Chapman Lara, Brooks Charlotte, Lawson Jem, Russell Cynthia, Adams Jo
1 Podiatry Department, Harrogate and District NHS Foundation Trust, North Yorkshire, UK.
2 Faculty of Health Sciences, University of Southampton, Hampshire, UK.
Chronic Illn. 2019 Mar;15(1):27-40. doi: 10.1177/1742395317746471. Epub 2017 Dec 18.
This study assessed accessibility of online self-management support webpages for people with osteoarthritis by considering readability of text and inclusion of images and videos.
Eight key search terms developed and agreed with patient and public involvement representatives were entered into the Google search engine. Webpages from the first page of Google search results were identified. Readability of webpage text was assessed using two standardised readability indexes, and the number of images and videos included on each webpage was recorded.
Forty-nine webpages met the inclusion criteria and were assessed. Only five of the webpages met the recommended reading level for health education literature. Almost half (44.9%) of webpages did not include any informative images to support written information. A minority of the webpages (6.12%) included relevant videos.
Information provided on health webpages aiming to support patients to self-manage osteoarthritis may not be read, understood or used effectively by many people accessing it. Recommendations include using accessible language in health information, supplementing written information with visual resources and reviewing content and readability in collaboration with patient and public involvement representatives.
本研究通过考虑文本的可读性以及图像和视频的包含情况，评估骨关节炎患者在线自我管理支持网页的可及性。
将与患者及公众参与代表共同制定并商定的八个关键搜索词输入谷歌搜索引擎。识别谷歌搜索结果第一页中的网页。使用两个标准化可读性指标评估网页文本的可读性，并记录每个网页上包含的图像和视频数量。
49个网页符合纳入标准并进行了评估。只有五个网页达到了健康教育文献推荐的阅读水平。几乎一半（44.9%）的网页没有包含任何信息性图像来辅助文字信息。少数网页（6.12%）包含相关视频。
旨在支持患者自我管理骨关节炎的健康网页所提供的信息，许多访问者可能无法有效阅读、理解或使用。建议包括在健康信息中使用易懂的语言，用视觉资源补充文字信息，并与患者及公众参与代表合作审查内容和可读性。
