Online patient resources for breast reconstruction: an analysis of readability.

Abstract:

BACKGROUND:Online resources for health information are commonly used by many patients. The discrepancy between functional health literacy and available patient information is recognized as an important contributor to health disparities. To provide understandable patient information, the National Institutes of Health and the American Medical Association have advised that health literature for patients be written at a sixth-grade reading level. This study identifies the most popular, online, patient-targeted resources for breast reconstruction information, and evaluates readability of these sites in the context of literacy in the United States. METHODS:A Web search for "breast reconstruction" was performed using the two largest Internet search engines, and the top 10 websites common to both were identified. Patient-targeted content was downloaded from all relevant articles immediately available from the main sites. A total of 114 articles were assessed for readability using 10 established analyses. Readability scores were also calculated for the groups of articles arranged by website for comparison. RESULTS:The average reading level was 11.5 across all evaluated sites (Coleman-Liau, 11.8; Flesch-Kincaid, 10.9; FORCAST, 10.7; Fry, 12; Gunning Fog, 12.7; New Dale-Chall, 10.6; New Fog Count, 9.7; Raygor Estimate, 12; and Simple Measure of Gobbledygook, 13). Readability comparison by individual website demonstrated disparity in average reading level from 9.7 to 14.9. CONCLUSIONS:Online patient resources for breast reconstruction exceed recommended reading levels and are too difficult to be understood by a large portion of the population. Significant variability between sites provides an opportunity to direct patients to appropriate websites for their level of health literacy.

journal_name

Plast Reconstr Surg

authors

Vargas CR,Koolen PGL,Chuang DJ,Ganor O,Lee BT

doi

10.1097/PRS.0000000000000472

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

406-413

issue

3

eissn

0032-1052

issn

1529-4242

pii

00006534-201409000-00004

journal_volume

134

pub_type

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