Résumé
Objective: Tympanostomy tube (TT) placement is common in children; however, family-centeredness and utility of online information used for decision making and understanding is unknown. We evaluate the quality of leading Internet resources describing TT placement. Study Design: Cross-sectional descriptive design. Methods: We performed a Google (Menlo Park, CA) search for terms related to TTs. We defined quality using scaled readability measures (Flesch Reading Ease and Flesch-Kincaid Grade-Level), understandability and actionability (Patient Education Materials Assessment Tool), shared decision-making centrality (Center for Medicare and Medicaid Services informed consent guidelines), and clinical practice guideline (CPG) compatibility. Three reviewers coded each measure. Fleiss κ interrater reliability analysis was performed. Results: Ten most frequently encountered websites were analyzed. One of 10 met national health literacy standards (mean 10th-grade level reading, median 9th, range 6–15th). All sites were understandable (mean understandability 81.9%, range 73%–92%). Most had low actionability scores (7 of 10, median 47%, mean 44.6%, range 0–80). Shared decision-making centrality was high (mean 5, range 4–6), but most did not list alternative treatment options. Although CPG compatibility was high (mean 3.4, range 1–4), many websites contained inconsistent recommendations about tube duration, follow-up, and water precautions. There was inter-rater agreement for understandability scoring (κ = 0.20; P = 0.02). Conclusion: Internet resources about TT placement vary in quality pertaining to health literacy, principles of shared decision making, and consistency with practice guidelines. With growing emphasis on patient-/family-centered engagement in healthcare decision making, standardization of content and improved usability of educational materials for common surgical procedures in children such as tympanostomy tube placement should be a public health priority. Level of Evidence: NA. Laryngoscope, 128:496–501, 2018.
| Langue d'origine | English |
|---|---|
| Pages (de-à) | 496-501 |
| Nombre de pages | 6 |
| Journal | Laryngoscope |
| Volume | 128 |
| Numéro de publication | 2 |
| DOI | |
| Statut de publication | Published - févr. 2018 |
Note bibliographique
Funding Information:Financial Disclosure: Dr. Harris is support by grant 5T32DC000027-27 from the National Institute on Deafness and Other Communication Disorders (NIDCD) for research Training in Otolaryngology. Dr. Boss is supported by grant number K08HS022932 from the Agency for Healthcare Research and Quality. Dr. Boss is also supported by the American Society of Pediatric Otolaryngology Career Development Award. The content is solely the responsibility of the authors and does not necessarily represent the official views of the funding agencies. The authors have no other funding, financial relationships, or conflicts of interest to disclose.
Funding Information:
From the Department of Otolaryngology–Head and Neck Surgery (V.C.H., A.R.L., J.W., D.P.S., D.E.T., C.M.S., E.F.B.), the Department of Health Policy and Management (E.F.B.), Johns Hopkins Medical Institutions, Baltimore, Maryland, U.S.A.; and the Division of Otolaryngology–Head and Neck Surgery, Department of Surgery, Dalhousie University (P.H.), Halifax, Nova Scotia, Canada.
Publisher Copyright:
© 2017 The American Laryngological, Rhinological and Otological Society, Inc.
ASJC Scopus Subject Areas
- Otorhinolaryngology
PubMed: MeSH publication types
- Journal Article
- Research Support, N.I.H., Extramural
- Research Support, Non-U.S. Gov't
ODD de l’ONU
Cette action contribue à la réalisation des objectifs de développement durable suivants
