The Swedish Red Cross University College, Huddinge, Sweden.
Department of Clinical science, Intervention and technology, Karolinska Institutet, Stockholm, Sweden.
BMC Med Inform Decis Mak. 2020 Jun 5;20(1):102. doi: 10.1186/s12911-020-01132-y.
High-quality information is essential if clients who request an abortion are to reach informed decisions and feel prepared for the procedure, but little is known concerning the readability of web-based sources containing such material. The aim was to investigate the readability of web-based information about induced abortion.
The search engine Google was used to identify web pages about induced abortion, written in the English language. A total of 240 hits were screened and 236 web pages fulfilled the inclusion criteria. After correcting for duplicate hits, 185 web pages were included. The readability of the text-based content of each web page was determined with Flesch Kincaid Grade Level, Gunning Fog Index, Coleman-Liau Index, Simple Measure of Gobbledygook, and Flesch Reading Ease. Data were analyzed with descriptive statistics, Pearson's correlation coefficient and Kruskal-Wallis with Dunn's test as post hoc analysis.
Across all grade level measures, a small minority of the web pages had a readability corresponding to elementary school (n < 3, 1%), while the majority had readability corresponding to senior high school or above (n > 153, 65%). The means of the grade level measures ranged between 10.5 and 13.1, and the mean Flesch Reading Ease score was 45.3 (SD 13.6). Only weak correlations (rho < 0.2) were found between the readability measures and search rank in the hit lists. Consistently, web pages affiliated with health care had the least difficult readability and those affiliated with scientific sources had the most difficult readability.
Overall, web-based information about induced abortions has difficult readability. Incentives are needed to improve the readability of these texts and ensure that clients encounter understandable information so that they may reach informed decisions and feel adequately prepared when requesting an abortion.
如果寻求堕胎的客户能够做出知情决策并为手术做好准备，那么高质量的信息至关重要，但对于包含此类材料的基于网络的资源的可读性知之甚少。本研究旨在调查关于诱导性堕胎的基于网络的信息的可读性。
使用搜索引擎 Google 来识别关于诱导性堕胎的英文网页。总共筛选出 240 个搜索结果，其中 236 个网页符合纳入标准。在纠正重复搜索结果后，共纳入 185 个网页。使用 Flesch-Kincaid 年级水平、Gunning Fog 指数、Coleman-Liau 指数、简单测词法和 Flesch 阅读舒适度来确定每个网页的文本内容的可读性。使用描述性统计、Pearson 相关系数和 Kruskal-Wallis 检验与 Dunn 事后检验分析数据。
在所有年级水平指标中，极少数网页的可读性相当于小学（n<3，1%），而大多数网页的可读性相当于高中或以上（n>153，65%）。年级水平指标的平均值在 10.5 到 13.1 之间，Flesch 阅读舒适度的平均值为 45.3（SD 13.6）。可读性指标与搜索排名之间仅存在微弱的相关性（rho<0.2）。与医疗保健相关的网页的可读性最低，而与科学来源相关的网页的可读性最高。
总体而言，关于诱导性堕胎的基于网络的信息具有较高的可读性。需要采取激励措施来提高这些文本的可读性，以确保客户能够遇到易懂的信息，从而使他们能够做出知情决策，并在请求堕胎时感到充分准备。
