What Is the Quality of Web-Based Advice for the General Public on Benzodiazepine Misuse and Use Disorder? A Systematic Evaluation of Websites

Abstract Introduction Benzodiazepines have therapeutic indications, but their overuse may lead to misuse and dependence. Benzodiazepine dependence can be managed by health professionals, but stigma may result in individuals avoiding face-to-face help and turning to online resources. The internet is a popular, but unregulated resource and website quality are variable.  Aim(s) (I) To systematically evaluate the quality of websites on benzodiazepine misuse and dependence using selected validated tools/variables. (II) To identify common themes presented on these websites.  Methods Six search terms, “benzodiazepine treatment,” “benzo treatment,” “benzodiazepine addiction,” “benzo addiction,” “benzodiazepine help” and “benzo help,” were entered into two search engines. English-language websites were included if they presented information about benzodiazepine misuse and use disorder. Eligible websites were evaluated for quality of written information, readability, website usability, and other areas of interest such as advertising. Content was assessed by comparing themes covered in websites.   Results Fifty-six websites were evaluated. Websites were generally good at providing balanced and unbiased information; however, treatment options were covered poorly. Most websites should be understood by individuals aged 15 years and older. Discussion The quality of websites varied, but common areas that require improvement include information on treatment options, effects on quality of life, and sources of information. Conclusion In general, the quality of websites presenting benzodiazepine information was mediocre based on our assessment. Future research could explore benzodiazepine users’ experiences of these websites as such studies may improve website quality.