Readability, content, quality and accuracy assessment of internet-based patient education materials relating to labor analgesia.

Analgesia, Obstetrical Comprehension Female Humans Internet Patient Education as Topic Pregnancy
Epidural Internet Labor analgesia Patient education materials Pregnancy

Journal

International journal of obstetric anesthesia
ISSN: 1532-3374
Titre abrégé: Int J Obstet Anesth
Pays: Netherlands
ID NLM: 9200430

Informations de publication

Date de publication:
08 2019
Historique:
received: 20 06 2018
revised: 06 12 2018
accepted: 03 01 2019
pubmed: 20 4 2019
medline: 1 2 2020
entrez: 20 4 2019
Statut: ppublish

Résumé

With over 90% of parturients searching the internet for health information, the quality of information is important. Web-based patient education materials (PEMs) related to labor analgesia are frequently of low readability. This study compares the readability, content, quality and accuracy of labor analgesia-related PEMs from relevant healthcare society websites and the top internet search results. The first ten PEMs from Google searches for "labor epidural" and "labor pain relief" were compared with PEMs from North American and United Kingdom anesthesiology, obstetric and medical society websites. Readability was assessed utilizing five validated readability indices. Quality was assessed using Patient Education Materials Assessment Tool for Print (PEMAT). The PEMs were graded for accuracy by four obstetric anesthesiologists. Readability, quality and accuracy scores were compared using the independent t-test and content using Chi-square analysis. Society PEMs were significantly more readable than non-society PEMs for three of five readability indices, though the mean of both groups was at or above an eighth-grade (average age 13-14 years-old) reading level. The PEMAT understandability and accuracy scores were significantly higher for society websites. The most frequently mentioned topics were benefits, effects of epidural analgesia on labor and delivery, definitions, post-dural puncture headache and alternative analgesics. Google search results for labor analgesia lead to PEMs of variable quality and readability. For readers to be better informed, web-based PEMs should be improved or women directed to society PEMs. Inaccurate information may lead to incorrect expectations and conflict during labor, with potentially lower maternal satisfaction.

Sections du résumé

BACKGROUND
With over 90% of parturients searching the internet for health information, the quality of information is important. Web-based patient education materials (PEMs) related to labor analgesia are frequently of low readability. This study compares the readability, content, quality and accuracy of labor analgesia-related PEMs from relevant healthcare society websites and the top internet search results.
METHODS
The first ten PEMs from Google searches for "labor epidural" and "labor pain relief" were compared with PEMs from North American and United Kingdom anesthesiology, obstetric and medical society websites. Readability was assessed utilizing five validated readability indices. Quality was assessed using Patient Education Materials Assessment Tool for Print (PEMAT). The PEMs were graded for accuracy by four obstetric anesthesiologists. Readability, quality and accuracy scores were compared using the independent t-test and content using Chi-square analysis.
RESULTS
Society PEMs were significantly more readable than non-society PEMs for three of five readability indices, though the mean of both groups was at or above an eighth-grade (average age 13-14 years-old) reading level. The PEMAT understandability and accuracy scores were significantly higher for society websites. The most frequently mentioned topics were benefits, effects of epidural analgesia on labor and delivery, definitions, post-dural puncture headache and alternative analgesics.
CONCLUSIONS
Google search results for labor analgesia lead to PEMs of variable quality and readability. For readers to be better informed, web-based PEMs should be improved or women directed to society PEMs. Inaccurate information may lead to incorrect expectations and conflict during labor, with potentially lower maternal satisfaction.

Identifiants

DOI: 10.1016/j.ijoa.2019.01.003 PMID: 31000314
pubmed: 31000314
pii: S0959-289X(18)30276-0
doi: 10.1016/j.ijoa.2019.01.003
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

82-87

Informations de copyright

Copyright © 2019 Elsevier Ltd. All rights reserved.

Auteurs

J Murphy (J)

Section of Obstetric Anesthesiology, Department of Anesthesiology, Cedars-Sinai Medical Center, USA. Electronic address: jessica.murphy@cshs.org.

J Vaughn (J)

Section of Obstetric Anesthesiology, Department of Anesthesiology, Cedars-Sinai Medical Center, USA.

K Gelber (K)

Section of Obstetric Anesthesiology, Department of Anesthesiology, Cedars-Sinai Medical Center, USA.

A Geller (A)

Section of Obstetric Anesthesiology, Department of Anesthesiology, Cedars-Sinai Medical Center, USA.

M Zakowski (M)

Section of Obstetric Anesthesiology, Department of Anesthesiology, Cedars-Sinai Medical Center, USA.

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Classifications MeSH

questionsmedicales.fr › Anesthésie et analgésie › Analgésie › Analgésie obstétricale › Readability, content, quality and accuracy...
questionsmedicales.fr › Phénomènes psychologiques › Processus mentaux › Cognition › Compréhension › Readability, content, quality and accuracy...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Readability, content, quality and accuracy...
questionsmedicales.fr › Sciences de l'information › Méthodologies informatiques › Systèmes informatiques › Réseaux de communication entre ordinateurs › Internet › Readability, content, quality and accuracy...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services de médecine préventive › Éducation pour la santé › Éducation du patient comme sujet › Readability, content, quality and accuracy...
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