The Evil Side of Sharing Personal Health Information Online

When joining a social network users are typically asked to register and supply their personal/private information. As part of the registration process, users must confirm that they have read the terms and conditions of site use, as well as the privacy policy for that particular social network. Do people actually read these documents, and do they really understand what they are consenting to? When it comes to sharing personal health conditions with others online, it is worth considering who will have access to this valuable, sensitive data and how it will be used in the future. This research aims to improve the form and accessibility of contractual information presented to users of Health Social Networks (HSNs), by looking at alternative ways to engage and communicate these details on registration. Taking a mixed methods approach, this research observes registration behaviours and questions users on their engagement with eConsent through HSNs. Our aim is to elucidate the challenges, risks and potential dangers associated with sharing personal health information (PHI) using HSNs. This research proposes a list of guidelines to better support user’s decision making needs when choosing to register and providing personal health information to HSNs.

[1]  G. Kang,et al.  Comparison of group counseling with individual counseling in the comprehension of informed consent: a randomized controlled trial , 2010, BMC medical ethics.

[2]  Jingquan Li Privacy policies for health social networking sites , 2013, J. Am. Medical Informatics Assoc..

[3]  G. Barbour,et al.  Videotape aids informed consent decision. , 1978, JAMA.

[4]  C. Simon,et al.  Interactive multimedia consent for biobanking: A randomized trial , 2015, Genetics in Medicine.

[5]  Paul Greenfield,et al.  A Decentralised Approach to Electronic Consent and Health Information Access Control , 2005, J. Res. Pract. Inf. Technol..

[6]  Matthew Chalmers,et al.  Improving consent in large scale mobile HCI through personalised representations of data , 2014, NordiCHI.

[7]  Kevin Wright,et al.  Social Networks, Interpersonal Social Support, and Health Outcomes: A Health Communication Perspective , 2016, Front. Commun..

[8]  M. L. Gibson,et al.  Students as Surrogates for Managers in a Decision-Making Environment: An Experimental Study , 1991, J. Manag. Inf. Syst..

[9]  Michael P Caligiuri,et al.  Reformed consent: adapting to new media and research participant preferences. , 2009, IRB.

[10]  P. A. B. Galpottage,et al.  Citations (this article cites 13 articles hosted on the SAGE Journals Online and HighWire Press platforms): , 2001 .

[11]  R. Mckee Ethical issues in using social media for health and health care research. , 2013, Health policy.

[12]  J. Sarasohn-Kahn The Wisdom of Patients: Health Care Meets Online Social Media , 2008 .

[13]  Sophie Cockcroft,et al.  eConsent: provenance, use and future role , 2010, Int. J. Internet Enterp. Manag..

[14]  Matthew E Falagas,et al.  Informed consent: how much and what do patients understand? , 2009, American journal of surgery.

[15]  J. Sharfstein Using health care data to track and improve public health. , 2015, JAMA.

[16]  Ton A. M. Spil,et al.  Personal Health Records Success: Why Google Health Failed and What Does that Mean for Microsoft HealthVault? , 2014, 2014 47th Hawaii International Conference on System Sciences.

[17]  Joseph M. Plasek,et al.  A rural community's involvement in the design and usability testing of a computer‐based informed consent process for the personalized medicine research project , 2014, American journal of medical genetics. Part A.

[18]  Robert O. Briggs,et al.  Graduate business students as surrogates for executives in the evaluation of technology , 1996 .

[19]  H. Flynn,et al.  Patients' concerns about and perceptions of electronic psychiatric records. , 2003, Psychiatric services.

[20]  J. Frost,et al.  Sharing Health Data for Better Outcomes on PatientsLikeMe , 2010, Journal of medical Internet research.

[21]  Corey M. Angst Protect My Privacy or Support the Common-Good? Ethical Questions About Electronic Health Information Exchanges , 2009 .

[22]  Joshua R. Vest,et al.  Health information exchange: persistent challenges and new strategies , 2010, J. Am. Medical Informatics Assoc..

[23]  Adam A. Nishimura,et al.  Improving understanding in the research informed consent process: a systematic review of 54 interventions tested in randomized control trials , 2013, BMC Medical Ethics.