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Assessment of the readability of internet-based patient educational materials on acute rheumatic fever

Year 2020, Volume: 45 Issue: 2, 414 - 420, 30.06.2020
https://doi.org/10.17826/cumj.658528

Abstract

Purpose: The purpose of this study is to assess the readability of acute rheumatic fever-related Internet-based patient education materials.
Materials and Methods: A total of 250 websites assessed, 50 for each of the keywords (“acute rheumatic fever,” “acute joint rheumatism’’, “rheumatic fever’’, “acute rheumatic carditis’’, “rheumatic carditis’’) on search engine Google (available at www.google.com). Sites with less information than ten sentences, chat, forum and commercial blog sites were excluded from the study. Average word count, average syllable number and words with an average syllable number of 4 and above were calculated. The average readability level was analyzed using Ateşman and Bezirci-Yilmaz readability formulas.
Results: A total of 50 out of 250 websites were eligible for examination after the applying of the exclusion criteria. Of the sites reviewed, 33 created by health-care professionals and the 17 by non-health-care professionals. The readability of the web sites was moderate difficulty according to the Ateşman formula, and comprehensible to people at undergraduate level according to the Bezirci-Yılmaz formula.
Conclusion: The readability level of patient educational texts related to acute rheumatic fever field on web sites was at academic literacy level. This information would be difficult to understand by the average education level in the Turkey. 

References

  • References 1. Karthikeyan G, Guilherme L. Acute rheumatic fever. Lancet. 2018;392:161-74.
  • 2. Rémond MG, Coyle ME, Mills JE, Maguire GP. Approaches to improving adherence to secondary prophylaxis for rheumatic fever and rheumatic heart disease: A literature review with a global perspective. Cardiol Rev. 2016;24:94-8.
  • 3. Munteanu V, Petaccia A, Contecaru N, Amodio E, Agostoni CV. Paediatric acute rheumatic fever in developed countries: Neglected or negligible disease? Results from an observational study in Lombardy (Italy). AIMS Public Health. 2018;5:135-43.
  • 4. Azu MC, Lilley EJ, Kolli AH. Social media, surgeons, and the Internet: an era or an error? Am Surg. 2012;78:555-58.
  • 5. De Oliveira GS Jr, Jung M, Mccaffery KJ, McCarthy RJ, Wolf MS. Readability evaluation of Internet-based patient education materials related to the anesthesiology field. J Clin Anesth. 2015;27:401-5.
  • 6. S. Fox, “Online Health Search,” 2006. http://www.pewinternet.org/pdfs/PIP_Online_Health_2006.pdf
  • 7. Türkiye İstatistik Kurumu. Hane halkı bilişim teknolojileri kullanımı araştırması, 2015. [Çevrim-içi: http://www.tuik.gov.tr/PreHaber-Bultenleri.do?id=18660 Erişim Tarihi, 03.02.2017.
  • 8. S. Fox and S. Jones, “The Social Life of Internet Users,” Pew Internet and American Life Project, Washington DC, 2009.
  • 9. Patel SK, Gordon EJ, Wong CA, Grobman WA, Goucher H, Toledo P. Readability, content, and quality assessment of Web based patient education materials addressing neuraxial labor analgesia. Anesth Analg. 2015;121:1295-300.
  • 10. Ateşman E. Measuring readability in Turkish. AU Tömer Language Journal. 1997;58:171-74.
  • 11. Bezirci B, Yılmaz AE. A software library for measurement of readability of texts and a new readability metric for Turkish. DEÜ FMD. 2010;12:49-62.
  • 12. Farnan JM, Snyder Sulmasy L, Worster BK, Chaudhry HJ, Rhyne JA, Arora VM. American College of Physicians Ethics, Professionalism and Human Rights Committee; American College of Physicians Council of Associates; Federation of State Medical Boards Special Committee on Ethics and Professionalism. Online medical professionalism: patient and public relationships: policy statement from the American College of Physicians and the Federation of State Medical Boards. Ann Intern Med. 2013;158:620-27.
  • 13. DuBay WH. The Principles of Readability. Costa Mesa, CA: Impact Information; 2004. p.71.
  • 14. Walsh TM, Volsko TA. Readability assessment of internet-based consumer health information. Respir Care. 2008;53:1310–15.
  • 15. Goldstein A, Kolstad AJ, Sikali E, White SE. National assessment of adult literacy (NAAL) [National Center for Education Statistics Website]. 2003. Available at: http://nces.ed.gov/naal. Accessed January 22, 2011.
  • 16. Sanghvi S, Cherla DV, Shukla PA, Eloy JA. Readability assessment of internet-based patient education materials related to facial fractures. Laryngoscope. 2012;122:1943-48.
  • 17. Turkish Statistical Institute. http://www.tuik.gov.tr/PreHaberBultenleri.do?id=27594 access date 22.08.2018.
  • 18. Tanrıöver MD, Yıldırım HH, Ready ND, Çakır B, Akalın HE. Türkiye sağlık okuryazarlığı araştırması. Birinci Baskı. Sağlık-Sen Yayınları; Ankara, 2014. Sağlık-Sen Yayınları. 2014; 95.
  • 19. Yen PP, Wiseman SM. Poor readability of online patient resources regarding sentinel lymph node biopsy for melanoma. Cureus. 2019;11:3877.
  • 20. Fajardo MA, Weir KR, Bonner C, Gnjidic D4, Jansen J. Availability and readability of patient education materials for deprescribing: An environmental scan. Br J Clin Pharmacol. 2019;85:1396-406.
  • 21. Keçeci A, Toprak S, Kiliç S. How effective are patient education materials in educating patients? Clin Nurs Res. 2019;28:567-82.
  • 22. Bodenheimer T. The future of primary care: transforming practice. N Engl J Med. 2008;359:2086-89.
  • 23. Eriguc G. Density and number of physicians in Turkey for the period of 2002-2012: An evaluation of macro health manpower planning. International Conference on Eurasian Economies, 2014 http://www.eecon.info/?p=14session&s=4&t=C, At Skobje, Macedonia, Volume: pp: 561-567.
  • 24. Davis TC, Michielutte R, Askov EN, Williams MV, Weiss BD. Practical assessment of adult literacy in health care. Health Educ Behav. 1998;25:613-24.
  • 25. Vives M, Young L, Sabharwal S. Readability of spine-related patient education materials from subspecialty organization and spine practitioner websites. Spine. 2009; 34:2826–31.
  • 26. Schmitt PJ, Prestigiacomo CJ. Readability of neurosurgery-related patient education materials provided by the American Association of Neurological Surgeons and the National Library of Medicine and National Institutes of Health. World Neurosurg. 2013;80:33-9.

Akut romatizmal ateşte internet tabanlı hasta eğitim materyallerinin okunabilirliğinin değerlendirilmesi

Year 2020, Volume: 45 Issue: 2, 414 - 420, 30.06.2020
https://doi.org/10.17826/cumj.658528

Abstract

Amaç: Bu çalışmanın amacı akut romatizmal ateşle ilişkili internet tabanlı hasta eğitim materyallerinin okunabilirliğini değerlendirmektir.
Gereç ve Yöntem: Herbir anahtar kelime (“akut romatizmal ateş”, “akut eklem romatizması”, “romatizmal ateş”, “akut romatizmal kardit '',“ romatizmal kardit '') için Google arama motorunda (www.google.com) 50 site olmak üzere toplam 250 web sitesi değerlendirildi. On cümleden daha az bilgi içeren siteler, sohbet, forum ve ticari blog siteleri çalışma dışı bırakıldı. Ortalama kelime sayısı, ortalama hece sayısı ve ortalama hece sayısı 4 ve üzerinde olan kelimeler hesaplanmıştır. Ortalama okunabilirlik seviyesi Ateşman ve Bezirci-Yılmaz okunabilirlik formülleri kullanılarak analiz edilmiştir.
Bulgular: Hariç tutma ölçütleri uygulandıktan sonra 250 web sitesinin toplam 50'si araştırma için uygun bulundu. İncelenen sitelerden 33'ü sağlık uzmanları ve 17'si sağlık personeli olmayan kişiler tarafından oluşturulmuştur. Ateşman formülüne göre web sitelerinin okunabilirliği orta derecede zor, Bezirci-Yılmaz formülüne göre lisans düzeyinde insanlar tarafından anlaşılabilir bulunmuştur.
Sonuç: Web sitelerindeki akut romatizmal ateş alanıyla ilgili hasta eğitimi metinlerinin okunabilirlik seviyesinin akademik okuryazarlık düzeyinde olduğu belirlenmiş ve bu bilgilerin Türkiye'deki ortalama eğitim düzeyi ile anlaşılması güç olacağı düşünülmektedir.

References

  • References 1. Karthikeyan G, Guilherme L. Acute rheumatic fever. Lancet. 2018;392:161-74.
  • 2. Rémond MG, Coyle ME, Mills JE, Maguire GP. Approaches to improving adherence to secondary prophylaxis for rheumatic fever and rheumatic heart disease: A literature review with a global perspective. Cardiol Rev. 2016;24:94-8.
  • 3. Munteanu V, Petaccia A, Contecaru N, Amodio E, Agostoni CV. Paediatric acute rheumatic fever in developed countries: Neglected or negligible disease? Results from an observational study in Lombardy (Italy). AIMS Public Health. 2018;5:135-43.
  • 4. Azu MC, Lilley EJ, Kolli AH. Social media, surgeons, and the Internet: an era or an error? Am Surg. 2012;78:555-58.
  • 5. De Oliveira GS Jr, Jung M, Mccaffery KJ, McCarthy RJ, Wolf MS. Readability evaluation of Internet-based patient education materials related to the anesthesiology field. J Clin Anesth. 2015;27:401-5.
  • 6. S. Fox, “Online Health Search,” 2006. http://www.pewinternet.org/pdfs/PIP_Online_Health_2006.pdf
  • 7. Türkiye İstatistik Kurumu. Hane halkı bilişim teknolojileri kullanımı araştırması, 2015. [Çevrim-içi: http://www.tuik.gov.tr/PreHaber-Bultenleri.do?id=18660 Erişim Tarihi, 03.02.2017.
  • 8. S. Fox and S. Jones, “The Social Life of Internet Users,” Pew Internet and American Life Project, Washington DC, 2009.
  • 9. Patel SK, Gordon EJ, Wong CA, Grobman WA, Goucher H, Toledo P. Readability, content, and quality assessment of Web based patient education materials addressing neuraxial labor analgesia. Anesth Analg. 2015;121:1295-300.
  • 10. Ateşman E. Measuring readability in Turkish. AU Tömer Language Journal. 1997;58:171-74.
  • 11. Bezirci B, Yılmaz AE. A software library for measurement of readability of texts and a new readability metric for Turkish. DEÜ FMD. 2010;12:49-62.
  • 12. Farnan JM, Snyder Sulmasy L, Worster BK, Chaudhry HJ, Rhyne JA, Arora VM. American College of Physicians Ethics, Professionalism and Human Rights Committee; American College of Physicians Council of Associates; Federation of State Medical Boards Special Committee on Ethics and Professionalism. Online medical professionalism: patient and public relationships: policy statement from the American College of Physicians and the Federation of State Medical Boards. Ann Intern Med. 2013;158:620-27.
  • 13. DuBay WH. The Principles of Readability. Costa Mesa, CA: Impact Information; 2004. p.71.
  • 14. Walsh TM, Volsko TA. Readability assessment of internet-based consumer health information. Respir Care. 2008;53:1310–15.
  • 15. Goldstein A, Kolstad AJ, Sikali E, White SE. National assessment of adult literacy (NAAL) [National Center for Education Statistics Website]. 2003. Available at: http://nces.ed.gov/naal. Accessed January 22, 2011.
  • 16. Sanghvi S, Cherla DV, Shukla PA, Eloy JA. Readability assessment of internet-based patient education materials related to facial fractures. Laryngoscope. 2012;122:1943-48.
  • 17. Turkish Statistical Institute. http://www.tuik.gov.tr/PreHaberBultenleri.do?id=27594 access date 22.08.2018.
  • 18. Tanrıöver MD, Yıldırım HH, Ready ND, Çakır B, Akalın HE. Türkiye sağlık okuryazarlığı araştırması. Birinci Baskı. Sağlık-Sen Yayınları; Ankara, 2014. Sağlık-Sen Yayınları. 2014; 95.
  • 19. Yen PP, Wiseman SM. Poor readability of online patient resources regarding sentinel lymph node biopsy for melanoma. Cureus. 2019;11:3877.
  • 20. Fajardo MA, Weir KR, Bonner C, Gnjidic D4, Jansen J. Availability and readability of patient education materials for deprescribing: An environmental scan. Br J Clin Pharmacol. 2019;85:1396-406.
  • 21. Keçeci A, Toprak S, Kiliç S. How effective are patient education materials in educating patients? Clin Nurs Res. 2019;28:567-82.
  • 22. Bodenheimer T. The future of primary care: transforming practice. N Engl J Med. 2008;359:2086-89.
  • 23. Eriguc G. Density and number of physicians in Turkey for the period of 2002-2012: An evaluation of macro health manpower planning. International Conference on Eurasian Economies, 2014 http://www.eecon.info/?p=14session&s=4&t=C, At Skobje, Macedonia, Volume: pp: 561-567.
  • 24. Davis TC, Michielutte R, Askov EN, Williams MV, Weiss BD. Practical assessment of adult literacy in health care. Health Educ Behav. 1998;25:613-24.
  • 25. Vives M, Young L, Sabharwal S. Readability of spine-related patient education materials from subspecialty organization and spine practitioner websites. Spine. 2009; 34:2826–31.
  • 26. Schmitt PJ, Prestigiacomo CJ. Readability of neurosurgery-related patient education materials provided by the American Association of Neurological Surgeons and the National Library of Medicine and National Institutes of Health. World Neurosurg. 2013;80:33-9.
There are 26 citations in total.

Details

Primary Language English
Subjects Paediatrics
Journal Section Research
Authors

Derya Arslan 0000-0002-8944-4139

Betül Kozanhan 0000-0002-5097-9291

Mahmut Sami Tutar 0000-0002-5709-6504

Publication Date June 30, 2020
Acceptance Date February 19, 2020
Published in Issue Year 2020 Volume: 45 Issue: 2

Cite

MLA Arslan, Derya et al. “Assessment of the Readability of Internet-Based Patient Educational Materials on Acute Rheumatic Fever”. Cukurova Medical Journal, vol. 45, no. 2, 2020, pp. 414-20, doi:10.17826/cumj.658528.