Exploring the relationship between website quality and equity in living donor kidney transplant
BackgroundHealth system websites are important resources to guide health care decisions and may be useful tools to improve racial equity in access to living donor kidney transplant (LDKT).MethodsWe performed a cross-sectional study of adult LDKT programs in the United States. We created an assessmen...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-11-01
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| Series: | Frontiers in Transplantation |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/frtra.2024.1490876/full |
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| author | Lisa M. McElroy Joy E. Obayemi Joy E. Obayemi Brian I. Shaw Christine Park Keenan Caddell LaShara A. Davis Nicole DePasquale Dinushika Mohottige L. Ebony Boulware |
| author_facet | Lisa M. McElroy Joy E. Obayemi Joy E. Obayemi Brian I. Shaw Christine Park Keenan Caddell LaShara A. Davis Nicole DePasquale Dinushika Mohottige L. Ebony Boulware |
| author_sort | Lisa M. McElroy |
| collection | DOAJ |
| description | BackgroundHealth system websites are important resources to guide health care decisions and may be useful tools to improve racial equity in access to living donor kidney transplant (LDKT).MethodsWe performed a cross-sectional study of adult LDKT programs in the United States. We created an assessment tool for website quality across three domains: accessibility (access to LDKT specific information from the transplant center website), readability (ease of reading and clarity), and educational content (appropriateness and presentation of information, LDKT-specific content, program-specific characteristics, and adherence to equity-centered principles of web design).ResultsAmong the 185 transplant center websites reviewed, only 14.6% of LDKT sites could be accessed directly from the transplant center webpage. The median suitability assessment of materials (SAM)—a validated measure of website content for chronic kidney disease (CKD)—was 45 out of 86 (IQR 4) and the median Flesch-Kincaid grade level and ease score were 9.1 (IQR 0.8) on a scale of 0–18 and 51.2 (IQR 5) on a scale of 0–100, respectively.ConclusionThese results indicate that LDKT websites are currently not available, accessible, and understandable for many potential transplant candidates and donors. Optimizing the content and design of transplant center websites may be a promising and effective strategy for improving equity in access to LDKT. |
| format | Article |
| id | doaj-art-4a47e4f8e3654b59b5f684888b7585fe |
| institution | OA Journals |
| issn | 2813-2440 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Transplantation |
| spelling | doaj-art-4a47e4f8e3654b59b5f684888b7585fe2025-08-20T02:33:01ZengFrontiers Media S.A.Frontiers in Transplantation2813-24402024-11-01310.3389/frtra.2024.14908761490876Exploring the relationship between website quality and equity in living donor kidney transplantLisa M. McElroy0Joy E. Obayemi1Joy E. Obayemi2Brian I. Shaw3Christine Park4Keenan Caddell5LaShara A. Davis6Nicole DePasquale7Dinushika Mohottige8L. Ebony Boulware9Division of Abdominal Transplant, Department of Surgery, Duke University, Durham, NC, United StatesNorthwestern University Transplant Outcomes Research Collaborative (NUTORC), Comprehensive Transplant Center (CTC), Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Surgery, University of Michigan, Ann Arbor, MI, United StatesDivision of Abdominal Transplant, Department of Surgery, Duke University, Durham, NC, United StatesDivision of Abdominal Transplant, Department of Surgery, Duke University, Durham, NC, United StatesEdward Via College of Osteopathic Medicine, Virginia Campus, Blacksburg, VA, United StatesJC Walter Jr Transplant Center, Houston Methodist Medical Center, Houston, TX, United StatesDivision of General Internal Medicine, Department of Medicine, Duke University, Durham, NC, United StatesDivision of Nephrology, Department of Internal Medicine, Duke University, Durham, NC, United StatesDepartment of Medicine, Wake Forest University, Winston-Salem, NC, United StatesBackgroundHealth system websites are important resources to guide health care decisions and may be useful tools to improve racial equity in access to living donor kidney transplant (LDKT).MethodsWe performed a cross-sectional study of adult LDKT programs in the United States. We created an assessment tool for website quality across three domains: accessibility (access to LDKT specific information from the transplant center website), readability (ease of reading and clarity), and educational content (appropriateness and presentation of information, LDKT-specific content, program-specific characteristics, and adherence to equity-centered principles of web design).ResultsAmong the 185 transplant center websites reviewed, only 14.6% of LDKT sites could be accessed directly from the transplant center webpage. The median suitability assessment of materials (SAM)—a validated measure of website content for chronic kidney disease (CKD)—was 45 out of 86 (IQR 4) and the median Flesch-Kincaid grade level and ease score were 9.1 (IQR 0.8) on a scale of 0–18 and 51.2 (IQR 5) on a scale of 0–100, respectively.ConclusionThese results indicate that LDKT websites are currently not available, accessible, and understandable for many potential transplant candidates and donors. Optimizing the content and design of transplant center websites may be a promising and effective strategy for improving equity in access to LDKT.https://www.frontiersin.org/articles/10.3389/frtra.2024.1490876/fullliving donor kidney transplanthealth equitywebsiteaccessreadability |
| spellingShingle | Lisa M. McElroy Joy E. Obayemi Joy E. Obayemi Brian I. Shaw Christine Park Keenan Caddell LaShara A. Davis Nicole DePasquale Dinushika Mohottige L. Ebony Boulware Exploring the relationship between website quality and equity in living donor kidney transplant Frontiers in Transplantation living donor kidney transplant health equity website access readability |
| title | Exploring the relationship between website quality and equity in living donor kidney transplant |
| title_full | Exploring the relationship between website quality and equity in living donor kidney transplant |
| title_fullStr | Exploring the relationship between website quality and equity in living donor kidney transplant |
| title_full_unstemmed | Exploring the relationship between website quality and equity in living donor kidney transplant |
| title_short | Exploring the relationship between website quality and equity in living donor kidney transplant |
| title_sort | exploring the relationship between website quality and equity in living donor kidney transplant |
| topic | living donor kidney transplant health equity website access readability |
| url | https://www.frontiersin.org/articles/10.3389/frtra.2024.1490876/full |
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