Readability and content of patient information leaflets for endoscopic procedures

Gargoum, Fatma; O’Keeffe, Shaun T.

doi:10.1007/s11845-013-1033-8

Cited by 19 publications

(17 citation statements)

References 11 publications

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“…It is not possible to assess specific components of PILs using standard readability algorithms as the word count for these components is too small. Our study shows similar results to those found by Gargoum et al (2014) in a comparable analysis carried out in the Republic of Ireland. 15 There are limitations to the use of standardised readability and comprehension scores in assessing effectiveness of patient information leaflets.…”

Section: Nhs England's Information Standard Workhop Provides In-supporting

confidence: 92%

“…Our study shows similar results to those found by Gargoum et al (2014) in a comparable analysis carried out in the Republic of Ireland. 15 There are limitations to the use of standardised readability and comprehension scores in assessing effectiveness of patient information leaflets. 16 Multiple factors influence the readability of a document, and not all of these are assessed by the methods used in this analysis.…”

Section: Nhs England's Information Standard Workhop Provides In-supporting

confidence: 92%

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Readability of endoscopy information leaflets: Implications for informed consent

Mason

Williamson

2018

Int J Clin Pract

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All PILs analysed exceeded the recommended reading age for patient information. In the context of "straight to test" endoscopy where patients do not have a consultation with clinicians well versed in endoscopy prior to the day of the procedure, this risks invalidating consent. PILs need to be written carefully to ensure the information provided is accessible to patients, and that the language used is suitably aimed to achieve this.

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Section: Nhs England's Information Standard Workhop Provides In-supporting

confidence: 92%

Section: Nhs England's Information Standard Workhop Provides In-supporting

confidence: 92%

Readability of endoscopy information leaflets: Implications for informed consent

Mason

Williamson

2018

Int J Clin Pract

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“…Provision of information precolonoscopy has been linked to lower anxiety and British Society of Gastroenterology guidelines emphasise the importance of written information preprocedure 35 36. However, studies report variations in amount of information provided for colonoscopy and gastroscopy, and that reading levels often exceed recommended reading age standards 37–39. Our results suggest patients desire different types and amounts of information and different modes of delivery (ie, one size does not fit all).…”

Section: Discussionmentioning

confidence: 72%

Patient experience of gastrointestinal endoscopy: informing the development of the Newcastle ENDOPREM™

Neilson

Patterson

Wagner

et al. 2020

Frontline Gastroenterol

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BackgroundMeasuring patient experience is important for evaluating the quality of patient care, identifying aspects requiring improvement and optimising patient outcomes. Patient Reported Experience Measures (PREMs) should, ideally, be patient derived, however no such PREMs for gastrointestinal (GI) endoscopy exist. This study explored the experiences of patients undergoing GI endoscopy and CT colonography (CTC) in order to: identify aspects of care important to them; determine whether the same themes are relevant across investigative modalities; develop the framework for a GI endoscopy PREM.MethodsPatients aged ≥18 years who had undergone oesophagogastroduodenoscopy (OGD), colonoscopy or CTC for symptoms or surveillance (but not within the national bowel cancer screening programme) in one hospital were invited to participate in semi-structured interviews. Recruitment continued until data saturation. Inductive thematic analysis was undertaken.Results35 patients were interviewed (15 OGD, 10 colonoscopy, 10 CTC). Most patients described their experience chronologically, and five ‘procedural stages’ were evident: before attending for the test; preparing for the test; at the hospital, before the test; during the test; after the test. Six themes were identified: anxiety; expectations; choice & control; communication & information; comfort; embarrassment & dignity. These were present for all three procedures but not all procedure stages. Some themes were inter-related (eg, expectations & anxiety; communication & anxiety).ConclusionWe identified six key themes encapsulating patient experience of GI procedures and these themes were evident for all procedures and across multiple procedure stages. These findings will be used to inform the development of the Newcastle ENDOPREM™.

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“…Multiple studies have demonstrated that patient education resources are too difficult for approximately one-quarter of US adults to read and comprehend (Badarudeen and Sabharwal 2010 ; Mueller et al, 2010 ; Paasche-Orlow et al 2003 ). Because literacy difficulties are prevalent, many Institutional Review Boards recommend that language should be aimed at the 8th grade reading level (Badarudeen and Sabharwal 2010 ; Gargoum and O’Keeffe 2014 ; Simon et al 2012 ). The quantity and complexity of information included in a consent form for WES makes it challenging to meet the 8th grade reading level target (Badarudeen and Sabharwal 2010 ; Gargoum and O’Keeffe 2014 ; Paasche-Orlow et al 2003 ; Simon et al 2012 ).…”

Section: Introductionmentioning

confidence: 99%

Variation among Consent Forms for Clinical Whole Exome Sequencing

Fowler

Saunders

Hoffman

2017

Journal of Genetic Counseling

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The goal of this study was to explore variation among informed consent documents for clinical whole exome sequencing (WES) in order to identify the level of consistency with the recommendations from the American College of Medical Genetics and Genomics (ACMG) and the Presidential Commission for the Study of Bioethical Issues (Bioethics Commission) regarding informed consent for clinical WES. Recommendations were organized into a framework of key points for analysis. Content analysis was conducted on a sample of informed consent documents for clinical WES downloaded from 18 laboratory websites. We observed considerable variability in the content of informed consent documents among the sample of 18 laboratories. The mean Flesch-Kincaid Grade Level, a measure of readability, of the consent forms was 10.8, above the recommended 8th grade level. For each of the individual ACMG and Bioethics Commission recommendations, the frequency of inclusion ranged from 11% to 100%. For the overall list of 18 consent items, inclusion ranged from 11 to 17 items (Mean = 13.44, Mode = 14). This analysis will be useful to laboratories that wish to create informed consent documents that comply with these recommendations. The consistent use of standardized informed consent process could improve communication between clinicians and patients and increase understanding of genetic testing.

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Readability and content of patient information leaflets for endoscopic procedures

Cited by 19 publications

References 11 publications

Readability of endoscopy information leaflets: Implications for informed consent

Readability of endoscopy information leaflets: Implications for informed consent

Patient experience of gastrointestinal endoscopy: informing the development of the Newcastle ENDOPREM™

Variation among Consent Forms for Clinical Whole Exome Sequencing

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