1
|
Karaca BÖ, Tellioğlu A. Assessment of the Quality, Reliability, and Popularity of Information About Retinoblastoma on YouTube. J Pediatr Ophthalmol Strabismus 2024:1-6. [PMID: 39254184 DOI: 10.3928/01913913-20240807-03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/11/2024]
Abstract
PURPOSE To evaluate the quality, reliability, and popularity of YouTube videos addressing retinoblastoma. METHODS This was a retrospective, cross-sectional, register-based study. A YouTube search was performed using the keyword retinoblastoma and the first 100 videos that came out were included in the study. Duplicate videos, videos that were not in English, and videos that were less than 1 minute were excluded. The number of views, likes, dislikes, comments, video type (uploaded by physicians, uploaded by public or private institution, uploaded by health channel or uploaded by patients), and country of origin were evaluated for all videos. The popularity of the videos was evaluated with the Video Power Index. The quality of the videos was measured using the DISCERN score (DISCERN), Journal of the American Medical Association (JAMA) benchmark criteria, and Global Quality Score (GQS). RESULTS Of the 100 videos, 70 videos met the criteria and were included in the study. The mean DISCERN, JAMA, and GQS scores were 42.54 ± 18.77, 2.14 ± 1.03, 2.87 ± 1.42 and 2.99 ± 1.44, respectively. On examining the upload source 18 (25.7%) videos were uploaded by private institutions, 15 (21.4%) videos by physicians, 14 (20.0%) videos by public institutions, 14 (20.0%) videos by health channels, and 9 (12.9%) videos by patients. There was a significant level of agreement between the two commentators evaluating the videos with a power of 91.6% (kappa score: 0.916). Videos uploaded by physicians and public or private institutions had significantly higher DISCERN, JAMA, and GQS scores. CONCLUSIONS The content of YouTube videos regarding retinoblastoma is generally of moderate quality for patients. Increasing the number of videos uploaded by physicians and public or private institutions will increase the quality, reliability, and informative value of the videos. [J Pediatr Ophthalmol Strabismus. 20XX;X(X):XXX-XXX.].
Collapse
|
2
|
Lee JW, Yoo IS, Kim JH, Kim WT, Jeon HJ, Yoo HS, Shin JG, Kim GH, Hwang S, Park S, Kim YJ. Development of AI-generated medical responses using the ChatGPT for cancer patients. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2024; 254:108302. [PMID: 38996805 DOI: 10.1016/j.cmpb.2024.108302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Revised: 05/28/2024] [Accepted: 06/22/2024] [Indexed: 07/14/2024]
Abstract
BACKGROUND AND OBJECTIVE To develop a healthcare chatbot service (AI-guided bot) that conducts real-time conversations using large language models to provide accurate health information to patients. METHODS To provide accurate and specialized medical responses, we integrated several cancer practice guidelines. The size of the integrated meta-dataset was 1.17 million tokens. The integrated and classified metadata were extracted, transformed into text, segmented to specific character lengths, and vectorized using the embedding model. The AI-guide bot was implemented using Python 3.9. To enhance the scalability and incorporate the integrated dataset, we combined the AI-guide bot with OpenAI and the LangChain framework. To generate user-friendly conversations, a language model was developed based on Chat-Generative Pretrained Transformer (ChatGPT), an interactive conversational chatbot powered by GPT-3.5. The AI-guide bot was implemented using ChatGPT3.5 from Sep. 2023 to Jan. 2024. RESULTS The AI-guide bot allowed users to select their desired cancer type and language for conversational interactions. The AI-guided bot was designed to expand its capabilities to encompass multiple major cancer types. The performance of the AI-guide bot responses was 90.98 ± 4.02 (obtained by summing up the Likert scores). CONCLUSIONS The AI-guide bot can provide medical information quickly and accurately to patients with cancer who are concerned about their health.
Collapse
Affiliation(s)
- Jae-Woo Lee
- Department of Family Medicine, Chungbuk National University Hospital, Cheongju, Republic of Korea; Department of Family Medicine, Chungbuk National University College of Medicine, Cheongju, Republic of Korea
| | - In-Sang Yoo
- Department of Biomedical Engineering, Chungbuk National University Hospital, Cheongju, Republic of Korea; Department of Medicine, Chungbuk National University College of Medicine, Cheongju, Republic of Korea
| | - Ji-Hye Kim
- Department of Biomedical Engineering, Chungbuk National University Hospital, Cheongju, Republic of Korea
| | - Won Tae Kim
- Department of Urology, Chungbuk National University Hospital, Cheongju, Republic of Korea; Department of Urology, Chungbuk National University College of Medicine, 1 Chungdae-ro, Seowon-gu, Cheongju, Chungcheongbuk-do 28644, Republic of Korea
| | - Hyun Jeong Jeon
- Department of Internal Medicine, Chungbuk National University Hospital, Cheongju, Republic of Korea; Department of Internal Medicine, College of Medicine, Chungbuk National University, Cheongju, Republic of Korea
| | - Hyo-Sun Yoo
- Department of Family Medicine, Chungbuk National University Hospital, Cheongju, Republic of Korea
| | - Jae Gwang Shin
- Department of Biomedical Engineering, Chungbuk National University Hospital, Cheongju, Republic of Korea
| | - Geun-Hyeong Kim
- Department of Biomedical Engineering, Chungbuk National University Hospital, Cheongju, Republic of Korea
| | - ShinJi Hwang
- Department of Biomedical Engineering, Chungbuk National University Hospital, Cheongju, Republic of Korea
| | - Seung Park
- Department of Biomedical Engineering, Chungbuk National University Hospital, Cheongju, Republic of Korea; Department of Medicine, Chungbuk National University College of Medicine, Cheongju, Republic of Korea
| | - Yong-June Kim
- Department of Urology, Chungbuk National University Hospital, Cheongju, Republic of Korea; Department of Urology, Chungbuk National University College of Medicine, 1 Chungdae-ro, Seowon-gu, Cheongju, Chungcheongbuk-do 28644, Republic of Korea.
| |
Collapse
|
3
|
Khalid A, Anuff H, Woodhead S, Yeung TM. Assessment of the Quality of Patient-Oriented Internet Information on Fluorescence Imaging in Surgery. Surg Innov 2024; 31:394-399. [PMID: 38785116 DOI: 10.1177/15533506241256827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2024]
Abstract
BACKGROUND In the digital age, patients are increasingly turning to the Internet to seek medical information to aid in their decision-making process before undergoing medical treatments. Fluorescence imaging is an emerging technological tool that holds promise in enhancing intra-operative decision-making during surgical procedures. This study aims to evaluate the quality of patient information available online regarding fluorescence imaging in surgery and assesses whether it adequately supports informed decision-making. METHOD The term "patient information on fluorescence imaging in surgery" was searched on Google. The websites that fulfilled the inclusion criteria were assessed using 2 scoring instruments. DISCERN was used to evaluate the reliability of consumer health information. QUEST was used to assess authorship, tone, conflict of interest and complementarity. RESULTS Out of the 50 websites identified from the initial search, 10 fulfilled the inclusion criteria. Only two of these websites were updated in the last two years. The definition of fluorescence imaging was stated in only 50% of the websites. Although all websites mentioned the benefits of fluorescence imaging, none mentioned potential risks. Assessment by DISCERN showed that 30% of the websites were rated low and 70% were rated moderate. With QUEST, the websites demonstrated an average score of 62.5%. CONCLUSION This study highlights the importance of providing patients with accurate and balanced information about medical technologies and procedures they may undergo. Fluorescence imaging in surgery is a promising technology that can potentially improve surgical outcomes. However, patients need to be well-informed about its benefits and limitations in order to make informed decisions about their healthcare.
Collapse
Affiliation(s)
- Aizaz Khalid
- Department of Colorectal Surgery, St Richard's Hospital, Chichester, Univeristy Hospitals Sussex NHS Foundation Trust, Worthing, UK
| | - Heena Anuff
- Department of Colorectal Surgery, St Richard's Hospital, Chichester, Univeristy Hospitals Sussex NHS Foundation Trust, Worthing, UK
| | - Sophie Woodhead
- Department of Colorectal Surgery, St Richard's Hospital, Chichester, Univeristy Hospitals Sussex NHS Foundation Trust, Worthing, UK
| | - Trevor M Yeung
- Department of Colorectal Surgery, St Richard's Hospital, Chichester, Univeristy Hospitals Sussex NHS Foundation Trust, Worthing, UK
- Department of Colorectal Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| |
Collapse
|
4
|
Zhou Z, Besson AJ, Hayes D, Yeung JMC. Ostomy Information on the Internet-Is It Good Enough? J Wound Ostomy Continence Nurs 2024; 51:199-205. [PMID: 38820217 DOI: 10.1097/won.0000000000001077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2024]
Abstract
PURPOSE The aim of this study was to determine which internet search engines and keywords patients with ostomies utilize, to identify the common websites using these terms, to determine what aspects of information they wanted, and to perform a quality and readability assessment for these websites. DESIGN A cross-sectional survey of persons with ostomies to identify search engines and terms, followed by a structured assessment of the quality and readability of the identified web pages. SUBJECT AND SETTINGS The sample comprised 20 hospitalized patients with ostomies cared for on a colorectal surgical ward of a tertiary care hospital located in Melbourne, Australia. There were 15 (75%) adult males and 5 (25%) adult females; their mean age was 52.2 years. Participants were surveyed between August and December 2020. METHODS Patients with newly formed ostomies were surveyed about which search engines and keywords they would use to look for information and for which questions regarding ostomies they wanted answers. In addition, 2 researchers then performed independent searches using the search terms identified by patient participants. These searches were conducted in August 2021, with the geographical location set to Australia. The quality of the websites was graded using the DISCERN, Ensuring Quality Information for Patients, and Quality Evaluation Scoring Tool scoring assessments, and their readability was graded using the Flesch Reading Ease Score tool. RESULTS Participants used Google as their primary search engine. Four keywords/phrases were identified: stoma for bowel surgery, ileostomy, colostomy, and caring for stoma. Multiple web pages were identified, 8 (21%) originated from Australia, 7 (18%) were from the United Kingdom, and 23 (61%) were from the United States. Most web pages lacked recent updates; only 18% had been undated within the last 12 months. The overall quality of the online information on ostomies was moderate with an average level of readability, deemed suitable for patient educational purposes. CONCLUSIONS Information for persons living with an ostomy can be obtained from multiple web pages, and many sites have reasonable quality and are written at a suitable level. Unfortunately, these websites are rarely up-to-date and may contain advice that may not be applicable to individual patients.
Collapse
Affiliation(s)
- Zheyi Zhou
- Zheyi Zhou, MD, Department of Surgery, Western Health, Footscray, Victoria, Australia
- Alex J. Besson, MD, Department of Surgery, Western Health, Footscray, Victoria, Australia
- Diana Hayes, Department of Colorectal Surgery, Western Health, Footscray, Victoria, Australia
- Justin M.C. Yeung, DM, FRCSEd (Gen Surg), FRACS, Department of Surgery, Western Health, Footscray, Victoria, Australia; Department of Colorectal Surgery, Western Health, Footscray, Victoria, Australia; Department of Surgery, Western Precinct, University of Melbourne, Parkville, Victoria, Australia; and Western Health Chronic Disease Alliance, Western Health, Footscray, Victoria, Australia
| | - Alex J Besson
- Zheyi Zhou, MD, Department of Surgery, Western Health, Footscray, Victoria, Australia
- Alex J. Besson, MD, Department of Surgery, Western Health, Footscray, Victoria, Australia
- Diana Hayes, Department of Colorectal Surgery, Western Health, Footscray, Victoria, Australia
- Justin M.C. Yeung, DM, FRCSEd (Gen Surg), FRACS, Department of Surgery, Western Health, Footscray, Victoria, Australia; Department of Colorectal Surgery, Western Health, Footscray, Victoria, Australia; Department of Surgery, Western Precinct, University of Melbourne, Parkville, Victoria, Australia; and Western Health Chronic Disease Alliance, Western Health, Footscray, Victoria, Australia
| | - Diana Hayes
- Zheyi Zhou, MD, Department of Surgery, Western Health, Footscray, Victoria, Australia
- Alex J. Besson, MD, Department of Surgery, Western Health, Footscray, Victoria, Australia
- Diana Hayes, Department of Colorectal Surgery, Western Health, Footscray, Victoria, Australia
- Justin M.C. Yeung, DM, FRCSEd (Gen Surg), FRACS, Department of Surgery, Western Health, Footscray, Victoria, Australia; Department of Colorectal Surgery, Western Health, Footscray, Victoria, Australia; Department of Surgery, Western Precinct, University of Melbourne, Parkville, Victoria, Australia; and Western Health Chronic Disease Alliance, Western Health, Footscray, Victoria, Australia
| | - Justin M C Yeung
- Zheyi Zhou, MD, Department of Surgery, Western Health, Footscray, Victoria, Australia
- Alex J. Besson, MD, Department of Surgery, Western Health, Footscray, Victoria, Australia
- Diana Hayes, Department of Colorectal Surgery, Western Health, Footscray, Victoria, Australia
- Justin M.C. Yeung, DM, FRCSEd (Gen Surg), FRACS, Department of Surgery, Western Health, Footscray, Victoria, Australia; Department of Colorectal Surgery, Western Health, Footscray, Victoria, Australia; Department of Surgery, Western Precinct, University of Melbourne, Parkville, Victoria, Australia; and Western Health Chronic Disease Alliance, Western Health, Footscray, Victoria, Australia
| |
Collapse
|
5
|
Alamoudi W, Riordain RN, Fedele S, Porter S. Audiovisual information of oral epithelial dysplasia: Quality, understandability and actionability. Oral Dis 2024; 30:1945-1955. [PMID: 37518951 DOI: 10.1111/odi.14701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 06/26/2023] [Accepted: 07/18/2023] [Indexed: 08/01/2023]
Abstract
OBJECTIVES Online information on oral epithelial dysplasia (OED) is insufficient and of low quality. While only written information has been previously assessed, this study aims to evaluate the content and quality of audiovisual (AV) online information about OED. METHODS One hundred and twenty-seven materials were initially considered using six key words across two search engines (YouTube and Google). Ultimately, 29 materials remained for the final assessment. These materials were then analysed for content, quality (DISCERN instrument, JAMA benchmarks), understandability and actionability. RESULTS Most contents were scientific (n = 25), while three videos were educational, and one video was a personal experience with OED. On a scale of 1-5, the overall DISCERN score was (mean ± SD = 2.26 ± 0.79), suggesting poor quality of information. Regarding JAMA benchmarks, there was no single material that fulfilled or lacked all four benchmarks. The overall mean understandability score was 82% and the actionability mean score was significantly low at 29%. CONCLUSION Although the vast majority of AV materials on OED were primarily produced for scientific purposes, these materials could be helpful as resources for patient education. Keeping in mind, however, that the desired quality and essential patient information about OED available online remains largely poor and missing.
Collapse
Affiliation(s)
- Waleed Alamoudi
- Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
- UCL Eastman Dental Institute, University College London, London, UK
| | - Richeal Ni Riordain
- UCL Eastman Dental Institute, University College London, London, UK
- Cork University Dental School and Hospital, University College Cork, Cork, Ireland
| | - Stefano Fedele
- UCL Eastman Dental Institute, University College London, London, UK
- Biomedical Research Centre, NIHR, University College London Hospitals, London, UK
| | - Stephen Porter
- UCL Eastman Dental Institute, University College London, London, UK
| |
Collapse
|
6
|
Didier AJ, Fang L, Stiene J, Spencer CT, Hamouda DM. Evaluation of the Quality and Comprehensiveness of YouTube Videos Discussing Pancreatic Cancer. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2023; 38:1894-1900. [PMID: 37606727 DOI: 10.1007/s13187-023-02355-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/13/2023] [Indexed: 08/23/2023]
Abstract
Pancreatic cancer is one of the most lethal diseases worldwide and incidence continues to rise, resulting in increased deaths each year. In the modern era, patients often turn to online sources like YouTube for information regarding their disease, which may be subject to a high degree of bias and misinformation; previous analyses have demonstrated low quality of other cancer-related YouTube videos. Thus, we sought to determine if patients can rely on educational YouTube videos for accurate and comprehensive information about pancreatic cancer diagnosis and treatment. We designed a search query and inclusion/exclusion criteria based on published studies evaluating YouTube user tendencies, which were used to identify videos most likely watched by patients. Videos were evaluated based on two well-known criteria, the DISCERN and JAMA tools, as well as a tool published by Sahin et al. to evaluate the comprehensiveness of YouTube videos. Statistical analyses were performed using Chi-square analysis to compare categorical variables. We used linear regression to assess for correlations between quantitative variables. Kruskal-Wallis and independent samples t-test were used to compare means between groups. We assessed inter-rater reliability using Cronbach's alpha. After the initial search query, 39 videos were retrieved that met inclusion criteria. The comprehensiveness and quality of these materials was generally low to moderate, with only 7 videos being considered comprehensive. Pearson's R demonstrated strong correlations between video length and both comprehensiveness and quality. Higher-quality videos also tended to be newer. YouTube videos regarding pancreatic cancer are generally of low to moderate quality and lack comprehensiveness, which could affect patients' perceptions of their disease or understanding of treatment options. These videos, which have collectively been viewed over 6 million times, should be subject to some form of expert review before upload, and producers of this content should consider citing the sources used in the video.
Collapse
Affiliation(s)
- Alexander J Didier
- University of Toledo College of Medicine and Life Sciences, 3000 Arlington Ave., OH, 43606, Toledo, USA.
| | - Lauren Fang
- University of Toledo College of Medicine and Life Sciences, 3000 Arlington Ave., OH, 43606, Toledo, USA
| | - Jennifer Stiene
- University of Toledo College of Medicine and Life Sciences, 3000 Arlington Ave., OH, 43606, Toledo, USA
| | - Caleb T Spencer
- University of Toledo College of Medicine and Life Sciences, 3000 Arlington Ave., OH, 43606, Toledo, USA
| | - Danae M Hamouda
- Division of Hematology & Oncology, Department of Medicine, The University of Toledo Medical Center, Toledo, OH, USA
| |
Collapse
|
7
|
Taha A, Taha-Mehlitz S, Bach L, Ochs V, Bardakcioglu O, Honaker MD, Cattin PC. Robotic colorectal surgery: quality assessment of patient information available on the internet using webscraping. Comput Assist Surg (Abingdon) 2023; 28:2187275. [PMID: 36905397 DOI: 10.1080/24699322.2023.2187275] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/12/2023] Open
Abstract
The primary goal of this study is to assess current patient information available on the internet concerning robotic colorectal surgery. Acquiring this information will aid in patients understanding of robotic colorectal surgery. Data was acquired through a web-scraping algorithm. The algorithm used two Python packages: Beautiful Soup and Selenium. The long-chain keywords incorporated into Google, Bing and Yahoo search engines were 'Da Vinci Colon-Rectal Surgery', 'Colorectal Robotic Surgery' and 'Robotic Bowel Surgery'. 207 websites resulted, were sorted and evaluated according to the ensuring quality information for patients (EQIP) score. Of the 207 websites visited, 49 belonged to the subgroup of hospital websites (23.6%), 46 to medical centers (22.2%), 45 to practitioners (21.7%), 42 to health care systems (20,2%), 11 to news services (5.3%), 7 to web portals (3.3%), 5 to industry (2.4%), and 2 to patient groups (0.9%). Only 52 of the 207 websites received a high rating. The quality of available information on the internet concerning robotic colorectal surgery is low. The majority of information was inaccurate. Medical facilities involved in robotic colorectal surgery, robotic bowel surgery and related robotic procedures should develop websites with credible information to guide patient decisions.
Collapse
Affiliation(s)
- Anas Taha
- Department of Biomedical Engineering, Faculty of Medicine, University of Basel, Allschwil, Switzerland
| | - Stephanie Taha-Mehlitz
- Clarunis, Department of Visceral Surgery, University Center for Gastrointestinal and Liver Diseases, St. Clara Hospital and University Hospital, Basel, Switzerland
| | - Laura Bach
- Faculty of Medicine, University of Erlangen, Erlangen, Germany
| | - Vincent Ochs
- Department of Biomedical Engineering, Faculty of Medicine, University of Basel, Allschwil, Switzerland
| | | | - Michael D Honaker
- Department of Surgery, East Carolina University Brody School of Medicine, Greenville, NC, USA
| | - Philippe C Cattin
- Department of Biomedical Engineering, Faculty of Medicine, University of Basel, Allschwil, Switzerland
| |
Collapse
|
8
|
Bayram Y, Pınar E. Assessment of the Quality and Reliability of YouTube as an Information Source for Transforaminal Interbody Fusion. Cureus 2023; 15:e50210. [PMID: 38192971 PMCID: PMC10772853 DOI: 10.7759/cureus.50210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/09/2023] [Indexed: 01/10/2024] Open
Abstract
BACKGROUND This study aims to assess the quality and reliability of the information for patients from YouTube videos on transforaminal interbody fusion (TLIF). MATERIAL AND METHODS One hundred videos were listed by inputting "TLIF," "TLIF surgery," and "transforaminal interbody fusion" in the YouTube search engine. The top 50 most popular videos based on video power index (VPI), view ratio, and exclusion criteria were selected for review. One orthopedic consultant surgeon and one neurosurgeon consultant analyzed the videos together. The modified DISCERN score, the Global Quality Score (GQS), the Journal of the American Medical Association (JAMA) score, and a novel interbody fusion score were used to evaluate videos. Data of video length, view count, number of likes and dislikes, like ratio (like x 100/(like+dislike)), video source, and comment rate were collected. RESULTS The quality of the videos could have been better according to all scoring systems, regardless of the video source. The scores of the videos published by patients and commercials were significantly lower than those of physicians and allied professionals (p <0.05). VPI and view ratios were similar in all sources. Conclusion: The study demonstrates that YouTube videos providing information related to TLIF surgery are available and accessed by the public. The results of this study would suggest that YouTube is not currently an appropriate source of information on TLIF surgery for patients. Most of the YouTube videos about TLIF surgery contain information about the surgical technique and have limited information about the post-operative condition of the patients.
Collapse
Affiliation(s)
- Yusuf Bayram
- Orthopedics and Traumatology, Hisar Intercontinental Hospital, Istanbul, TUR
| | - Ertuğrul Pınar
- Neurological Surgery, Special Pendik Yuzyil Hospital, Istanbul, TUR
| |
Collapse
|
9
|
Halboub E, Al-Ak'hali MS, Alqahtani AS, Abdulghani EA, Kamil MA, Alhajj MN, Al-Sosowa AA. Quality of web-based Arabic health information on dental implants: an infodemiological study. BMC Oral Health 2023; 23:232. [PMID: 37081436 PMCID: PMC10116105 DOI: 10.1186/s12903-023-02938-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Accepted: 04/04/2023] [Indexed: 04/22/2023] Open
Abstract
BACKGROUND In the era of the internet, patients seek health information ahead of getting the required treatment. Dental implant, which is among the most sought dental treatments, is not an exception. Incorrect health related information may lead to harmful deeds, so this study sought to assess the quality of web-based Arabic health information on dental implants. METHODS The following engines were searched: Google ( http://www.google.com ), Yahoo! ( http://www.yahoo.com ), and Bing ( http://www.bing.com ) on 13 January 2022 for specific Arabic terms on "dental implants". The first 100 consecutive websites from each engine were analyzed for eligibility. The eligible websites were assessed using JAMA benchmarks tool, DISCERN tool, and HONcode. An online tool (including FKGL, SMOG and FRE) was used to assess readability of the websites. RESULTS There were 65 eligible websites, of which only one (1.5%) was HONcode certified. Only 3 (4.5%) websites attained a high score (> 65 out of 80) based on DISCERN tool: The mean DISCERN score was 41.14 ± 12.64. The mean JAMA score was 1.69 ± 1.13; however, only five (7.6%) met all JAMA criteria. The main shortcomings were attributed to not meeting the "Attribution" (54 [83.1%]) and "Authorship" (43 [66.2%]) criteria. The mean grade level of FKGL score was 7.0 ± 4.5. The majority of the websites (60%) scored less than 7, indicating easy content to understand. The mean grade level of SMOG score required to understand a website's text was 3.2 ± 0.6. Around 91% of the websites had reading ease scores ≥ 80, suggesting that the website's content was easy to read. CONCLUSION Unfortunately, although readable, most of the easily accessible web-based Arabic health information on dental implants does not meet the recognized quality standards.
Collapse
Affiliation(s)
- Esam Halboub
- Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
- Department of Oral Medicine, Oral Pathology and Oral Radiology, Faculty of Dentistry, Sana'a University, Sana'a, Yemen
| | - Mohammed Sultan Al-Ak'hali
- Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
- Department of Periodontology, Faculty of Dentistry, Sana'a University, Sana'a, Yemen
| | - Ahmed Shaher Alqahtani
- Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Ehab A Abdulghani
- Department of Orthodontics and Dentofacial Orthopedics, College of Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu, China
- Department of Orthodontics and Dentofacial Orthopedics, College of Dentistry, Thamar University, Dhamar, Yemen
| | - Mona Awad Kamil
- Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | | | - Abeer A Al-Sosowa
- Department of Periodontics, Faculty of Dentistry, Thamar University, Dhamar, Yemen.
| |
Collapse
|
10
|
Beauharnais CC, Aulet T, Rodriguez-Silva J, Konen J, Sturrock PR, Alavi K, Maykel JA, Davids JS. Assessing the Quality of Online Health Information and Trend Data for Colorectal Malignancies. J Surg Res 2023; 283:923-928. [PMID: 36915020 DOI: 10.1016/j.jss.2022.10.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 10/06/2022] [Accepted: 10/24/2022] [Indexed: 12/13/2022]
Abstract
INTRODUCTION Patients often refer to the internet to learn about different health conditions. This study aims to assess the landscape of online health information on malignant colorectal conditions, focusing on the popularity, quantity, and quality of internet resources pertaining to these conditions. This information can be used as a guide for surgeons to supplement patient information at the time of surgical evaluation and to help design optimal online health information. METHODS The terms "colon cancer," "rectal cancer," "anal cancer," and "colorectal cancer" were searched using the Google search engine. The number of search results or "hits" obtained per search term was recorded and the first 50 websites for each search term were reviewed. Included websites did not have a password requirement, were in English, and were free. Quality assessments were performed using the DISCERN instrument, and mean DISCERN scores were compared using analysis of variance. The popularity of each search term was determined using Google Trends, which generates a relative search volume score. RESULTS A total of 431 million hits were obtained for the term "colon cancer," 72.5 million for "rectal cancer," 244 million for "anal cancer," and 194 million for "colorectal cancer." Mean DISCERN scores for reviewed websites ranged between 39.7 and 40.6, and were thus within the "fair" category. There were no significant differences in mean DISCERN scores across search terms (P = 0.5). Colon cancer had the highest relative search volume score (61.8), followed by colorectal cancer (43.4/100), rectal cancer (42.5/100), and anal cancer (41.7/100). CONCLUSIONS Although there is a large amount of online information on malignant colorectal conditions, the quality of the available information is inadequate. Clinician guidance to resources aimed at higher quality from guidance of the DISCERN tool may be of value for patient education.
Collapse
Affiliation(s)
- Catherine C Beauharnais
- Department of Surgery, University of Massachusetts Chan Medical School, Worcester, Massachusetts
| | - Tess Aulet
- Department of Surgery, University of Massachusetts Chan Medical School, Worcester, Massachusetts
| | - Jetsen Rodriguez-Silva
- Department of Surgery, University of Massachusetts Chan Medical School, Worcester, Massachusetts
| | - John Konen
- Department of Surgery, University of Massachusetts Chan Medical School, Worcester, Massachusetts
| | - Paul R Sturrock
- Department of Surgery, University of Massachusetts Chan Medical School, Worcester, Massachusetts
| | - Karim Alavi
- Department of Surgery, University of Massachusetts Chan Medical School, Worcester, Massachusetts
| | - Justin A Maykel
- Department of Surgery, University of Massachusetts Chan Medical School, Worcester, Massachusetts
| | - Jennifer S Davids
- Department of Surgery, University of Massachusetts Chan Medical School, Worcester, Massachusetts.
| |
Collapse
|
11
|
Kaplan K, Solak Y. Evaluation of YouTube Videos on Hepatocellular Carcinoma. J Korean Med Sci 2023; 38:e50. [PMID: 36808545 PMCID: PMC9941019 DOI: 10.3346/jkms.2023.38.e50] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Accepted: 11/07/2022] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND As in every field, online information has become increasingly used in health. However, it is well known that some information online containing health advice is incorrect and may even include false statements. For this reason, it is crucial for public health that individuals reach reliable, high-quality resources when they are trying to obtain health information. Studies have been conducted on the quality and reliability of online information about many diseases, but no similar study has been found in the literature on hepatocellular carcinoma (HCC). METHODS In this descriptive study, videos on YouTube (www.youtube.com) about HCC were evaluated using the Global Quality Scale (GQS) and the modified DISCERN tool. RESULTS While 129 (89.58%) of the videos examined within the study were considered useful, 15 (10.42%) were misleading. The GQS scores of the videos considered useful were significantly higher than the scores of the misleading videos, with a median (min-max) score of 4 (2-5) (P < 0.001). When we compared the DISCERN scores, the scores of the useful videos were significantly higher (P < 0.001) than the scores of the misleading videos. CONCLUSION YouTube should be considered a complex structure where accurate and reliable health information can be presented, as well as erroneous and misleading information. Users should understand the importance of video sources and focus their research on videos from doctors, academics, and universities.
Collapse
Affiliation(s)
- Kuntay Kaplan
- Republic of Turkey Ministry of Health Adana City Training and Research Hospital, Adana, Turkey
| | - Yavuzalp Solak
- Republic of Turkey Ministry of Health \xc5\x9eereflikoçhisar District Health Directorate, Ankara, Turkey.
| |
Collapse
|
12
|
Ahmadzadeh K, Bahrami M, Zare-Farashbandi F, Adibi P, Boroumand MA, Rahimi A. Patient education information material assessment criteria: A scoping review. Health Info Libr J 2023; 40:3-28. [PMID: 36637218 DOI: 10.1111/hir.12467] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2021] [Revised: 10/13/2022] [Accepted: 11/03/2022] [Indexed: 01/14/2023]
Abstract
BACKGROUND Patient education information material (PEIM) is an essential component of patient education programs in increasing patients' ability to cope with their diseases. Therefore, it is essential to consider the criteria that will be used to prepare and evaluate these resources. OBJECTIVE This paper aims to identify these criteria and recognize the tools or methods used to evaluate them. METHODS National and international databases and indexing banks, including PubMed, Scopus, Web of Science, ProQuest, the Cochrane Library, Magiran, SID and ISC, were searched for this review. Original or review articles, theses, short surveys, and conference papers published between January 1990 and June 2022 were included. RESULTS Overall, 4688 documents were retrieved, of which 298 documents met the inclusion criteria. The criteria were grouped into 24 overarching criteria. The most frequently used criteria were readability, quality, suitability, comprehensibility and understandability. CONCLUSION This review has provided empirical evidence to identify criteria, tools, techniques or methods for developing or evaluating a PEIM. The authors suggest that developing a comprehensive tool based on these findings is critical for evaluating the overall efficiency of PEIM using effective criteria.
Collapse
Affiliation(s)
- Khadijeh Ahmadzadeh
- Health Information Technology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.,Student Research Commitee, Sirjan School of Medical Sciences, Sirjan, Iran
| | - Masoud Bahrami
- Department of Adult Health Nursing, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Firoozeh Zare-Farashbandi
- Health Information Technology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Payman Adibi
- Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mohammad Ali Boroumand
- Department of Medical Library and Information Sciences, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Alireza Rahimi
- Health Information Technology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| |
Collapse
|
13
|
Tabernero J, Bowling TE, Rivers J, Chari D, Ghith J, Ferdinand R, Shanahan K, Shore ND. Improving access to oncology publications for advocates and people with cancer. Cancer 2022; 128:3757-3763. [PMID: 36098654 PMCID: PMC9826100 DOI: 10.1002/cncr.34447] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Revised: 05/03/2022] [Accepted: 05/19/2022] [Indexed: 01/11/2023]
Abstract
Journal articles provide reliable and current information about cancer research. This can offer hope to people with cancer and help them make decisions about their care. Here, the authors suggest ways in which different groups may help people with cancer to find, view, and understand articles. For example, journals should make articles free to view if they describe research that could change patient care. Also, clear titles and easy-to-follow summaries or videos may help people to find relevant articles and understand the main findings. It is important to explore ways to best share research with all those whose lives it may affect.
Collapse
Affiliation(s)
- Josep Tabernero
- Vall d'Hebron Hospital Campus and Institute of Oncology, International Oncology Bureau‐Quiron, University of Vic‐Central University of CataloniaBarcelonaSpain
| | | | - Jamil Rivers
- METAvivor Research & SupportAnnapolisMarylandUSA
| | | | | | | | | | - Neal D. Shore
- Carolina Urologic Research CenterMyrtle BeachSouth CarolinaUSA
| |
Collapse
|
14
|
Byrne J, Keogh S, Cullinane C, Razzaq Z, Redmond HP. Readability and Quality of Online Health Information Regarding Parathyroidectomy. OTO Open 2022; 6:2473974X221133308. [PMID: 36311181 PMCID: PMC9597036 DOI: 10.1177/2473974x221133308] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Accepted: 09/04/2022] [Indexed: 11/06/2022] Open
Abstract
Objective Assessment of the readability and quality of online health information
regarding parathyroidectomy. Study Design Cross-sectional analysis. Setting Websites providing patient-oriented health information regarding
parathyroidectomy obtained via the Google search engine. Methods The top 75 Google search results for “parathyroidectomy,”“parathyroid
surgery,” and “parathyroid gland removal” were reviewed. Websites were
categorized by website type and country of origin. Readability was assessed
by Flesch-Kincaid Grade Level and Simple Measure of Gobbledygook. Website
quality was assessed per JAMA benchmark criteria and the DISCERN
instrument. Results A total of 74 unique websites were evaluated. The mean readability of the
assessed websites exceeded the recommended sixth-grade reading level on the
Flesch-Kincaid Grade Level and Simple Measure of Gobbledygook
(P < .001). Readability did not vary significantly
by website type. Websites originating from the United Kingdom were
significantly more readable than those from the United States. The majority
of assessed websites were of poor quality (n = 42, 56.8%) on assessment
based on the DISCERN instrument. Quality varied significantly by website
category on the JAMA benchmark criteria (P < .001) and
DISCERN score (P = .049) with commercial websites receiving
the highest scores. DISCERN score also varied significantly by country of
origin (P = .036) with UK sites receiving highest mean
DISCERN scores. Conclusion Online health information regarding parathyroidectomy is largely of poor
quality and is poorly readable for many patients. Institutions utilizing
well-defined guidelines for development of patient educational resources may
provide online health information of greater quality and readability.
Collapse
Affiliation(s)
- Jim Byrne
- University College Cork, Cork,
Ireland,Department of Endocrine Surgery, Cork
University Hospital, Cork, Ireland,Jim Byrne, Department of General &
Endocrine Surgery, Cork University Hospital, Wilton Rd., Cork, T12 DC4A,
Ireland.
| | - Samuel Keogh
- Department of Endocrine Surgery, Cork
University Hospital, Cork, Ireland
| | - Carolyn Cullinane
- University College Cork, Cork,
Ireland,Department of Endocrine Surgery, Cork
University Hospital, Cork, Ireland
| | - Zeeshan Razzaq
- Department of Endocrine Surgery, Cork
University Hospital, Cork, Ireland
| | - Henry Paul Redmond
- University College Cork, Cork,
Ireland,Department of Endocrine Surgery, Cork
University Hospital, Cork, Ireland
| |
Collapse
|
15
|
Briggs LG, Labban M, Alkhatib K, Nguyen DD, Cole AP, Trinh QD. Digital technologies in cancer care: a review from the clinician's perspective. J Comp Eff Res 2022; 11:533-544. [PMID: 35416050 DOI: 10.2217/cer-2021-0263] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Physicians are increasingly utilizing digital health technologies (DHT) such as smartphone applications, network-enabled wearable devices, web-based communication platforms, videoconferencing, chatbots, artificial intelligence and virtual reality to improve access to, and quality of, care. DHT aid in cancer screening, patient education, shared decision-making, promotion of positive health habits, symptom monitoring and intervention, patient-provider communication, provision of psychological support and delivery of effective survivorship care. This narrative review outlines how physicians may utilize digital health to improve or augment their delivery of cancer care. For the full potential of DHT to be realized, experts must develop appropriate solutions to issues surrounding the regulation, liability, quality, security, equity and reimbursement of DHT.
Collapse
Affiliation(s)
- Logan G Briggs
- Center for Surgery & Public Health, Brigham & Women's Hospital, Harvard Medical School, Boston, MA 02115, USA
| | - Muhieddine Labban
- Center for Surgery & Public Health, Brigham & Women's Hospital, Harvard Medical School, Boston, MA 02115, USA
| | - Khalid Alkhatib
- Center for Surgery & Public Health, Brigham & Women's Hospital, Harvard Medical School, Boston, MA 02115, USA
| | - David-Dan Nguyen
- Center for Surgery & Public Health, Brigham & Women's Hospital, Harvard Medical School, Boston, MA 02115, USA
| | - Alexander P Cole
- Center for Surgery & Public Health, Brigham & Women's Hospital, Harvard Medical School, Boston, MA 02115, USA
| | - Quoc-Dien Trinh
- Center for Surgery & Public Health, Brigham & Women's Hospital, Harvard Medical School, Boston, MA 02115, USA
| |
Collapse
|
16
|
Wang L, Gusnowski EM, Ingledew PA. Digesting the Contents: an Analysis of Online Colorectal Cancer Education Websites. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2022; 37:263-273. [PMID: 32902788 DOI: 10.1007/s13187-020-01864-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/02/2020] [Indexed: 06/11/2023]
Abstract
Online educational resources have an impact on patient understanding, opinion, and behavior. More colorectal cancer patients are being diagnosed and using the internet to search for information. This study aims to provide the most in-depth and comprehensive examination of online colorectal resources to date. An internet search using the terms "colorectal cancer," "colon cancer," and "rectal cancer" were performed, with meta-search engines "Dogpile," "Yippy," and "Google." A total of 741, 759, and 703 websites were returned by the search engines respectively. A list of the "top 100 websites" was compiled by placing the sites in average rank order. The websites were evaluated using a validated structured rating tool. Inter-rater reliability was evaluated using kappa statistics, and the results were analyzed using descriptive statistics. Website affiliations were 40% commercial and 35% from non-profit organizations. Most websites disclosed ownership (93%) and had no apparent bias (94%). Authorship disclosure was poor (17%). Most sites were interactive (84%) and organized (70% with at least 4/5 features). Readability was at a senior high school level on average. Content coverage and accuracy were the highest in the areas of etiology (96% coverage) and symptoms (95% coverage) and lowest in areas of treatment (72% coverage) and prognosis (43% coverage).Colorectal cancer online information can be improved in accountability, readability, content accuracy, and completeness. Author disclosure, more accurate and updated citations, and a lower grade level of readability are needed. More complete and accurate information are needed, especially in the areas of treatment and prognosis.
Collapse
Affiliation(s)
- Lisa Wang
- Department of Family Medicine, Faculty of Medicine, University of British Columbia, 5950 University Blvd, Vancouver, BC, V6T 1Z3, Canada
| | - Eva M Gusnowski
- Department of Orthopedic Surgery, University of Calgary, 2500 University Drive N.W., Calgary, AB, T2N 1N4, Canada
| | - Paris-Ann Ingledew
- Department of Radiation Oncology, British Columbia Cancer -Vancouver Center, 6600 West 10th Ave, Vancouver, BC, V5Z 4E6, Canada.
- Department of Surgery, Faculty of Medicine, University of British Columbia, 2775 Laurel Street, Vancouver, BC, V5Z 1M9, Canada.
| |
Collapse
|
17
|
Alnaim L. Evaluation of the quality of online colon cancer patient information in the Arabic language. ASIAN JOURNAL OF PHARMACEUTICAL RESEARCH AND HEALTH CARE 2022. [DOI: 10.4103/ajprhc.ajprhc_17_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
18
|
Li JZH, Giuliani M, Ingledew PA. Characteristics Assessment of Online YouTube Videos on Radiotherapy for Lung Cancer. Cureus 2021; 13:e19150. [PMID: 34868784 PMCID: PMC8629691 DOI: 10.7759/cureus.19150] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/30/2021] [Indexed: 11/17/2022] Open
Abstract
Introduction The internet has become a mainstay source of health information for cancer patients. Online patient education videos are common; however, there have been no studies examining the quality of publicly available videos on radiotherapy for lung cancer (one of the most common forms of cancer). To fill this knowledge gap, we aim to systematically map and objectively assess videos discussing radiotherapy for lung cancer on YouTube. Methods The terms “radiotherapy for lung cancer,” “radiation for lung cancer,” “radiation therapy for lung cancer,” and “radiation treatment for lung cancer” were searched on YouTube using a clear-cache browser. Results were sorted by relevance and the top 50 English-language results for each search were recorded. After removing duplicates, each video was assessed for length, Video Power Index (VPI, which is the product of a video’s average daily views and like and dislike ratio), source, content, comment moderation, and misinformation. Two raters were used to ensure consistency. Results were evaluated using descriptive and inferential statistics. Results A total of 88 unique videos resulted from the search. The median video length was 4 minutes and 5 seconds. The average VPI was 10.9 (95% CI: 1.5-20.4) and the median number of views was 954.5. All videos were published between July 8, 2009 and November 18, 2020. Of the videos, 44% were published within the past two years. A total of 61% of the videos were from the USA, 14% were from the UK, 6% from Australia, 5% each from Canada and India, and other countries make up the remaining 10%. Most of the videos were published by healthcare facilities (39%) and non-profit organizations (31%). Content-wise, 95% of videos contain information specific to lung cancer. A total of 46 videos (52%) were targeted toward patient education. Of which, 37 covered radiotherapy for lung cancer, 12 covered side effects for radiotherapy, and 11 covered both. The other 42 videos (48%) were designed for a professional audience. Stereotactic body radiation therapy (SBRT)/stereotactic ablative radiotherapy (SABR) was the most commonly described radiotherapy modality (42%), and the physician interview was the most common format, being used in 59% of videos. Out of the 38 videos with at least one comment, only two (5%) were moderated by the host channel. None of the videos featured misleading information. Conclusions This study comprehensively surveyed YouTube videos pertaining to radiotherapy for lung cancer to provide a high-level overview of the information that patients may find online. Although nearly half of the videos describe lung cancer radiotherapy for patients, only a small proportion comprehensively cover both radiotherapy and its side effects. The results of our study can help guide the development of patient education tools and encourage healthcare providers to recognize the limitations of online health information and proactively address patient questions regarding radiotherapy. Future research could examine videos on other lung cancer treatment options or radiotherapy for other cancers.
Collapse
Affiliation(s)
- Jim Zhang Hao Li
- Department of Surgery, Division of Radiation Oncology, University of British Columbia, Faculty of Medicine, Vancouver, CAN
| | - Meredith Giuliani
- Department of Radiation Oncology, University of Toronto, Toronto, CAN
| | - Paris-Ann Ingledew
- Department of Surgery, Division of Radiation Oncology, University of British Columbia, Faculty of Medicine, Vancouver, CAN
| |
Collapse
|
19
|
Lange-Drenth L, Schulz H, Endsin G, Bleich C. Patients With Cancer Searching for Cancer- or Health-Specific Web-Based Information: Performance Test Analysis. J Med Internet Res 2021; 23:e23367. [PMID: 34398801 PMCID: PMC8406111 DOI: 10.2196/23367] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Revised: 10/16/2020] [Accepted: 05/24/2021] [Indexed: 12/01/2022] Open
Abstract
Background Searching the internet for cancer-related information helps patients with cancer satisfy their unmet information needs and empowers them to play a more active role in the management of their disease. However, to benefit from the search, patients need a sufficient level of skill to search, select, appraise, and apply web-based health information. Objective We aim to study the operational, navigational, information, and evaluation skills and problems of patients with cancer performing cancer-related search tasks using the internet. Methods A total of 21 patients with cancer were recruited during their stay at the rehabilitation clinic for oncological rehabilitation. Participants performed eight cancer-related search tasks using the internet. The participants were asked to think aloud while performing the tasks, and the screen activities were recorded. The types and frequencies of performance problems were identified and coded into categories following an inductive coding process. In addition, the performance and strategic characteristics of task execution were summarized descriptively. Results All participants experienced problems or difficulties in executing the tasks, and a substantial percentage of tasks (57/142, 40.1%) could not be completed successfully. The participants’ performance problems were coded into four categories, namely operating the computer and web browser, navigating and orientating, using search strategies, and evaluating the relevance and reliability of web-based information. The most frequent problems occurred in the third and fourth categories. A total of 90% (19/21) of participants used nontask-related search terms or nonspecific search terms. A total of 95% (20/21) of participants did not control for the source or topicality of the information found. In addition, none of the participants verified the information on 1 website with that on another website for each task. Conclusions A substantial group of patients with cancer did not have the necessary skills to benefit from cancer-related internet searches. Future interventions are needed to support patients in the development of sufficient internet-searching skills, focusing particularly on information and evaluation skills.
Collapse
Affiliation(s)
- Lukas Lange-Drenth
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Holger Schulz
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Gero Endsin
- VAMED Rehabilitation Clinic Lehmrade, Lehmrade, Germany
| | - Christiane Bleich
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| |
Collapse
|
20
|
Śledzińska P, Bebyn MG, Furtak J. Quality of YouTube Videos on Meningioma Treatment Using the DISCERN Instrument. World Neurosurg 2021; 153:e179-e186. [PMID: 34166826 DOI: 10.1016/j.wneu.2021.06.072] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Revised: 06/14/2021] [Accepted: 06/15/2021] [Indexed: 11/24/2022]
Abstract
OBJECTIVE To assess the quality of YouTube videos on meningioma treatment. METHODS A search was performed on YouTube using the keywords "meningioma treatment," "meningeal tumor treatment," "meningioma brain tumor treatment," "meningioma cure," and "meningioma therapy." Sixty-one videos were independently evaluated by 2 fifth-year medical students using the DISCERN scoring system for quality analysis. Quantitative data such as video length, source of upload, and popularity and their associations with DISCERN scores were also evaluated. RESULTS The mean total DISCERN score was 36.4. Approximately a third of YouTube videos were classified as very poor, 32.8% as poor, 11.5% as fair, 16.4% as good, and 4.9% as excellent. The question "Does the video refer to areas of uncertainty?" obtained the lowest score (2.0), and the question "Does the video describe how each treatment works?" obtained the highest score (3.0). Videos authored by a health information channel had the highest mean total DISCERN score (46.7, standard deviation = 14.6). Videos had significantly higher DISCERN scores if they included information about the symptoms of meningioma, risk factors during treatment, prognosis, or included animations and diagrams. DISCERN scores were moderately positively correlated with duration of videos and referrers and moderately negatively correlated with number of channel subscribers, video power index, and average daily views. CONCLUSION The information content on meningioma treatment in YouTube videos was generally poor. The impact of inaccurate YouTube videos on patients' understanding of meningioma treatment must be recognized by health care professionals.
Collapse
Affiliation(s)
- Paulina Śledzińska
- Faculty of Medicine, Nicolaus Copernicus University, Coll Med, Bydgoszcz, Poland.
| | - Marek G Bebyn
- Faculty of Medicine, Medical University of Gdańsk, Gdańsk, Poland
| | - Jacek Furtak
- Department of Neurosurgery, 10th Military Research Hospital and Polyclinic, Bydgoszcz, Poland
| |
Collapse
|
21
|
Jung EJ, Kim S. Suicide on YouTube:Factors engaging viewers to a selection of suicide-themed videos. PLoS One 2021; 16:e0252796. [PMID: 34111162 PMCID: PMC8191908 DOI: 10.1371/journal.pone.0252796] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Accepted: 05/23/2021] [Indexed: 11/19/2022] Open
Abstract
Visual social media platforms can function as both facilitators and intervenors of concerning behaviors. This study focused on one of the health concerns worldwide, a leading cause of death related to mental health—suicide—in the context of a dominant visual social media platform, YouTube. This study employed content analysis method to identify the factors predicting viewer responses to suicide-themed content from the perspectives of who’s, what’s, and how’s of suicide-themed videos. The results of the hierarchical multiple regression showed that the characteristics of content provider and content expression were more significant predictors of viewer engagement than were the characteristics of the message. These findings have implications for not only platform service providers but also diverse groups of individuals who participate in online discussions on suicide. YouTube has the potential to function as a locus for open discussion, education, collective coping, and even the diagnosis of suicidal ideation.
Collapse
Affiliation(s)
- Eun Ji Jung
- Smart Study Co., Ltd, Seoul, Republic of Korea
- School of Media and Communication, Korea University, Seoul, Republic of Korea
| | - Seongcheol Kim
- School of Media and Communication, Korea University, Seoul, Republic of Korea
- * E-mail:
| |
Collapse
|
22
|
Abstract
OBJECTIVE Patients with umbilical hernias frequently refer to the YouTube videos to learn and perhaps apply traditional treatment methods. It is very difficult for these users to distinguish these videos as useful or harmful. In this study, we aimed to evaluate the scientific quality of YouTube video content on umbilical hernia. METHODS A total of 50 videos on YouTube pertaining to umbilical hernia were included in the study. All videos were evaluated by two experienced general surgeons. The uploader, video content, length, upload date, time since upload, number of views, numbers of comments, likes, and dislikes and Video Power Index (VPI) rates videos were recorded and evaluated. The videos were scored using the Quality Criteria for Consumer Health Information (DISCERN) and Global Quality Scale (GQS). RESULTS A total of 9,836 comments were made to the videos, 118,478 likes were made, and 15,009 dislikes were made. The mean DISCERN score given to the videos by the researchers was 2.57 ± 1.82 (min-max: 1-5) and the average GQS score was 2.62 ± 1.86. A statistically significant difference was found in terms of both DISCERN and GQS scores of videos uploaded by doctors compared to videos uploaded by nondoctors (p < 0.001). A statistically significant level of good agreement was found among investigators in terms of both DISCERN (p < 0.001, r = 0.778) and GQS (p < 0.001, r = 0.807) scores. Conclusion: Videos with health content should definitely be uploaded by experts. Studies investigating the scientific quality of health videos uploaded on YouTube and similar platforms should be carried out continuously.
Collapse
Affiliation(s)
- Guner Cakmak
- General Surgery, Sakarya Training and Research Hospital, Sakarya, TUR
| |
Collapse
|
23
|
Quality and reliability evaluation of current Internet information regarding mesh use in inguinal hernia surgery using HONcode and the DISCERN instrument. Hernia 2021; 25:1325-1330. [PMID: 33852079 DOI: 10.1007/s10029-021-02406-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2021] [Accepted: 03/29/2021] [Indexed: 10/21/2022]
Abstract
INTRODUCTION Mesh-related complications following pelvic prolapse surgery has potentiated societal fear and led to increased investigation into mesh use in inguinal hernia repair (IHR) surgery online. However concern exists regarding the quality of Internet health informatics. The DISCERN Instrument and HONcode tool can be used to assess the quality and reliability of online health information. The aim of this study is to investigate the reliability and quality of online information pertaining to mesh use in IHR surgery using the DISCERN instrument and HONcode tool. METHODS An Internet search using the keywords: 'mesh', 'inguinal hernia' and 'surgery' was carried out via Google, Yahoo, Bing, Facebook and Twitter. The HONcode and DISCERN scores were generated for each of the first ten search engine result pages (SERPs). RESULTS Google provided the most reliable [Median HONcode score 77% (IQR 25.5%)] and highest quality information [Median DISCERN score; 61.5 (IQR 18.25)]. Social media yielded both the most unreliable and lowest quality information. Facebook was the most unreliable [Median HONcode score 21% (IQR 14.25%)], while Twitter imparted the lowest quality information [Median DISCERN score of 18.5 (IQR 25.25)]. DISCUSSION A 2018 Cochrane review concluded the use of mesh in IHR to be safe and associated with superior outcomes. However, numerous SERPs present results contradicting this, based solely upon Level 5 evidence. Commercialisation of the Internet has resulted in search engine optimisation, which can permit lesser quality sites to obtain higher SERP ranking. Alarmingly if only a limited search is carried out by patients [4], lower quality, sensationalist evidence may be the only information they are exposed to. As such this may negatively influence the patient decision-making process detrimentally. However utilisation of social media by healthcare professionals may offer a solution to bridge the gap between the public and high quality medical information. CONCLUSIONS Online information regarding mesh repair of inguinal herniae is of variable quality and reliability. Enhanced quality assurance of online health information is necessary. However, increased presence by hernia societies on social media may help to disseminate high quality information to patients, thus enabling pre-hospital education to set the scene prior to formal hospital consultation.
Collapse
|
24
|
Abstract
OBJECTIVE In our study, we aim to evaluate in terms of patients the quality and reliability of the most relevant and most-watched videos uploaded on YouTube about pancreatic cancer. METHOD Before starting the study, YouTubeTM search terms were determined by consensus by two General Surgeons. Then, on 10/10/2020, the terms such as "pancreatic cancer", "diagnosis of pancreatic cancer" and "treatment of pancreatic cancer" were entered separately in the search bar of YouTube, "relevance" was selected among the filtering options and the most viewed videos were listed. The videos were evaluated with the Global Quality Scale (GQS), the DISCERN scoring system (Quality Criteria for Consumer Health Information, http://www.discern.org.uk), and video power index. RESULTS Among the 50 videos analysed, 19 videos were uploaded by hospital channels, 17 videos by health channels, seven videos by patients, four videos by blog channels, and three videos by doctors. The mean GQS score of the first researcher was 3.24 ± 0.99 and the mean GQS score of the second researcher was 3.18 ± 0.88 with a significantly high agreement between them (r= 0.628). The mean DISCERN score of the first researcher was 3.48 ± 0.77 and the mean DISCERN score of the second researcher was 3.46 ± 1.09 with a significantly high agreement between them (r= 0.814). CONCLUSION In our study, the majority of the videos were found to be of moderate quality. Healthcare professionals should be encouraged to upload more videos with useful content. However, we think that the uploaded videos should definitely go through a professional peer-review process before they are published.
Collapse
Affiliation(s)
- Guner Cakmak
- Department of General Surgery, Sakarya Training and Research Hospital, Sakarya, TUR
| | - Baris Mantoglu
- Department of General Surgery, Sakarya Training and Research Hospital, Sakarya, TUR
| |
Collapse
|
25
|
Abstract
Objective Hypoglycemia is a syndrome characterized by decreased blood glucose levels and can result in morbidity and mortality. Often, patients seek information about hypoglycemia from the Internet and especially YouTube. The objective of this study was to investigate the quality and reliability of the 50 most viewed videos related to hypoglycemia on YouTube. Methods The links of 50 videos that met the criteria were copied to spreadsheet software. Attributes of the uploaders, the content of the videos, their screening time, the date they were uploaded, the number of days since the upload date, the number of daily views, comments, likes, dislike, and video power indexes were recorded. The videos were assessed by two independent emergency specialists using DISCERN and global quality scales (GQS). Results Of the selection, 27 (54%) videos were uploaded by health channels, 11 (22%) by physicians, nine (18%) by hospital channels, and three (6%) by patients. Furthermore, 30 (60%) of these 50 videos were real-content videos and 20 (40%) were animations. The average DISCERN score given by the researchers to 50 videos was 3.72 ± 0.90 (min-max: 1-5) and the average GQS score was 3.65 ± 0.88. Mean video power index (VPI) value was determined as 92.64 ± 11. According to Pearson’s analysis, there was a good agreement between the two observers. Conclusion Videos uploaded by physicians were useful. However, health videos should only be uploaded by physicians. Uploading videos with content that the patients and their relatives can clearly understand is of paramount importance.
Collapse
Affiliation(s)
- Ayse Cetin
- Emergency Medicine, Liv Hospital, Istanbul, TUR
| |
Collapse
|
26
|
Mangan MS, Cakir A, Yurttaser Ocak S, Tekcan H, Balci S, Ozcelik Kose A. Analysis of the quality, reliability, and popularity of information on strabismus on YouTube. Strabismus 2020; 28:175-180. [DOI: 10.1080/09273972.2020.1836002] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Mehmet Serhat Mangan
- Haydarpasa Numune Education and Research Hospital, Sadik Eratik Eye Clinic, University of Health Sciences, Istanbul
| | - Akin Cakir
- Okmeydani Education and Research Hospital, Department of Ophthalmology, University of Health Sciences, Istanbul
| | - Serap Yurttaser Ocak
- Okmeydani Education and Research Hospital, Department of Ophthalmology, University of Health Sciences, Istanbul
| | - Hatice Tekcan
- Haydarpasa Numune Education and Research Hospital, Sadik Eratik Eye Clinic, University of Health Sciences, Istanbul
| | - Sevcan Balci
- Haydarpasa Numune Education and Research Hospital, Sadik Eratik Eye Clinic, University of Health Sciences, Istanbul
| | - Alev Ozcelik Kose
- Haydarpasa Numune Education and Research Hospital, Sadik Eratik Eye Clinic, University of Health Sciences, Istanbul
| |
Collapse
|
27
|
Managing Cancer Experiences: An Interpretive Description Study of Internet Information Use. Cancer Nurs 2020; 42:E53-E63. [PMID: 29933306 DOI: 10.1097/ncc.0000000000000619] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND People with cancer increasingly use the Internet to find information about their illness. However, little is known regarding people's use of cancer-related Internet information (CRII) to manage their patient experience, defined as patients' cumulative perceptions of interactions with the healthcare system during their illness. OBJECTIVE The purpose of this study was to create an understanding of CRII use by people newly diagnosed with cancer and how it shapes their patient experience and informs their interactions with healthcare professionals and healthcare services. METHODS An embedded mixed design guided this study. Nineteen people with cancer were interviewed twice and completed a survey about CRII use. Qualitative data were analyzed using thematic analysis. Descriptive statistics summarized the quantitative findings. RESULTS Participants of all ages and educational levels reported using CRII as a pivotal resource, across the cancer trajectory. Cancer-related Internet information played a central role in how patients understood their illness and when they sought and used healthcare services. Two themes emerged based on patient interviews: (1) person in context and (2) management of information. CONCLUSION Cancer-related Internet information plays a crucial role in how people manage their illness and take control of their patient experience. Participants used CRII to learn about their illness, support their efforts to self-manage, and complement information from professionals. IMPLICATIONS FOR PRACTICE Individuals and institutions can promote and encourage tailored CRII use by engaging patients and suggesting websites based on their needs. Doing so may create efficiencies in service use and empower patients to be more involved in their own care.
Collapse
|
28
|
Celik H, Polat O, Ozcan C, Camur S, Kilinc BE, Uzun M. Assessment of the Quality and Reliability of the Information on Rotator Cuff Repair on YouTube. Orthop Traumatol Surg Res 2020; 106:31-34. [PMID: 31882329 DOI: 10.1016/j.otsr.2019.10.004] [Citation(s) in RCA: 48] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2019] [Revised: 09/22/2019] [Accepted: 10/11/2019] [Indexed: 02/02/2023]
Abstract
INTRODUCTION YouTube® has become a common health information source for patients. Recent studies have determined that videos on YouTube® contain misleading and inappropriate information for different medical conditions. The aim of the present study was to assess the quality and reliability of videos pertaining to rotator cuff (RC) repair surgery. HYPOTHESIS YouTube® users prefer watching videos with high educational quality which are provided by physicians. MATERIAL AND METHODS A search was performed using keywords "rotator cuff surgery" and "rotator cuff repair" on YouTube® and the first 100 videos for each keyword were analyzed. Video source, time since upload, duration, and number of views, likes, and dislikes were recorded. Video popularity was reported using the video power index (VPI) and view ratio. Video educational quality was measured using the recognized DISCERN, the Journal of the American Medical Association (JAMA) score and a novel RC-specific score (RCSS). RESULTS Among the 200 videos identified, 67 were included. The mean duration was 7.7minutes and the mean number of the views was 147,430. Videos uploaded by a physician had significantly higher DISCERN, JAMA, and RCSS (p<0.001). While the main video source was physicians (48%), the most popular videos were uploaded by patients and commercial websites, according to the VPI and view ratios. The number of likes, view ratios, and VPI were negatively correlated with each score. There were negative correlations between duration and VPI scores, and positive correlations with DISCERN, JAMA score, and RCSS. Animated videos showed significantly lower results for all quality scores (p<0.05), while their VPI was significantly higher (p<0.01). DISCUSSION Online information on RC repair surgery provided by YouTube® was low quality, despite being mostly uploaded by physicians and having relatively higher quality scores. YouTube® users prefer watching low quality videos which were provided by patients and commercial websites. LEVEL OF EVIDENCE IV, Case series.
Collapse
Affiliation(s)
- Haluk Celik
- Department of Orthopaedic Surgery, Health Science University, Umraniye Education and Research Hospital, 3764 Istanbul, Turkey.
| | - Omer Polat
- Department of Orthopaedic Surgery, Health Science University, Umraniye Education and Research Hospital, 3764 Istanbul, Turkey
| | - Cagri Ozcan
- Department of Orthopaedic Surgery, Health Science University, Umraniye Education and Research Hospital, 3764 Istanbul, Turkey
| | - Savas Camur
- Department of Orthopaedic Surgery, Health Science University, Umraniye Education and Research Hospital, 3764 Istanbul, Turkey
| | - Bekir Eray Kilinc
- Department of Orthopaedic Surgery, Health Science University, Fatih Sultan Mehmet Education and Research Hospital, Istanbul, Turkey
| | - Metin Uzun
- Department of Orthopaedic Surgery, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey
| |
Collapse
|
29
|
Perruzza D, Jolliffe C, Butti A, McCaffrey C, Kung R, Gagnon L, Lee P. Quality and Reliability of Publicly Accessible Information on Laser Treatments for Urinary Incontinence: What Is Available to Our Patients? J Minim Invasive Gynecol 2020; 27:1524-1530. [PMID: 31927043 DOI: 10.1016/j.jmig.2020.01.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2019] [Revised: 12/30/2019] [Accepted: 01/06/2020] [Indexed: 10/25/2022]
Abstract
STUDY OBJECTIVE To determine the quality and reliability of the top 20 internet search results for laser treatment of stress urinary incontinence (SUI). DESIGN Review of 20 websites. SETTING N/A. PATIENTS None. INTERVENTIONS An internet search with the most popular search engine, Google, was undertaken to identify the top 20 websites for laser treatment of SUI. The DISCERN instrument, Journal of the American Medical Association (JAMA) benchmarks, and Health on the Net Foundation Code of Conduct certification, which are standardized, validated tools for the analysis of website quality, credibility, and transparency, were used independently by 7 healthcare workers. The readability of the information was assessed by a single reviewer using the Flesch-Kincaid Grade Level and Automated Readability Index. The intraclass correlation coefficient was calculated to document the reliability among website assessors. MEASUREMENTS AND MAIN RESULTS Of the 20 websites reviewed, 15 were created by private clinics, 2 by online newspaper or newsletter sites, and 3 by laser medical device manufacturers. None of the websites met all of the JAMA criteria: 1 had attained authorship, 1 had clear attribution, none had adequate disclosure, and 2 achieved currency. None of the websites took part in the Health on the Net Foundation Code of Conduct certification program. The mean DISCERN score (to determine the quality of websites) was 40 (out of 80), with the lowest average scores within the DISCERN tool primarily associated with clarity around sources of information, website bias, posting dates, risks of treatment, and shared treatment decision-making. The intraclass correlation coefficient was calculated for the DISCERN tool (0.72; 95% confidence interval, 0.48-0.87) and JAMA benchmarks (0.85; 95% confidence interval, 0.73-0.93). The mean Flesch-Kincaid Grade Level was 13.2 (±3.1) and the Automated Readability Index scores ranged from 7.6 to 22.8 (mean 13.5 ± 3.5). CONCLUSION There is a lack of good quality, reliable, and unbiased information available to patients on laser treatment of SUI on the most commonly searched websites. Information is presented at a reading level that is above that of the average reader, which may indicate that patients will have trouble comprehending the information.
Collapse
Affiliation(s)
- Darian Perruzza
- Faculty of Medicine, University of Toronto (Ms. Perruzza and Mr. Butti); Department of Obstetrics and Gynecology, Division of Urogynecology, Sunnybrook Health Sciences Centre (Drs. Jolliffe, McCaffrey, Kung, Gagnon, and Lee), University of Toronto, Toronto, Ontario
| | - Courtney Jolliffe
- Faculty of Medicine, University of Toronto (Ms. Perruzza and Mr. Butti); Department of Obstetrics and Gynecology, Division of Urogynecology, Sunnybrook Health Sciences Centre (Drs. Jolliffe, McCaffrey, Kung, Gagnon, and Lee), University of Toronto, Toronto, Ontario
| | - Andrew Butti
- Faculty of Medicine, University of Toronto (Ms. Perruzza and Mr. Butti); Department of Obstetrics and Gynecology, Division of Urogynecology, Sunnybrook Health Sciences Centre (Drs. Jolliffe, McCaffrey, Kung, Gagnon, and Lee), University of Toronto, Toronto, Ontario
| | - Carmen McCaffrey
- Faculty of Medicine, University of Toronto (Ms. Perruzza and Mr. Butti); Department of Obstetrics and Gynecology, Division of Urogynecology, Sunnybrook Health Sciences Centre (Drs. Jolliffe, McCaffrey, Kung, Gagnon, and Lee), University of Toronto, Toronto, Ontario
| | - Rose Kung
- Faculty of Medicine, University of Toronto (Ms. Perruzza and Mr. Butti); Department of Obstetrics and Gynecology, Division of Urogynecology, Sunnybrook Health Sciences Centre (Drs. Jolliffe, McCaffrey, Kung, Gagnon, and Lee), University of Toronto, Toronto, Ontario
| | - Louise Gagnon
- Faculty of Medicine, University of Toronto (Ms. Perruzza and Mr. Butti); Department of Obstetrics and Gynecology, Division of Urogynecology, Sunnybrook Health Sciences Centre (Drs. Jolliffe, McCaffrey, Kung, Gagnon, and Lee), University of Toronto, Toronto, Ontario
| | - Patricia Lee
- Faculty of Medicine, University of Toronto (Ms. Perruzza and Mr. Butti); Department of Obstetrics and Gynecology, Division of Urogynecology, Sunnybrook Health Sciences Centre (Drs. Jolliffe, McCaffrey, Kung, Gagnon, and Lee), University of Toronto, Toronto, Ontario..
| |
Collapse
|
30
|
Hong YA, Hossain MM, Chou WS. Digital interventions to facilitate patient‐provider communication in cancer care: A systematic review. Psychooncology 2020; 29:591-603. [DOI: 10.1002/pon.5310] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2019] [Revised: 11/12/2019] [Accepted: 12/01/2019] [Indexed: 12/19/2022]
Affiliation(s)
- Y. Alicia Hong
- Department of Health Administration and Policy, College of Health and Human ServicesGeorge Mason University Fairfax Virginia
| | - Md Mahbub Hossain
- Department of Health Promotion and Community Health Sciences, School of Public HealthTexas A&M University College Station Texas
| | - Wen‐Ying Sylvia Chou
- Health Communication and Informatics Research Branch, Division of Cancer Control and Population ScienceNational Cancer Institute Bethesda Maryland
| |
Collapse
|
31
|
Sahin AN, Sahin AS, Schwenter F, Sebajang H. YouTube Videos as a Source of Information on Colorectal Cancer: What Do Our Patients Learn? JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2019; 34:1160-1166. [PMID: 30242615 PMCID: PMC6882758 DOI: 10.1007/s13187-018-1422-9] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
YouTube is the second most visited website in the world. No studies to date have characterized and evaluated YouTube videos on colorectal cancer (CRC) although these videos could influence patient decision-making, notably regarding screening and prevention. This study aims to report the characteristics and quality of these videos as patient education resources for CRC. YouTube's search engine was queried with different search phrases relating to CRC. The first two pages of each search result were analyzed. Two specialists devised a critical appraisal tool with a list of criteria to assess the videos. Quantitative YouTube parameter analyses and criteria assessment were performed. Inter-rater agreement was assessed between three raters. A total of 46 videos were eligible to be included in the study. The videos were on average 4:51 ± 3:27 min long. The videos had 10 times as many likes as dislikes. Less than half the videos discussed risk factors and protective factors. Only 41% of videos mentioned screening tests and only about a quarter discussed them. Palliative care was only mentioned in 2% of videos. A single video could obtain a perfect score on the critical appraisal tool. Length was the unique parameter associated with a high score on the criteria list. There is thus a need for more authoritative and comprehensive videos easily identifiable by the patients. Video popularity is not associated with comprehensiveness. Currently, YouTube might not be an education resource for CRC suited to every patient.
Collapse
Affiliation(s)
- Alain Nathan Sahin
- Department of Surgery, Centre Hospitalier de l'Université de Montréal, 1051 rue Sanguinet, Montréal, Québec, H2X 0C1, Canada
- Department of Surgery, Université de Montréal, C.P. 6128, succursale Centre-ville, Montréal, Québec, H3C 3J7, Canada
| | - Anne Sarah Sahin
- Department of Surgery, Centre Hospitalier de l'Université de Montréal, 1051 rue Sanguinet, Montréal, Québec, H2X 0C1, Canada
- Department of Surgery, Université de Montréal, C.P. 6128, succursale Centre-ville, Montréal, Québec, H3C 3J7, Canada
| | - Frank Schwenter
- Department of Surgery, Centre Hospitalier de l'Université de Montréal, 1051 rue Sanguinet, Montréal, Québec, H2X 0C1, Canada
- Department of Surgery, Université de Montréal, C.P. 6128, succursale Centre-ville, Montréal, Québec, H3C 3J7, Canada
| | - Herawaty Sebajang
- Department of Surgery, Centre Hospitalier de l'Université de Montréal, 1051 rue Sanguinet, Montréal, Québec, H2X 0C1, Canada.
- Department of Surgery, Université de Montréal, C.P. 6128, succursale Centre-ville, Montréal, Québec, H3C 3J7, Canada.
| |
Collapse
|
32
|
Gonzalez BD. Promise of Mobile Health Technology to Reduce Disparities in Patients With Cancer and Survivors. JCO Clin Cancer Inform 2019; 2:1-9. [PMID: 30652578 DOI: 10.1200/cci.17.00141] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
Despite recent advances in cancer control, numerous disparities exist in the areas of patient access to care, self-management, and quality of life. However, mobile health technology shows promise as a tool to reduce disparities among patients with cancer and cancer survivors by overcoming such barriers as limited access to providers, difficulty communicating with providers, and inadequate communication between patients and providers regarding symptoms. This narrative review draws on the literature in cancer and noncancer populations to identify factors that create or maintain disparities and to describe opportunities for mobile health technology to reduce disparities.
Collapse
|
33
|
Charow R, Snow M, Fathima S, Giuliani ME, McEwan K, Winegust J, Papadakos J. Evaluation of the scope, quality, and health literacy demand of Internet-based anal cancer information. J Med Libr Assoc 2019; 107:527-537. [PMID: 31607810 PMCID: PMC6774557 DOI: 10.5195/jmla.2019.393] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2017] [Accepted: 06/01/2019] [Indexed: 12/18/2022] Open
Abstract
OBJECTIVES As there is a dearth of information about anal cancer available at cancer centers, patients often use the Internet to search for information. This is problematic, however, because the quality of information on the Internet is variable, and the health literacy demanded is higher than the average patrons' capacity. The purposes of this study were to (1) determine the most common websites with anal cancer consumer health information, (2) identify the supportive care needs that each website addresses, and (3) evaluate the websites' quality and health literacy demand. METHODS Medical Subject Headings (MeSH) entry terms for "Anus Neoplasms" were used in Google Canada to identify websites. Seven domains of supportive care needs were defined using Fitch's Supportive Care Framework for Cancer Care. Website quality was evaluated using the DISCERN tool. Health literacy demand was assessed using readability calculators, where best practice dictates a grade 6 or lower, and the Patient Education Material Assessment Tool (PEMAT) that computes a percentage score in 2 domains, understandability and actionability, with 80% being an acceptable score. RESULTS Eighteen unique websites were evaluated. One website met health literacy best practices and had a "good" quality rating. Most websites addressed only 1 supportive care domain (61%), were of "fair" quality (67%), had readability scores higher than grade 6 (89%), and had PEMAT scores ranging from 41%-92% for understandability and 0-70% for actionability. CONCLUSION The information gaps on anal cancer websites warrant a need for more health literate anal cancer health information on the Internet.
Collapse
Affiliation(s)
- Rebecca Charow
- Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada,
| | - Michelle Snow
- Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada,
| | - Sameera Fathima
- Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada,
| | - Meredith E Giuliani
- Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada,
| | - Kate McEwan
- Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada,
| | - Jordana Winegust
- Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada,
| | - Janet Papadakos
- Princess Margaret Cancer Centre, University Health Network, and Patient Education, Cancer Care Ontario, Toronto, ON, Canada,
| |
Collapse
|
34
|
Lange L, Peikert ML, Bleich C, Schulz H. The extent to which cancer patients trust in cancer-related online information: a systematic review. PeerJ 2019; 7:e7634. [PMID: 31592341 PMCID: PMC6776066 DOI: 10.7717/peerj.7634] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2019] [Accepted: 08/06/2019] [Indexed: 12/21/2022] Open
Abstract
Background The use of the internet to satisfy information needs is widespread among cancer patients. Patients’ decisions regarding whether to act upon the information they find strongly depend on the trustworthiness of the information and the medium. Patients who are younger, more highly educated and female are more likely to trust online information. The objectives of this systematic review were to examine the extent to which cancer patients trust in cancer-related online information, internet websites as a source of cancer-related information or the internet as a medium of cancer information. Methods A systematic review was conducted using five databases (PROSPERO registration number: CRD42017070190). Studies of any kind were included if they measured cancer patients’ trust in online health information. Study quality was assessed using the Research Triangle Institute (RTI) item bank. A narrative synthesis was undertaken to examine the included studies. Results Of the 7,314 citations obtained by the search, seven cross-sectional studies were included in the synthesis. A total of 1,054 patients reported having some or a great deal of trust in online cancer information; 154 patients reported moderately trusting such information; and 833 patients reported having no or little trust in online cancer information, internet websites as a source of cancer-related information or the internet as a medium of cancer-related information. Two of the seven studies reported between group comparisons for the above-stated patient characteristics. The methodological quality of the included studies was diverse. Conclusion The results of the included studies indicates that approximately half of cancer patients appear to trust cancer-specific online information, internet websites as a source of cancer-related information or the internet as an information medium. However, the small number of included studies, high heterogeneity of participants, methods and outcomes calls for further systematic research. It is important to understand that cancer patients do and will increasingly use trusted cancer information websites to search for information concerning their disease. Therefore, physicians and other health care providers should provide more support and advice to these patients.
Collapse
Affiliation(s)
- Lukas Lange
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Mona Leandra Peikert
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Christiane Bleich
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Holger Schulz
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| |
Collapse
|
35
|
Alshaikh EA, Almedimigh AF, Alruwaili AM, Almajnoni AH, Alhajiahmed A, Almalki TS, Alfaraj SZ, Pines JM. Patient-Focused Online Resources for Melanoma: Highly Variable Content and Quality. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2019; 34:775-781. [PMID: 29732480 DOI: 10.1007/s13187-018-1372-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
When patients are diagnosed or concerned with the diagnosis of melanoma, they commonly use the Internet for information. We assessed the content of patient-focused websites about melanoma. We searched for "melanoma" in four search engines then assessed the first 30 websites in each search. Among included sites, we describe potentially useful content about melanoma: website quality, readability, popularity, and social media sharing. In 31 included websites, > 80% mentioned the definition and risk factors for melanoma, when to seek medical help, how to diagnose, and treatment options, and > 70% described preventive measures. However, website quality was variable: 61% of websites had disclosures, 54% were dated, 41% had a clear author, and 41% had references. Average readability ranged from 8th to 12th grade, which is above recommended reading levels for patient websites. Despite this variation and high reading levels, we identified many high-quality melanoma websites for patients.
Collapse
Affiliation(s)
- Eman A Alshaikh
- School of Medicine and Health Sciences, The George Washington University, Washington, DC, USA
| | - Abdulaziz F Almedimigh
- School of Medicine and Health Sciences, The George Washington University, Washington, DC, USA
| | - Abdulmajeed M Alruwaili
- School of Medicine and Health Sciences, The George Washington University, Washington, DC, USA
| | - Abdullah H Almajnoni
- School of Medicine and Health Sciences, The George Washington University, Washington, DC, USA
| | - Ali Alhajiahmed
- School of Medicine and Health Sciences, The George Washington University, Washington, DC, USA
| | - Thamer S Almalki
- School of Medicine and Health Sciences, The George Washington University, Washington, DC, USA
| | - Sukayna Z Alfaraj
- Department of Emergency Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
- Center for Healthcare Innovation and Policy Research, School of Medicine and Health Sciences, The George Washington University, Washington, DC, USA
| | - Jesse M Pines
- School of Medicine and Health Sciences, The George Washington University, Washington, DC, USA.
- Center for Healthcare Innovation and Policy Research, School of Medicine and Health Sciences, The George Washington University, Washington, DC, USA.
- Departments of Emergency Medicine and Health Policy and Management, The George Washington University, Washington, DC, USA.
| |
Collapse
|
36
|
Rafatmanesh A, Behjati M, Mobasseri N, Sarvizadeh M, Mazoochi T, Karimian M. The survivin molecule as a double-edged sword in cellular physiologic and pathologic conditions and its role as a potential biomarker and therapeutic target in cancer. J Cell Physiol 2019; 235:725-744. [PMID: 31250439 DOI: 10.1002/jcp.29027] [Citation(s) in RCA: 36] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2019] [Accepted: 06/11/2019] [Indexed: 12/16/2022]
Abstract
Survivin is a member of the family of apoptosis inhibitory proteins with increased expression level in most cancerous tissues. Evidence shows that survivin plays regulatory roles in proliferation or survival of normal adult cells, principally vascular endothelial cells, T lymphocytes, primitive hematopoietic cells, and polymorphonuclear neutrophils. Survivin antiapoptotic role is, directly and indirectly, related to caspase proteins and shows its role in cell division through the chromosomal passenger complex. Survivin contains many genetic polymorphisms that the role of some variations has been proven in several cancers. The -31G/C polymorphism is one of the most important survivin mutations which is located in the promoter region on a CDE/CHR motif. This polymorphism can upregulate the survivin messenger RNA. In addition, its allele C can increase the risk of cancers in 1.27-fold than allele G. Considering the fundamental role of survivin in different cancers, this protein could be considered as a new therapeutic target in cancer treatment. For this purpose, various strategies have been designed including the prevention of survivin expression through inhibition of mRNA translation using antagonistic molecules, inhibition of survivin gene function through small inhibitory molecules, gene therapy, and immunotherapy. In this study, we describe the structure, played roles in physiological and pathological states and genetic polymorphisms of survivin. Finally, the role of survivin as a potential target in cancer therapy given challenges ahead has been discussed.
Collapse
Affiliation(s)
- Atieh Rafatmanesh
- The Advocate Center for Clinical Research, Ayatollah Yasrebi Hospital, Kashan, Iran
| | - Mohaddeseh Behjati
- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Narges Mobasseri
- Gametogenesis Research Center, Kashan University of Medical Sciences, Kashan, Iran.,Anatomical Sciences Research Center, Kashan University of Medical Sciences, Kashan, Iran
| | - Mostafa Sarvizadeh
- The Advocate Center for Clinical Research, Ayatollah Yasrebi Hospital, Kashan, Iran
| | - Tahereh Mazoochi
- Gametogenesis Research Center, Kashan University of Medical Sciences, Kashan, Iran
| | - Mohammad Karimian
- Gametogenesis Research Center, Kashan University of Medical Sciences, Kashan, Iran.,Anatomical Sciences Research Center, Kashan University of Medical Sciences, Kashan, Iran
| |
Collapse
|
37
|
Garfinkle R, Wong-Chong N, Petrucci A, Sylla P, Wexner SD, Bhatnagar S, Morin N, Boutros M. Assessing the readability, quality and accuracy of online health information for patients with low anterior resection syndrome following surgery for rectal cancer. Colorectal Dis 2019; 21:523-531. [PMID: 30609222 DOI: 10.1111/codi.14548] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2018] [Accepted: 12/17/2018] [Indexed: 02/08/2023]
Abstract
AIM Management of low anterior resection syndrome (LARS) requires a high degree of patient engagement. This process may be facilitated by online health-related information and education. The aim of this study was to systematically review current online health information on LARS. METHOD An online search of Google, Yahoo and Bing was performed using the search terms 'low anterior/anterior resection syndrome' and 'bowel function/movements after rectal cancer surgery'. Websites were assessed for readability (eight standardized tests), suitability (using the Suitability Assessment of Materials instrument), quality (the DISCERN instrument), accuracy and content (using a LARS-specific content checklist). Websites were categorized as academic, governmental, nonprofit or private. RESULTS Of 117 unique websites, 25 met the inclusion criteria. The median readability level was 10.4 (9.2-11.7) and 11 (44.0%) websites were highly suitable. Using the DISCERN instrument, seven (28.0%) websites had clear aims, two (8.0%) divulged the sources used and four (16.0%) had high overall quality. Only eight (32.0%) websites defined LARS and ten (40.0%) listed all five major symptoms associated with the LARS score. There was variation in the number of websites that discussed dietary modifications (80.0%), self-help strategies (72.0%), medication (68.0%), pelvic floor rehabilitation (60.0%) and neuromodulation (8.0%). The median accuracy of websites was 93.8% (88.2-96.7%). Governmental websites scored highest for overall suitability (P = 0.0079) and quality (P < 0.001). CONCLUSIONS Current online information on LARS is suboptimal. Websites are highly variable, important content is often lacking and material is too complex for patients.
Collapse
Affiliation(s)
- R Garfinkle
- Division of Colon and Rectal Surgery, Jewish General Hospital, Montreal, Quebec, Canada
| | - N Wong-Chong
- Division of Colon and Rectal Surgery, Jewish General Hospital, Montreal, Quebec, Canada
| | - A Petrucci
- Division of General Surgery, Hôpital Cité de la Santé, Montreal, Quebec, Canada
| | - P Sylla
- Division of Colorectal Surgery, Mount Sinai Hospital and School of Medicine, New York, New York, USA
| | - S D Wexner
- Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, USA
| | - S Bhatnagar
- Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Quebec, Canada
| | - N Morin
- Division of Colon and Rectal Surgery, Jewish General Hospital, Montreal, Quebec, Canada
| | - M Boutros
- Division of Colon and Rectal Surgery, Jewish General Hospital, Montreal, Quebec, Canada
| |
Collapse
|
38
|
Brütting J, Steeb T, Reinhardt L, Berking C, Meier F. Exploring the Most Visible German Websites on Melanoma Immunotherapy: A Web-Based Analysis. JMIR Cancer 2018; 4:e10676. [PMID: 30545808 PMCID: PMC6315239 DOI: 10.2196/10676] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2018] [Revised: 06/06/2018] [Accepted: 06/19/2018] [Indexed: 01/06/2023] Open
Abstract
Background Patients diagnosed with melanoma frequently search the internet for treatment information, including novel and complex immunotherapy. However, health literacy is limited among half of the German population, and no assessment of websites on melanoma treatment has been performed so far. Objective The aim of this study was to identify and assess the most visible websites in German language on melanoma immunotherapy. Methods In accordance with the common Web-based information-seeking behavior of patients with cancer, the first 20 hits on Google, Yahoo, and Bing were searched for combinations of German synonyms for “melanoma” and “immunotherapy” in July 2017. Websites that met our predefined eligibility criteria were considered for assessment. Three reviewers independently assessed their quality by using the established DISCERN tool and by checking the presence of quality certification. Usability and reliability were evaluated by the LIDA tool and understandability by the Patient Education Materials Assessment Tool (PEMAT). The Flesch Reading Ease Score (FRES) was calculated to estimate the readability. The ALEXA and SISTRIX tools were used to investigate the websites’ popularity and visibility. The interrater agreement was determined by calculating Cronbach alpha. Subgroup differences were identified by t test, U test, or one-way analysis of variance. Results Of 480 hits, 45 single websites from 30 domains were assessed. Only 2 website domains displayed a German quality certification. The average assessment scores, mean (SD), were as follows: DISCERN, 48 (7.6); LIDA (usability), 40 (2.0); LIDA (reliability), 10 (1.6); PEMAT, 69% (16%); and FRES, 17 (14), indicating mediocre quality, good usability, and understandability but low reliability and an even very low readability of the included individual websites. SISTRIX scores ranged from 0 to 6872 and ALEXA scores ranged from 17 to 192,675, indicating heterogeneity of the visibility and popularity of German website domains providing information on melanoma immunotherapy. Conclusions Optimization of the most accessible German websites on melanoma immunotherapy is desirable. Especially, simplification of the readability of information and further adaption to reliability criteria are required to support the education of patients with melanoma and laypersons, and to enhance transparency.
Collapse
Affiliation(s)
- Julia Brütting
- Department of Dermatology, Dresden University Hospital and Medical Faculty Carl Gustav Carus, Technical University of Dresden, Dresden, Germany
| | - Theresa Steeb
- Department of Dermatology and Allergy, University Hospital, LMU Munich, Munich, Germany
| | - Lydia Reinhardt
- Department of Dermatology, Dresden University Hospital and Medical Faculty Carl Gustav Carus, Technical University of Dresden, Dresden, Germany
| | - Carola Berking
- Department of Dermatology and Allergy, University Hospital, LMU Munich, Munich, Germany
| | - Friedegund Meier
- Department of Dermatology, Dresden University Hospital and Medical Faculty Carl Gustav Carus, Technical University of Dresden, Dresden, Germany
| |
Collapse
|
39
|
Silver JK, Raj VS, Fu JB, Wisotzky EM, Smith SR, Knowlton SE, Silver AJ. Most National Cancer Institute-Designated Cancer Center Websites Do Not Provide Survivors with Information About Cancer Rehabilitation Services. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2018; 33:947-953. [PMID: 28064402 DOI: 10.1007/s13187-016-1157-4] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
This study is the first to evaluate the existence and quality of patient-related cancer rehabilitation content on the websites of National Cancer Institute (NCI)-Designated Cancer Centers. In 2016, a team of cancer rehabilitation physicians (physiatrists) conducted an analysis of the patient-related rehabilitation content on the websites of all NCI-Designated Cancer Centers that provide clinical care (N = 62 of 69). The main outcome measures included qualitative rating of the ease of locating descriptions of cancer rehabilitation services on each website, followed by quantitative rating of the quality of the cancer rehabilitation descriptions found. More than 90% of NCI-Designated Cancer Centers providing clinical care did not have an easily identifiable patient-focused description of or link to cancer rehabilitation services on their website. Use of a website's search box and predetermined terms yielded an additional 13 descriptions (21%). Therefore, designers of nearly 70% of the websites evaluated overlooked an opportunity to present a description of cancer rehabilitation services. Moreover, only 8% of the websites included accurate and detailed information that referenced four core rehabilitation services (physiatry and physical, occupational and speech therapy). Further research is needed to confirm the presence of cancer rehabilitation services and evaluate access to these types of services at NCI-Designated Cancer Centers providing clinical care.
Collapse
Affiliation(s)
- Julie K Silver
- Harvard Medical School, Department of Physical Medicine and Rehabilitation & Spaulding Rehabilitation Hospital, Massachusetts General Hospital and Brigham and Women's Hospital, 300 1st Avenue, Charlestown, MA, 02025, USA.
| | - Vishwa S Raj
- Department of Physical Medicine and Rehabilitation, Carolinas Rehabilitation, 1100 Blythe Boulevard, Charlotte, NC, 28203, USA
| | - Jack B Fu
- Department of Palliative, Rehabilitation and Integrative Medicine, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Unit 1414, Houston, TX, 77030, USA
| | - Eric M Wisotzky
- MedStar National Rehabilitation Network, 102 Irving Street, NW, Washington, DC, 20010, USA
| | - Sean Robinson Smith
- University of Michigan Department of Physical Medicine & Rehabilitation, 325 E Eisenhower Pkwy, Ste 100, Ann Arbor, MI, 48108, USA
| | - Sasha E Knowlton
- Harvard Medical School, Department of Physical Medicine and Rehabilitation & Spaulding Rehabilitation Hospital, Massachusetts General Hospital and Brigham and Women's Hospital, 300 1st Avenue, Charlestown, MA, 02025, USA
| | - Alexander J Silver
- Department of Hematology, Brigham and Women's Hospital, Karp Family Research Building, 5th Floor, 1 Blackfan Circle, Boston, MA, 02115, USA
| |
Collapse
|
40
|
Bruce JG, Tucholka JL, Steffens NM, Mahoney JE, Neuman HB. Feasibility of Providing Web-Based Information to Breast Cancer Patients Prior to a Surgical Consult. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2018; 33:1069-1074. [PMID: 28361360 PMCID: PMC5623157 DOI: 10.1007/s13187-017-1207-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Patients facing decisions for breast cancer surgery commonly search the internet. Directing patients to high-quality websites prior to the surgeon consultation may be one way of supporting patients' informational needs. The objective was to test an approach for delivering web-based information to breast cancer patients. The implementation strategy was developed using the Replicating Effective Programs framework. Pilot testing measured the proportion that accepted the web-based information. A pre-consultation survey assessed whether the information was reviewed and the acceptability to stakeholders. Reasons for declining guided refinement to the implementation package. Eighty-two percent (309/377) accepted the web-based information. Of the 309 that accepted, 244 completed the pre-consultation survey. Participants were a median 59 years, white (98%), and highly educated (>50% with a college degree). Most patients who completed the questionnaire reported reviewing the website (85%), and nearly all found it helpful. Surgeons thought implementation increased visit efficiency (5/6) and would result in patients making more informed decisions (6/6). The most common reasons patients declined information were limited internet comfort or access (n = 36), emotional distress (n = 14), and preference to receive information directly from the surgeon (n = 7). Routine delivery of web-based information to breast cancer patients prior to the surgeon consultation is feasible. High stakeholder acceptability combined with the low implementation burden means that these findings have immediate relevance for improving care quality.
Collapse
Affiliation(s)
- Jordan G Bruce
- School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA
| | - Jennifer L Tucholka
- Wisconsin Surgical Outcomes Research Program, Department of Surgery, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA
| | - Nicole M Steffens
- Denver Public Health, Denver Health and Hospital Authority, Denver, CO, USA
| | - Jane E Mahoney
- Department of Medicine, Section of Geriatrics, School of Medicine and Public Health, University of Wisconsin Madison, Madison, WI, USA
| | - Heather B Neuman
- School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.
- Wisconsin Surgical Outcomes Research Program, Department of Surgery, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.
- Carbone Cancer Center, University of Wisconsin, Madison, WI, USA.
- , H4/726 CSC, 600 Highland Ave, Madison, WI, 53792, USA.
| |
Collapse
|
41
|
Joury A, Joraid A, Alqahtani F, Alghamdi A, Batwa A, Pines JM. The variation in quality and content of patient-focused health information on the Internet for otitis media. Child Care Health Dev 2018; 44:221-226. [PMID: 28913967 DOI: 10.1111/cch.12524] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2016] [Revised: 08/27/2017] [Accepted: 08/28/2017] [Indexed: 11/27/2022]
Abstract
BACKGROUND When symptoms of otitis media appear, parents and patients often access the Internet for health information. We study the content and quality of health information in parent-patient-focused websites for otitis media. METHODS We searched the 3 search engines (Google, Yahoo, and Bing) using "otitis media" and "middle ear infection" then reviewed the top 30 hits for each search. We included sites that were focused on providing patient-patient information about otitis media. A variety of instruments were used to assess website content and quality. RESULTS In 35 included websites, there was considerable variation in content, with the average site having 11 out of 15 informational items potentially useful to parents and patients on otitis media (range 4-15). Across included websites, the mean DISCERN score was 47 out of 80 (low to medium quality), 16 (46%) were HONcode certified, and 8 (23%) fulfilled all the JAMA benchmark criteria. The average website was written at a 9th/10th-grade reading level. CONCLUSION The content and quality of health information for otitis media in parent-and-patient-focused websites is highly variable. Although easy-to-read, high-quality websites with complete content are available, the average website sites is difficult to read without a high school education and is difficult to use. Consideration should be given to adopting a standard approach for presenting disease-specific information to parents and patients.
Collapse
Affiliation(s)
- A Joury
- Medical Research Fellowship Program, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.,King Salman Heart Center, King Fahad Medical City, Riyadh, Saudi Arabia
| | - A Joraid
- Medical Research Fellowship Program, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.,Prince Mohammed Bin Abdul-Aziz Medical City, Al-Jouf, Saudi Arabia
| | - F Alqahtani
- Medical Research Fellowship Program, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.,Department of Pediatrics, University of Dammam, Dammam, Saudi Arabia
| | - A Alghamdi
- Medical Research Fellowship Program, George Washington University School of Medicine and Health Sciences, Washington, DC, USA
| | - A Batwa
- Medical Research Fellowship Program, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.,Department of Pediatrics, Al-Baha University, Al-Baha, Saudi Arabia
| | - J M Pines
- Medical Research Fellowship Program, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.,Department of Emergency Medicine, George Washington University, Washington, DC, USA.,Department of Health Policy and Management, George Washington University, Washington, DC, USA
| |
Collapse
|
42
|
Haase KR, Thomas RT, Gifford W, Holtslander LF. Ways of knowing on the Internet: A qualitative review of cancer websites from a critical nursing perspective. Nurs Inq 2018; 25:e12230. [PMID: 29327398 DOI: 10.1111/nin.12230] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/22/2017] [Indexed: 02/06/2023]
Abstract
People diagnosed with cancer typically want information from their doctor or nurse. However, many individuals now turn to the Internet to tackle unmet information needs and to complement healthcare professional information. The purpose of this study was to qualitatively explore the content of commonly searched cancer websites from a critical nursing perspective, as this information is accessible, and allows patients to address their information needs in ways that healthcare professionals cannot. This qualitative examination of websites is informed by Carper's fundamental patterns of knowing and complemented with the critical view to technology espoused by the philosophy of technology. We conducted a review of 20 websites using a two-step interpretive descriptive approach and thematic analysis. We identified the dominant discourse to be focused on empirical information on treatment, prognosis, and cure, and a paucity of sociopolitical, ethical, personal, and esthetic information. In place of holistic, nuanced, and accurate knowledge nurses may provide, patients find predominantly empirical and biomedical information online. Discussion explores and critiques online cancer content, gaps in information, and the importance of information diversity. Implications focus on needed discourse around pervasive technologies and the nursing role in assessing and directing patients to holistic information.
Collapse
Affiliation(s)
- Kristen R Haase
- College of Nursing, University of Saskatchewan, Saskatoon, SK, Canada
| | | | - Wendy Gifford
- School of Nursing, University of Ottawa, Ottawa, ON, Canada
| | | |
Collapse
|
43
|
Hornbrook MC, Cobb MD, Tallman NJ, Colwell J, McCorkle R, Ercolano E, Grant M, Sun V, Wendel CS, Hibbard JH, Krouse RS. Costs of an ostomy self-management training program for cancer survivors. Psychooncology 2017; 27:879-885. [PMID: 29139176 DOI: 10.1002/pon.4584] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2017] [Revised: 08/18/2017] [Accepted: 10/27/2017] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To measure incremental expenses to an oncologic surgical practice for delivering a community-based, ostomy nurse-led, small-group, behavior skills-training intervention to help bladder and colorectal cancer survivors understand and adjust to their ostomies and improve their health-related quality of life, as well as assist family caregivers to understand survivors' needs and provide appropriate supportive care. METHODS The intervention was a 5-session group behavior skills training in ostomy self-management following the principles of the Chronic Care Model. Faculty included Wound, Ostomy, and Continence Nurses (WOCNs) using an ostomy care curriculum. A gender-matched peer-in-time buddy was assigned to each ostomy survivor. The 4-session survivor curriculum included the following: self-management practice and solving immediate ostomy concerns; social well-being; healthy lifestyle; and a booster session. The single family caregiver session was coled by a WOCN and an ostomy peer staff member and covered relevant caregiver and ostomate support issues. Each cohort required 8 weeks to complete the intervention. Nonlabor inputs included ostomy supplies, teaching materials, automobile mileage for WOCNs, mailing, and meeting space rental. Intervention personnel were employed by the University of Arizona. Labor expenses included salaries and fringe benefits. RESULTS The total incremental expense per intervention cohort of 4 survivors was $7246 or $1812 per patient. CONCLUSIONS A WOCN-led group self-help ostomy survivorship intervention provided affordable, effective, care to cancer survivors with ostomies.
Collapse
Affiliation(s)
| | - Martha D Cobb
- College of Nursing, University of Arizona, Tucson, AZ, USA
| | - Nancy J Tallman
- Wound Ostomy Continence Nurse, Private Practice, Tucson, AZ, USA
| | - Janice Colwell
- School of Medicine, University of Chicago, Chicago, IL, USA
| | - Ruth McCorkle
- School of Nursing, Yale University, New Haven, CT, USA
| | | | - Marcia Grant
- City of Hope National Medical Center/Beckman Research Institute, Duarte, CA, USA
| | - Virginia Sun
- City of Hope National Medical Center/Beckman Research Institute, Duarte, CA, USA
| | - Christopher S Wendel
- College of Medicine, University of Arizona, Tucson, AZ, USA.,Southern Arizona Veterans Affairs Health Care System, Tucson, AZ, USA
| | - Judith H Hibbard
- Health Policy Research Group, University of Oregon, Eugene, OR, USA
| | - Robert S Krouse
- School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.,CMC Veterans Affairs Medical Center, Philadelphia, PA, USA
| |
Collapse
|
44
|
Alsaiari A, Joury A, Aljuaid M, Wazzan M, Pines JM. The Content and Quality of Health Information on the Internet for Patients and Families on Adult Kidney Cancer. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2017; 32:878-884. [PMID: 27130549 DOI: 10.1007/s13187-016-1039-9] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
The Internet is one of the major sources for health information for patients and their families, particularly when patients face serious life-threatening conditions such as kidney cancer in adults. In this study, we evaluate the content and quality of health information on adult kidney cancer using several validated instruments. We accessed the three most popular search engines (Google, Yahoo, Bing), using two terms: "kidney cancer" and "renal cell carcinoma," and reviewed the top 30 hits. After exclusion of duplicated websites, websites targeting health care professionals, and unrelated websites, 35 websites were included. Content was assessed using a 22-item checklist adapted from the American Cancer Society. We assessed website quality using the DISCERN questionnaire, HONcode and JAMA benchmark criteria, readability using three readability scores, and ALEXA for global traffic ranking systems. The average website had 16 of 22 content items while 6 websites fulfilled all 22 items. Among all websites, the average DISCERN quality score was 42 out of 80, 15 (42.8 %) of websites had HONcode certification, and only 3 (8.5 %) fulfilled all JAMA benchmark criteria. The average website readability was at the ninth grade reading level. The content and quality of health-related information on the Internet for adult kidney cancer are variable in comprehensiveness and quality. Many websites are difficult to read without a high school education. A standardized approach to presenting cancer information on the Internet for patients and families may be warranted.
Collapse
Affiliation(s)
- Ahmed Alsaiari
- The George Washington University School of Medicine and Health Sciences, Washington, DC, USA
- University of Jeddah, Jeddah, Saudi Arabia
| | - Abdulaziz Joury
- The George Washington University School of Medicine and Health Sciences, Washington, DC, USA
- King Salman Heart Center, King Fahd Medical City, Riyadh, Saudi Arabia
| | - Mossab Aljuaid
- The George Washington University School of Medicine and Health Sciences, Washington, DC, USA
- King Salman Heart Center, King Fahd Medical City, Riyadh, Saudi Arabia
| | - Mohammed Wazzan
- The George Washington University School of Medicine and Health Sciences, Washington, DC, USA
- University of Jeddah, Jeddah, Saudi Arabia
| | - Jesse M Pines
- The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
- Department of Emergency Medicine and Health Policy and Management, The George Washington University School of Medicine and Health Sciences, 900 23rd St NW, Washington, DC, 20037, USA.
- Department of Health Policy and Management, The George Washington University Milken Institute School of Public Health, Washington, DC, USA.
| |
Collapse
|
45
|
O'Connell Ferster AP, Hu A. Evaluating the quality and readability of Internet information sources regarding the treatment of swallowing disorders. EAR, NOSE & THROAT JOURNAL 2017; 96:128-138. [PMID: 28346643 DOI: 10.1177/014556131709600312] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The Internet has become a popular resource for patient education. The information it provides, however, is rarely peer-reviewed, and its quality may be a concern. Since the average American reads at an 8th grade level, the American Medical Association and the National Institutes of Health have recommended that health information be written at a 4th to 6th grade level. We performed a study to assess the quality and readability of online information regarding the treatment of swallowing disorders. A Google search for "swallowing treatment" was conducted. We studied the first 50 websites that appeared on the search engine's results with the use of the DISCERN quality index tool, the Flesch Ease of Reading Score (FRES), and the Flesch-Kincaid Grade Level (FKGL) readability test. DISCERN is a validated 16-item questionnaire used to assess the quality of written health information; FRES and FKGL are used to assess readability. We classified the websites as either patient-targeted or professional-targeted sites, as well as either major or minor. The overall DISCERN score was 1.61 ± 0.61 (range: 1 to 5), the overall FRES was 39.1 ± 19.0 (range: 1 to 100), and the overall FKGL was 11.8 ± 3.4 (range: 3 to 12). As would be expected, patient-targeted websites had significantly higher FRES and significantly lower FKGL scores than did the professional-targeted websites (p = 0.01 and p = 0.04, respectively); there was no significant difference between the two in DISCERN scores. The major websites had significantly higher DISCERN scores than did the minor sites (p = 0.002); there were no significant differences in FRES and FKGL scores. We conclude that online information sources regarding the treatment of swallowing disorders were of suboptimal quality in that information was written at a level too difficult for the average American to easily understand. Also, the patient-targeted websites were written at a lower reading level, and the major websites contained a higher quality of information.
Collapse
Affiliation(s)
- Ashley P O'Connell Ferster
- Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Penn State Milton S. Hershey Medical Center, 500 University Dr., Hershey, PA 17033.
| | | |
Collapse
|
46
|
O'Kelly F, Nason GJ, Manecksha RP, Cascio S, Quinn FJ, Leonard M, Koyle MA, Farhat W, Leveridge MJ. The effect of social media (#SoMe) on journal impact factor and parental awareness in paediatric urology. J Pediatr Urol 2017; 13:513.e1-513.e7. [PMID: 28483467 DOI: 10.1016/j.jpurol.2017.03.027] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/24/2016] [Accepted: 03/23/2017] [Indexed: 10/19/2022]
Abstract
BACKGROUND Social media (SoMe) comprises a number of internet-based applications that have the capability to disseminate multimodal media and allow for unprecedented inter-user connectivity. The role of Twitter has been studied in conferences and education; moreover, there is increasing evidence that patients are more likely to use social media for their own health education. OBJECTIVE The aim of this study was to assess the impact of social media platforms on the impact factor of both urological and paediatric journals that publish on paediatric urology, and to assess parental awareness of social media in paediatric urology. STUDY DESIGN A filtered Journal of Citation Reports (JCR) search was performed for the period 2012-16 for journals that published articles on paediatric urology. Journals were ranked according to impact factor, and each individual journal website was accessed to assess for the presence of social media. Parents in paediatric urology clinics and non-paediatric urology patients also filled out a questionnaire to assess for awareness and attitudes to social media. All statistical analysis was performed using Prism 6 software (Prism 6, GraphPad Software, California, USA). RESULTS Overall, there were 50 urological journals and 39 paediatric journals with a mean impact factor of 2.303 and 1.766, respectively. There was an overall average increase in impact factor across all urological journals between 2012 and 16. The presence of a Twitter feed was statistically significant for a rise in impact factor over the 4 years (P = 0.017). The cohort of parents was statistically more likely to have completed post-secondary education, to have and access to a social media profile, use it for health education, and use it to access journal/physician/hospital social media accounts. DISCUSSION This study examined, for the first time, the role of social media in paediatric urology, and demonstrated that SoMe use is associated with a positive influence in impact factor, but also a parental appetite for it. Limitations included a non-externally validated questionnaire. There may also have been bias in larger journals that generate and maintain social media platforms such as Twitter, which may then in turn have an influence on impact factor. CONCLUSIONS Social media use within paediatric urology was associated with a higher impact factor, which remained significant after 4 years of analysis. Parents were more likely to use a wide variety of social media to search for conditions and physicians/healthcare providers; therefore, journals and institutions need to embrace and endorse SoMe as a potential source of important clinical information.
Collapse
Affiliation(s)
- F O'Kelly
- Department of Paediatric Urology, Our Lady's Children' Hospital, Dublin, Ireland.
| | - G J Nason
- Department of Paediatric Urology, Our Lady's Children' Hospital, Dublin, Ireland
| | - R P Manecksha
- Department of Urological Surgery, Tallaght Hospital (AMNCH), Dublin, Ireland
| | - S Cascio
- Department of Paediatric Urology, Our Lady's Children' Hospital, Dublin, Ireland
| | - F J Quinn
- Department of Paediatric Urology, Our Lady's Children' Hospital, Dublin, Ireland
| | - M Leonard
- Division of Paediatric Urology, Childrens' Hospital of Eastern Ontario, Ottawa, Canada
| | - M A Koyle
- Department of Paediatric Urology, The Hospital for Sick Children, Toronto, Canada
| | - W Farhat
- Department of Paediatric Urology, The Hospital for Sick Children, Toronto, Canada
| | - M J Leveridge
- Department of Urological Surgery, Kingston General Hospital, Ontario, Canada
| |
Collapse
|
47
|
Ebel MD, Stellamanns J, Keinki C, Rudolph I, Huebner J. Cancer Patients and the Internet: a Survey Among German Cancer Patients. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2017; 32:503-508. [PMID: 26553327 DOI: 10.1007/s13187-015-0945-6] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
An increasing number of patients and relatives use the Internet to get additional or initial information about their disease. The aim of the study was to reevaluate the Internet usage among German cancer patients. Using a standardized questionnaire, we did an anonymous survey on patients attending a series of lectures on complementary medicine in 2014. We received 255 questionnaires. Nearly 80 % of the participants stated that they used the Internet to read up information about health or medicine issues. There was no significant difference regarding gender, age, or status (patient, current treatment/former treatment; relatives). Most users use the Internet in order to get additional information after a consultation with a physician (82.2 %). Important qualities from the view of the patient are a trustable source (65.3 %), information from experts (59.6 %), and actual information (52.8 %). There is an increasing number of patients in Germany looking for information in the Internet mostly in the intention of getting additional information. Yet, as the quality of information is heterogeneous, false information may lead to distrust in the doctor or wrong decision-making. Accordingly, organizations working on improving quality of cancer care should engage in conveying comprehensive and actual information adapted to the needs of patients. Physicians should know trustful websites for referral of patients.
Collapse
Affiliation(s)
- Marie-Desiree Ebel
- Working Group Integrative Oncology, Dr. Senckenberg Chronomedical Institute, J.W. Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany
| | - Jan Stellamanns
- German Cancer Society, Kuno-Fischer-Str. 8, 14057, Berlin, Germany
| | - Christian Keinki
- German Cancer Society, Kuno-Fischer-Str. 8, 14057, Berlin, Germany
| | - Ivonne Rudolph
- German Cancer Society, Kuno-Fischer-Str. 8, 14057, Berlin, Germany
| | - Jutta Huebner
- Working Group Integrative Oncology, Dr. Senckenberg Chronomedical Institute, J.W. Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.
| |
Collapse
|
48
|
eHealth literacy, Internet and eHealth service usage: a survey among cancer patients and their relatives. J Cancer Res Clin Oncol 2017; 143:2291-2299. [PMID: 28699035 DOI: 10.1007/s00432-017-2475-6] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2017] [Accepted: 07/06/2017] [Indexed: 10/19/2022]
Abstract
PURPOSE The aim of our study was to investigate Internet and eHealth usage, with respect to eHealth literacy, by cancer patients and their relatives. PATIENTS AND METHODS Using a standardized questionnaire we asked patients who attended lectures on complementary medicine in 2016. RESULTS We received 142 questionnaires. The frequency of general Internet usage was directly associated with younger age and better Internet connection. Younger participants were not only more confident in allocating health-related Internet information into reliable or unreliable facts, but also more confident and capable of gaining medical knowledge through eHealth services. A regular use of eHealth services facilitated the decision-making process. Reading ability was associated with a better understanding regarding eHealth offers. CONCLUSION In a modern health care system, emphasis should be on skills contributing to eHealth literacy among patients to improve their ability to profit from eHealth offers and improve health care.
Collapse
|
49
|
Searching the web: a survey on the quality of advice on postnatal sequelae of intrauterine growth restriction and the implication of developmental origins of health and disease. J Dev Orig Health Dis 2017; 8:604-612. [PMID: 28528582 DOI: 10.1017/s2040174417000332] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Intrauterine growth restriction (IUGR) and fetal growth restriction (FGR) are pregnancy complications associated with morbidity in later life. Despite a growing body of evidence from current research on developmental origins of health and disease (DOHaD), little information is currently provided to parents on long-term metabolic, cardiovascular and neurologic consequences. As parents strongly rely on internet-based health-related information, we examined the quality of information on IUGR/FGR sequelae and DOHaD in webpages used by laypersons. Simulating non-clinicians experience, we entered the terms 'IUGR consequences' and 'FGR consequences' into Google and Yahoo search engines. The quality of the top search-hits was analyzed with regard to the certification through the Health On the Net Foundation (HON), currentness of cited references, while reliability of information and DOHaD-related consequences were assessed via the DISCERN Plus score (DPS). Overall the citation status was not up-to-date and only a few websites were HON-certified. The results of our analysis showed a dichotomy between the growing body of evidence regarding IUGR/FGR-related sequelae and lack of current guidelines, leaving parents without clear directions. Furthermore, detailed information on the concept of DOHaD is not provided. These findings emphasize the responsibility of the individual physician for providing advice on IUGR/FGR-related sequelae, monitoring and follow-up.
Collapse
|
50
|
He Y, Wang G, Zhang L, Zhai C, Zhang J, Zhao X, Jiang X, Zhao Z. Biological effects and clinical characteristics of microRNA-106a in human colorectal cancer. Oncol Lett 2017; 14:830-836. [PMID: 28693239 PMCID: PMC5494767 DOI: 10.3892/ol.2017.6179] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2015] [Accepted: 03/14/2017] [Indexed: 01/14/2023] Open
Abstract
MicroRNAs serve important roles in various diseases, particularly cancer. microRNA-106a (miR-106a) exhibits abnormal expression and oncogenic activity in carcinogenesis. The clinical significance of the abnormal expression of miR-106a in colorectal cancer is poorly understood. In the present study, miR-106a expression from colorectal cancer tissues was quantified using the reverse transcription-quantitative polymerase chain reaction. The overexpression or knockdown of miR-106a was performed by transfection with microRNA mimic or inhibitor in human colorectal carcinoma HCT116 cells. The overexpression of miR-106a promoted viability and inhibited apoptosis in colorectal cancer cells. The association between miR-106a expression and clinicopathological factors was analyzed, and it was identified that miR-106a exhibited significantly increased expression in adenocarcinoma tissues compared with in mucinous carcinoma tissues, and the expression of miR-106a was identified to be associated with the depth of invasion and differentiation. The expression of miR-106a in plasma was also determined and it was identified that increased expression of miR-106a, as a characteristic of patients with colorectal cancer, may be distinguished from that of other patients by digitization of the areas under the receiver operating characteristic curves. These data suggested that miR-106a is a potential biomarker in the diagnosis of colorectal carcinoma. However, the underlying molecular mechanism of miR-106a-promoted viability and inhibition of apoptosis requires further investigation.
Collapse
Affiliation(s)
- Yuzheng He
- Department of General Surgery, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei 050031, P.R. China.,Department of Thoracic Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei 050031, P.R. China
| | - Guiqi Wang
- Department of General Surgery, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei 050031, P.R. China
| | - Lei Zhang
- Department of General Surgery, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei 050031, P.R. China
| | - Congjie Zhai
- Department of General Surgery, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei 050031, P.R. China
| | - Jun Zhang
- Department of General Surgery, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei 050031, P.R. China
| | - Xusheng Zhao
- Department of General Surgery, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei 050031, P.R. China
| | - Xia Jiang
- Department of General Surgery, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei 050031, P.R. China
| | - Zengren Zhao
- Department of General Surgery, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei 050031, P.R. China
| |
Collapse
|