The quality and reliability of Turkish websites in Google containing information about amputation rehabilitation in the shadow of the earthquake disaster

Year 2023, , 266 - 275, 28.09.2023

Ramazan Yılmaz , Savaş Karpuz

https://doi.org/10.21673/anadoluklin.1282353

Abstract

Aim: Health-related online information has become an important part of patient education. In this context, we aimed to examine the information content, readability, reliability, and quality levels of websites that provide online information about amputee rehabilitation.

Methods: On April 1–7, 2023, all websites scanned by typing “amputee rehabilitation” into the Google search engine were examined. The websites are divided into two groups (group 1= hospitals, universities, health-related associations, and other official institutions; group 2= health professionals, news websites, and others) according to the creator of the websites. The information content was determined according to nine sub-topics in line with the online education programs of the Disaster Rehabilitation Working Group of the Turkish Physical Medicine and Rehabilitation Association and the relevant literature. According to the readability formula of Ateşman and Bezirci-Yilmaz, reliability and quality assessments were made with the Journal of the American Medical Association (JAMA) score, the DISCERN scale, the Global Quality Score (GQS), and the Physician’s Global Quality Score (PGQS).

Results: 109 websites were scanned, and 20 websites were included in the study, 12 (60%) in group 1 and 8 (40%) in group 2. The median of information content was 2,3 (0–7), and none of the websites had full information content. The median of the Ateşman value is 41,1 (29,5–53,0), which is difficult to read; the Bezirci-Yilmaz value was readable at the undergraduate level with a median of 15,5 (9,4–21,6). The JAMA score was 0,8 (0-3) and almost all (95%) of the websites were found to be low reliable (JAMA score ≤ 2). The DISCERN score was of very poor quality, with a median of 23,55 (16–34). GQS was 1,95 (1-3), and PGQS was 1.7 (1-3) with low quality. There was no difference between the groups or between the first two pages and the remaining pages.

Conclusion: Turkish websites providing information about amputee rehabilitation are very inadequate in terms of content, difficult to read, poor quality, and unreliable. Within the framework of these data, reliable and comprehensible online information on this subject should be provided with the necessary support of health-related public or private institutions and experienced health professionals. To be prepared for future natural disasters, health policies aiming to provide quality information online to inform the public should be developed.

Keywords

Amputation, comprehension, education, internet, natural disasters, rehabilitation

Deprem felaketinin gölgesinde ampute rehabilitasyonu hakkında bilgi içeren Google’daki Türkçe web sitelerinin kalitesi ve güvenilirliği

Abstract

Amaç: Sağlıkla ilgili çevrimiçi bilgiler, hasta eğitiminin önemli bir parçası haline gelmiştir. Bu bağlamda, ampute rehabilitasyonu ile ilgili online bilgi sunan web sitelerinin bilgi içeriği, okunabilirlik, güvenilirlik ve kalite düzeylerinin incelenmesi amaçlanmıştır.

Yöntemler: 1-7 Nisan 2023 tarihlerinde Google arama motoruna “ampute rehabilitasyonu” yazılarak yapılan tarama sonucu çıkan tüm web siteleri incelenmiştir. Web siteleri hazırlayıcısına göre iki gruba (grup 1= hastaneler, üniversiteler, sağlıkla ilgili dernekler, diğer resmi kurumlar; grup 2= sağlık profesyonelleri, haber siteleri, diğer siteler) ayrılmıştır. Bilgi içeriği, Türkiye Fiziksel Tıp ve Rehabilitasyon Derneği Afet Rehabilitasyon Çalışma Grubunun Online Eğitim Programları ve konuyla ilgili literatürle uyumlu olacak şekilde 9 alt konu başlığına göre belirlendi. Okunabilirlik, Ateşman ve Bezirci-Yılmaz formülüne göre; güvenilirlik ve kalite değerlendirmesi The Journal of the American Medical Association (JAMA) skoru, DISCERN ölçeği, Genel Kalite Skoru (GKS) ve Hekim Global Kalite skoru (HGKS) ile yapılmıştır.

Bulgular: Taranan 109 siteden 20’si çalışmaya dahil edildi; 12’si (60%)’si 1. grupta, 8’i (40%)’i 2. Gruptaydı. Web sitelerinin bilgi içeriği skor ortalaması 2.3 (0-7) idi ve hiçbiri tam içeriğe sahip değildi. Ateşman değerinin ortalaması 41,1 (29,5-53,0) ile zor okunabilir; Bezirci-Yılmaz ortalaması 15,5 (9,4-21,6) ile lisans düzeyinde okunabilir bulunmuştur. JAMA skoru ortalaması 0,8 (0-3) saptanmış olup, web sitelerin tamamına yakını (95%) düşük güvenilir bulunmuştur. DISCERN skoru ortalaması 23,55 (16-34), GKS ortalaması 1,95 (1-3), HGKS ortalaması 1,7 (1-3) ile düşük kalitede izlenmiştir. Gruplar arasında ve ilk iki sayfa ile kalan diğer sayfalar arasında incelenen parametreler açısından anlamlı fark saptanmamıştır (p<0,05).

Sonuç: Ampute rehabilitasyonu ile ilgili bilgi sunan Türkçe web sitelerinin içerik açısından çok yetersiz, zor okunabilir, kalitesiz ve güvenilir olmadığı saptanmıştır. Bu veriler çerçevesinde, sağlıkla ilgili resmi veya özel kurumların ve tecrübeli sağlık profesyonellerinin gerekli desteği sağlayarak, bu konuda güvenilir ve kullanılabilir online bilgi sunumu sağlanmalıdır. Gelecekte olabilecek doğal afetlere karşı hazırlıklı olmak için, halkı bilgilendirmeye yönelik online kaliteli bilgi sunumunu hedefleyen sağlık politikaları geliştirilmelidir.

Keywords

Amputasyon, doğal afetler, eğitim, idrak, internet, rehabilitasyon

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