Table 2 Summary of quality principles assessed by the PRHISM tool and accuracy score categories
aPRHISM tool principles for quality assessments | |
|---|---|
Principle | Description |
 1. Authorship | Clear information about the author’s credentials, qualifications and affiliations should be provided |
 2. Authoritative | The information should be authored by qualified professionals and within the author’s scope of practice |
 3. Action-oriented | Information should be clear and succinct and provide sufficient context to support consumer decision making |
 4. Financial disclosure | Clear and prominent disclosures of relevant sponsorship, advertising or financial support should be disclosed. Paid sponsorships should be made in a way that complies with the social media platform’s guidelines |
 5. Attribution | Information should include citations and hyperlinks to the original source of information and include the year the information was published |
 6. Balance and justifiability | Information should be balanced, unbiased and supported by high quality and appropriate evidence |
 7. Risks and benefits | Information should clearly outline all relevant health risks and benefits |
 8. Privacy | If information about a patient or client is shared, it should be shared with permission and not include any identifying information |
 9. Complementary information | Information should be complimentary and not designed to replace the relationship between individuals and health professionals. Information should include statements encouraging individuals to discuss choices with a relevant health professional |
 10. Referrals and support | Readers should be referred to additional sources of information and support |
 11. Readability and comprehensibility | Information should be written at or below a fifth grade reading level and avoid the use of jargon and technical language |
 12. Accessibility | Information should be accessible to vision and hearing-impaired individuals. Videos should contain closed captions and images should include descriptive alternative text. Information should be accessible with screen readers |
 13. Images | If information contains images they should be visually appealing and appropriately reflect the information provided within the post, rather than contradicting it |
Accuracy score categories | |
Category | Description |
 Completely accurate | All assessable statements within the post that relate to nutrition are completely accurate |
 Mostly accurate, some inaccurate | The majority of statements within the social media post that relate to nutrition are completely accurate. A smaller proportion of statements within the post are inaccurate or contain inaccuracies |
 Mostly inaccurate, some accurate | The majority of statements within the social media post that relate to nutrition are completely inaccurate or contain inaccuracies. A smaller proportion of statements within the post are accurate |
 Completely inaccurate | All assessable statements within the post that relate to nutrition are completely inaccurate |
 Not assessable | All information within the post that relates to nutrition is not contained in the reference documents or databases, is a testimonial or is information discussing someone’s own personal behaviour, rather than stating a fact |