Fawzieh Ghammari, Kousar Heidari, Habib Jalilian
Financial protection and equity in the healthcare financing system in Iran: a cross-sectional study among slum dwellers with type 2 diabetes
BMJ open
background parents often access online resources educate childs condition intoeing also referred pigeon toeing common paediatric condition variety causes often cause concern parents increasing usage internet parents children condition may look web answers however understood average adult online health information must written elementary school reading level hypothesised currently available online resources regarding intoeing would score poorly objective measures readability understandability methods patient education materials identified via three commonly used online search engines googlecom yahoocom bingcom terms intoeing pigeon toeing used search top 50 search results websites included directed educating patients families regarding intoeing news articles nontext material video industry websites articles related intoeing excluded readability analysed using specialised website wwwreadablecom produce following three scores gunning fog index gfi flesch reading ease fre fleschkincaid grade fkg understandability calculated using 19point patient education materials assessment tool pemat results removing duplicates 84 unique websites assessed inclusion total 48 websites articles 5714 met inclusion criteria note 23 articles 84 2738 excluded intended healthcare professionals means fre fkg gfi 5792 1226 792 191 935 236 respectively less half online resources fre score higher recommended reading level general population mean understandability scores 6963 1155 4583 articles greater 70 requirement adequate understandability conclusion overall online intoeing educational materials scored poorly respect readability understandability given popularity online resources patient education seek improve situation articles easier read thus accessible general public aid shared decisionmaking process improved patient parent satisfaction overall standard care expected