Quality and Readability of Online Resources for Plantar Fasciitis

NewsBot · Jun 9, 2021

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Assessing the Quality and Readability of Online Resources for Plantar Fasciitis
Sean-Tee Lim et al
J Foot Ankle Surg. 2021 May 10;S1067-2516(21)00167-8

The Internet is utilized now more than ever to research medical conditions and treatments by patients and physicians alike. The aim of this study was to evaluate the quality and readability of information available online for plantar fasciitis. Web sites were identified using the search term "plantar fasciitis." The first 25 Web sites from 5 different search engines gave a total of 125 being evaluated. Readability of each Web site was assessed using the Flesch Reading Ease score, the Flesch-Kincaid grade level, and the Gunning Fog Index. Quality was assessed using the DISCERN instrument (www.discern.org.uk) and the Journal of the American Medical Association (JAMA) benchmark criteria. The presence of Health on the Net (HON) code certification was also assessed. The authorship of each Web site was categorized into 1 of 5 categories (Physician, Academic, Commercial, Allied health or Other eg, blogs). A total of 83 Web site pages were evaluated with the majority of the web sites being authored by physicians (32.53%) and blogs (25.30%). Only 24 Web sites were HON certified (28.91%). Physician and Academic Web sites were the most credible sources, with the highest mean DISCERN (p = .00001) and JAMA (p = .0278.) scores, respectively. These Web sites were also the most difficult to read according to the readability score testing. The information available on the Internet pertaining to plantar fasciitis is highly variable and provides moderate quality information about treatment choices. Given this variability in quality, health care providers should direct patients to known sources of reliable, readable online information.
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NewsBot · Jun 9, 2021

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NewsBot · Jun 28, 2022

Quality and readability of online information on plantar fasciitis and calcaneal spur
Erhan Kaya, Sinan Görmez
Rheumatol Int. 2022 Jun 28

Plantar fasciitis and calcaneal spur are common causes of heel pain in the community. People use the Internet to obtain medical information about diseases. We reviewed Internet information sources on plantar fasciitis and calcaneal spur for quality and readability. The first 50 websites for each search term ("calcaneal spur", "heel spur", and "plantar fasciitis") were scanned on www.google.com . Six different valid tools were used for information quality and readability assessment. We searched for HONCode (Health On the Net Foundation Code) stamps on included websites. The total mean points for DISCERN were 50.52 ± 14.62, and the total mean points for JAMA (Journal of the American Medical Association) were 2.42 ± 1.26. In total, 25.72% of 97 websites had HONCode stamps. The average scores for the readability indicators were calculated to be Flesch-Kincaid Grade Level (FKGL): 7.27 ± 1.71, Gunning Fog: 8.46 ± 2.17, Simple Measure of Gobbledygook (SMOG): 6.89 ± 1.24, and Coleman Liau Index: 15.56 ± 1.85. In our study, when the website resources were examined, there were profit websites the most and website quality and readability were moderate level. A significant proportion of the websites have a financial bias and provide low-quality information. A mechanism for monitoring the quality and readability of online information must be established and managed systematically.
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NewsBot · Aug 9, 2022

Readability of Online Foot and Ankle Surgery Patient Education Materials
Davis A Hartnett et al
Foot Ankle Spec. 2022 Aug 8

Background. Online health education resources are frequently accessed by patients seeking information on orthopaedic conditions and procedures. The objectives of this study were to assess the readability of information provided by the American Orthopaedic Foot and Ankle Society (AOFAS) and compare current levels of readability with previous online material. Methods. This study examined 115 articles classified as "Conditions" or "Treatments" on FootCareMD.org. Readability was assessed using the 6 readability assessment tools: Flesch Reading Ease, Flesch-Kincaid Grade Level (FKGL), Gunning Fog Score, Simple Measure of Gobbledygook (SMOG) Index, Coleman-Liau Index, and the Automated Readability Index. Results. The mean readability score across all metrics ranged from 9.1 to 12.1, corresponding to a 9th- to 12th-grade reading level, with a mean FKGL of 9.2 ± SD 1.1 (range: 6.3-15.0). No articles were written below the recommended US sixth-grade reading level, with only 3 articles at or below an eighth-grade level. Treatment articles had higher mean readability grade levels than condition articles (P = .03). Conclusion. Although the volume and quality of the AOFAS resource Web site has increased, readability of information has worsened since 2008 and remains higher than the recommended reading level for optimal comprehension by the general population
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NewsBot · Nov 5, 2022

Metatarsal Stress Fractures: An Analysis of Readability and
Quality of Online Health Materials
Olivia Hickey et al
Research Square

Background
Patients are increasingly accessing health information via the internet. Our aim was to assess the quality and readability
of online patient education materials regarding metatarsal stress fractures. We hypothesised that this information would
be too difficult for the average patient to read and of a lesser quality than desired.
Method
A search of the top 50 results on 3 search engines (Google, Bing, Baidu) was completed (MeSH “metatarsal stress
fracture”, “metatarsal stress fractures”). Readability of these websites was calculated using www.readable.com,
producing 3 scores: Gunning-Fog (GF), Flesch Reading Ease (FRE) and Flesch-Kincaid Grade (FKG). Quality of the
retrieved webpages was analyzed using Journal of American Medical Association (JAMA) benchmark criteria and the
Health On the Net (HON) code toolbar extension.
Results
77 unique websites were identified. The mean scores were: FRE 56.34+/- 16.1, FKG 8.36 +/- 2.8 and GF 9.35 +/-3.4. This
corresponds with most webpages being pitched to a grade 8–12 reading level. Most webpages per the FRE score (n = 47,
61%) were pitched at a grade 10 reading level and above. The GF index identified 20 webpages (26%) aimed towards
readers of a grade 7 level or below. 10 websites (13%) displayed a current HONcode certificate. Most websites (n = 35,
45.5%) didn’t meet any of the JAMA criteria.
Conclusion
This study uncovers the high difficulty and poor quality of online health materials relating to MSFs, potentially
contributing to negative health outcomes. Given the relationship of health literacy and patient outcomes, it is vital that we
address these deficiencies swiftly.
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NewsBot · Aug 1, 2023

Video-Based Information About Plantar Fasciitis Reflect Current Treatment Guidelines
Özlem Feyzioğlu et al
J Am Podiatr Med Assoc. 2023 Jul 26;1-25

Background: Online health-related information has become increasingly popular. Social media platforms have great potential to support and change patients' perspective. Plantar fasciitis (PF) is a common disease which is one of the most frequently researched subjects in foot problems. This study aimed to assess the content, quality and reliability of YouTube videos related to PF and to evaluate if they reflect current PF treatment guidelines.

Methods: The descriptive cross - sectional study analyzed the most viewed 79 YouTube videos retrieved by using the keyword "plantar fasciitis". The quality, reliability and content of the videos were analyzed using Global Quality Scale (GQS), the modified DISCERN, JAMA and content scoring system by two independent physiotherapist. The analyzed videos were divided into three groups according to their GQS score as high, intermediate and low quality. Also, video parameters were compared between the useful and misleading groups.

Results: Of the analyzed 79 videos, 26 (32.9%) were of low quality, 29 (36.7%) were of intermediate quality and 24 were of (30.3%) high quality. Most of high quality videos were uploaded by allied health professionals (39.4%). View ratio and video power index scores were highest in patients. There were significant differences between useful and misleading videos in terms of DISCERN, GQS and JAMA scores (p =0.000, p=0.000, p=0.020, respectively). Almost all of the evaluated videos contain at least one treatment approach.

Conclusions: This study demonstrates that the vast of majority YouTube videos on PF are useful and comprehensive, also our results may propose that the vast majority of the videos reflect current treatment guidelines. Video-based information about PF may provide valuable insight to patients, especially in the absence of a direct access to healthcare stakeholders.
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NewsBot · Aug 31, 2023

Is Youtube an Adequate and Relıable Source for Calcaneal Spur?
Zeynep KILIÇ, MD
TOJET: The Turkish Online Journal of Educational Technology – July 2023, volume 22 Issue 3

YouTube contains videos that provide information about many health conditions. Patients and healthcare
professionals frequently use YouTube to obtain information. The calcaneal spur (heel spur) is a bony outgrowth
of the calcaneal tuberosity in the form of osteophytes. In this study, we aimed to determine the quality and
reliability of YouTube videos about the calcaneal spur, whose prevalence increases with age and is more
common in those with osteoarthritis.
Search was made with the keywords 'Calcaneal spur' and 'heel spur'. Of the 300 videos reviewed, 104 were
included in the study. The number of days since the videos were uploaded, the number of views, likes, dislikes,
comments and the duration of the videos were recorded. The DISCERN tool and the Global Quality Scale (GQS)
were used to evaluate the reliability and quality of the videos.
Most of the video presenters were healthcare professionals (79.80%). In 65.4%, the target audience was patients.
61.4% of the videos were low quality, 32.69% medium quality, 5.77% high quality. There was no difference
between health professionals and non-health professionals in terms of quality and reliability.
This study showed that most of the information provided by YouTube videos about the calcaneal spur is not
reliable and inconsistent. YouTube should consider collaborating with database platforms, which is constantly
updated and equipped with evidence-based information, to provide reliable health information on many health
issues, including the calcaneal spur.
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