Patient-Oriented Methotrexate Information Sites on the Internet: A Review of Completeness, Accuracy, Format, Reliability, Credibility, and Readability

2009 ◽  
Vol 36 (1) ◽  
pp. 41-49 ◽  
Author(s):  
ANDREW E. THOMPSON ◽  
SARA L. GRAYDON
Keyword(s):  
Grade Level ◽  
English Language ◽  
Assessment Tool ◽  
Reading Level ◽  
Average Score ◽  
The Internet ◽  
Web Pages ◽  
Sources Of Information ◽  
Web Page ◽  
Health Related

ObjectiveWith continuing use of the Internet, rheumatologists are referring patients to various websites to gain information about medications and diseases. Our goal was to develop and evaluate a Medication Website Assessment Tool (MWAT) for use by health professionals, and to explore the overall quality of methotrexate information presented on common English-language websites.MethodsIdentification of websites was performed using a search strategy on the search engine Google. The first 250 hits were screened. Inclusion criteria included those English-language websites from authoritative sources, trusted medical, physicians’, and common health-related websites. Websites from pharmaceutical companies, online pharmacies, and where the purpose seemed to be primarily advertisements were also included. Product monographs or technical-based web pages and web pages where the information was clearly directed at patients with cancer were excluded. Two reviewers independently scored each included web page for completeness and accuracy, format, readability, reliability, and credibility. An overall ranking was provided for each methotrexate information page.ResultsTwenty-eight web pages were included in the analysis. The average score for completeness and accuracy was 15.48 ± 3.70 (maximum 24) with 10 out of 28 pages scoring 18 (75%) or higher. The average format score was 6.00 ± 1.46 (maximum 8). The Flesch-Kincaid Grade Level revealed an average grade level of 10.07 ± 1.84, with 5 out of 28 websites written at a reading level less than grade 8; however, no web page scored at a grade 5 to 6 level. An overall ranking was calculated identifying 8 web pages as appropriate sources of accurate and reliable methotrexate information.ConclusionWith the enormous amount of information available on the Internet, it is important to direct patients to web pages that are complete, accurate, readable, and credible sources of information. We identified web pages that may serve the interests of both rheumatologists and patients.

Measuring Text Readability Using Reading Level

2019 ◽  
pp. 93-103
Author(s):  
James C. Brewer
Keyword(s):  
Grade Level ◽  
The United States ◽  
Reading Level ◽  
The Internet ◽  
Web Pages ◽  
Wide Audience ◽  
Reading Grade Level ◽  
Text Readability ◽  
Worldwide Phenomenon ◽  
The Military

Reading grade level calculations have been in use for over a century in the United States and have guided the selection of texts used in school programs. Government agencies at all levels, the military in its various branches, and editors of publications have found such formulas of use in setting policy or determining who can participate in programs. As readership is now a worldwide phenomenon with English as the primary language of the internet, reading grade level calculations can also be useful in creating web pages and assigning reading texts to large multi-user classes (MOOCs) run over the internet. In this regard, it is possible for faculty to be assured that the material is reachable to a wide audience by checking reading grade level and providing additional guidance for the more difficult items in the form of discussion or focused questions. Authors can use the formulas as a tool to check the quality of their own writing and improve sections which are unnecessarily complex.

Measuring Text Readability Using Reading Level

2018 ◽  
pp. 1499-1507 ◽  
Author(s):  
James C. Brewer
Keyword(s):  
Grade Level ◽  
The United States ◽  
Reading Level ◽  
The Internet ◽  
Web Pages ◽  
Wide Audience ◽  
Reading Grade Level ◽  
Text Readability ◽  
Worldwide Phenomenon ◽  
The Military

Reading Grade Level calculations have been in use for over a century in the United States and have guided the selection of texts used in school programs. Government agencies at all levels, the military in its various branches, and editors of publications have found such formulas of use in setting policy or determining who can participate in programs. As readership is now a worldwide phenomenon with English as the primary language of the Internet, Reading Grade Level calculations can also be useful in creating Web pages and assigning reading texts to large multi-user classes (MOOCs) run over the Internet. In this regard, it is possible for faculty to be assured that the material is reachable to a wide audience by checking Reading Grade Level and providing additional guidance for the more difficult items in the form of discussion or focused questions. Authors can use the formulas as a tool to check the quality of their own writing and improve sections which are unnecessarily complex.

Surfing for Juvenile Idiopathic Arthritis: Perspectives on Quality and Content of Information on the Internet

2009 ◽  
Vol 36 (8) ◽  
pp. 1755-1762 ◽  
Author(s):  
JENNIFER N. STINSON ◽  
LORI TUCKER ◽  
ADAM HUBER ◽  
HEATHER HARRIS ◽  
CARMEN LIN ◽  
...  
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Grade Level ◽  
English Language ◽  
Reading Level ◽  
Web Pages ◽  
Internet Health Information ◽  
Internet Information ◽  
Ease Score ◽  
Website Content

Objective.To determine the quality and content of English language Internet information about juvenile idiopathic arthritis (JIA) from the perspectives of consumers and healthcare professionals.Methods.Key words relevant to JIA were searched across 10 search engines. Quality of information was appraised independently by 2 health professionals, 1 young adult with JIA, and a parent using the DISCERN tool. Concordance of the website content (i.e., accuracy and completeness) with available evidence about the management of JIA was determined. Readability was determined using Flesch-Kincaid grade level and Reading Ease Score.Results.Out of the 3000 Web pages accessed, only 58 unique sites met the inclusion criteria. Of these sites only 16 had DISCERN scores above 50% (indicating fair quality). These sites were then rated by consumers. Most sites targeted parents and none were specifically developed for youth with JIA. The overall quality of website information was fair, with a mean DISCERN quality rating score of 48.92 out of 75 (± 6.56, range 34.0–59.5). Overall completeness of sites was 9.07 out of 16 (± 2.28, range 5.25–13.25) and accuracy was 3.09 out of 4 (± 0.86, range 2–4), indicating a moderate level of accuracy. Average Flesch-Kincaid grade level and Reading Ease Score were 11.48 (± 0.74, range 10.1–12.0) and 36.36 (± 10.86, range 6.30–48.1), respectively, indicating that the material was difficult to read.Conclusion.Our study highlights the paucity of high quality Internet health information at an appropriate reading level for youth with JIA and their parents.

Evaluation of Online Disaster and Emergency Preparedness Resources

2008 ◽  
Vol 23 (5) ◽  
pp. 438-446 ◽  
Author(s):  
Daniela B. Friedman ◽  
Manju Tanwar ◽  
Jane V.E. Richter
Keyword(s):  
Emergency Preparedness ◽  
General Public ◽  
Reading Level ◽  
Reading Difficulty ◽  
Difficulty Level ◽  
The Internet ◽  
Web Pages ◽  
Web Page ◽  
The Mean ◽  
The Web

AbstractIntroduction:Increasingly, individuals are relying on the Internet as a major source of health information. When faced with sudden or pending disasters, people resort to the Internet in search of clear, current, and accurate instructions on how to prepare for and respond to such emergencies. Research about online health resources ascertained that information was written at the secondary education and college levels and extremely difficult for individuals with limited literacy to comprehend. This content analysis is the first to assess the reading difficulty level and format suitability of a large number of disaster and emergency preparedness Web pages intended for the general public.Objectives:The aims of this study were to: (1) assess the readability and suitability of disaster and emergency preparedness information on the Web; and (2) determine whether the reading difficulty level and suitability of online resources differ by the type of disaster or emergency and/or Website domain.Methods:Fifty Websites containing information on disaster and/or emergency preparedness were retrieved using the GoogleTM search engine. Readability testing was conducted on the first Web page, suggested by GoogleTM, addressing preparedness for the general public. The reading level was assessed using Flesch-Kincaid (F-K) and Flesch Reading Ease (FRE) measures. The Suitability Assessment of Materials (SAM) instrument was used to evaluate additional factors such as graphics, layout, and cultural appropriateness.Results:The mean F-K readability score of the 50 Websites was Grade 10.74 (95% CI = 9.93, 11.55). The mean FRE score was 45.74 (95% CI = 41.38, 50.10), a score considered “difficult”. A Web page with content about both risk and preparedness supplies was the most difficult to read according to F-K (Grade level = 12.1). Web pages with general disaster and emergency information and preparedness supplies were considered most difficult according to the FRE (38.58, 95% CI = 30.09, 47.08). The average SAM score was 48% or 0.48 (95% CI = 0.45, 0.51), implying below average suitability of these Websites. Websites on pandemics and bioterrorism were the most difficult to read (F-K: p = 0.012; FRE: p = 0.014) and least suitable (SAM: p = 0.035) compared with other disasters and emergencies.Conclusions:The results suggest the need for readily accessible preparedness resources on the Web that are easy-to-read and visually appropriate. Interdisciplinary collaborations between public health educators, risk communication specialists, and Web page creators and writers are recommended to ensure the development and dissemination of disaster and emergency resources that consider literacy abilities of the general public.

scholarly journals A Simulation of the Structure of the World-Wide Web

2002 ◽  
Vol 7 (1) ◽  
pp. 9-25 ◽  
Author(s):  
Moses Boudourides ◽  
Gerasimos Antypas
Keyword(s):  
World Wide Web ◽  
Power Law ◽  
Web Sites ◽  
World Wide ◽  
The Internet ◽  
Web Pages ◽  
Small Worlds ◽  
Web Page ◽  
Simple Simulation ◽  
The World

In this paper we are presenting a simple simulation of the Internet World-Wide Web, where one observes the appearance of web pages belonging to different web sites, covering a number of different thematic topics and possessing links to other web pages. The goal of our simulation is to reproduce the form of the observed World-Wide Web and of its growth, using a small number of simple assumptions. In our simulation, existing web pages may generate new ones as follows: First, each web page is equipped with a topic concerning its contents. Second, links between web pages are established according to common topics. Next, new web pages may be randomly generated and subsequently they might be equipped with a topic and be assigned to web sites. By repeated iterations of these rules, our simulation appears to exhibit the observed structure of the World-Wide Web and, in particular, a power law type of growth. In order to visualise the network of web pages, we have followed N. Gilbert's (1997) methodology of scientometric simulation, assuming that web pages can be represented by points in the plane. Furthermore, the simulated graph is found to possess the property of small worlds, as it is the case with a large number of other complex networks.

scholarly journals Lexical abbreviation in English texts of the Internet

2021 ◽  
pp. 116-132
Author(s):  
Nataliya V. Matveeva ◽  
Keyword(s):  
Social Networks ◽  
English Language ◽  
Sampling Method ◽  
The Internet ◽  
Web Page ◽  
Continuous Sampling ◽  
Network Media ◽  
Vowel Deletion ◽  
Political Blog ◽  
Very High

This article investigates abbreviations in different Internet discourse types and genres. For the study, continuous sampling method was used to select 76 abbreviations in hypertexts from 7 Internet English-language sites. The selected units were classified into 3 basic types with further subdivisions: letter-number (figure-for-word, figure-for-word-part, contractions as a result of vowel deletion), graphical (both Latin and English) and lexical (acronyms, initialisms, shortening and partial shortening) abbreviations based on the classification adopted in this research. Among the subdivisions, abbreviations involving figures, initialisms and contractions turned out the most frequent. Most of them were found in social networks, blogs, chats and forums. Further, abbreviations were analyzed in 6 types of Internet discourse: legal, political, personal, mass media, advertising and pedagogical. Particular genres representing the types were studied: a business email, a law firm’s website, a political blog, an Instagram personal page, a network media web page, and an academic institution’s page. It was discovered that on the whole (among 57 examples), lexical abbreviations prevail over graphical ones (56% vs 44%). On the whole, 44% were graphical abbreviations, 28% – initialisms, 23% – acronyms and 5% – shortenings. However, in each discourse, the distribution demonstrated considerable variation. This means that the magnitude of the Internet discourse type effect is very high. Further studies are needed to enlarge the number of examples with the increase in the amount of genres and their samples to achieve better balance.

scholarly journals Quality Assessment of Online Patient Information for Cosmetic Botulinum Toxin

2020 ◽  
Vol 40 (11) ◽  
pp. NP636-NP642 ◽  
Author(s):  
Eric Barbarite ◽  
David Shaye ◽  
Samuel Oyer ◽  
Linda N Lee
Keyword(s):  
Botulinum Toxin ◽  
Patient Education ◽  
Online Education ◽  
Grade Level ◽  
Assessment Tool ◽  
Botulinum Toxin Injection ◽  
Reading Level ◽  
Accuracy Score ◽  
Flesch Reading Ease

Abstract Background In an era of widespread Internet access, patients increasingly look online for health information. Given the frequency with which cosmetic botulinum toxin injection is performed, there is a need to provide patients with high-quality information about this procedure. Objectives The aim of this study was to examine the quality of printed online education materials (POEMs) about cosmetic botulinum toxin. Methods An Internet search was performed to identify 32 websites of various authorship types. Materials were evaluated for accuracy and inclusion of key content points. Readability was measured by Flesch Reading Ease and Flesch-Kincaid Grade Level. Understandability and actionability were assessed with the Patient Education Materials Assessment Tool for Printed Materials. The effect of authorship was measured by undertaking analysis of variance between groups. Results The mean [standard deviation] accuracy score among all POEMs was 4.2 [0.7], which represents an accuracy of 76% to 99%. Mean comprehensiveness was 47.0% [16.4%]. Mean Flesch-Kincaid Grade Level and Flesch Reading Ease scores were 10.7 [2.1] and 47.9 [10.0], respectively. Mean understandability and actionability were 62.8% [18.8%] and 36.2% [26.5%], respectively. There were no significant differences between accuracy (P > 0.2), comprehensiveness (P > 0.5), readability (P > 0.1), understandability (P > 0.3), or actionability (P > 0.2) by authorship. Conclusions There is wide variability in the quality of cosmetic botulinum toxin POEMs regardless of authorship type. The majority of materials are written above the recommended reading level and fail to include important content points. It is critical that providers take an active role in the evaluation and endorsement of online patient education materials.

Web Authoring

2011 ◽  
pp. 122-156
Author(s):  
John DiMarco
Keyword(s):  
Web Applications ◽  
The Internet ◽  
Web Pages ◽  
Web Development ◽  
Web Page ◽  
Web Based ◽  
Content Creation ◽  
Microsoft Word ◽  
Software Skills ◽  
The Web

Web authoring is the process of developing Web pages. The Web development process requires you to use software to create functional pages that will work on the Internet. Adding Web functionality is creating specific components within a Web page that do something. Adding links, rollover graphics, and interactive multimedia items to a Web page creates are examples of enhanced functionality. This chapter demonstrates Web based authoring techniques using Macromedia Dreamweaver. The focus is on adding Web functions to pages generated from Macromedia Fireworks and to overview creating Web pages from scratch using Dreamweaver. Dreamweaver and Fireworks are professional Web applications. Using professional Web software will benefit you tremendously. There are other ways to create Web pages using applications not specifically made to create Web pages. These applications include Microsoft Word and Microsoft PowerPoint. The use of Microsoft applications for Web page development is not covered in this chapter. However, I do provide steps on how to use these applications for Web page authoring within the appendix of this text. If you feel that you are more comfortable using the Microsoft applications or the Macromedia applications simply aren’t available to you yet, follow the same process for Web page conceptualization and content creation and use the programs available to you. You should try to get Web page development skills using Macromedia Dreamweaver because it helps you expand your software skills outside of basic office applications. The ability to create a Web page using professional Web development software is important to building a high-end computer skills set. The main objectives of this chapter are to get you involved in some technical processes that you’ll need to create the Web portfolio. Focus will be on guiding you through opening your sliced pages, adding links, using tables, creating pop up windows for content and using layers and timelines for dynamic HTML. The coverage will not try to provide a complete tutorial set for Macromedia Dreamweaver, but will highlight essential techniques. Along the way you will get pieces of hand coded action scripts and JavaScripts. You can decide which pieces you want to use in your own Web portfolio pages. The techniques provided are a concentrated workflow for creating Web pages. Let us begin to explore Web page authoring.

scholarly journals P126 An analysis of the quality and readability of online information for osteoarthritis

Rheumatology ◽  
2020 ◽  
Vol 59 (Supplement_2) ◽  
Author(s):  
Kieran Murray ◽  
Timothy Murray ◽  
Candice Low ◽  
Anna O'Rourke ◽  
Douglas J Veale
Keyword(s):  
Grade Level ◽  
English Language ◽  
Assessment Tool ◽  
Scoring Systems ◽  
Online Information ◽  
Flesch Reading Ease ◽  
12Th Grade ◽  
8Th Grade ◽  
Ease Score

Abstract Background Osteoarthritis is the most common cause of disability in people over 65 years old. The readability of of online osteoarthritis information has never been assessed. A 2003 study found the quality of online osteoarthritis information to be poor. This study reviews the quality of online information regarding osteoarthritis in 2018 using three validated scoring systems. Readability is reviewed for the first time, again using three validated tools. Methods The term osteoarthritis was searched across the three most popular English language search engines. The first 25 pages from each search engine were analysed. Duplicate pages, websites featuring paid advertisements, inaccessible pages (behind a pay wall, not available for geographical reasons) and non-text pages were excluded. Readability was measured using Flesch Reading Ease Score (FRES), Flesch-Kincaid Grade Level (FKGL) and Gunning-Fog Index (GFI). Website quality was scored using the the Journal of the American Medical Association (JAMA) benchmark criteria and DISCERN criteria. Presence or absence of HONcode certification, age of content, content producer and author characteristics were noted. Results 37 unique websites were suitable for analysis. Readability varied by assessment tool from 8th to 12th grade level. This compares with the recommended 7- 8th grade level. One (2.7%) website met all four JAMA Criteria. Mean DISCERN quality of information for OA websites was “fair”, comparing favourably with the “poor” grading of a 2003 study. HONCode endorsed websites (43.2%) were of a statistically significantly higher quality. Conclusion Quality of online health information for OA is “fair”. 2.7% of websites met JAMA benchmark criteria for quality. Readability was equal to or more difficult than recommendations. HONcode certification was indicative of higher quality, but not readability. Disclosures K. Murray None. T. Murray None. C. Low None. A. O'Rourke None. D.J. Veale None.

Are English-Language Pedometer Instructions Readable?

2010 ◽  
Vol 7 (3) ◽  
pp. 375-380 ◽  
Author(s):  
Lorraine S. Wallace ◽  
Kenneth Bielak ◽  
Brian Linn
Keyword(s):  
Grade Level ◽  
English Language ◽  
Reading Level ◽  
Minimal Amount ◽  
White Space ◽  
User Friendliness ◽  
12Th Grade ◽  
Reading Grade Level ◽  
Steps Per Day ◽  
Grade Reading Level

Background:We evaluated readability and related features of English-language instructions accompanying pedometers, including reading grade level, layout/formatting characteristics, and emphasis of key points.Methods:We identified 15 pedometers currently available for purchase in the US. Reading grade level was calculated using Flesch-Kinkaid (FK) and SMOG formulas. Text point size was measured with a C-Thru Ruler. Page and illustration dimensions were measured to the nearest millimeter (mm) with a standard ruler. Layout features were evaluated using the criteria from the User-Friendliness Tool.Results:FK scores ranged from 8th to 11th grade, while SMOG scores ranged from 8th to 12th grade. Text point size averaged 6.9 ± 1.9 (range = 4−11). Instructions averaged 8.7 ± 9.0 (range = 0−36) illustrations, most about the size of a US quarter. While many instructions avoided use of specialty fonts (n = 12; 80.0%), most used a minimal amount of white space. Just 4 (26.7%) sets of instructions highlighted the target goal of 10,000 steps-per-day.Conclusion:Pedometer instructions should be revised to meet the recommended 6th grade reading level. Paper size instructions are printed on should be enlarged, thereby allowing for larger text and illustrations, and additional white space. Recommended number of steps per day and proper pedometer positioning should also be predominantly highlighted.

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