Wei Oren, Krishnan Pavan S, Chen Jenny X, Schoo Wesley W, Carey John P, Schoo Desi P
Department of Otolaryngology-Head and Neck Surgery Johns Hopkins University School of Medicine Baltimore Maryland USA.
Virginia Commonwealth University School of Medicine Richmond Virginia USA.
OTO Open. 2024 Jul 15;8(3):e137. doi: 10.1002/oto2.137. eCollection 2024 Jul-Sep.
To evaluate the readability, understandability, actionability, and accuracy of online resources covering vestibular migraine (VM).
Cross-sectional descriptive study design.
Digital collection of websites appearing on Google search.
Google searches were conducted to identify common online resources for VM. We examined readability using the Flesch Reading Ease (FRE) and Flesch-Kincaid Grade Level scores, understandability and actionability using the Patient Education Materials Assessment Tool (PEMAT), and accuracy by comparing the website contents to the consensus definition of "probable vestibular migraine."
Eleven of the most popular websites were analyzed. Flesch-Kincaid Grade Level averaged at a 13th-grade level (range: 9th-18th). FRE scores averaged 35.5 (range: 9.1-54.4). No website had a readability grade level at the US Agency for Healthcare Research and Quality recommended 5th-grade level or an equivalent FRE score of 90 or greater. Understandability scores varied ranging from 49% to 88% (mean 70%). Actionability scores varied more, ranging from 12% to 87% (mean 44%). There was substantial inter-rater agreement for both PEMAT understandability scoring (mean = 0.76, SD = 0.08) and actionability scoring (mean = 0.65, SD = 0.08). Three sites included all 3 "probable vestibular migraine" diagnostic criteria as worded in the consensus statement.
The quality of online resources for VM is poor overall in terms of readability, actionability, and agreement with diagnostic criteria.
评估有关前庭性偏头痛（VM）的在线资源的可读性、可理解性、可操作性和准确性。
横断面描述性研究设计。
谷歌搜索中出现的网站的数字集合。
通过谷歌搜索来确定VM常见的在线资源。我们使用弗莱什易读性（FRE）和弗莱什-金凯德年级水平得分来检查可读性，使用患者教育材料评估工具（PEMAT）来检查可理解性和可操作性，并通过将网站内容与“可能的前庭性偏头痛”的共识定义进行比较来检查准确性。
分析了11个最受欢迎的网站。弗莱什-金凯德年级水平平均为13年级（范围：9年级至18年级）。FRE得分平均为35.5（范围：9.1至54.4）。没有一个网站的可读性年级水平达到美国医疗保健研究与质量局推荐的5年级水平或等效的FRE得分90分或更高。可理解性得分在49%至88%之间变化（平均70%）。可操作性得分变化更大，在12%至87%之间（平均44%）。对于PEMAT可理解性评分（平均=0.76，标准差=0.08）和可操作性评分（平均=0.65，标准差=0.08），评分者之间存在实质性的一致性。三个网站包含了共识声明中措辞的所有3条“可能的前庭性偏头痛”诊断标准。
VM在线资源的质量在可读性、可操作性以及与诊断标准的一致性方面总体较差。
