J Hand Microsurg 2019; 11(02): 094-099
DOI: 10.1055/s-0038-1675887
Original Article
Thieme Medical and Scientific Publishers Private Ltd.

Factors Associated with the Quality of Online Information about Scapholunate Interosseous Ligament Insufficiency

Daniel Bakker
1   Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, Texas, United States
,
Janna S. E. Ottenhoff
1   Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, Texas, United States
,
David Ring
1   Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, Texas, United States
› Author Affiliations
Funding None.
Further Information

Publication History

Received: 14 June 2018

Accepted after revision: 04 September 2018

Publication Date:
26 December 2018 (online)

Abstract

Background The Internet is increasingly used by patients to seek health information about their medical conditions. The online information is of variable quality, often difficult to read, and sometimes inaccurate or misleading. This study assessed factors associated with the quality, readability, and dominant tones of online information about scapholunate interosseous ligament (SLIL) insufficiency.

Materials and Methods Using the three most used search engines, we entered the terms “wrist sprain,” “scapholunate ligament injury,” and “SL dissociation” and assessed the quality of the 45 Web sites identified using the DISCERN tool, readability by the Flesch Reading Ease Score, the Flesch–Kincaid Grade Level, the Gunning Fog Index, and the Simple Measure Of Gobbledygook, and dominant tones using the IBM Watson Tone Analyzer and the Linguistic Inquiry and Word Count.

Results Online information about SLIL injuries had a mean DISCERN score of 39 ± 8.2. A dominant Web site tone of “sadness” correlated with lower DISCERN scores. A dominant tentative tone in text was associated with easier to comprehend texts.

Conclusion The online information regarding SLIL insufficiency is of generally low quality, limited readability, and the underlying tones may be misleading. Professional societies might consider efforts to provide appealing, readable, information about SLIL insufficiency and other less common diagnoses on the Internet.

Supplementary Tables

 
  • References

  • 1 Gelberman RH, Cooney III WP, Szabo RM. Carpal instability. Instr Course Lect 2001; 50: 123-134
  • 2 Linscheid RL, Dobyns JH, Beabout JW. et al. Traumatic instability of the wrist: diagnosis, classification, and pathomechanics. J Bone Joint Surg Am 2002; 84–A (01) 142
  • 3 Pappou IP, Basel J, Deal DN. Scapholunate ligament injuries: a review of current concepts. Hand (NY) 2013; 8 (02) 146-156
  • 4 Stromps JP, Eschweiler J, Knobe M, Rennekampff HO, Radermacher K, Pallua N. Impact of scapholunate dissociation on human wrist kinematics. J Hand Surg Eur Vol 2018; 43 (02) 179-186
  • 5 Watson HK, Ballet FL. The SLAC wrist: scapholunate advanced collapse pattern of degenerative arthritis. J Hand Surg Am 1984; 9 (03) 358-365
  • 6 Brunelli GA, Brunelli GR. A new surgical technique for carpal instability with scapho-lunar dislocation. (Eleven cases) [in French]. Ann Chir Main Memb Super 1995; 14 (04) (05) 207-213
  • 7 Garcia-Elias M, Lluch AL, Stanley JK. Three-ligament tenodesis for the treatment of scapholunate dissociation: indications and surgical technique. J Hand Surg Am 2006; 31 (01) 125-134
  • 8 Ho PC, Wong CW, Tse WL. Arthroscopic-assisted combined dorsal and volar scapholunate ligament reconstruction with tendon graft for chronic SL instability. J Wrist Surg 2015; 4 (04) 252-263
  • 9 Van Den Abbeele KLS, Loh YC, Stanley JK, Trail IA. Early results of a modified Brunelli procedure for scapholunate instability. J Hand Surg [Br] 1998; 23 (02) 258-261
  • 10 Kalainov DM, Cohen MS. Treatment of traumatic scapholunate dissociation. J Hand Surg Am 2009; 34 (07) 1317-1319
  • 11 Naqui Z, Khor WS, Mishra A, Lees V, Muir L. The management of chronic non-arthritic scapholunate dissociation: a systematic review. J Hand Surg Eur Vol 2018; 43 (04) 394-401
  • 12 Atkinson NL, Saperstein SL, Pleis J. Using the internet for health-related activities: findings from a national probability sample. J Med Internet Res 2009; 11 (01) e4
  • 13 Starman JS, Gettys FK, Capo JA, Fleischli JE, Norton HJ, Karunakar MA. Quality and content of Internet-based information for ten common orthopaedic sports medicine diagnoses. J Bone Joint Surg Am 2010; 92 (07) 1612-1618
  • 14 Beredjiklian PK, Bozentka DJ, Steinberg DR, Bernstein J. Evaluating the source and content of orthopaedic information on the Internet. The case of carpal tunnel syndrome. J Bone Joint Surg Am 2000; 82-A (11) 1540-1543
  • 15 Dy CJ, Taylor SA, Patel RM, Kitay A, Roberts TR, Daluiski A. The effect of search term on the quality and accuracy of online information regarding distal radius fractures. J Hand Surg Am 2012; 37 (09) 1881-1887
  • 16 Weiss BD. Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians. 2nd ed.. Chicago, IL: American Medical Association Foundation; 2007: 62
  • 17 Charnock D, Shepperd S, Needham G, Gann R. DISCERN: an instrument for judging the quality of written consumer health information on treatment choices. J Epidemiol Community Health 1999; 53 (02) 105-111
  • 18 Netmarketshare. Netmarketshare. Market Share Statistics for Internet Technologies; 2018. Available at: https://netmarketshare.com Accessed February 22, 2018
  • 19 Feufel MA, Stahl SF. What do web-use skill differences imply for online health information searches?. J Med Internet Res 2012; 14 (03) e87
  • 20 Boyer C, Selby M, Appel RD. The Health On the Net code of conduct for medical and health web sites. Stud Health Technol Inform 1998; 52 (Pt 2): 1163-1166
  • 21 Health On the Net. Health On the Net Foundation. Available at: www.hon.ch Accessed February 22, 2018
  • 22 Flesch R. A new readability yardstick. J Appl Psychol 1948; 32 (03) 221-233
  • 23 Flesch R. How to Write Plain English: A Book for Lawyers and Consumers. New York: HarperCollins; 1979
  • 24 Gunning R. The Technique of Clear Writing. New York: McGraw Hill; 1952
  • 25 Mc Laughlin HG. SMOG grading - a new readability formula. J Read 1969; 12 (08) 639-646
  • 26 Readabilityformulas. Readability formulas. Available at: http://www.readabilityformulas.com Accessed December 1, 2017
  • 27 Beaunoyer E, Arsenault M, Lomanowska AM, Guitton MJ. Understanding online health information: evaluation, tools, and strategies. Patient Educ Couns 2017; 100 (02) 183-189
  • 28 Wang LW, Miller MJ, Schmitt MR, Wen FK. Assessing readability formula differences with written health information materials: application, results, and recommendations. Res Social Adm Pharm 2013; 9 (05) 503-516
  • 29 IBM. IBM Watson Tone Analyzer. 2016 Available at: https://tone-analyzer-demo.mybluemix.net/ Accessed February 22, 2018
  • 30 Tausczik YR, Pennebaker JW. The psychological meaning of words: LIWC and computerized text analysis methods. J Lang Soc Psychol. 2010: 24-54
  • 31 Ottenhoff JSE, Kortlever JTP, Teunis T, Ring D. Factors associated with quality of online information on trapeziometacarpal arthritis. J Hand Surg Am 2018; 4 (10) 889-896
  • 32 IBM. IBM Clouds Docs. The science behind the service. Available at: https://console.bluemix.net/docs/services/tone-analyzer/science.html#the-science-behind-the-service Accessed January 15, 2018
  • 33 Pennebaker J, Chung C. The Development and Psychometric Properties of LIWC 2007. Texas: LIWC Manual; 2007: 1-22
  • 34 Pourmand A, Sikka N. Online health information impacts patients’ decisions to seek emergency department care. West J Emerg Med 2011; 12 (02) 174-177
  • 35 Kang GJ, Ewing-Nelson SR, Mackey L. et al. Semantic network analysis of vaccine sentiment in online social media. Vaccine 2017; 35 (29) 3621-3638
  • 36 Metwally O, Blumberg S, Ladabaum U, Sinha SR. Using social media to characterize public sentiment toward medical interventions commonly used for cancer screening: an observational study. J Med Internet Res 2017; 19 (06) e200
  • 37 Seltzer EK, Horst-Martz E, Lu M, Merchant RM. Public sentiment and discourse about Zika virus on Instagram. Public Health 2017; 150: 170-175