{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T11:22:58Z","timestamp":1787743378223,"version":"build-2784847793"},"reference-count":32,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000191","name":"Kidney Foundation of Canada","doi-asserted-by":"publisher","award":["2023AHKRG\u20101144136"],"award-info":[{"award-number":["2023AHKRG\u20101144136"]}],"id":[{"id":"10.13039\/501100000191","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pediatric kidney transplant recipients and their caregivers require comprehensive education to support self\u2010management. Increasingly, families supplement clinic teaching with online platforms such as Google and YouTube, yet the quality, readability, and usefulness of these resources are uncertain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Structured searches on Google and YouTube were conducted using patient\u2010style questions and medically oriented key terms across four prioritized topics: healthy eating, exercise, travel, and mental health. Resources were screened for relevance and assessed for accuracy, completeness (defined as including all key facts needed to support recommendations), readability, and actionability (defined as providing clear, practical steps users can follow). Two pediatric transplant healthcare providers independently reviewed each resource. Two researchers assessed understandability and actionability using the Patient Education Materials Assessment Tool (PEMAT), and readability using multiple readability tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Searches yielded 87 Google and 41 YouTube resources; most targeted adult transplant recipients. Healthcare providers assessed 65% of Google and 68% of YouTube resources to be accurate, but only 18% and 5% were factually complete. Actionable recommendations were identified in 42% (Google) and 29% (YouTube). Readability ranged from grade 5 to 17, with only 6 of 82 Google resources meeting the recommended grade 6 or lower. Mean understandability scores were 67% for both platforms. Actionability scores averaged 39% (Google) and 77% (YouTube). Resources suitable for pediatric audiences (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200928) had similar readability and understandability scores but slightly higher actionability (Google: 43%, YouTube: 81%). Most resources lacked pediatric focus, co\u2010creation, and practical guidance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Online searches generated limited high\u2010quality resources tailored to pediatric needs. Healthcare providers should guide families to vetted resources and consider co\u2010creating materials to improve relevance and impact.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/petr.70409","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T09:19:46Z","timestamp":1786439986000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["How Well Do \u201cDr. Google\u201d and \u201cProfessor\n                    <scp>YouTube<\/scp>\n                    \u201d Answer Health Questions for Pediatric Kidney Transplant Recipients and Caregivers?"],"prefix":"10.1111","volume":"30","author":[{"given":"Ashley","family":"Burghall","sequence":"first","affiliation":[{"name":"College of Pharmacy and Nutrition University of Saskatchewan  Saskatoon Saskatchewan Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9275-8567","authenticated-orcid":false,"given":"Ryan R. D.","family":"Chan","sequence":"additional","affiliation":[{"name":"College of Pharmacy and Nutrition University of Saskatchewan  Saskatoon Saskatchewan Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Rosaasen","sequence":"additional","affiliation":[{"name":"College of Pharmacy and Nutrition University of Saskatchewan  Saskatoon Saskatchewan Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8864-0197","authenticated-orcid":false,"given":"Tom D.","family":"Blydt\u2010Hansen","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Pediatrics University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Beresford","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Children's &amp; Women's Health Centre of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison","family":"Cammer","sequence":"additional","affiliation":[{"name":"College of Pharmacy and Nutrition University of Saskatchewan  Saskatoon Saskatchewan Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keefe","family":"Davis","sequence":"additional","affiliation":[{"name":"Division of Pediatric Nephrology, Department of Pediatrics Jim Pattison Children's Hospital, University of Saskatchewan  Saskatoon Saskatchewan Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayla","family":"Flood","sequence":"additional","affiliation":[{"name":"Division of Pediatric Nephrology, Department of Pediatrics Jim Pattison Children's Hospital, University of Saskatchewan  Saskatoon Saskatchewan Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7677-4104","authenticated-orcid":false,"given":"Aviva","family":"Goldberg","sequence":"additional","affiliation":[{"name":"Section of Nephrology, Department of Pediatrics and Child Health Children's Hospital, HSC  Winnipeg Manitoba Canada"},{"name":"Max Rady College of Medicine University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorraine","family":"Hamiwka","sequence":"additional","affiliation":[{"name":"Section of Nephrology, Department of Pediatrics, Cumming School of Medicine University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1235-301X","authenticated-orcid":false,"given":"Kathryn","family":"Haubrich","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Children's &amp; Women's Health Centre of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camille","family":"Laroche","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Paediatrics, CHU Ste Justine Universit\u00e9 de Montr\u00e9al  Montr\u00e9al Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u00e9ronique","family":"Phan","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Paediatrics, CHU Ste Justine Universit\u00e9 de Montr\u00e9al  Montr\u00e9al Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9892-2403","authenticated-orcid":false,"given":"Michelle","family":"Ruhl","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Pediatrics Stollery Children's Hospital, University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5994-0799","authenticated-orcid":false,"given":"Chia Wei","family":"Teoh","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Paediatrics The Hospital for Sick Children, University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9477-5776","authenticated-orcid":false,"given":"Jenny","family":"Wichart","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Alberta Health Services  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6405-4775","authenticated-orcid":false,"given":"Holly","family":"Mansell","sequence":"additional","affiliation":[{"name":"College of Pharmacy and Nutrition University of Saskatchewan  Saskatoon Saskatchewan Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/152692480901900104"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.16891020"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/hir.12430"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.4124"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/cpb.2004.7.497"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmw084"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.2196\/19985"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.17645\/mac.v4i3.515"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/cdn\/nzab002"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000002297"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13187\u2010018\u20101422\u20109"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2018.12.021"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1697"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/deafed\/enm009"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1808\u20108694(15)30490\u20100"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.5.4.e25"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.324.7337.573"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999\u2010010\u20101380\u2010y"},{"key":"e_1_2_11_20_1","unstructured":"Readability Scoring System v2.0 Readability Formulas(2023) accessed December 16 2023 https:\/\/readabilityformulas.com\/readability\u2010scoring\u2010system.php."},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0057532"},{"key":"e_1_2_11_22_1","volume-title":"The Technique of Clear Writing","author":"Gunning R.","year":"1952"},{"key":"e_1_2_11_23_1","first-page":"1","volume-title":"Automated Readability Index","author":"Smith E. 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