Center Websites Research Articles

Availability of Adolescent and Young Adult-Specific Sexual and Reproductive Health Programs and Resources: A Review of the Websites of National Cancer Institute-Designated Cancer Centers.

Adolescent and young adult (AYA) cancer survivors often search online for information about cancer-related sexual and reproductive health concerns. A review of the websites of National Cancer Institute-designated cancer centers (n = 9) and comprehensive cancer centers (n = 58) was conducted to identify the presence of AYA-specific sexual and reproductive health programming and resources. No AYA-specific sexual health programs were found. Oncofertility programs were presented on 56% (n = 5) of cancer centers and 50% (n = 29) of comprehensive cancer center websites. As the population grows, it is imperative that cancer centers provide services to meet AYAs' sexual and reproductive health needs and highlight these services on their websites.

Abstract B025: Assessing the content and quality of online patient education material on clinical trials from NCI-designated comprehensive cancer centers

Abstract Background: Online patient educational material on cancer clinical trials is available on NCI- designated comprehensive cancer center websites and official YouTube channels. Online health information is an important resource for patients seeking to learn more about treatment options. Objective: Examine the quality and content themes in online patient educational material (PEM) related to cancer clinical trials published by comprehensive cancer centers. Methods: A random sample of comprehensive cancer centers (21) was chosen to represent the national network of cancer centers. Each website was searched for webpages containing patient-oriented clinical trial information. Official YouTube channels were also searched for relevant video material. Each webpage and video (N=196) were assessed for quality and content themes. Quality was measured using an abbreviated Patient Education Materials Assessment Tool which scores understandability and actionability of text and audio-visual materials, and content themes were assessed by the use of a content characteristic codebook. Results: Common content themes in the sample (N=196) of online PEM from comprehensive cancer centers were defines purpose of trials, physician speaker, animated or illustrated elements, and defines phases of trials. Online PEM had an average score of 83 for understandability and 26 for actionability, an area for improvement. Only 10% of materials reviewed scored high for understandability (>90) and for actionability (>70). Online webpages that mixed text and video scored highest on the quality assessment. Video-only content scored lowest on the quality assessment. Only a small percentage of PEM included FAQs (10%), instructions on how to find a trial (16%), mentioned consent (14%) or costs associated with trials (12%). Mentions or depictions of minority populations were not commonly observed in the material (11%). Conclusions: Online PEM published by comprehensive cancer centers is an important and easily accessible resource for patients looking to learn more about clinical trials. Cancer centers should add various audio-visual formats and interactive tools to their webpages to increase the quality of the clinical trial resources. Including representation of historically underserved populations and adding actionable advice for patients has the potential to engage patients’ interest and increase enrollment in cancer clinical trials. Citation Format: Trista Beard, Diana Morales, Fatimata Sanogo, Chanita Hughes Halbert. Assessing the content and quality of online patient education material on clinical trials from NCI-designated comprehensive cancer centers [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B025.

Evaluation of NCI-Designated Cancer Center and Comprehensive Cancer Center Survivorship-Focused Websites: Information Provided and Accessibility.

Individuals with a history of cancer increasingly seek health information from online resources, including NCI-designated Cancer Center websites. Centers receive NCI designation because they provide excellent care and engage in cutting-edge research. However, the information presented on these webpages and their accessibility is unknown. An evaluation of the survivorship-focused webpages from NCI-designated Cancer Centers is needed to assess survivorship information and accessibility of these webpages. We conducted an evaluation of the survivorship-focused webpages from 64 NCI-designated Cancer Centers. We evaluated where survivorship-focused webpages were housed, if there was a survivorship clinic or program, target audience of the webpage, how cancer survivor was defined, contact methods, and available resources. Accessibility outcomes included readability, font type, font size, color scheme, and alternative text (alt text) descriptors. An artificial intelligence (AI) audit was conducted to assess if the webpage was compliant with national accessibility guidelines. Most cancer centers had a survivorship-focused webpage, with 72% located on the cancer center's website and 28% on a health system website. Survivorship information available varied considerably and was often lacking in detail. Although three-quarters of webpages targeted patients only, variable definitions of cancer survivor were observed. Accessibility issues identified included inconsistent use of alt text descriptors, font size smaller than 15 points, and color schemes without adequate contrast. The average reading-level of information presented was above 12th grade. Only 9% of webpages were compliant with online accessibility guidelines; 72% semicompliant and 21% were noncompliant. Information presented on NCI-designated Cancer Center survivorship-focused webpages was inconsistent, often lacking, and inaccessible. NCI-designated Cancer Centers are role models for cancer research in the United States and have an obligation to provide survivorship information. Changes to content and website design are needed to provide better information for individuals seeking resources and health information relative to their cancer and care.

Clinical ethics consultation services: public-facing information on NCI-designated cancer center websites.

Clinical ethics consultation services (CECS) can be particularly complex in oncology, and widespread misconceptions exist about their nature. As a result, visibility and accessibility of information regarding CECS is critical. We investigated the availability and content of information regarding CECS on websites of NCI-designated comprehensive cancer centers and cancer centers (CCs). Each website was reviewed for information on CECS and reviewed for benchmarks partially derived from the American Society of Bioethics and Humanities recommendations for CECS. Our analysis revealed that of 70 NCI-designated center websites, 38 had information on CECS, and 17 were found directly on these sites. When CECS information was available, most websites provided a mission statement (71%) and an explanation of what constitutes an ethics consult (74%). Few provided a description of the consult process (45%) or service membership (39%). Our findings reveal a significant gap in CECS visibility on the websites of NCI-designated CCs.

The syntactic position of the “people” in the political discourse of left and right populism (NLP-based syntactic analysis experience)

This paper attempts to measure populism in English-language speeches of politicians using computational linguistics methods. The relevance of this study is related not only to the rise of populism in the world and the importance of understanding the mechanisms of political discourse, but also to the lack of linguistic research in the context of corpus studies. Most of the methods proposed to date require significant resources or suffer from structural limitations, especially when they rely heavily on the human annotation process to analyze extensive corpus data. The material for the study was public speeches and interviews of right-wing populist politician and 45th President of the United States Donald Trump and political rhetoric of left-wing populist politician Senator Bernie Sanders. The corpus analysis was based on transcripts downloaded from The American Presidency Project and Miller Center websites. The syntactic position of key lexical units is determined using a comprehensive method based on dependency grammar combined with natural language processing (NLP) and van Leeuwen’s linguistic theory. The application of natural language processing methods confirms the assumption that the frequency of politicians’ reference to the people is not the only relevant indicator for measuring people-centrism in (populist) political discourse, as usually proposed in the political science literature. The results of the study indicate that there is no predominant role of the people in the discourse of Trump and Sanders. In most cases, the people appear in a complementary or adjunct position, indicating their secondary importance in their rhetoric. Given that populism implies proximity to the people and is positioned as “vox populi” – “the voice of the people”, it can be assumed that for both Trump and Sanders, addressing the people is only a way to achieve their political goals.

Access to cancer center information for patients with limited English proficiency from NCI Cancer Center websites.

e23124 Background: Patients with Limited English Proficiency (LEP) can experience health disparities in cancer care and clinical trial participation. This study sought to assess the availability of information on interpreter services, clinical trials, and second opinions from National Cancer Institute – Designated Cancer Center (NCI-DCC) websites for patients with LEP. Methods: The public facing websites of all 65 adult NCI-DCCs were reviewed from January 1, 2023 to May 15, 2023 to assess availability of English and translated, non-English information on interpreter services, second opinion programs, and clinical trials. Data abstraction was conducted through predefined criteria for website inspection and search bars. Three authors independently abstracted websites for content, with constant comparison until consensus was achieved. Chi-square tests were used to ascertain any significant association between the proportion of LEP populations served by the centers ( > 5%) and their likelihood to provide translated information. Results: 92.3% of NCI-DCCs and their affiliated flagships hospitals provide information on interpreter services for patients with LEP. This information was translated into a non-English language approximately half of the time. All NCI-DCC center webpages provide information on clinical trials and 38.5% provide information regarding second opinions. There was no difference in the availability of translated information on interpreter services or second opinion programs based on percentage of LEP population. However, there was an association between higher LEP population and the provision of translated clinical trial pages. Conclusions: The majority of NCI-DCCs provide information on their webpages related to interpreter services and clinical trials. Half of these centers provide this information in a non-English language and there was an association between higher percentage of LEP populations in the NCI-DCC state and translated clinical trial pages. Future work should identify optimal methods to provide cancer related information to patients with LEP with the goal of improving clinical trial participation for LEP populations. [Table: see text]

창조경제혁신센터 발전방안에 관한 연구

This study selected 17 regional creative economic innovation centers, excluding two private autonomous innovation centers, out of a total of 19 nationwide, and conducted case studies based on previous studies, articles, center websites, internal data, and interviews with practitioners. To establish the identity of Creative Economy Innovation Centers as regional startup hubs and drivers of local innovation, it is necessary to redefine their roles not only through collaboration with universities but also through realigning their roles with relevant local institutions. Secondly, it was observed that most of the investment resources for Creative Economy Innovation Centers remain in the form of initial funding support. To facilitate the scale-up of early-stage startups, it is necessary to develop qualitative improvement measures from various perspectives, including support tailored to specific businesses and growth stages. Additionally, in response to the strengthening global and domestic ESG regulations, centers should consider implementing customized ESG management education and certification support for startups, as well as mentoring programs. Thirdly, to reduce regional disparities, Creative Economy Innovation Centers should actively operate open programs specific to each center and allocate budgets that allow for flexible engagement in collaborative projects within their internal structure. Policy measures are needed to address the issue of regional decline by considering business initiatives for local youth, which also contribute to the sustainability of startups. Furthermore, there is a need to expand educational programs and policy support for “born-global” startups that target niche global markets from the early stages of entrepreneurship. This study is meaningful in confirming and verifying that the various attempts and efforts needed to build a regional innovation start-up ecosystem, as well as quantitative results on supporting the growth of startups and existing local SMEs discovered and fostered through the Creative Economy Innovation Center, as well as job creation and maintenance based on regional economic growth, need to be maintained and developed continuously.

(Dis)ability Deconditioning: Challenging Ableist Articulations of Professionalism in University Career Centers

ABSTRACT When drawing from dominant norms, university career centers can promote ideas of professionalism that systematically train marginalized identities to suppress embodied knowledge. I analyze five career center websites using thematic coding to identify how career centers can circulate ableist notions of professionalism on their public-facing websites. I then offer a theory of (dis)ability deconditioning to encourage collaborative interventions between technical and professional communicators and career center professionals to challenge ableist norms and center embodied intersectionality.

Virtual Reality for Convention Sales and Marketing: Fad or Trend?

Virtual reality (VR) is an emerging technology used by various industries to enhance customer experience and elevate product/service quality. This case study examines the benefits and obstacles of VR adoption in the meetings and events industry context, focusing on its integration into convention center websites. Students assume the role of convention sales managers, develop a proposal for creating a VR tour for the facility, and present it to the stakeholders. Additionally, students examine the longevity of VR technology, assess its impact on convention sales and marketing, explore its benefits for venue and event planners, and consider the project's financial aspects.

Payer-Negotiated Price Variation and Relationship to Surgical Outcomes for the Most Common Cancers at NCI-Designated Cancer Centers.

Federal rules mandate that hospitals publish payer-specific negotiated prices for all services. Little is known about variation in payer-negotiated prices for surgical oncology services or their relationship to clinical outcomes. We assessed variation in payer-negotiated prices associated with surgical care for common cancers at National Cancer Institute (NCI)-designated cancer centers and determined the effect of increasing payer-negotiated prices on the odds of morbidity and mortality. A cross-sectional analysis of 63 NCI-designated cancer center websites was employed to assess variation in payer-negotiated prices. A retrospective cohort study of 15,013 Medicare beneficiaries undergoing surgery for colon, pancreas, or lung cancers at an NCI-designated cancer center between 2014 and 2018 was conducted to determine the relationship between payer-negotiated prices and clinical outcomes. The primary outcome was the effect of median payer-negotiated price on odds of a composite outcome of 30 days mortality and serious postoperative complications for each cancer cohort. Within-center prices differed by up to 48.8-fold, and between-center prices differed by up to 675-fold after accounting for geographic variation in costs of providing care. Among the 15,013 patients discharged from 20 different NCI-designated cancer centers, the effect of normalized median payer-negotiated price on the composite outcome was clinically negligible, but statistically significantly positive for colon [aOR 1.0094 (95% CI 1.0051-1.0138)], lung [aOR 1.0145 (1.0083-1.0206)], and pancreas [aOR 1.0080 (1.0040-1.0120)] cancer cohorts. Payer-negotiated prices are statistically significantly but not clinically meaningfully related to morbidity and mortality for the surgical treatment of common cancers. Higher payer-negotiated prices are likely due to factors other than clinical quality.

The South Carolina Water Monitoring Portal - A Hub for South Carolina Water Quality Monitoring Data

The South Carolina (SC) Water Monitoring Portal is an ArcGIS-based, geospatial application that incorporates water quality data from a variety of sources and projects them onto an interactive map. This application will provide those interested in accessing and retrieving South Carolina water quality data with a free and easyto- use tool that allows for spatial visualization, interaction with, and direct download of data. At the time of this publication, the application accesses roughly four million water quality data records collected by seventeen different organizations. To allow users to seamlessly find and access the data they need, filters are available to query the data to match the user's needs. Once users find the data applicable to them, they can download and export it into various formats. The application also allows groups and organizations to indirectly upload their own water quality data to have it incorporated into the application. With these capabilities in a spatial format, this application has the potential to provide many benefits. For example, in academia it could be utilized in both classroom and research settings, and regulatory agencies could use this application to communicate water quality from a spatial viewpoint, potentially fostering a better understanding of water quality to stakeholders. The management and protection of our state’s waters are difficult to achieve when the data pertaining to water quality isn’t easily accessible or available in a user-friendly format. The SC Water Monitoring Portal has the potential to aid in the protection and management of our state’s waters as it makes water quality data more accessible and the retrieval of data more user-friendly. The SC Water Monitoring Portal is hosted on the South Carolina (SC) Sea Grant Consortium and the College of Charleston’s Lowcountry Hazards Center websites, making it available to anyone interested in water quality data in the State of South Carolina (available online: www.scseagrant.org/SCWMP).

P‐BB‐51 | Increasing Blood Diversity: How Blood Center Websites Tackle Critical Blood Shortages for Sickle Cell Patients Through Recruitment of African‐American Donors

P‐BB‐51 | Increasing Blood Diversity: How Blood Center Websites Tackle Critical Blood Shortages for Sickle Cell Patients Through Recruitment of African‐American Donors

Assessing the translation capabilities of NCI-designated cancer websites with a focus on lung, breast, prostate and ovarian cancers.

e18514 Background: The world is becoming more and more dependent on the internet for garnering information. Medicine is no exception, with studies suggesting that 70% of patients will consult the internet to learn more about their health. Considering the diverse population served by the United States healthcare system, it is crucial that information can be accessed by Americans of Limited English Proficiency (LEP). This is especially true when it comes to cancer, a disease affecting hundreds of thousands of LEP Americans each year. National Cancer Institute (NCI)-designated cancer treatment centers represent the cutting-edge treatment facilities in oncology. Americans diagnosed with cancer often turn to the website of the nearest NCI-designated cancer center. Our study provides a snapshot of which NCI-designated cancer center websites provide translation capabilities for patient navigations including appointment scheduling, disease information and treatment for four of the most common types of cancer. Methods: Over the course of 2022, we performed a cross-sectional review of the language and translation services available to patients on each of the 71 NCI-designated cancer center websites with a focus on lung, breast, prostate and ovarian cancers. The primary outcomes included availability of translation services, method of translation (google translator vs. written text vs. telephonic) and number of languages offered. Results: Of the 71 NCI-designated cancer center websites, 15 (21.1%) provide information on prostate, lung, ovarian and breast cancer in languages other than English. Among these, 9 (60%) provide direct translation, 1 redirects the user to the NCI website for cancer information, and 5 offer only language lines. Furthermore, of the 9 cancer centers offering direct translation on their websites, only 6 had 2 or more languages. The most common translation language was Spanish (15/15) followed by Arabic and Chinese (11/15). The availability of translated cancer information on these websites did not correlate with the prevalence of LEP in each state. Analyzing previous NCI website interrogations shows that there has been no increase in the translation capabilities of NCI websites since 2019. Conclusions: One way to improve the quality of care in patients with Limited English Proficiency by improving access to care is to increase language concordant resources. NCI designated cancer center websites are sources of cancer related health knowledge. Our research exemplified that there are areas of opportunity to improve the reachability of these recourses to the LEP population. Increasing language concordant resources acknowledges and addresses one of the barriers to care that interferes with the quality of cancer care for LEP patients, promoting shared health care decision making for better health outcomes in a vulnerable population.

Network Analysis of Academic Medical Center Websites in the United States

Healthcare resources are published annually in repositories such as the AHA Annual Survey DatabaseTM. However, these data repositories are created via manual surveying techniques which are cumbersome in collection and not updated as frequently as website information of the respective hospital systems represented. Also, this resource is not widely available to patients in an easy-to-use format. Network analysis techniques have the potential to create topological maps which serve to aid in pathfinding for patients in their search for healthcare services. This study explores the topological structure of forty United States academic health center websites. Network analysis is utilized to analyze and visualize 48,686 webpages. Several elements of network structure are examined including basic network properties, and centrality measures distributions. The Louvain community detection algorithm is used to examine the extent to which these techniques allow identification of healthcare resources within networks. The results indicate that websites with related healthcare services tend to form observable clusters useful in mapping key resources within a hospital system.

A World of Maximalist Medicine: Physician Perspectives on Palliative Care and End-of-life for Patients With Pulmonary Arterial Hypertension.

Physicians who specialize in pulmonary arterial hypertension (PAH) care for patients facing a serious, life-limiting illness. Palliative care is underutilized in patients with PAH, and little is known about how best to provide palliative care to this patient population. Using a qualitative approach, assess physicians' perspectives on barriers and facilitators to the use of palliative care in PAH. Participants were board-certified pulmonologists and cardiologists recruited from the Pulmonary Hypertension Association's list of physician specialists and academic center websites. We performed one-on-one semi-structured interviews that were recorded, transcribed, and analyzed using thematic analysis. Twelve physicians participated in the study, with a median age of 48.5 years and 20.5 years of clinical experience caring for patients with PAH. We identified the following themes and associated barriers and facilitators to effective implementation of palliative care for patients with PAH: a tailored approach to the individual patient; a PAH-specialist-led culture of care; effective collaboration with palliative care clinicians; and limitations imposed by health systems. PAH physicians are open to palliative care for their patients and are willing to partner with palliative care clinicians to implement this effectively and in the right setting. Areas for targeted improvement in enhancing palliative care for patients with PAH exist, especially enhancing collaboration between PAH physicians and palliative care specialists and navigating barriers in health systems.

Content and Area Income Disparities in Recreation Center Website Promotion of Physical Activity

Physical activity (PA) is associated with numerous health benefits; however, both children and adults in the U.S. fall short of national PA recommendations. Diverse agencies have identified the importance of recreation professionals playing an ac-tive role in providing and promoting PA, including via recreation centers. Few studies have examined the contributions public recreation centers make in pro-viding residents with opportunities for PA, and those that exist offer mixed results concerning the influence of neighborhood family income levels.Recreation center websites are a popular, cost-efficient, and flexible me-dium for providing information about PA and center programs. We completed a line-by-line analysis of the content of the websites of all public recreation centers (N = 58) in the city of San Diego, California. We extracted the days and hours the centers operated as well as PA facil-ity types and programs they provided. Program details were identified, includ-ing content, frequency/duration for classes, participants targeted, and enrollment costs. Additionally, we generated information about local neighborhoods, includ-ing family median income levels. Diverse statistical analyses were conducted, overall, and by a median split for neighborhood income status. On average, centers had 4.5 PA facilities and were open 59 hours/week, with no differences by neighborhood income. Meanwhile, centers in higher-income areas provided significantly more programs (5.3 vs 2.3). Overall, 33 distinct facility types were identified, but only gymnasia and outdoor basketball courts were listed by over 50% of centers. Fifty distinct programs were identified, with dance, teen center, basketball, and volleyball mentioned most frequently.

Learning the Treatment Process in Radiotherapy Using an Artificial Intelligence-Assisted Chatbot: Development Study.

In knowledge transfer for educational purposes, most cancer hospital or center websites have existing information on cancer health. However, such information is usually a list of topics that are neither interactive nor customized to offer any personal touches to people facing dire health crisis and to attempt to understand the concerns of the users. Patients with cancer, their families, and the general public accessing the information are often in challenging, stressful situations, wanting to access accurate information as efficiently as possible. In addition, there is seldom any comprehensive information specifically on radiotherapy, despite the large number of older patients with cancer, to go through the treatment process. Therefore, having someone with professional knowledge who can listen to them and provide the medical information with good will and encouragement would help patients and families struggling with critical illness, particularly during the lingering pandemic. This study created a novel virtual assistant, a chatbot that can explain the radiation treatment process to stakeholders comprehensively and accurately, in the absence of any similar software. This chatbot was created using the IBM Watson Assistant with artificial intelligence and machine learning features. The chatbot or bot was incorporated into a resource that can be easily accessed by the general public. The radiation treatment process in a cancer hospital or center was described by the radiotherapy process: patient diagnosis, consultation, and prescription; patient positioning, immobilization, and simulation; 3D-imaging for treatment planning; target and organ contouring; radiation treatment planning; patient setup and plan verification; and treatment delivery. The bot was created using IBM Watson (IBM Corp) assistant. The natural language processing feature in the Watson platform allowed the bot to flow through a given conversation structure and recognize how the user responds based on recognition of similar given examples, referred to as intents during development. Therefore, the bot can be trained using the responses received, by recognizing similar responses from the user and analyzing using Watson natural language processing. The bot is hosted on a website by the Watson application programming interface. It is capable of guiding the user through the conversation structure and can respond to simple questions and provide resources for requests for information that was not directly programmed into the bot. The bot was tested by potential users, and the overall averages of the identified metrics are excellent. The bot can also acquire users' feedback for further improvements in the routine update. An artificial intelligence-assisted chatbot was created for knowledge transfer regarding radiation treatment process to the patients with cancer, their families, and the general public. The bot that is supported by machine learning was tested, and it was found that the bot can provide information about radiotherapy effectively.

Abstract 9521: Non-English Language Resources and Readability of Heart Transplant Center Websites in the United States

Introduction: Health literacy is a key component of advanced heart failure (HF) therapy access and outcomes. Health literacy is associated with HF care and outcomes. Over 39% of patients with HF have low literacy. Online resources offer important educational materials for patients seeking access to heart transplantation but tend to be complex and potentially ineffective for non-English speakers and those with low reading levels. The purpose of this study was to evaluate both the readability of United States (US) heart transplant center websites and the availability of non-English resources. Methods: Review of US heart transplant center websites identified through the United Network for Organ Sharing (UNOS) in April 2022. Websites were assessed for non-English language text and translator tools. Written English text was extracted and assessed for readability using the Fry Readability score. Standard chi-square analysis was used to compare readability levels across transplant regions. Results: Of the 141 transplant center websites, 68.8% (97/141) did not have non-English resources. Regions 9 (42.9% (3/7)) and 10 (46.2% (6/13)) had the highest percentage of non-English resources and region 6 had the lowest (0% (0/5)). The median Fry readability level to understand a piece of text for all regions was 15, which is equivalent to a college junior reading level (range: 8-17, 8th grade to postgraduate level), Figure. There was no statistical difference in the median readability levels between regions (p=0.14). Conclusions: Heart transplant center online resources are inadequate and the majority do not provide translations beyond the English language. Additional work is needed to standardize heart transplant patient information for a diverse U.S. patient population.

Web-based Evidence on the Treatment of Behavioral Addictions in United States Model Treatment Centers.

Behavioral addictions are highly comorbid with substance use disorders, presenting in as many as 54% of service users receiving substance use treatment. Few studies have examined whether treatment centers are attentive to such other addictions, which may undermine treatment. This study examined the mention and treatment of behavioral addictions on United States treatment center websites. The 2021 Newsweek America's Best Addiction Treatment Centers website was utilized to examine the mention and treatment of behavioral addictions in 300 leading treatment centers across 25 states in the United States. Of 289 active websites, only 61 (21.1%) treatment centers mentioned anything about behavioral addictions. The highest prevalence was for gambling (n = 38), sex (n = 22), food/eating (n = 21), and internet gaming (n = 12). A total of 49 treatment centers reported treating those addictions. The most prevalent treatments involved 12-step programming (n = 18), cognitive behavioral therapy (CBT; n = 16), individual counseling (n = 16), and group therapy (n = 15). Little formalized importance via websites was provided regarding the mention or treatment of behavioral addictions at treatment centers. A greater emphasis on concurrent and substitute behavioral addictions is needed to improve the quality of life and lower the possibility of relapse among those persons in addictions treatment.

Readability and Non-English Language Resources of Heart Transplant Center Websites in the United States

Health literacy is associated with heart failure (HF) care and outcomes. Online resources offer important educational materials for patients seeking access to heart transplantation but tend to be complex and potentially ineffective for non-English speakers and those with low reading levels. The purpose of this study was to evaluate both the readability of patient-level information posted on United States heart transplant center websites and the availability of non-English resources. We performed a review of patient-facing information on websites of U.S. heart transplant centers identified through the United Network for Organ Sharing in August 2022. Written English text was extracted and assessed for readability by using the Fry Graph Readability score. Websites were additionally evaluated for non-English language text and translator tools. Standard ANOVA analysis was used to compare readability levels across transplant regions. The median Fry readability level to understand a piece of text for all regions was 15, which is equivalent to a college-junior reading level (range: 7-17, 7th grade to postgraduate level). There was no statistical difference in median Fry readability levels among regions (P = 0.16). Of the 139 eligible heart transplant center websites, only 56.1% (78/139) had non-English resources available for patients. Regions 5 (75% [15/20]) and 6 (75% [3/4]) had the highest percentage of non-English resources, and region 2 had the lowest (38% [6/16]). Heart transplant center online resources are inadequate, and many do not provide translations of the English language. Additional work is needed to standardize heart-transplant patient information for a diverse U.S.