Storino Alessandra, Guetter Camila, Castillo-Angeles Manuel, Watkins Ammara A, Mancias Joseph D, Bullock Andrea, James Moser A, Kent Tara S
Pancreas and Liver Institute, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
World J Surg. 2018 Dec;42(12):4097-4106. doi: 10.1007/s00268-018-4719-2.
Suitability is a patient-centered metric defined as how appropriately health information is targeted to specific populations to increase knowledge. However, suitability is most commonly evaluated exclusively by healthcare professionals without collaboration from intended audiences. Suitability (as rated by intended audiences), accuracy and readability have not been evaluated on websites discussing pancreatic cancer.
Ten healthy volunteers evaluated fifty pancreatic cancer websites using the suitability assessment of materials (SAM instrument) for the materials' overall suitability. Readability and accuracy were correlated.
Ten recruited volunteers (ages 23-63, 50% female) found websites to be on average "adequate" or "superior" in suitability. Surgery, radiotherapy and nonprofit websites had higher suitability scores as compared to counterparts (p ≤ 0.03). There was no correlation between readability and accuracy levels and suitability scores (p ≥ 0.3). Presence of visual aids was associated with better suitability scores after controlling for website quality (p ≤ 0.01).
Suitability of websites discussing pancreatic cancer treatments as rated by lay audiences differed based on therapy type and website affiliation, and was independent of readability level and accuracy of information. Nonprofit affiliation websites focusing on surgery or radiotherapy were most suitable. Online information should be assessed for suitability by target populations, in addition to readability level and accuracy, to ensure information reaches the intended audience.
适用性是以患者为中心的指标,定义为健康信息针对特定人群的恰当程度,以增加知识。然而,适用性最常仅由医疗保健专业人员评估,而没有目标受众的参与。在讨论胰腺癌的网站上,尚未对适用性(由目标受众评级)、准确性和可读性进行评估。
十名健康志愿者使用材料适用性评估(SAM工具)对五十个胰腺癌网站的材料整体适用性进行评估。对可读性和准确性进行相关性分析。
十名招募的志愿者(年龄23 - 63岁,50%为女性)发现网站的适用性平均为“足够”或“优秀”。与同类网站相比,手术、放疗和非营利性网站的适用性得分更高(p≤0.03)。可读性和准确性水平与适用性得分之间没有相关性(p≥0.3)。在控制网站质量后,视觉辅助工具的存在与更好的适用性得分相关(p≤0.01)。
外行受众对讨论胰腺癌治疗的网站适用性评级因治疗类型和网站所属机构而异,且与信息的可读性水平和准确性无关。专注于手术或放疗的非营利性附属网站最为适用。除了可读性水平和准确性外,还应由目标人群评估在线信息的适用性,以确保信息传达给目标受众。