Readability analysis of online resources related to lung cancer

Copyright © 2016 Elsevier Inc. All rights reserved..

BACKGROUND: Patients seeking health information commonly use the Internet as the first source for material. Studies show that well-informed patients have increased involvement, satisfaction, and healthcare outcomes. As one-third of Americans have only basic or below basic health literacy, the National Institutes of Health and American Medical Association recommend patient-directed health resources be written at a sixth-grade reading level. This study evaluates the readability of commonly accessed online resources on lung cancer.

METHODS: A search for "lung cancer" was performed using Google and Bing, and the top 10 websites were identified. Location services were disabled, and sponsored sites were excluded. Relevant articles (n = 109) with patient-directed content available directly from the main sites were downloaded. Readability was assessed using 10 established methods and analyzed with articles grouped by parent website.

RESULTS: The average reading grade level across all sites was 11.2, with a range from 8.8 (New Fog Count) to 12.2 (Simple Measure of Gobbledygook). The average Flesch Reading Ease score was 52, corresponding with fairly difficult to read text. The readability varied when compared by individual website, ranging in grade level from 9.2 to 15.2. Only 10 articles (9%) were written below a sixth-grade level and these tended to discuss simpler topics.

CONCLUSIONS: Patient-directed online information about lung cancer exceeds the recommended sixth-grade reading level. Readability varies between individual websites, allowing physicians to direct patients according to level of health literacy. Modifications to existing materials can significantly improve readability while maintaining content for patients with low health literacy.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:206

Enthalten in:

The Journal of surgical research - 206(2016), 1 vom: 15. Nov., Seite 90-97

Sprache:

Englisch

Beteiligte Personen:

Weiss, Kathleen D [VerfasserIn]
Vargas, Christina R [VerfasserIn]
Ho, Olivia A [VerfasserIn]
Chuang, Danielle J [VerfasserIn]
Weiss, Jonathan [VerfasserIn]
Lee, Bernard T [VerfasserIn]

Links:

Volltext

Themen:

Health literacy
Journal Article
Lung cancer
Online resources
Readability

Anmerkungen:

Date Completed 05.07.2017

Date Revised 19.09.2018

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jss.2016.07.018

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM266806473