Reliability and readability of online patient information for contact lens wearers

Purpose This study aimed to assess the reliability and readability of online patient information regarding contact lens (CL) wear and maintenance, given that many users may employ these resources to supplement or replace professional advice. Methods Ten frequently asked questions (FAQs) concerning C...

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Autores: Cardona Torradeflot, Genís|||0000-0002-4770-8992, Vega Martínez, Carla
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universitat Politècnica de Catalunya (UPC)
Repositorio:UPCommons. Portal del coneixement obert de la UPC
Idioma:inglés
OAI Identifier:oai:upcommons.upc.edu:2117/442102
Acceso en línea:https://hdl.handle.net/2117/442102
https://dx.doi.org/10.1016/j.clae.2025.102513
Access Level:acceso abierto
Palabra clave:Online health information
Contact lens
Reliability
Readability
Health education
Àrees temàtiques de la UPC::Ciències de la visió::Instruments òptics i optomètrics
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spelling Reliability and readability of online patient information for contact lens wearersCardona Torradeflot, Genís|||0000-0002-4770-8992Vega Martínez, CarlaOnline health informationContact lensReliabilityReadabilityHealth educationÀrees temàtiques de la UPC::Ciències de la visió::Instruments òptics i optomètricsPurpose This study aimed to assess the reliability and readability of online patient information regarding contact lens (CL) wear and maintenance, given that many users may employ these resources to supplement or replace professional advice. Methods Ten frequently asked questions (FAQs) concerning CL wear and maintenance were formulated based on clinical experience and literature search. Each FAQ was used to query Google, and the first 20 eligible websites were analysed, yielding a final sample of 200 websites. Reliability was assessed using the short version of the Ensuring Quality Information for Patients (EQIP) tool, while readability was evaluated through the Flesch Reading Ease Score (FRES) and the Flesch-Kincaid Grade Level (FKGL) tests. Websites were classified by country of origin and source type. Non-parametric group contrast and variable correlation analyses were conducted. Results The median EQIP score was 68.0 % (range 29.0 %–90.0 %), with 30.0 % of websites providing high-quality content (=75 %). Websites from encyclopaedias and medical centres/hospitals scored higher in reliability compared to commercial and practitioner sources (p < 0.05). Readability was generally poor, with mean FRES and FKGL values of 55.8 ± 11.3 and 9.9 ± 2.3, respectively, exceeding recommended reading levels. Unexplained technical jargon was found in 59.5 % of websites. Encyclopaedias demonstrated better readability scores than news centres (p = 0.036). A weak but significant inverse correlation was found between EQIP and FRES scores (rho = -0.215; p = 0.002), indicating that higher reliability was associated with slightly better readability. Conclusion Overall, online patient information regarding CL wear and maintenance evidenced moderately high reliability but insufficient readability. Contact lens wearers may find this information difficult to understand, leading to poor compliance and potential ocular complications. Given the critical role of online resources in patient education, eye care professionals should guide patients towards reliable, comprehensible websites and consider modern communication strategies to enhance compliance and safety in CL wear.Peer Reviewed3 - Salut i Benestar20252025-09-0120252025-09-18journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/2117/442102https://dx.doi.org/10.1016/j.clae.2025.102513reponame:UPCommons. Portal del coneixement obert de la UPCinstname:Universitat Politècnica de Catalunya (UPC)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:upcommons.upc.edu:2117/4421022026-05-27T15:37:01Z
dc.title.none.fl_str_mv Reliability and readability of online patient information for contact lens wearers
title Reliability and readability of online patient information for contact lens wearers
spellingShingle Reliability and readability of online patient information for contact lens wearers
Cardona Torradeflot, Genís|||0000-0002-4770-8992
Online health information
Contact lens
Reliability
Readability
Health education
Àrees temàtiques de la UPC::Ciències de la visió::Instruments òptics i optomètrics
title_short Reliability and readability of online patient information for contact lens wearers
title_full Reliability and readability of online patient information for contact lens wearers
title_fullStr Reliability and readability of online patient information for contact lens wearers
title_full_unstemmed Reliability and readability of online patient information for contact lens wearers
title_sort Reliability and readability of online patient information for contact lens wearers
dc.creator.none.fl_str_mv Cardona Torradeflot, Genís|||0000-0002-4770-8992
Vega Martínez, Carla
author Cardona Torradeflot, Genís|||0000-0002-4770-8992
author_facet Cardona Torradeflot, Genís|||0000-0002-4770-8992
Vega Martínez, Carla
author_role author
author2 Vega Martínez, Carla
author2_role author
dc.subject.none.fl_str_mv Online health information
Contact lens
Reliability
Readability
Health education
Àrees temàtiques de la UPC::Ciències de la visió::Instruments òptics i optomètrics
topic Online health information
Contact lens
Reliability
Readability
Health education
Àrees temàtiques de la UPC::Ciències de la visió::Instruments òptics i optomètrics
description Purpose This study aimed to assess the reliability and readability of online patient information regarding contact lens (CL) wear and maintenance, given that many users may employ these resources to supplement or replace professional advice. Methods Ten frequently asked questions (FAQs) concerning CL wear and maintenance were formulated based on clinical experience and literature search. Each FAQ was used to query Google, and the first 20 eligible websites were analysed, yielding a final sample of 200 websites. Reliability was assessed using the short version of the Ensuring Quality Information for Patients (EQIP) tool, while readability was evaluated through the Flesch Reading Ease Score (FRES) and the Flesch-Kincaid Grade Level (FKGL) tests. Websites were classified by country of origin and source type. Non-parametric group contrast and variable correlation analyses were conducted. Results The median EQIP score was 68.0 % (range 29.0 %–90.0 %), with 30.0 % of websites providing high-quality content (=75 %). Websites from encyclopaedias and medical centres/hospitals scored higher in reliability compared to commercial and practitioner sources (p < 0.05). Readability was generally poor, with mean FRES and FKGL values of 55.8 ± 11.3 and 9.9 ± 2.3, respectively, exceeding recommended reading levels. Unexplained technical jargon was found in 59.5 % of websites. Encyclopaedias demonstrated better readability scores than news centres (p = 0.036). A weak but significant inverse correlation was found between EQIP and FRES scores (rho = -0.215; p = 0.002), indicating that higher reliability was associated with slightly better readability. Conclusion Overall, online patient information regarding CL wear and maintenance evidenced moderately high reliability but insufficient readability. Contact lens wearers may find this information difficult to understand, leading to poor compliance and potential ocular complications. Given the critical role of online resources in patient education, eye care professionals should guide patients towards reliable, comprehensible websites and consider modern communication strategies to enhance compliance and safety in CL wear.
publishDate 2025
dc.date.none.fl_str_mv 2025
2025-09-01
2025
2025-09-18
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/2117/442102
https://dx.doi.org/10.1016/j.clae.2025.102513
url https://hdl.handle.net/2117/442102
https://dx.doi.org/10.1016/j.clae.2025.102513
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:UPCommons. Portal del coneixement obert de la UPC
instname:Universitat Politècnica de Catalunya (UPC)
instname_str Universitat Politècnica de Catalunya (UPC)
reponame_str UPCommons. Portal del coneixement obert de la UPC
collection UPCommons. Portal del coneixement obert de la UPC
repository.name.fl_str_mv
repository.mail.fl_str_mv
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