Evaluating the usefulness of patient education materials on surgical site infection: A systematic assessment

Zellmer, Caroline; Zimdars, Peggy; Parker, Sarah K.; Safdar, Nasia

doi:10.1016/j.ajic.2014.10.020

Cited by 28 publications

(21 citation statements)

References 8 publications

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“…Therefore, the quality of these heart failure websites could be greatly enhanced if the previously mentioned shortcomings were addressed. The overall mean Understandability and Actionability scores for the 46 heart failure websites were considerably lower than those reported in another study 33 that evaluated surgical site infection websites (μ=56.3% vs. 75% for understandability and 34.7% vs. 49% for actionability, respectively) using the same assessment tool, PEMAT. As previously mentioned, the complexity of the topic of heart failure and its associated treatments could have contributed to the lower Understandability score.…”

Section: Discussioncontrasting

confidence: 71%

“…The total Understandability and Actionability scores were determined by adding the points and dividing the sum by the total possible points (excluding items that were scored as N/A) and then multiplying the result by 100 (score range: 0% – 100%). PEMAT-P has demonstrated validity and reliability 32,33 . Two independent reviewers assessed the Understandability (MC and AX) and the Actionability (MC and MH) of the included websites.…”

Section: Methodsmentioning

confidence: 99%

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Quality and Health Literacy Demand of Online Heart Failure Information

Cajita¹,

Rodney²,

et al. 2017

J Cardiovasc Nurs

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Background The ubiquity of the Internet is changing the way people obtain their health information. While there is an abundance of heart failure information online, the quality and health literacy demand of these information are still unknown. Objective The purpose of this study was to evaluate the quality and health literacy demand (readability, understandability, and actionability) of the heart failure information found online. Methods Google, Yahoo, Bing, Ask.com, and DuckDuckGo were searched for relevant heart failure websites. Two independent raters then assessed the quality and health literacy demand of the included websites. The quality of the heart failure information was assessed using the DISCERN instrument. Readability was assessed using seven established readability tests. Finally, understandability and actionability were assessed using the Patient Education Materials Assessment Tool for Print Materials (PEMAT-P). Results A total of 46 websites were included in this analysis. The overall mean quality rating was 46.0 ± 8.9 and the mean readability score was 12.6 grade reading level. The overall mean understandability score was 56.3% ± 16.2. Finally, the overall mean actionability score was 34.7% ± 28.7. Conclusions The heart failure information found online was of fair quality but required a relatively high health literacy level. Web content authors need to consider not just the quality, but also the health literacy demand of the information found in their websites. This is especially important considering that low health literacy is likely prevalent among the usual audience.

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Section: Discussioncontrasting

confidence: 71%

Section: Methodsmentioning

confidence: 99%

Quality and Health Literacy Demand of Online Heart Failure Information

Cajita¹,

Rodney²,

et al. 2017

J Cardiovasc Nurs

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“…Since patient health literacy has critical health consequences ( American Medical Association, 1999 , Kutner et al, 2006 ), many medical association web sites have introduced education materials as a way for patients to improve their health outcomes. However, in accordance to previous studies ( Hansberry et al, 2014a , Hansberry et al, 2014b , Eloy et al, 2012 , Kasabwala et al, 2012 , Cherla et al, 2012 , Cherla et al, 2013 , Svider et al, 2013 , Wang et al, 2013 , Alamoudi and Hong, 2015 , Zellmer et al, 2015 ), our results show that online available resources exceed anticipated comprehension of the majority population, and score poorly in terms of understandability and especially actionability. This does not necessarily mean that the quality of the information itself is not good (in fact, almost not erroneous and/or dangerous information was detected in our sample).…”

Section: Discussionsupporting

confidence: 92%

Information quality and dynamics of patients' interactions on tonsillectomy web resources

Blouin

Guitton

2016

Internet Interventions

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Information technologies have drastically altered the way patients gather health-related information. By analysing web resources on tonsillectomy, we expose information quality and dynamics of patients' interactions in the online continuum. Readability was assessed using Flesch Reading Ease (FRE), Flesch Kincaid Grade Level (FKGL), Simple Measure of Gobbledygook (SMOG), and Gunning Fog Index (GFI). Comprehensibility and actionability were assessed using the Patient Education Materials Assessment Tool (PEMAT). Metrics of forums included author characteristics (level of disclosure, gender, age, avatar image, etc.), posts' motive (community support vs. medical information) and content (word count, emoticon use, number of replies, etc.). Analysis of 6 professional medical websites, of 10 health information portals, and of 3 discussion forums totalizing 1369 posts on 358 threads, from January 1, 2007 to December 31, 2014, reveals that online resources exceed understandability recommendations. Women were more present on online health forums (68.2% of authors disclosing their gender) and invested themselves more in their avatar. Authors replying were significantly older than authors of original posts (39.7 ± 0.8 years vs. 29.2 ± 0.9 years, p < 0.001). The degree of self-disclosure was inversely proportional to the requests for medical information (p < 0.001). Men and women were equally seeking medical information (men: 74.0%, women: 77.0%) and community support (men: 65.7%, women: 70.4%), however women responded more supportively (women 86.2%, men 59.1%, p < 0.001). The dynamics of patients' interactions used to overcome accessibility difficulties encountered is complex. This work outlines the necessity for comprehensible medical information to adequately answer patients' needs.

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“…Patients with minor leg-length discrepancies may have few symptoms which may explain the under-reporting by patients, whereas surgeons place great importance on leg length due to its possible detrimental outcomes [23]. This study showed poor patient specificity in identifying SSI, a finding that was also observed in a study by Zellmer et al, who suggested that may be improved with validated infection education material [24].…”

Section: Discussionmentioning

confidence: 51%

Reliability of patient-reported complications following hip or knee arthroplasty procedures

Heo

Naylor

Harris

et al. 2019

BMC Med Res Methodol

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BackgroundPatient reported outcomes are increasingly used to assess the success of surgical procedures. Patient reported complications are often included as an outcome. However, these data must be validated to be accurate and useful in clinical practice.MethodsThis was a retrospective descriptive study of 364 patients who had completed their six-month follow-up review questionnaire in the Arthroplasty Clinical Outcomes Registry, National (ACORN), an Australian orthopaedic registry. Patient-reported complications following total hip arthroplasty (THA) and total knee arthroplasty (TKA) were compared to surgeon-reported complications recorded in their electronic medical records at their various follow-up appointments. Sensitivity, specificity, positive predictive value and negative predictive value were calculated. Agreement was assessed using percentage agreement and Cohen’s kappa.ResultsPatient-reported data from the ACORN registry returned overall low sensitivity (0.14), negative predictive value (0.13) and kappa values (0.11), but very high specificity (0.98), positive predictive value (0.98) and agreement values (96.3%) for reporting of complications when compared to surgeon-reported data. Values varied depending on the type and category of complication.ConclusionPatients are accurate in reporting the absence of complications, but not the presence. Sensitivity of patient-reported complications needs to be improved. Greater attention to the clarity of the questions asked may help in this respect.Electronic supplementary materialThe online version of this article (10.1186/s12874-018-0645-0) contains supplementary material, which is available to authorized users.

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Evaluating the usefulness of patient education materials on surgical site infection: A systematic assessment

Cited by 28 publications

References 8 publications

Quality and Health Literacy Demand of Online Heart Failure Information

Quality and Health Literacy Demand of Online Heart Failure Information

Information quality and dynamics of patients' interactions on tonsillectomy web resources

Reliability of patient-reported complications following hip or knee arthroplasty procedures

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