PDF(Pubmed)
Abstract：
OBJECTIVE: To assess the quality and readability of online health information on vasectomy using validated readability and quality assessment tools.
METHODS: The top 50 search results for \"vasectomy\" on Google, Bing, and Yahoo were selected. Duplicate links, advertisements, blog posts, paid webpages, and information intended for healthcare providers were excluded. Flesch Reading Ease score, Flesch-Kincaid Grade level, Gunning Fog Index, and Simple Measure of Gobbledygook (SMOG) index were used to assess readability, with optimal readability level for online health information established as being at sixth grade reading level. DISCERN Instrument and JAMA Benchmark were used to assess the quality of selected webpages. Inter-assessment score correlation and results by webpage type were analyzed.
RESULTS: We analyzed 44 webpages, including 16 academic, 5 hospital-affiliated, 6 commercial, 13 non-profit health advocacy, and 4 uncategorized sources. The average readability of the evaluated webpages was at a 10th grade reading level as measured by the Flesch Kincaid Assessment tool, and an undergraduate reading level per the SMOG and Gunning Fog indices. Non-profit health advocacy webpages had the best reading level but still was not at the recommended level of grade 6 to 7. The overall DISCERN quality of the webpages was \"fair\", with non-profit health advocacy pages performing best.
CONCLUSIONS: The assessed webpages offer education on vasectomy in a language that is too complex for the general population to understand. Furthermore, several sources for online health information, such as non-profits, outperformed webpages by academic institutions. Increased healthcare collaboration and dedication to producing quality online patient resources is necessary to address these shortcomings and build trust among patients to increase utilization of vasectomy and decrease decisional regret.
METHODS: The top 50 search results for \"vasectomy\" on Google, Bing, and Yahoo were selected. Duplicate links, advertisements, blog posts, paid webpages, and information intended for healthcare providers were excluded. Flesch Reading Ease score, Flesch-Kincaid Grade level, Gunning Fog Index, and Simple Measure of Gobbledygook (SMOG) index were used to assess readability, with optimal readability level for online health information established as being at sixth grade reading level. DISCERN Instrument and JAMA Benchmark were used to assess the quality of selected webpages. Inter-assessment score correlation and results by webpage type were analyzed.
RESULTS: We analyzed 44 webpages, including 16 academic, 5 hospital-affiliated, 6 commercial, 13 non-profit health advocacy, and 4 uncategorized sources. The average readability of the evaluated webpages was at a 10th grade reading level as measured by the Flesch Kincaid Assessment tool, and an undergraduate reading level per the SMOG and Gunning Fog indices. Non-profit health advocacy webpages had the best reading level but still was not at the recommended level of grade 6 to 7. The overall DISCERN quality of the webpages was \"fair\", with non-profit health advocacy pages performing best.
CONCLUSIONS: The assessed webpages offer education on vasectomy in a language that is too complex for the general population to understand. Furthermore, several sources for online health information, such as non-profits, outperformed webpages by academic institutions. Increased healthcare collaboration and dedication to producing quality online patient resources is necessary to address these shortcomings and build trust among patients to increase utilization of vasectomy and decrease decisional regret.
摘要：
目的：使用经过验证的可读性和质量评估工具评估输精管结扎术在线健康信息的质量和可读性。
方法：Google上“输精管切除术”的前50个搜索结果，宾,雅虎被选中。重复链接,广告,博客文章,付费网页，并排除了提供给医疗服务提供者的信息.Flesch阅读轻松得分，Flesch-Kincaid等级,GunningFogIndex,和简单测量的Gobbledygook(SMOG)指数用于评估可读性，在线健康信息的最佳可读性水平被确立为六年级阅读水平。DISCERNInstrument和JAMABenchmark用于评估选定网页的质量。分析了网页类型的评估间得分相关性和结果。
结果：我们分析了44个网页，包括16名学术人员，5医院附属，6商业、13非营利健康宣传，和4个未分类的来源。通过FleschKincaid评估工具测量，评估网页的平均可读性处于10年级阅读水平，以及根据SMOG和GunningFog指数的本科阅读水平。非营利性健康宣传网页的阅读水平最好，但仍未达到6至7年级的建议水平。网页的整体质量是“公平”，非营利性健康宣传页面表现最好。
结论：评估的网页提供了输精管切除术的教育，其语言过于复杂，一般人群无法理解。此外，几个在线健康信息来源，例如非营利组织，学术机构的表现优于网页。为了解决这些缺点并在患者之间建立信任以提高输精管切除术的利用率并减少决策遗憾，必须增加医疗保健协作并致力于生产高质量的在线患者资源。
方法：Google上“输精管切除术”的前50个搜索结果，宾,雅虎被选中。重复链接,广告,博客文章,付费网页，并排除了提供给医疗服务提供者的信息.Flesch阅读轻松得分，Flesch-Kincaid等级,GunningFogIndex,和简单测量的Gobbledygook(SMOG)指数用于评估可读性，在线健康信息的最佳可读性水平被确立为六年级阅读水平。DISCERNInstrument和JAMABenchmark用于评估选定网页的质量。分析了网页类型的评估间得分相关性和结果。
结果：我们分析了44个网页，包括16名学术人员，5医院附属，6商业、13非营利健康宣传，和4个未分类的来源。通过FleschKincaid评估工具测量，评估网页的平均可读性处于10年级阅读水平，以及根据SMOG和GunningFog指数的本科阅读水平。非营利性健康宣传网页的阅读水平最好，但仍未达到6至7年级的建议水平。网页的整体质量是“公平”，非营利性健康宣传页面表现最好。
结论：评估的网页提供了输精管切除术的教育，其语言过于复杂，一般人群无法理解。此外，几个在线健康信息来源，例如非营利组织，学术机构的表现优于网页。为了解决这些缺点并在患者之间建立信任以提高输精管切除术的利用率并减少决策遗憾，必须增加医疗保健协作并致力于生产高质量的在线患者资源。
