Quality and readability of online patient information on treatment for erectile dysfunction

Abstract Objectives To investigate the quality and readability of online patient information on treatment for erectile dysfunction using a Google search. Materials and methods The results of a Google search for “erectile dysfunction treatment” were reviewed. Webpages that contained written informati...

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Autores principales: Trent A. Pattenden, Rachael A. Raleigh, Elle R. Pattenden, Isaac A. Thangasamy
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Lenguaje:EN
Publicado: Wiley 2021
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spelling oai:doaj.org-article:6a1bc663742241e98ddc88b49d56e9bd2021-11-17T16:19:36ZQuality and readability of online patient information on treatment for erectile dysfunction2688-452610.1002/bco2.87https://doaj.org/article/6a1bc663742241e98ddc88b49d56e9bd2021-11-01T00:00:00Zhttps://doi.org/10.1002/bco2.87https://doaj.org/toc/2688-4526Abstract Objectives To investigate the quality and readability of online patient information on treatment for erectile dysfunction using a Google search. Materials and methods The results of a Google search for “erectile dysfunction treatment” were reviewed. Webpages that contained written information on erectile dysfunction except those containing scientific publications and paywall protected webpages were included in further analysis. Typographic and treatment information were recorded. Readability was assessed using the Fleisch‐Kincaid grade level, the Gunning‐Fog index, the Coleman‐Liau index, and Simple Measure of Gobbledygook. Website quality was assessed using the DISCERN instrument, Journal of the American Medical Association (JAMA) benchmark criteria, and presence of Health on the net (HON) code certification. Website typography, discussed treatment types, readability scores, and quality measures were reported. Parametric and nonparametric statistical tests were used to compare the data as appropriate dependent on the normality of data. Results Eighty‐one webpages were included. Urologists and hospitals were the most common producers with 15 (18%) each. Seventy‐four (91%) webpages contained specific information on treatment for erectile dysfunction and 15 (19%) contained advertisements. Seventeen (21%) webpages were HON code certified. The median DISCERN score was 35 (IQR 26.5‐44) out of 80. The mean combined readability score was 12.32 (SD 1.91). The median JAMA benchmark score was 1 (IQR 1‐2) out of 4. Google rank had a small negative correlation with DISCERN score (τ = −0.16, P = .036). HON code certified webpages had higher DISCERN scores (median of 44 [IQR 35‐58.5] vs 32.5 [IQR 25.25‐42.25], U = 832, Z = 6561, P < .001). A linear regression was used to predict DISCERN score based on meeting each JAMA benchmark criterion (F(2, 78) = 22.7, P < .001) R2 = 0.368, P < .001. Within this model the effects of meeting attribution (β = 11.09) and currency (β = 8.79) criterion were significant. Conclusions The quality of online information on treatment for erectile dysfunction is generally poor. However, easy to identify markers of quality like HON code certification, or meeting JAMA benchmark criterion for attribution and currency may help patients to navigate to better quality online information on treatment for erectile dysfunction. Webpages are written at senior high school level, above any recommendations for patient medical information. Health professionals should use validated instruments to assess the quality of online information on treatment for erectile dysfunction prior to publication to improve their utility for patients.Trent A. PattendenRachael A. RaleighElle R. PattendenIsaac A. ThangasamyWileyarticleerectile dysfunctionhealth informationinternetreadabilitytreatmentDiseases of the genitourinary system. UrologyRC870-923ENBJUI Compass, Vol 2, Iss 6, Pp 412-418 (2021)
institution DOAJ
collection DOAJ
language EN
topic erectile dysfunction
health information
internet
readability
treatment
Diseases of the genitourinary system. Urology
RC870-923
spellingShingle erectile dysfunction
health information
internet
readability
treatment
Diseases of the genitourinary system. Urology
RC870-923
Trent A. Pattenden
Rachael A. Raleigh
Elle R. Pattenden
Isaac A. Thangasamy
Quality and readability of online patient information on treatment for erectile dysfunction
description Abstract Objectives To investigate the quality and readability of online patient information on treatment for erectile dysfunction using a Google search. Materials and methods The results of a Google search for “erectile dysfunction treatment” were reviewed. Webpages that contained written information on erectile dysfunction except those containing scientific publications and paywall protected webpages were included in further analysis. Typographic and treatment information were recorded. Readability was assessed using the Fleisch‐Kincaid grade level, the Gunning‐Fog index, the Coleman‐Liau index, and Simple Measure of Gobbledygook. Website quality was assessed using the DISCERN instrument, Journal of the American Medical Association (JAMA) benchmark criteria, and presence of Health on the net (HON) code certification. Website typography, discussed treatment types, readability scores, and quality measures were reported. Parametric and nonparametric statistical tests were used to compare the data as appropriate dependent on the normality of data. Results Eighty‐one webpages were included. Urologists and hospitals were the most common producers with 15 (18%) each. Seventy‐four (91%) webpages contained specific information on treatment for erectile dysfunction and 15 (19%) contained advertisements. Seventeen (21%) webpages were HON code certified. The median DISCERN score was 35 (IQR 26.5‐44) out of 80. The mean combined readability score was 12.32 (SD 1.91). The median JAMA benchmark score was 1 (IQR 1‐2) out of 4. Google rank had a small negative correlation with DISCERN score (τ = −0.16, P = .036). HON code certified webpages had higher DISCERN scores (median of 44 [IQR 35‐58.5] vs 32.5 [IQR 25.25‐42.25], U = 832, Z = 6561, P < .001). A linear regression was used to predict DISCERN score based on meeting each JAMA benchmark criterion (F(2, 78) = 22.7, P < .001) R2 = 0.368, P < .001. Within this model the effects of meeting attribution (β = 11.09) and currency (β = 8.79) criterion were significant. Conclusions The quality of online information on treatment for erectile dysfunction is generally poor. However, easy to identify markers of quality like HON code certification, or meeting JAMA benchmark criterion for attribution and currency may help patients to navigate to better quality online information on treatment for erectile dysfunction. Webpages are written at senior high school level, above any recommendations for patient medical information. Health professionals should use validated instruments to assess the quality of online information on treatment for erectile dysfunction prior to publication to improve their utility for patients.
format article
author Trent A. Pattenden
Rachael A. Raleigh
Elle R. Pattenden
Isaac A. Thangasamy
author_facet Trent A. Pattenden
Rachael A. Raleigh
Elle R. Pattenden
Isaac A. Thangasamy
author_sort Trent A. Pattenden
title Quality and readability of online patient information on treatment for erectile dysfunction
title_short Quality and readability of online patient information on treatment for erectile dysfunction
title_full Quality and readability of online patient information on treatment for erectile dysfunction
title_fullStr Quality and readability of online patient information on treatment for erectile dysfunction
title_full_unstemmed Quality and readability of online patient information on treatment for erectile dysfunction
title_sort quality and readability of online patient information on treatment for erectile dysfunction
publisher Wiley
publishDate 2021
url https://doaj.org/article/6a1bc663742241e98ddc88b49d56e9bd
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AT isaacathangasamy qualityandreadabilityofonlinepatientinformationontreatmentforerectiledysfunction
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