Vandra C. Harris|Anne R. Links|Paul Hong|Jonathan Walsh|Desi P. Schoo|David E. Tunkel|C. Matthew Stewart|Emily F. Boss
Consulting <scp>D</scp>r. <scp>G</scp>oogle: Quality of Online Resources About Tympanostomy Tube Placement
Johns Hopkins University|Johns Hopkins University|Dalhousie University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University
objective tympanostomy tube tt placement common children however familycenteredness utility online information used decision making understanding unknown evaluate quality leading internet resources describing tt placement study design crosssectional descriptive design methods performed google menlo park ca search terms related tts defined quality using scaled readability measures flesch reading ease fleschkincaid gradelevel understandability actionability patient education materials assessment tool shared decisionmaking centrality center medicare medicaid services informed consent guidelines clinical practice guideline cpg compatibility three reviewers coded measure fleiss interrater reliability analysis performed results ten frequently encountered websites analyzed one 10 met national health literacy standards mean 10thgrade level reading median 9th range 615th sites understandable mean understandability 819 range 7392 low actionability scores 7 10 median 47 mean 446 range 080 shared decisionmaking centrality high mean 5 range 46 list alternative treatment options although cpg compatibility high mean 34 range 14 many websites contained inconsistent recommendations tube duration followup water precautions interrater agreement understandability scoring 020 p 002 conclusion internet resources tt placement vary quality pertaining health literacy principles shared decision making consistency practice guidelines growing emphasis patientfamilycentered engagement healthcare decision making standardization content improved usability educational materials common surgical procedures children tympanostomy tube placement public health priority level evidence na laryngoscope 128496501 2018