Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Kanal Tedavisi ile İlgili İnternet Ortamındaki Bilgilerin Okunabilirlik Analizinin Değerlendirilmesi: Kesitsel Araştırma
Evaluation of Readability Analysis of Information on the Internet Related to Root Canal Treatment: Cross-Sectional Research
Gökçen Deniz BAYRAKa
aYeditepe Üniversitesi Diş Hekimliği Fakültesi, Çocuk Diş Hekimliği ABD, İstanbul, Türkiye
Turkiye Klinikleri J Dental Sci. 2024;30(1):92-8
doi: 10.5336/dentalsci.2023-98638
Article Language: TR
Full Text
ÖZET
 Amaç: Dental tedaviler arasında kanal tedavisi kaygıya neden olan bir tedavi olduğundan insanlar bu tedavinin detaylarını internette araştırmaktadırlar. Bu çalışmanın amacı, internette kanal tedavisi ile ilgili Türkçe yazılı metinlerin okunabilirlik açısından değerlendirilmesidir. Gereç ve Yöntemler: Kanal tedavisi ile ilgili metinlere ulaşmak için ''kanal tedavisi'' terimi kullanılarak internet araması yapıldı. Bunun için Google arama motoru kullanıldı ve ilk 115 internet sitesi incelendi. Metin kaynakları özel sağlık kuruluşu, üniversite hastanesi, endodonti uzmanı, diş hekimi ve meslek örgütü olarak kategorize edildi. Hasta bilgi metinleri Ateşman ve Flesch Okunabilirlik İndeksleri kullanılarak değerlendirildi. Ayrıca metinlerin yazı içeriği incelendi. İstatistiksel değerlendirmede Pearson ki-kare testi kullanıldı. Bulgular: 115 internet sitesi dâhil edilme kriterlerine göre incelendiğinde, 98'i bu kriterleri karşılıyordu. Metin kaynaklarının %69,4'ü özel sağlık kuruluşundan, %2'si üniversite hastanesinden, %16,3'ü endodonti uzmanından, %11,2'si diş hekiminden ve %1'i meslek örgütünden oluşuyordu. Ortalama Ateşman Okunabilirlik İndeksi 60,31±6,07 olarak bulundu. Değerlendirilen metinlerin %88,8'i okunabilirlik açısından orta zorluk düzeyindeydi. Yazı içeriği, Ateşman ve Flesch okunabilirlik düzeyi açısından metin kaynakları arasında anlamlı bir farklılık bulunmadı (p>0,05). Sonuç: Türkçe internet sitelerinde ''kanal tedavisi'' ile ilgili bilgilendirme metinlerinin orta düzeyde okunabilirlik seviyesinin olduğu görüldü. Yazıların okuyucular tarafından daha anlaşılır olması için internet ortamında yayınlanmadan önce okunabilirlik analizinden geçmesi faydalı olabilir.

Anahtar Kelimeler: Eğitim; endodonti; internet; kanal tedavisi
ABSTRACT
 Objective: Among dental treatments, root canal treatment is a treatment that causes anxiety, so people search the details of this treatment on the internet. The aim of this study was to evaluate the Turkish written texts about root canal treatment available on the internet in terms of readability. Material and Methods: An internet search was performed to reach texts about root canal treatment using the term ''root canal treatment''. The Google search engine was used, and the first 115 websites were examined. Text resources were categorized as private health institutions, university hospitals, endodontists, dentists, and professional organizations. Patient information texts were evaluated using Ateşman and Flesch readability indices. In addition, the text content of the texts was examined. Pearson chi-square test was used for statistical evaluation. Results: When 115 websites were examined according to the inclusion criteria, 98 of them met these criteria. 69.4% of the text sources were private health institutions, 2% were university hospitals, 16.3% were endodontists, 11.2% were dentists and 1% were professional organizations. The mean Ateşman readability index was found to be 60.31±6.07. 88.8% of the evaluated texts were at a medium difficulty level regarding readability. There was no significant difference between text sources in terms of text content, Ateşman, and Flesch readability levels (p>0.05). Conclusion: It was observed that the information texts about ''root canal treatment'' on Turkish websites had a moderate readability level. In order for the articles to be more understandable by the readers, it may be useful to conduct a readability analysis before they are published on the internet.

Keywords: Education; endodontics; internet; root canal treatment
REFERENCES:
  1. Internet World Stats [Internet]. Copyright © 2023, Miniwatts Marketing Group [Cited: August 13, 2018]. Internet Usage Statistics. Available from: [Link] 
  2. Rogers SN, Rozek A, Aleyaasin N, Promod P, Lowe D. Internet use among head and neck cancer survivors in the North West of England. Br J Oral Maxillofac Surg. 2012;50(3):208-14. [Crossref]  [PubMed] 
  3. Knösel M, Jung K, Bleckmann A. YouTube, dentistry, and dental education. J Dent Educ. 2011;75(12):1558-68. [Crossref]  [PubMed] 
  4. DuBay WH. The Principles of Readability. 1st ed. Costa Mesa, CA: Impact Information; 2004.
  5. Cheng C, Dunn M. Health literacy and the Internet: a study on the readability of Australian online health information. Aust N Z J Public Health. 2015;39(4):309-14. [Crossref]  [PubMed] 
  6. Gunning R. The Technique of Clear Writing. 1st ed. New York: McGraw-Hill International Book Co; 1952.
  7. Hedman AS. Using the SMOG formula to revise a health-related document. Am J Health Educ. 2008;39(1):61-4. [Crossref] 
  8. Flesch R. A new readability yardstick. J Appl Psychol. 1948;32(3):221-33. [Crossref]  [PubMed] 
  9. Ateşman E. Measuring readability in Turkish. AU Tömer Language Journal. 1997;58(2):171-4. [Link] 
  10. Akbulut AS. İnternet ortamındaki şeffaf plak tedavisi ile ilgili bilgilerin okunabilirlik analizi [Readability analysis of information on the internet about clear aligner treatment]. NEU Dent J. 2022;4(1):7-11. [Crossref] 
  11. Bezirci B, Yilmaz AE. Metinlerin okunabilirliğinin ölçülmesi üzerine bir yazılım kütüphanesi ve Türkçe için yeni bir okunabilirlik ölçütü [A software library for measurement of readability of texts and a new readability metric for Turkish]. DEÜ Mühendislik Fakültesi Fen Bilimleri Dergisi. 2010;12(3):49-62. [Link] 
  12. Jung MJ, Seo MS. Assessment of reliability and information quality of YouTube videos about root canal treatment after 2016. BMC Oral Health. 2022;22(1):494. [Crossref]  [PubMed]  [PMC] 
  13. Nason K, Donnelly A, Duncan HF. YouTube as a patient-information source for root canal treatment. Int Endod J. 2016;49(12):1194-200. [Crossref]  [PubMed] 
  14. Akman M, Ovalıoğlu Z, Bozkurt DA. Endodontik tedavi öncesi ve sonrası anksiyete seviyesi ve korku analizi [Anxiety level and fear analysis before and after endodontic treatment]. Selcuk Dent J. 2021;8(2):494-9. [Crossref] 
  15. Kanmaz B, Buduneli N. Evaluation of information quality on the internet for periodontal disease patients. Oral Dis. 2021;27(2):348-56. [Crossref]  [PubMed] 
  16. TÜİK [İnternet]. Hane Halkı Bilişim Teknolojileri (BT) Kullanım Araştırması, 2023. [Erişim tarihi: 15 Ekim 2023] Erişim linki: [Link] 
  17. Riordain RN, Hodgson T. Content and quality of website information on the treatment of oral ulcers. Br Dent J. 2014;217(7):E15. [Crossref]  [PubMed] 
  18. Schwendicke F, Stange J, Stange C, Graetz C. German dentists' websites on periodontitis have low quality of information. BMC Med Inform Decis Mak. 2017;17(1):114. [Crossref]  [PubMed]  [PMC] 
  19. Miguéns-Vila R, Ledesma-Ludi Y, Rodríguez-Lozano F, Varela-Centelles P, Seoane-Romero JM, Castelo-Baz P. Disparities between English and Spanish in readability of online endodontic information for laypeople. J Am Dent Assoc. 2018;149(11):960-6. [Crossref]  [PubMed] 
  20. Woodmansey K. Readability of educational materials for endodontic patients. J Endod. 2010;36(10):1703-6. [Crossref]  [PubMed] 
  21. Taşdemir İ. İnternet ortamındaki dişeti hastalığı ile ilgili bilgilerin okunabilirlik analizi [Readability analysis of information about gingival disease on the internet]. Selcuk Dent J. 2023;10(1):89-93. [Crossref] 
  22. Stat Counter [Internet]. © StatCounter 1999-2023 Browser Market Share Turkey. [Erişim tarihi: 15 Ekim 2023] Available from: [Link] 
  23. Şahin TN, Özmen EE. Evaluation of readability and content of patient information texts on turkish websites about pediatric dentistry under sedation. EADS. 2023;50(1):47-51. [Crossref] 
  24. Değirmenci K. Diş protezi hakkında bilgi sunan Türkçe internet sitelerinin okunabilirlik düzeylerinin değerlendirilmesi: nitel araştırma [Evaluation of readability levels of Turkish internet sites providing information about dental prosthesis: a qualitative research]. Türkiye Klinikleri J Dental Sci Cases. 2022;28(4):905-12. [Crossref] 
  25. Badarudeen S, Sabharwal S. Assessing readability of patient education materials: current role in orthopaedics. Clin Orthop Relat Res. 2010;468(10):2572-80. [Crossref]  [PubMed]  [PMC] 
  26. McLean S, Cook N, Rovira-Wilde A, Patel S, Kanagasingam S. Evaluating YouTube as a patient information source for the risks of root canal treatment. J Endod. 2023;49(2):155-61. [Crossref]  [PubMed] 

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