{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T06:51:43Z","timestamp":1777963903081,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2013,5,29]],"date-time":"2013-05-29T00:00:00Z","timestamp":1369785600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To assess the quality, accessibility, usability, reliability, and readability of Web sites that provide information on common ear, nose, and throat conditions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Several standardized and validated appraisal instruments and questionnaires designed to rate Web sites providing online health information were used to evaluate the content of online ear, nose, and throat health information.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The terms \u201ccholesteatoma,\u201d \u201csinusitis,\u201d \u201ctonsillitis,\u201d \u201cacute otitis media,\u201d \u201cepistaxis,\u201d and \u201cquinsy\u201d (peritonsillar abscess), representing six common ear, nose, and throat conditions, were entered separately into the Internet search engine Google. Web sites satisfying the inclusion criteria from the first 30 results of each search were evaluated for content quality using the DISCERN rating instrument, for accessibility, usability, and reliability using the LIDA rating instrument, and for readability using the Flesch Reading Ease score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 180 Web sites identified, 124 (68.9%) satisfied the inclusion criteria. The mean overall DISCERN score for quality was \u201cpoor,\u201d at 39\/80 (range, 16\u201370). The DISCERN instrument rated 2 (1.6%) Web sites as \u201cexcellent,\u201d 14 (11.3%) as \u201cgood,\u201d 40 (32.3%) as \u201cfair,\u201d 38 (30.6%) as \u201cpoor,\u201d and 30 (24.2%) as \u201cvery poor.\u201d The mean overall LIDA score for accessibility, usability, and reliability was \u201cmoderate,\u201d at 114\/165 (69.3%; range, 61\u2013142). The mean Flesch Reading Ease score for the readability of Web sites was 42.3\/100 (range, 10.7\u201371.9).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The use of validated instruments is necessary to reduce the risks from patients accessing misinformation. They can guide health care professionals with their role in directing patients to high\u2010quality sources of information and endorsing Web sites that meet high standards.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.23773","type":"journal-article","created":{"date-parts":[[2013,5,29]],"date-time":"2013-05-29T14:41:29Z","timestamp":1369838489000},"page":"1626-1631","source":"Crossref","is-referenced-by-count":45,"title":["Evaluating internet health resources in ear, nose, and throat surgery"],"prefix":"10.1002","volume":"123","author":[{"given":"Ross A.","family":"Goslin","sequence":"first","affiliation":[{"name":"Cardiff University School of Medicine Cardiff United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hassan A.","family":"Elhassan","sequence":"additional","affiliation":[{"name":"ENT Department Singleton Hospital Swansea United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,5,29]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.20.2713"},{"key":"e_1_2_6_3_1","volume-title":"Assessing the quality of information to support people in making decisions about their health and healthcare","author":"Coulter A","year":"2012"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ibd.20976"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.53.2.105"},{"key":"e_1_2_6_6_1","volume-title":"The Minervation validation instrument for healthcare websites (LIDA tool)","author":"Minervation","year":"2012"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23309"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1215\/15228517-2005-008"},{"key":"e_1_2_6_9_1","article-title":"Evaluating the quality of Internet health resources in pediatric urology","author":"Fast AM","journal-title":"J Pediatr Urol."},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2008.10.006"},{"key":"e_1_2_6_11_1","unstructured":"comScore Data Mine. 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