PDF(Pubmed)
Abstract：
BACKGROUND: Understanding of health-related materials, termed health literacy, affects decision makings and outcomes in the treatment of bladder cancer. The National Institutes of Health recommend writing education materials at a sixth-seventh grade reading level. The goal of this study is to assess readability of bladder cancer materials available online.
OBJECTIVE: The goal of this study is to characterize available information about bladder cancer online and evaluate readability.
METHODS: Materials on bladder cancer were collected from the American Urological Association\'s Urology Care Foundation (AUA-UCF) and compared to top 50 websites by search engine results. Resources were analyzed using four different validated readability assessment scales. The mean and standard deviation of the materials was calculated, and a two-tailed t test for used to assess for significance between the two sets of patient education materials.
RESULTS: The average readability of AUA materials was 8.5 (8th-9th grade reading level). For the top 50 websites, average readability was 11.7 (11-12th grade reading level). A two-tailed t test between the AUA and top 50 websites demonstrated statistical significance between the readability of the two sets of resources (P = 0.0001), with the top search engine results being several grade levels higher than the recommended 6-7th grade reading level.
CONCLUSIONS: Most health information provided by the AUA on bladder cancer is written at a reading ability that aligns with most US adults, with top websites for search engine results exceeding the average reading level by several grade levels. By focusing on health literacy, urologists may contribute lowering barriers to health literacy, improving health care expenditure and perioperative complications.
OBJECTIVE: The goal of this study is to characterize available information about bladder cancer online and evaluate readability.
METHODS: Materials on bladder cancer were collected from the American Urological Association\'s Urology Care Foundation (AUA-UCF) and compared to top 50 websites by search engine results. Resources were analyzed using four different validated readability assessment scales. The mean and standard deviation of the materials was calculated, and a two-tailed t test for used to assess for significance between the two sets of patient education materials.
RESULTS: The average readability of AUA materials was 8.5 (8th-9th grade reading level). For the top 50 websites, average readability was 11.7 (11-12th grade reading level). A two-tailed t test between the AUA and top 50 websites demonstrated statistical significance between the readability of the two sets of resources (P = 0.0001), with the top search engine results being several grade levels higher than the recommended 6-7th grade reading level.
CONCLUSIONS: Most health information provided by the AUA on bladder cancer is written at a reading ability that aligns with most US adults, with top websites for search engine results exceeding the average reading level by several grade levels. By focusing on health literacy, urologists may contribute lowering barriers to health literacy, improving health care expenditure and perioperative complications.
摘要：
背景：了解与健康相关的材料，称为健康素养，影响膀胱癌治疗的决策要素和结果。美国国立卫生研究院建议在六年级至七年级的阅读水平上编写教育材料。这项研究的目的是评估在线提供的膀胱癌材料的可读性。
目的：本研究的目的是在线表征有关膀胱癌的可用信息并评估可读性。
方法：从美国泌尿外科协会泌尿外科护理基金会（AUA-UCF）收集有关膀胱癌的材料，并通过搜索引擎结果与前50个网站进行比较。使用四种不同的经过验证的可读性评估量表对资源进行了分析。计算了材料的平均值和标准偏差，以及用于评估两组患者教育材料之间的显著性的双尾t检验。
结果：AUA材料的平均可读性为8.5（8-9年级阅读水平）。对于排名前50的网站，平均可读性为11.7（11-12年级阅读水平）。AUA和前50个网站之间的双尾t检验表明两组资源的可读性之间有统计学意义（P=0.0001），顶级搜索引擎结果比推荐的6-7年级阅读水平高几个年级。
结论：AUA提供的大多数关于膀胱癌的健康信息都是以与大多数美国成年人一致的阅读能力编写的，搜索引擎搜索结果的顶级网站超过平均阅读水平几个年级。通过关注健康素养，泌尿科医生可能有助于降低健康素养的障碍，改善医疗支出和围手术期并发症。
目的：本研究的目的是在线表征有关膀胱癌的可用信息并评估可读性。
方法：从美国泌尿外科协会泌尿外科护理基金会（AUA-UCF）收集有关膀胱癌的材料，并通过搜索引擎结果与前50个网站进行比较。使用四种不同的经过验证的可读性评估量表对资源进行了分析。计算了材料的平均值和标准偏差，以及用于评估两组患者教育材料之间的显著性的双尾t检验。
结果：AUA材料的平均可读性为8.5（8-9年级阅读水平）。对于排名前50的网站，平均可读性为11.7（11-12年级阅读水平）。AUA和前50个网站之间的双尾t检验表明两组资源的可读性之间有统计学意义（P=0.0001），顶级搜索引擎结果比推荐的6-7年级阅读水平高几个年级。
结论：AUA提供的大多数关于膀胱癌的健康信息都是以与大多数美国成年人一致的阅读能力编写的，搜索引擎搜索结果的顶级网站超过平均阅读水平几个年级。通过关注健康素养，泌尿科医生可能有助于降低健康素养的障碍，改善医疗支出和围手术期并发症。
