背景:异物(FB)吸入,摄取,插入占耳朵急诊入院的11%,鼻子,和喉咙条件。儿童受到不成比例的影响,和紧急干预可能需要维持气道通畅和防止血管闭塞。高品质,可读的在线信息可以帮助减少FB的不良结果。
目的:我们旨在评估与FBs相关的在线健康信息的质量和可读性。
方法:总共,使用Google搜索引擎查询了6个搜索短语。对于每个搜索词,捕获了前30个结果。包括英文网站和显示健康信息。记录了提供者和原产国。改进的36项确保患者质量信息工具用于评估信息质量。使用组合工具评估可读性:Flesch阅读轻松评分,Flesch-Kincaid等级,Gunning-Fog指数,和Gobbledygook的简单测量。
结果:删除重复项之后,评估了73个网站,大多数来自美国(n=46,63%)。总的来说,内容质量中等,确保患者质量信息的中位数评分为21分(IQR18-25,最大29分),最高可能得分为36分。41%(n=30)的网站没有提到预防措施,30%(n=22)的网站没有将磁盘电池识别为危险的FB。95%(n=69)的网站发现了需要紧急护理的危险信号,89%(n=65)建议患者就医,38%(n=28)建议安全去除FB。可读性得分(Flesch阅读轻松得分=12.4,Flesch-Kincaid等级等级=6.2,Gunning-Fog指数=6.5,Gobbledygook的简单度量=5.9年)显示大多数网站(56%)低于建议的六年级水平。
结论:关于FBs的信息的当前质量和可读性不足。超过半数的网站高于推荐的六年级阅读水平,和重要的信息,如磁盘电池和磁铁等高风险的fb经常被排除在外。应制定策略,以改善对高质量信息的获取,以告知患者和父母有关风险以及何时寻求医疗帮助。在搜索结果中推广高质量网站的策略也有可能改善结果。
BACKGROUND: Foreign body (FB) inhalation, ingestion, and insertion account for 11% of emergency admissions for ear, nose, and throat conditions. Children are disproportionately affected, and urgent intervention may be needed to maintain airway patency and prevent blood vessel occlusion. High-quality, readable online information could help reduce poor outcomes from FBs.
OBJECTIVE: We aim to evaluate the quality and readability of available online health information relating to FBs.
METHODS: In total, 6 search phrases were queried using the Google search engine. For each search term, the first 30 results were captured. Websites in the English language and displaying health information were included. The provider and country of origin were recorded. The modified 36-item Ensuring Quality Information for Patients tool was used to assess information quality. Readability was assessed using a combination of tools: Flesch Reading Ease score, Flesch-Kincaid Grade Level, Gunning-Fog Index, and Simple Measure of Gobbledygook.
RESULTS: After the removal of duplicates, 73 websites were assessed, with the majority originating from the United States (n=46, 63%). Overall, the quality of the content was of moderate quality, with a median Ensuring Quality Information for Patients score of 21 (IQR 18-25, maximum 29) out of a maximum possible score of 36. Precautionary measures were not mentioned on 41% (n=30) of websites and 30% (n=22) did not identify disk batteries as a risky FB. Red flags necessitating urgent care were identified on 95% (n=69) of websites, with 89% (n=65) advising patients to seek medical attention and 38% (n=28) advising on safe FB removal. Readability scores (Flesch Reading Ease score=12.4, Flesch-Kincaid Grade Level=6.2, Gunning-Fog Index=6.5, and Simple Measure of Gobbledygook=5.9 years) showed most websites (56%) were below the recommended sixth-grade level.
CONCLUSIONS: The current quality and readability of information regarding FBs is inadequate. More than half of the websites were above the recommended sixth-grade reading level, and important information regarding high-risk FBs such as disk batteries and magnets was frequently excluded. Strategies should be developed to improve access to high-quality information that informs patients and parents about risks and when to seek medical help. Strategies to promote high-quality websites in search results also have the potential to improve outcomes.