Health literacy and the World Wide Web: Comparing the readability of leading incident cancers on the Internet
Health literacy and the World Wide Web: Comparing the readability of leading incident cancers on the Internet
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DOI：
10.1080/14639230600628427
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发表时间：
2006-03-01
期刊：
影响因子：
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通讯作者：
Arocha, J. F.
中科院分区：
文献类型：
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作者：
Friedman, D. B.;Hoffman-Goetz, L.;Arocha, J. F.
主要目的：评估主要癌症事件的网络信息的可读性水平。研究设计：通过比较10个流行搜索引擎的前100个点击率，选择有关乳腺癌、前列腺癌和结直肠癌的网站进行分析。最终分析共纳入100个关于乳腺癌（n=33）、前列腺癌（n=34）和结直肠癌（n=33）的网站。方法：采用烟雾、Flesch- kincaid （F-K）和Flesch Reading Ease （FRE）量表评估可读性。烟雾是在10-30行连续文本上手工计算的。将相同的文本输入到Microsoft (R) Word 2002中，其中F-K和FRE分数由文字处理器自动确定。结果：癌症网站的平均可读性评分采用SMOG评分为12.9分，采用F-K评分为10.7分。平均FRE得分为45.3，这个分数被认为是“困难的”。与乳腺癌和前列腺癌网站相比，结肠直肠癌网站最难阅读。所有的测量都表明前列腺癌网站的可读性是最低的。与引言段相比，网络文章的结论段需要更高的阅读水平。结论：研究结果表明，有必要在网上提供可读的癌症信息。健康推动者、卫生信息学家、医学记者和网页编辑必须合作，确保使用通俗易懂的语言，以配合消费者的识字技能。
Primary objective: to assess the readability level of Web-based information on leading incident cancers.Research design: websites on breast, prostate, and colorectal cancers were selected for analysis by comparing the first 100 hits across 10 popular search engines. A total of 100 websites on breast (n=33), prostate (n=34), and colorectal (n=33) cancers were included in the final analysis. Methods: readability was assessed using SMOG, Flesch-Kincaid (F-K), and Flesch Reading Ease (FRE) measures. SMOG was hand-calculated on 10-30 lines of continuous text. Identical text was entered into Microsoft (R) Word 2002 where F-K and FRE scores were determined automatically by the word processor.Results: the mean readability score of the cancer websites was Grade 12.9 using SMOG and Grade 10.7 according to F-K. The mean FRE score was 45.3, a score considered 'difficult'. Colorectal cancer websites were most difficult to read compared to breast and prostate cancer websites. All measures indicated that prostate cancer websites were written at the lowest readability. Significantly higher reading levels were required for concluding paragraphs of Web articles compared to introduction paragraphs.Conclusions: findings suggest the need for readable cancer information on the Web. Health promoters, health informaticians, medical journalists, and web page editors must collaborate to ensure the use of plain language to match the literacy skills of consumers.