Patient Education Materials Found via Google Search for Shoulder Arthroscopy Are Written at Too-High of a Reading Level

Abdullah, Youssef; Alokozai, Aaron; Mathew, Abraham J.; Stamm, Michaela A.; Mulcahey, Mary K.

doi:10.1016/j.asmr.2022.04.034

Cited by 9 publications

(8 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On this premise, the readability and quality of online patient educational material concerning PCL reconstruction were investigated. The findings of the present study were in concordance with prior studies focusing on orthopedic educational tools [ 9 , 11 , 24 - 29 ] and show that the most frequently accessed patient educational sources generally exceed the reading ability of the average US reader and the readability recommendations of the American Medical Association (AMA) and National Institutes of Health (NIH) [ 30 ]. The most frequently accessed online patient educational material regarding PCL reconstruction is not always easily accessible to the average reader, requiring much more than a 6th-grade reading level (the cut-off educational value recommended by the AMA and NIH for a comprehensible document) [ 31 - 35 ].…”

Section: Discussionsupporting

confidence: 91%

Readability and Quality of Online Patient Education Materials Concerning Posterior Cruciate Ligament Reconstruction

Venosa,

Cerciello,

Zoubi

et al. 2024

Cureus

View full text Add to dashboard Cite

Objective This study aimed to assess the quality of online patient educational materials regarding posterior cruciate ligament (PCL) reconstruction. Methods We performed a search of the top-50 results on Google® (terms: “posterior cruciate ligament reconstruction,” “PCL reconstruction,” “posterior cruciate ligament surgery,” and “PCL surgery”) and subsequently filtered to rule out duplicated/inaccessible websites or those containing only videos (67 websites included). Readability was assessed using six formulas: Flesch-Kincaid Reading Ease (FRE), Flesch-Kincaid Grade Level (FKG), Gunning Fog Score (GF), Simple Measure of Gobbledygook (SMOG) Index, Coleman-Liau Index (CLI), Automated Readability Index (ARI); quality was assessed using the JAMA benchmark criteria and recording the presence of the HONcode seal. Results The mean FRE was 49.3 (SD 11.2) and the mean FKG level was 8.09. These results were confirmed by the other readability formulae (average: GF 8.9; SMOG Index 7.3; CLI 14.7; ARI 6.5). A HONcode seal was available for 7.4 % of websites. The average JAMA score was 1.3. Conclusion The reading level of online patient materials concerning PCL reconstruction is too high for the average reader, requiring high comprehension skills. Practice implications Online medical information has been shown to influence patient healthcare decision processes. Patient-oriented educational materials should be clear and easy to understand.

show abstract

Section: Discussionsupporting

confidence: 91%

Readability and Quality of Online Patient Education Materials Concerning Posterior Cruciate Ligament Reconstruction

Venosa,

Cerciello,

Zoubi

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

“…shoulder arthroscopy [14], over the counter rapid antigen COVID-19 testing [15], fall prevention [16], etc. Most of these studies have higher understandability scores and poor actionability studies as has been identified in our study also.…”

Section: Discussionmentioning

confidence: 99%

“…No literature could be found that searched the video material on hemophilia to assess understandability and actionability to date. There are certain studies which have assessed understandability and actionability using PEMAT scores but on different diseases like diabetes [ 7 ], cardiovascular disease risk [ 8 ], asthma [ 9 ], macular degeneration [ 10 ], sinusitis [ 11 ], vocal cord paralysis [ 12 ], cardiac electrophysiological procedures [ 13 ], shoulder arthroscopy [ 14 ], over the counter rapid antigen COVID-19 testing [ 15 ], fall prevention [ 16 ], etc. Most of these studies have higher understandability scores and poor actionability studies as has been identified in our study also.…”

Section: Discussionmentioning

confidence: 99%

Understandability and Actionability of Available Video Information on YouTube Regarding Hemophilia: A Cross-Sectional Study

Kumar¹,

Srikanth²,

Bodade³

et al. 2022

Cureus

View full text Add to dashboard Cite

IntroductionWith the advent of revolutionary information technology, most general medical information can be accessed by the community at large. However, the factual nature of information, its understandability, and actionability of diseases like Hemophilia are unknown to the general population. Hence the present study has been envisaged to assess the understandability and actionability of available video information on YouTube about Hemophilia. MethodsA cross-sectional study was performed using the Patient Education Materials Assessment Tool for Audiovisual materials (PEMAT-AV) to assess the understandability and actionability of 50 videos shown by order of relevance utilizing three independent assessors. An online google survey was prepared using the PEMAT questionnaire as a basis and results were recorded and saved as a Microsoft Excel sheet for analysis. Data was analyzed using either Microsoft Excel or an online calculator as the case may be. ResultsA total of 50 short videos on Hemophilia were assessed by three independent assessors using PEMAT. The data so obtained was rechecked by an independent reviewer before data analysis. Three videos were excluded due to non-English language while only two videos out of 50 showed 100% average understandability and actionability. Average understandability and actionability scores range between 34 to 100 percent and 11.1 to 100 percent, respectively. Most videos have higher average understandability than actionability (P value=0.003). ConclusionOur study shows there are only a few high-quality short videos available as audio-visual patient education materials on YouTube about Hemophilia. There is a great need to develop content that is beneficial to patients as patient educational material.

show abstract

“…To address this issue, organisations such as the AMA and NIH recommend that all PEMs should have readability at or below the sixth-grade reading level. However, PEMs within the field of orthopaedics have consistently been shown to rarely meet these recommendations, potentially having a negative impact on patient health literacy and outcomes (Abdullah et al, 2022;Baumann et al, 2023;Ghanem et al, 2023;Hanish et al, 2023;Stelzer et al, 2022;Sudah et al, 2023).…”

Section: F I G U R Ementioning

confidence: 99%

“…It is recommended that PEM readability should be at or below the 6th‐grade level. However, studies consistently show that these recommendations are rarely met in PEMs related to orthopaedic diseases, conditions, treatments, and recovery (Abdullah et al., 2022; Baumann et al., 2023; Ghanem et al., 2023; Hanish et al., 2023; Stelzer et al., 2022; Sudah et al., 2023). Similar findings have consistently been shown in PEMs related to THA and TKA, which is particularly problematic as these surgeries are extremely common (Doinn et al., 2020; Karimi et al., 2023; Murphy et al., 2022; Shnaekel et al., 2018).…”

Section: Introductionmentioning

confidence: 99%

A standardised method for improving the readability of patient education materials for total hip & knee arthroplasty patients

Baumann,

Marshall,

O’Malley

et al. 2024

Musculoskeletal Care

View full text Add to dashboard Cite

PurposeOrthopaedic Patient Education Materials (PEMs) related to total hip and total knee arthroplasty (TKA) have repeatedly been shown to not meet American Medical Association and National Institutes of Health recommendations for readability. PEMs that are written with too much complexity limit the ability of some readers to comprehend the material. These complex PEMs also limit the health literacy of patients, a key determinant of health status and outcomes. The purpose of this study was to improve the readability of total hip and TKA‐related PEMs by limiting the use of sentences with ≥15 words and limiting the use of words with ≥ three syllables.MethodsThe readability of all 26 PEMs in this study was assessed before and after editing. Editing of articles included limiting the use of sentences with ≥15 words and limiting the use of words with ≥three syllables while preserving PEM content.ResultsA total of 26 PEMs were available for use in this study after the application of inclusion and exclusion criteria. The percentage of original PEMs at or below the recommended sixth‐grade reading level was 0% (0 out of 26), while the percentage of edited PEMs at or below the sixth‐grade reading level was 50% (13 out of 26).ConclusionsUsing this standardised method for reducing sentence length to <15 words and limiting the use of words with >2 syllables, while preserving key content, significantly improved the readability of PEMs related to total hip and TKA.

show abstract

Patient Education Materials Found via Google Search for Shoulder Arthroscopy Are Written at Too-High of a Reading Level

Cited by 9 publications

References 15 publications

Readability and Quality of Online Patient Education Materials Concerning Posterior Cruciate Ligament Reconstruction

Readability and Quality of Online Patient Education Materials Concerning Posterior Cruciate Ligament Reconstruction

Understandability and Actionability of Available Video Information on YouTube Regarding Hemophilia: A Cross-Sectional Study

A standardised method for improving the readability of patient education materials for total hip & knee arthroplasty patients

Contact Info

Product

Resources

About