Content and Quality of Websites for Patients With Chronic Kidney Disease: An Environmental Scan

被引：13

作者：

Smekal, Michelle ^{[1
]}

Gil, Sarah ^{[1
]}

Donald, Maoliosa ^{[1
,2
]}

Beanlands, Heather ^{[3
]}

Straus, Sharon ^{[4
,5
]}

Herrington, Gwen ^{[6
]}

Sparkes, Dwight ^{[6
]}

Harwood, Lori ^{[7
]}

Tong, Allison ^{[8
]}

Grill, Allan ^{[9
]}

Tu, Karen ^{[9
]}

Waldvogel, Blair ^{[6
]}

Large, Chantel ^{[6
]}

Large, Claire ^{[6
]}

Novak, Marta ^{[10
]}

James, Matthew ^{[1
,2
]}

Elliott, Meghan ^{[1
]}

Delgado, Maria ^{[6
]}

Brimble, Scott ^{[11
]}

Samuel, Susan ^{[2
,12
]}

Hemmelgarn, Brenda R. ^{[1
,2
]}

机构：

[1] Univ Calgary, Cumming Sch Med, Dept Med, Calgary, AB, Canada

[2] Univ Calgary, Dept Community Hlth Sci, Calgary, AB, Canada

[3] Ryerson Univ, Daphne Cockwell Sch Nursing, Toronto, ON, Canada

[4] Univ Toronto, Dept Med, Toronto, ON, Canada

[5] St Michaels Hosp, Li Ka Shing Knowledge Inst, Toronto, ON, Canada

[6] Can SOLVE CKD Network, Vancouver, BC, Canada

[7] London Hlth Sci Ctr, London, ON, Canada

[8] Univ Sydney, Sydney Sch Publ Hlth, Sydney, NSW, Australia

[9] Univ Toronto, Dept Family & Amp Community Med, Toronto, ON, Canada

[10] Univ Toronto, Dept Psychiat, Toronto, ON, Canada

[11] McMaster Univ, Dept Med, Hamilton, ON, Canada

[12] Univ Calgary, Dept Pediat, Calgary, AB, Canada

来源：

CANADIAN JOURNAL OF KIDNEY HEALTH AND DISEASE | 2019年 / 6卷

基金：

加拿大健康研究院;

关键词：

chronic kidney disease; online; internet; websites; self-management; SELF-MANAGEMENT SUPPORT; HEALTH INFORMATION; INTERNET; WEB; DISCERN;

D O I：

10.1177/2054358119863091

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Although numerous websites for patients with chronic kidney disease (CKD) are available, little is known about their content and quality. Objective: To evaluate the quality of CKD websites, and the degree to which they align with information needs identified by patients with CKD. Methods: We identified websites by entering "chronic kidney disease" in 3 search engines: Google.com (with regional variants for Australia, Canada, the United Kingdom, and the United States), Bing.com, and Yahoo.com. We included the first 50 unique English-language sites from each search. We evaluated website content using a 30-point scale comprising 8 priority content domains identified by patients with CKD (understanding CKD, diet, symptoms, medications, mental/physical health, finances, travel, and work/school). We used standardized tools to evaluate usability, reliability, and readability (DISCERN, HONcode, LIDA, Reading Ease, and Reading Grade Level). Two reviewers independently conducted the search, screen, and evaluation. Results: Of the 2093 websites identified, 115 were included. Overall, sites covered a mean (SD) of 29% (17.8) of the CKD content areas. The proportion of sites covering content related to understanding CKD, symptoms, and diet was highest (97%, 80%, and 72%, respectively). The proportion of sites covering travel, finances, and work/school content was lowest (22%, 12%, and 12%, respectively). The mean (SD) scores for DISCERN, LIDA and HONcode were 68% (14.6), 71% (14.4), and 75% (17.2), respectively, considered above average for usability and reliability. The mean (SD) Reading Grade Level was 10.6 (2.8) and Reading Ease was 49.8 (14.4), suggesting poor readability. Conclusions: Although many CKD web sites were of reasonable quality, their readability was poor. Furthermore, most sites covered less than 30% of the content patients identified as important for CKD self-management. These results will inform content gaps in internet-accessible information on CKD self-management that should be addressed by future eHealth web-based tools.

引用

页数：18

共 38 条

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