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Common Disease-Difficult Understanding: Readability Analysis of Superficial Skin Fungal Infections On-Line Materials
Tomasz Skrzypczak1, Anna Skrzypczak2, Andrzej Jaworek3
1Wroclaw Medical University, Wroclaw, Poland.
Mycoses
|May 3, 2025
Summary
Online information on fungal skin infections is often difficult to understand. Improving readability of these dermatomycosis resources is crucial to prevent misuse of antifungals and reduce treatment resistance.
Area of Science:
- Dermatology
- Medical Informatics
- Public Health
Background:
- Limited studies have analyzed the readability of online patient education materials concerning dermatomycoses.
- Assessing the accessibility of online health information is vital for patient comprehension and adherence.
Purpose of the Study:
- To evaluate the readability of online patient-facing materials about superficial fungal skin infections.
- To compare readability across different languages (English, German, French, Italian, Spanish, Polish) and search terms.
Main Methods:
- Searched Google using translated terms for 'dermatomycosis', 'dermatophytosis', and 'trichophytosis'.
- Screened the first 50 records per language for relevance, accessibility, and patient education focus.
- Assessed readability using the LIX score.
Main Results:
- 167 out of 900 screened articles (19%) were analyzed, with an overall mean LIX score of 56 (very difficult).
- Articles found using 'trichophytosis' (49±3) were most readable, followed by 'dermatophytosis' (54±8) and 'dermatomycosis' (58±7).
- English (48±7) and Spanish (50±5) articles were most readable, while Polish (63±4) were least readable.
Conclusions:
- Poor readability of online dermatomycosis information may impede patient understanding, leading to incorrect antifungal use and potential resistance.
- Dermatologists must proactively create and ensure the availability of accessible online patient resources.

