MLA-HLS Wiki contributors. 2013. MLA-HLS URL: http://mla-hls.wikispaces.com [WebCite Cache]
- Bhui K, de Jongh B, Ingleby D, Warfa N. MIGHEALTHNET - Information network on good practice in health care for migrants and minorities in Europe. 2011. URL: http://www.mighealth.net/uk/index.php/Main_Page [WebCite Cache]
- de Jong JSSG, Postema PG, Kreuger R. de ECGpedia. 2012. URL: http://en.ecgpedia.org/wiki/Main_Page [WebCite Cache]
- Colosimo A, Duffy E, Gore G. The McGill Library Global Health Resource Guide. 2008. URL: http://wikisites.mcgill.ca/GlobalHealthGuide/index.php/Main_Page [WebCite Cache]
- EBHC Search Strategies Wiki contributors. 2008. EBHC Search Strategies URL: http://ebhcstrategies.wetpaint.com [WebCite Cache]
- Neurodegeneration Research Wiki contributors. Neurodegeneration Research Wiki. URL: http://wiki.iop.kcl.ac.uk/default.aspx/Neurodegeneration/Neurodegeneration%20Research%20Wiki.html [WebCite Cache]
- PharmLib Wiki contributors. PharmLib Wiki. URL: http://pharmlib.pbworks.com/w/page/16284404/FrontPage [WebCite Cache]
- D'avolio L. The Quality of Medical Data. URL: http://medicaldata.wikia.com/wiki/Main_Page [WebCite Cache]
- Cook B, Dvorak T. Radiation Oncology. 2012. URL: http://en.wikibooks.org/wiki/Radiation_Oncology [WebCite Cache]
- Gaillard F, Jones J. Radiopaedia. URL: http://radiopaedia.org/ [WebCite Cache]
- Wikibooks contributors. 2012. Rosacea URL: http://en.wikibooks.org/wiki/Rosacea [WebCite Cache]
- Wikiversity contributors. 2006. School:Medicine URL: http://en.wikiversity.org/wiki/School:Medicine [WebCite Cache]
- Wikia contributors. Wikia. 2006. Street Medic URL: http://medic.wikia.com/wiki/Main_Page [WebCite Cache]
- Wikibooks contributors. 2012. Surgical Procedures URL: http://en.wikibooks.org/wiki/Surgery [WebCite Cache]
- Giustini D, Ayala AP, Blanchard L. HLWIKI International. URL: http://hlwiki.slais.ubc.ca/index.php/UBC_HealthLib-Wiki_-_A_Knowledge-Base_for_Health_Librarians [WebCite Cache]
- WebHealth contributors. WebHealth. URL: http://webhealth.com/about/ [WebCite Cache]
- Beller SE, Monatesti SJ. Quality through Knowledge: Understanding and Curing the Healthcare Crisis. 2013. URL: http://wellness.wikispaces.com [WebCite Cache]
- WikiCancer contributors. 2008. Cancer: Stories, Support and Information URL: http://www.wikicancer.org [WebCite Cache]
- WikiHealthCare contributors. WikiHealthCare. 2011. URL: http://wikihealthcare.jointcommission.org/bin/view/Home/WebHome [WebCite Cache]
- Elsevier's WiserWiki contributors. 2013. Elsevier&#39;s WiserWiki Allows Physicians To Update Evidence-Based Medical Information With Experience-Based Practice Insights URL: http://www.elsevier.com/about/press-releases/health-sciences/elseviers-wiserwiki-allows-physicians-to-update-evidence-based-medical-information-with-experience-based-practice-insights [WebCite Cache]
- Pflege Wiki contributors. 2013. PflegeWiki URL: http://www.pflegewiki.de/wiki/Hauptseite [WebCite Cache]
- Wikibooks contributors. 2012. Orthopaedic Surgery URL: http://en.wikibooks.org/wiki/Orthopaedic_Surgery [WebCite Cache]
- Wikibooks contributors. 2012. Human Physiology URL: http://en.wikibooks.org/wiki/Human_Physiology [WebCite Cache]
- Wikibooks contributors. 2012. Pharmacology URL: http://en.wikibooks.org/wiki/Pharmacology [WebCite Cache]
- Oncowiki contributors. 2013. Oncowiki URL: http://oncowiki.info/index.php?title=Main_Page.(Archived [accessed 2013-07-20] [WebCite Cache]
- Wetpaint Wikis contributors. 2010. Dealing with Autism URL: http://4griffin.wetpaint.com/ [WebCite Cache]
- MijnZorgnet. URL: https://www.mijnzorgnet.nl [WebCite Cache]
- Ciesielka D. Meadville Collaborative Community Project.: PBworks; 2010. URL: http://614comm.pbworks.com [WebCite Cache]
- WikiHealth contributors. 2013. WikiHealth URL: http://www.wikihealth.com [WebCite Cache]
- Deshpande A, Khoja S, Lorca J, McKibbon A, Rizos C, Jadad A. Asynchronous telehealth: a scoping review of analytic studies. URL: http://wikisr.openmedicine.ca/index.php/Asynchronous_telehealth:_a_scoping_review_of_analytic_studies [accessed 2013-07-21] [WebCite Cache]
- Radiologywikicontributors. Radiologywiki. 2013. URL: http://www.radiologywiki.org/w/index.php?title=Radiologywiki:Community_portal [accessed 2013-07-21] [WebCite Cache]
- Gupta S, Wan FT, Newton D, Bhattacharyya OK, Chignell MH, Straus SE. WikiBuild: a new online collaboration process for multistakeholder tool development and consensus building. J Med Internet Res 2011;13(4):e108 [FREE Full text] [CrossRef] [Medline]
- Archambault PM, Blouin D, Poitras J, Fountain RM, Fleet R, Bilodeau A, et al. Emergency medicine residents' beliefs about contributing to a Google Docs presentation: a survey protocol. Inform Prim Care 2011;19(4):207-216. [Medline]
- Kent ML, Taylor M. Toward a dialogic theory of public relations. Public Relations Review 2002;28(1):21-37. [CrossRef]
- Wenger E, McDermott RA, Snyder WM. Cultivating communities of practice: a guide to managing knowledge. Boston, Mass: Harvard Business School Press; 2002.
- Maloney-Krichmar D, Preece J. A multilevel analysis of sociability, usability, and community dynamics in an online health community. ACM Trans. Comput.-Hum. Interact 2005 Jun 01;12(2):201-232. [CrossRef]
- Shneiderman BPC. Designing the user interface: strategies for effective human-computer interaction. Boston: Addison-Wesley; 2010.
- Bishop J. Increasing participation in online communities: A framework for human–computer interaction. Computers in Human Behavior 2007 Jul;23(4):1881-1893. [CrossRef]
- Salmon G. E-tivities: the key to active online learning. London and New York: Kogan Page; 2002.
- Knowlton DS. A taxonomy of learning through asynchronous discussion. Journal of Interactive Learning Research 2005;16(2):155-157. [Medline]
- McGowan BS, Wasko M, Vartabedian BS, Miller RS, Freiherr DD, Abdolrasulnia M. Understanding the factors that influence the adoption and meaningful use of social media by physicians to share medical information. J Med Internet Res 2012;14(5):e117 [FREE Full text] [CrossRef] [Medline]
- Flavall E. PLOS Currents Influenza. 2011. URL: http://currents.plos.org/influenza/about/ [WebCite Cache]
- Ghosh SS, Klein A, Avants B, Millman KJ. Learning from open source software projects to improve scientific review. Front Comput Neurosci 2012;6:18 [FREE Full text] [CrossRef] [Medline]
- Karasavvidis I. Wiki uses in higher education: exploring barriers to successful implementation. Interactive Learning Environments 2010 Sep;18(3):219-231. [CrossRef]
- Varga-Atkins T, Prescott D, Dangerfield P. Cyber Behavior with Wikis. In: Encyclopedia of Cyber Behavior. Hershey PA: Information Science Reference (an imprint of IGI Global); 2012:164-177.
- den Breejen EM, Nelen WL, Knijnenburg JM, Burgers JS, Hermens RP, Kremer JA. Feasibility of a wiki as a participatory tool for patients in clinical guideline development. J Med Internet Res 2012;14(5):e138 [FREE Full text] [CrossRef] [Medline]
- Davies E. Patients: the final frontier. BMJ 2013 Apr 02;346(apr02 2):f2075-f2075. [CrossRef]
- Tapscott D, Williams AD. Wikinomics: how mass collaboration changes everything. New York: Portfolio; 2006.
- Berners-Lee T, Hendler J, Lassila O. The semantic web. Scientific american 2001;284(5):28-37.
- Nielsen F. Wikipedia Research and Tools: Review and Comments. SSRN Journal 2012:-. [CrossRef]
- Lau AS. Implementation of an onto-wiki toolkit using web services to improve the efficiency and effectiveness of medical ontology co-authoring and analysis. Inform Health Soc Care 2009 Jan;34(1):73-80. [CrossRef] [Medline]
- Technology. Policymaking, Regulation, & Strategy. URL: http://www.healthit.gov/policy-researchers-implementers/meaningful-use [WebCite Cache]
- Lim W, So H, Tan S. eLearning 2.0 and new literacies: are social practices lagging behind? Interactive Learning Environments 2010 Sep;18(3):203-218. [CrossRef]
- Shirky C. Here comes everybody: the power of organizing without organizations. New York: Penguin Press; 2008.
- Lykourentzou I, Papadaki K, Vergados DJ, Polemi D, Loumos V. CorpWiki: A self-regulating wiki to promote corporate collective intelligence through expert peer matching. Information Sciences 2010 Jan 02;180(1):18-38. [CrossRef]
- Furtado V, Ayres L, de Oliveira M, Vasconcelos E, Caminha C, D’Orleans J, et al. Collective intelligence in law enforcement – The WikiCrimes system. Information Sciences 2010 Jan 02;180(1):4-17. [CrossRef]
- Wikipedia's Manual of Style contributors. Wikipedia: The Free Encyclopedia. 2013. Wikipedia:Manual of Style/Medicine-related articles URL: http://en.wikipedia.org/wiki/Wikipedia:MEDMOS#Drugs.2C_medications_and_devices [accessed 2013-07-19] [WebCite Cache]
- Thackeray R, Crookston BT, West JH. Correlates of health-related social media use among adults. J Med Internet Res 2013;15(1):e21 [FREE Full text] [CrossRef] [Medline]
- Lih A. Wikipedia as participatory journalism: Reliable sources? Metrics for evaluating collaborative media as a news resource. 2004 Presented at: 5th International Symposium on Online Journalism; April 2004; University of Texas, Austin, USA p. 16-17.
- Vroom RW, Vossen LE, Geers AM. Aspects to Motivate users of a Design Engineering Wiki to Share their Knowledge. World Academy of Science, Engineering and Technology 2009;57:169-179.
- Cress U, Kimmerle J. A systemic and cognitive view on collaborative knowledge building with wikis. Computer Supported Learning 2008 Jan 10;3(2):105-122. [CrossRef]
- Cheshire C, Antin J. The social psychological effects of feedback on the production of Internet information pools. Journal of Computer‐Mediated Communication 2008;13(3):705-727.
- Cheshire C, Antin J. None of us is as lazy as all of us. Information, Communication & Society 2010 Jun;13(4):537-555. [CrossRef]
- Yates D, Wagner C, Majchrzak A. Factors affecting shapers of organizational wikis. J Am Soc Inf Sci 2009:n/a-n/a. [CrossRef]
- Lih A. Wikipedia Revolution, The: How a Bunch of Nobodies Created the World's Greatest Encyclopedia. New York, NY: Hyperion; 2009.
- Bryant SL, Forte A, Bruckman A. Becoming Wikipedian: transformation of participation in a collaborative online encyclopedia. 2005 Presented at: Proceedings of the 2005 international ACM SIGGROUP conference on Supporting group work; November 6-9, 2005; Sanibel Island, FL.
- Ciffolilli A. Phantom authority, self-selective recruitment and retention of members in virtual communities. First Monday 2003;8(12):1.
- Seitz GM, Reger G. 'Wikipedia, the Free Encyclopedia' as a role model? Lessons for open innovation from an exploratory examination of the supposedly democratic-anarchic nature of Wikipedia. IJTM 2010;52(3/4):457. [CrossRef]
- Yang H, Lai C. Motivations of Wikipedia content contributors. Computers in Human Behavior 2010 Nov;26(6):1377-1383. [CrossRef]
- Benkler Y, Nissenbaum H. Commons-based Peer Production and Virtue. J Political Philosophy 2006 Dec;14(4):394-419. [CrossRef]
- Restivo M, van de Rijt A. Experimental study of informal rewards in peer production. PLoS One 2012 Mar;7(3):e34358 [FREE Full text] [CrossRef] [Medline]
- Kriplean T, Beschastnikh I, McDonald DW. Articulations of wikiwork: uncovering valued work in wikipedia through barnstars. 2008 Presented at: Proceedings of the 2008 ACM conference on Computer supported cooperative work; November 8-12, 2008; San Diego, CA.
- Forte A, Bruckman A. Why do people write for Wikipedia? Incentives to contribute to open-content publishing. 2005. URL: http://jellis.org/work/group2005/papers/forteBruckmanIncentivesGroup.pdf [WebCite Cache]
- Butler D. Publish in Wikipedia or perish. Nature 2008 Dec 16:-. [CrossRef]
- George A. Avoiding Tragedy in the Wiki-Commons. SSRN Journal 2007:-. [CrossRef]
- Weinberger D. Everything is miscellaneous: the power of the new digital disorder. New York: Times Books; 2007.
- Li LC, Grimshaw JM, Nielsen C, Judd M, Coyte PC, Graham ID. Evolution of Wenger's concept of community of practice. Implement Sci 2009;4:11 [FREE Full text] [CrossRef] [Medline]
- Li LC, Grimshaw JM, Nielsen C, Judd M, Coyte PC, Graham ID. Use of communities of practice in business and health care sectors: a systematic review. Implement Sci 2009;4:27 [FREE Full text] [CrossRef] [Medline]
- Yasseri T, Kornai A, Kertész J. A practical approach to language complexity: a Wikipedia case study. PLoS One 2012;7(11):e48386 [FREE Full text] [CrossRef] [Medline]
- Brown T, Findlay M, von Dincklage J, Davidson W, Hill J, Isenring E, et al. Using a wiki platform to promote guidelines internationally and maintain their currency: evidence-based guidelines for the nutritional management of adult patients with head and neck cancer. J Hum Nutr Diet 2013 Apr;26(2):182-190. [CrossRef] [Medline]
- ResearchNet - Canadian Institutes of Health Research. 2012. Funding opportunity details URL: https://www.researchnet-recherchenet.ca/rnr16/vwOpprtntyDtls.do?prog=1425&view=currentOpps&org=CIHR&type=AND&resultCount=25&sort=program&all=1&masterList=true [WebCite Cache]
- Anderson PBJ, Bruell D, Rosenzweig M, Conte M, Song J. An online and social media training curricula to facilitate bench-to-bedside information transfer. 2009 Presented at: Positioning the Profession:the Tenth International Congress on Medical Librarianship; August 31-September 4; Brisbane Australia.
- McKibbon KA, Lokker C, Keepanasseril A, Colquhoun H, Haynes RB, Wilczynski NL. WhatisKT wiki: a case study of a platform for knowledge translation terms and definitions--descriptive analysis. Implement Sci 2013;8:13 [FREE Full text] [CrossRef] [Medline]
- Archambault PM. WikiBuild: a new application to support patient and health care professional involvement in the development of patient support tools. J Med Internet Res 2011;13(4):e114 [FREE Full text] [CrossRef] [Medline]
- Archambault PM, Bilodeau A, Gagnon MP, Aubin K, Lavoie A, Lapointe J, et al. Health care professionals' beliefs about using wiki-based reminders to promote best practices in trauma care. J Med Internet Res 2012;14(2):e49 [FREE Full text] [CrossRef] [Medline]
- Thomas GR, Eng L, de Wolff JF, Grover SC. An evaluation of Wikipedia as a resource for patient education in nephrology. Semin Dial 2013 Apr;26(2):159-163. [CrossRef] [Medline]
- Van de Belt TH, Berben SA, Samsom M, Engelen LJ, Schoonhoven L. Use of social media by Western European hospitals: longitudinal study. J Med Internet Res 2012;14(3):e61 [FREE Full text] [CrossRef] [Medline]
- Corneli J. GravPad. 2010 Presented at: Proceedings of the 6th International Symposium on Wikis and Open Collaboration; July 7-9, 2010; Gdańsk, Poland p. 33.
- O'Grady L, Witteman H, Bender JL, Urowitz S, Wiljer D, Jadad AR. Measuring the impact of a moving target: towards a dynamic framework for evaluating collaborative adaptive interactive technologies. J Med Internet Res 2009;11(2):e20 [FREE Full text] [CrossRef] [Medline]
- Légaré F, Labrecque M, Cauchon M, Castel J, Turcotte S, Grimshaw J. Training family physicians in shared decision-making to reduce the overuse of antibiotics in acute respiratory infections: a cluster randomized trial. CMAJ 2012 Sep 18;184(13):E726-E734 [FREE Full text] [CrossRef] [Medline]
- Moturu S. Quantifying the trustworthiness of user-generated social media content. Phoenix, Arizona: Arizona State University; 2009.
- Arazy O, Stroulia E, Ruecker S, Arias C, Fiorentino C, Ganev V, et al. Recognizing contributions in wikis: Authorship categories, algorithms, and visualizations. J Am Soc Inf Sci 2010;61(6):1166-1179. [CrossRef]
- Contributors of Wikipedia: The Free Encyclopedia. 2013. Comparison of wiki software URL: http://en.wikipedia.org/wiki/Comparison_of_wiki_software [WebCite Cache]
- Cosmocode. WikiMatrix: Compare them all. URL: http://www.wikimatrix.org/ [WebCite Cache]
|AFMC: Association of Faculties of Medicine of Canada|
|CWA: collaborative writing application|
|ICT: information and communication technologies|
|IMIA: International Medical Informatics Association|
|NPCF: Federation of Patients and Consumer Organization in the Netherlands|
|PAHO: Pan American Health Organization|
Edited by H Potts; submitted 21.06.13; peer-reviewed by T Varga-Atkins, J Heilman, S Grover; comments to author 05.07.13; accepted 16.08.13; published 08.10.13
©Patrick M Archambault, Tom H van de Belt, Francisco J Grajales III, Marjan J Faber, Craig E Kuziemsky, Susie Gagnon, Andrea Bilodeau, Simon Rioux, Willianne LDM Nelen, Marie-Pierre Gagnon, Alexis F Turgeon, Karine Aubin, Irving Gold, Julien Poitras, Gunther Eysenbach, Jan AM Kremer, France Légaré. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 08.10.2013.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.