Evaluating Quality, Credibility, and Readability of Online Over‐the‐Counter Hearing Aid Information

Author:

Shah Veranca1ORCID,Lava Christian X.1ORCID,Hakimi Amir A.2ORCID,Hoa Michael2

Affiliation:

1. School of Medicine Georgetown University Washington DC U.S.A.

2. Department of Otolaryngology—Head and Neck Surgery MedStar Georgetown University Hospital Washington DC U.S.A.

Abstract

ObjectiveWith over‐the‐counter hearing aids being recently approved by the United States Food and Drug Administration, the accuracy and usefulness of online information has not yet been examined. This study evaluates the quality, credibility, readability, and accessibility of online over‐the‐counter hearing aids education materials.MethodsGoogle was queried using the search term “over‐the‐counter hearing aids”. The top 50 results were categorized into healthcare versus non‐healthcare authored resources. The Flesch Reading Ease Score (FRES) and Flesch–Kincaid Grade Level (FKGL) tests were utilized to assess readability, whereas the Currency, Relevance, Authority, Accuracy, and Purpose (CRAAP) test and DISCERN instruments were used to assess quality and credibility. The number of clicks taken to access relevant information on each website was used to assess accessibility.ResultsThere was no significant difference in FRES or FKGL readability scores between healthcare and non‐healthcare authored websites (p = 0.5548, p = 0.5981, respectively), but both readability scores were higher than that of the recommended reading level for patient education materials. There was no significant difference in CRAAP and DISCERN scores between both groups (p = 0.5746, p = 0.1699, respectively). The number of clicks did not significantly differ between healthcare and non‐healthcare authored resources (p = 0.4932).ConclusionThis study highlights poor readability and accessibility of virtual healthcare information regarding OTC hearing aids. Although credibility in articles authored by healthcare and non‐healthcare professionals was adequate, readability was greatly compromised due to the written information exceeding the recommended United States reading level. Accessibility posed a similar issue, as many sites required multiple clicks to access product information.Level of EvidenceNA Laryngoscope, 134:3302–3309, 2024

Publisher

Wiley

Reference23 articles.

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2. FDA Issues Landmark Proposal to Improve Access to Hearing Aid Technology for Millions of Americans.U.S. Food and Drug Administration FDA.2021https://www.fda.gov/news-events/press-announcements/fda-issues-landmark-proposal-improve-access-hearing-aid-technology-millions-americans.

3. The Impact of Health Information on the Internet on the Physician-Patient Relationship

4. Communicating with Patients Who Cannot Read

5. Readability of Patient Education Materials on the American Association for Surgery of Trauma Website

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