Stroke Education Materials on the World Wide Web: An Evaluation of Their Quality and Suitability

Griffin, Erin; McKenna, Kryss; Worrall, Linda

doi:10.1310/jkjk-n2mp-9lq1-ff2n

Cited by 30 publications

(30 citation statements)

References 24 publications

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“…Only two websites (5%) were written at 5 th grade or lower level. This result is consistent with previous studies, which evaluated some stroke-related web pages: The mean readability level of stroke information was found to be 10th grade in Griffin, McKenna, & Worrall's [41] evaluation of 30 stroke educational websites; these websites are different from the set of websites appraised in our study, except three overlapping websites. Sharma et al [22] also found that over half of 100 stroke Web pages were produced at the 12th-grade level or above when readability was measured with SMOG.…”

Section: Readabilitysupporting

confidence: 91%

Trustworthiness, Readability, and Suitability of Web-Based Information for Stroke Prevention and Self-Management for Korean Americans: Critical Evaluation (Preprint)

Lee¹,

Shin²,

An³

2018

Preprint

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Background: The websites are common resources of health-information to stroke survivors and caregivers to obtain information and resources for continual management of stroke and the long-term sequels. Korean Americans (KAs) are frequent users of the webbased health information related to stroke management. The high stroke risk factors and mortality in KAs and lack of insurance, thus limited access to long-term care explains KAs' reliance on the web-based information. Quality of information on the websites is often questioned. Objective: This study aimed to provide a systematic evaluation of stroke-related websites regarding (1) trustworthiness (2) readability, and (3) the suitability for stroke prevention and self-management in KAs. Methods: The search terms 'stroke,' 'CVA,' '중풍 [jungpung],' and '뇌졸증[noejoljung]' were used to find stroke-related websites on Google and Yahoo. A total of 156 websites appeared on the 1 st and 2 nd pages. After eliminating duplicates and irrelevant websites (n=116), a total of 42 websites (15 in English and 27 in Korean) were evaluated using the National Library of Medicine's health websites evaluation tool for trustworthiness; SMOG for readability; and Suitability Assessment of Materials (SAM) for suitability. All three instruments used the 3-point Likert scale: superior (=2), adequate (=1), or not suitable (=0). Results: Overall, 26 (61.9%) websites received a rating of "adequate" or above for trustworthiness; however, in currency/timeline, the information on 47.6% hasn't been updated more than a year. In terms of authority, 33% failed to provide the publisher and contact information. Regarding accuracy, 50% of the websites didn't cite sources of health information. The overall readability was not suitable; only two (4.8%) websites were rated 5 th grade or lower reading level. In the suitability evaluation, only one website was rated as "superior," 25 (59.5%) websites were "adequate," and 16 (38.1%) websites were "not suitable." Among the suitability subcategory criteria, many websites were limited in graphical directions, interactive motivations for desired healthy behaviors, and multiplelanguage translations. Conclusion: The existing stroke-related websites in either English or Korean are trustworthy and suitable, yet precise citation of evidence-based information will improve trustworthiness. The high reading level of the information may set a barrier to utilization of web-based health information to KAs with a lower level of education. With the consideration of culturally relevant information in multiple languages, graphical examples, multimedia, and interaction features are the areas for improvement in suitability. The improved features can reduce the reading burden of stroke patients/caregivers and build more confidence or self-efficacy when applying the information for condition management and rehabilitation in daily living. These strategies are especially crucial to KAs, who inevitably seek web-based information to fill the gap between their demand and access to he...

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Section: Readabilitysupporting

confidence: 91%

Trustworthiness, Readability, and Suitability of Web-Based Information for Stroke Prevention and Self-Management for Korean Americans: Critical Evaluation (Preprint)

Lee¹,

Shin²,

An³

2018

Preprint

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“…Content could be perceived differently between health professionals and consumers. 5 Interviews with e-health consumers would be an interesting complementary approach to test the suitability of the websites information.…”

Section: Incomplete or Unspecific Correctmentioning

confidence: 99%

“…One of the few studies Revista Científica da Ordem dos Médicos www.actamedicaportuguesa.com assessing the quality of stroke education materials available on the web found high readability scores but poor reliability. 5 Although Portuguese literacy levels have increased tremendously in the last few decades, they are still lower than the European average, and it is estimated that 5% of adults and youth are still unable to read or write. 6 Literacy is an important determinant of access to healthcare and health information.…”

Section: Introductionmentioning

confidence: 99%

Quality of Health Information on Acute Myocardial Infarction and Stroke in the World Wide Web

2014

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Resultados: Os sites eram maioritariamente comerciais (49,5%), com parte do site dedicado a enfarte agudo do miocárdio/ acidente vascular cerebral (94,2%), com informações exclusivamente sobre factos médicos (59,5%) e apresentavam imagens, vídeos e animações para além do texto (60,3%). A confiabilidade dos sites foi baixa. Nenhum dos sites exibiu o selo da Health on the Net Foundation. Os sites de enfarte agudo do miocárdio/ acidente vascular cerebral diferiram na cobertura da informação. A validade da informação foi aceitável embora frequentemente incompleta. Conclusão: A qualidade da informação sobre enfarte agudo do miocárdio/ acidente vascular cerebral nos sites portugueses foi aceitável. A confiabilidade foi baixa o que pode comprometer a capacidade dos utilizadores em identificar conteúdos potencialmente mais credíveis. Palavras-chave: Enfarte do Miocárdio; Acidente Vascular Cerebral; Internet, Educação para a Saúde. ABSTRACTIntroduction: The quality of health information in the Internet may be low. This is a concerning issue in cardiovascular diseases which warrant patient self-management. We aimed to assess the quality of Portuguese websites as a source of health information on acute myocardial infarction and stroke. Material and Methods: We used the search terms 'enfarte miocardio' and 'acidente vascular cerebral' (Portuguese terms for myocardial infarction and stroke) on Google ® , on April 5th and 7th 2011, respectively, using Internet Explorer ® . The first 200 URL retrieved in each search were independently visited and Portuguese websites in Portuguese language were selected. We analysed and classified 121 websites for structural characteristics, information coverage and accuracy of the web pages with items defined a priori, trustworthiness in general according to the Health on the Net Foundation and regarding treatments using the DISCERN instrument (48 websites). Results: Websites were most frequently commercial (49.5%), not exclusively dedicated to acute myocardial infarction/ stroke (94.2%), and with information on medical facts (59.5%), using images, video or animation (60.3%). Websites' trustworthiness was low. None of the websites displayed the Health on the Net Foundation seal. Acute myocardial infarction/ stroke websites differed in information coverage but the accuracy of the information was acceptable, although often incomplete. Conclusion:The quality of information on acute myocardial infarction/ stroke in Portuguese websites was acceptable. Trustworthiness was low, impairing users' capability of identifying potentially more reliable content.

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“…The readability levels of stroke education websites (n=50) have also been found to be inappropriately high (Griffin, McKenna and Worrall, 2004).…”

Section: Web Accessibilitymentioning

confidence: 99%

Information needs after stroke: What to include and how to structure it on a website. A qualitative study using focus groups and card sorting

Kerr¹,

Hilari

Litosseliti

2010

Aphasiology

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Citation: Kerr, J., Hilari, K. & Litosseliti, L. (2010). Information needs after stroke: What to include and how to structure it on a website. A qualitative study using focus groups and card sorting. Aphasiology, 24(10), pp. 1170Aphasiology, 24(10), pp. -1196Aphasiology, 24(10), pp. . doi: 10.1080 This is the unspecified version of the paper.This version of the publication may differ from the final published version. Permanent

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Stroke Education Materials on the World Wide Web: An Evaluation of Their Quality and Suitability

Cited by 30 publications

References 24 publications

Trustworthiness, Readability, and Suitability of Web-Based Information for Stroke Prevention and Self-Management for Korean Americans: Critical Evaluation (Preprint)

Trustworthiness, Readability, and Suitability of Web-Based Information for Stroke Prevention and Self-Management for Korean Americans: Critical Evaluation (Preprint)

Quality of Health Information on Acute Myocardial Infarction and Stroke in the World Wide Web

Information needs after stroke: What to include and how to structure it on a website. A qualitative study using focus groups and card sorting

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