Mark Gilbert1, Warren Michelow2, Joshun Dulai3, Daniel Wexel3, Trevor Hart4, Ingrid Young5, Susan Martin5, Paul Flowers6, Lorie Donelle7, Olivier Ferlatte3. 1. Ontario HIV Treatment Network, 600-1300 Yonge Street, Toronto, Ontario M4T 1X3, Canada. 2. The University of British Columbia, 2329 West Mall, Vancouver, British Columbia V6T 1Z4, Canada. 3. Community-Based Research Centre for Gay Men's Health, 1007-808 Nelson Street, Vancouver, British Columbia V6Z 2H2, Canada. 4. Ryerson University, 350 Victoria Street, Toronto, Ontario M5B 2K3, Canada. 5. University of Glasgow, University Avenue, Glasgow G12 8QQ, United Kingdom. 6. Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA, United Kingdom. 7. Western University, 1151 Richmond Street, London, Ontario N6A 3K7, Canada.
Abstract
Background HIV risk and prevention information is increasingly complex and poses challenges for gay, bisexual and other men who have sex with men (GBMSM) seeking to find, understand and apply this information. A directed content analysis of Canadian HIV websites to see what information is provided, how it is presented and experienced by users, was conducted. METHODS: Eligible sites provided information relevant for GBMSM on HIV risk or prevention, were from community or government agencies, and were aimed at the public. Sites were found by using a Google search using French and English search terms, from expert suggestions and a review of links. Eligibility and content for review was determined by two reviewers, and coded using a standardised form. Reading grade level and usability scores were assessed through Flesch-Kincaid and LIDA instruments. RESULTS: Of 50 eligible sites, 78% were from community agencies and 26% were focussed on GBMSM. Overall, fewer websites contained information on more recent biomedical advances (e.g. pre-exposure prophylaxis, 10%) or community-based prevention strategies (e.g. seroadaptive positioning, 10%). Many sites had high reading levels, used technical language and relied on text and prose. And 44% of websites had no interactive features and most had poor usability scores for engageability. CONCLUSIONS: Overall, less information about emerging topics and a reliance on text with high reading requirements was observed. Our study speaks to potential challenges for agency website operators to maintain information relevant to GBMSM which is up-to-date, understandable for a range of health literacy skills and optimises user experience.
Background HIV risk and prevention information is increasingly complex and poses challenges for gay, bisexual and other men who have sex with men (GBMSM) seeking to find, understand and apply this information. A directed content analysis of Canadian HIV websites to see what information is provided, how it is presented and experienced by users, was conducted. METHODS: Eligible sites provided information relevant for GBMSM on HIV risk or prevention, were from community or government agencies, and were aimed at the public. Sites were found by using a Google search using French and English search terms, from expert suggestions and a review of links. Eligibility and content for review was determined by two reviewers, and coded using a standardised form. Reading grade level and usability scores were assessed through Flesch-Kincaid and LIDA instruments. RESULTS: Of 50 eligible sites, 78% were from community agencies and 26% were focussed on GBMSM. Overall, fewer websites contained information on more recent biomedical advances (e.g. pre-exposure prophylaxis, 10%) or community-based prevention strategies (e.g. seroadaptive positioning, 10%). Many sites had high reading levels, used technical language and relied on text and prose. And 44% of websites had no interactive features and most had poor usability scores for engageability. CONCLUSIONS: Overall, less information about emerging topics and a reliance on text with high reading requirements was observed. Our study speaks to potential challenges for agency website operators to maintain information relevant to GBMSM which is up-to-date, understandable for a range of health literacy skills and optimises user experience.
Authors: Olivier Ferlatte; Travis Salway; John L Oliffe; Simon M Rice; Mark Gilbert; Ingrid Young; Lisa McDaid; John S Ogrodniczuk; Rod Knight Journal: Arch Suicide Res Date: 2020-06-12