Reading Grade Level of Plan B Instructions and Patient Information Materials on Emergency Contraception

2011 ◽  
Vol 144 (3) ◽  
pp. 142-147
Author(s):  
Sarah Hocevar ◽  
Nesé Yuksel
Keyword(s):  
Patient Information ◽  
Grade Level ◽  
Emergency Contraception ◽  
Reading Grade Level ◽  
Plan B ◽  
Information Materials

scholarly journals Dupuytren's Contracture: The Readability of Online Information

2021 ◽  
Vol 8 ◽  
pp. 237437352110564
Author(s):  
Shayan Hosseinzadeh ◽  
Philip Blazar ◽  
Brandon E Earp ◽  
Dafang Zhang
Keyword(s):  
Patient Information ◽  
Grade Level ◽  
Sixth Grade ◽  
Reading Level ◽  
Dupuytren’S Contracture ◽  
Online Information ◽  
Flesch Reading Ease ◽  
Dupuytren's Contracture ◽  
Reading Grade Level ◽  
Grade Reading Level

Dupuytren's contracture is a common hand pathology for which consultation and treatment are largely at the patient's discretion. The objective of this study was to evaluate the readability of current online patient information regarding Dupuytren's contracture. The largest public search engines (Google, Yahoo, and Bing) were queried using the search terms “Dupuytren's contracture,” “Dupuytren's disease,” “Viking's disease,” and “bent finger.” The first 30 unique websites by each search were analyzed and readability assessed using five established algorithms: Flesch Reading Ease, Gunning-Fog Index, Flesch–Kincaid Grade level, Coleman–Liau index, and Simple Measure of Gobbledygook grade level. Analysis of 73 websites demonstrated an average Flesch Reading Ease score of 48.6 ± 8.0, which corresponds to college reading level. The readability of websites ranged from 10.5 to 13.3 reading grade level. No article was written at or below the recommended sixth grade reading level. Information on the internet on Dupuytren's contracture is written at higher than recommended reading grade level. There is a need for high-quality patient information on Dupuytren's contracture at appropriate reading grade levels for patients of various health literacy backgrounds. Hospitals, universities, and academic organizations focused on the development of readable online information should consider patients’ input and preferences.

scholarly journals An analysis of the readability of patient information materials for common urological conditions

2016 ◽  
Vol 10 (5-6) ◽  
pp. 167 ◽  
Author(s):  
Katie Dalziel ◽  
Michael J. Leveridge ◽  
Stephen S. Steele ◽  
Jason P. Izard
Keyword(s):  
Health Literacy ◽  
Patient Information ◽  
Grade Level ◽  
Important Determinant ◽  
Low Literacy ◽  
Flesch Reading Ease ◽  
Disease States ◽  
Ease Score ◽  
Information Materials ◽  
Improve Health

Introduction: Health literacy has been shown to be an important determinant of outcomes in numerous disease states. In an effort to improve health literacy, the Canadian Urological Association (CUA) publishes freely accessible patient information materials (PIMs) on common urological conditions. We sought to evaluate the readability of the CUA’s PIMs.Methods: All PIMs were accessed through the CUA website. The Flesch Reading Ease Score (FRES), the Flesch-Kincaid Grade Level (FKGL), and the number of educational graphics were determined for each PIM. Low FRES scores and high FKGL scores are associated with more difficult-to-read text. Average readability values were calculated for each PIM category based on the CUA-defined subject categorizes. The five pamphlets with the highest FKGL scores were revised using word substitutions for complex multisyllabic words and reanalyzed. The Kruskal-Wallis test was used to identify readability differences between PIM categories and paired t-tests were used to test differences between FKGL scores beforeand after revisions.Results: Across all PIMs, FRES values were low (mean 47.5, standard deviation [SD] 7.47). This corresponded to an average FKGL of 10.5 (range 8.1‒12.0). Among PIM categories, the infertility andsexual function PIMs exhibited the highest average FKGL (mean 11.6), however, differences in scores between categories were not statistically significant (p=0.38). The average number of words persentence was also highest in the infertility and sexual function PIMs and significantly higher than other categories (mean 17.2; p=0.01). On average, there were 1.4 graphics displayed per PIM (range 0‒4), which did not vary significantly by disease state (p=0.928). Simple words substitutions improved the readability of the five most difficult-to-read PIMs by an average of 3.1 grade points (p<0.01).Conclusions: Current patient information materials published by the CUA compare favourably to those produced by other organizations, but may be difficult to read for low-literacy patients. Readability levels must be balanced against the required informational needs of patients, which may be intrinsically complex.

How readable and reliable is online patient information on chronic rhinosinusitis?

2021 ◽  
pp. 1-4
Author(s):  
A Habeeb
Keyword(s):  
Chronic Rhinosinusitis ◽  
Patient Information ◽  
Grade Level ◽  
Information Quality ◽  
Reading Level ◽  
Improve Patient Compliance ◽  
Flesch Reading Ease ◽  
Ease Score ◽  
Improve Patient ◽  
Average Adult

Abstract Objective This study aimed to assess the quality and readability of websites on chronic rhinosinusitis. Methods A total of 180 results from 3 different search engines regarding ‘chronic rhinosinusitis’, ‘sinusitis’ and ‘sinus infections’ were analysed for readability using the Flesch–Kincaid Grade Level, Flesch Reading Ease Score and Gunning Fog Index. The Discern tool was used to approximate information quality. Results From 180 total searches, 69 unique websites were identified. These had an average Flesch–Kincaid Grade Level of 9.75 (95 per cent confidence interval = 9.12–10.4), a Flesch Reading Ease Score of 45.0 (41.0–49.0) and a Gunning Fog Index of 13.7 (12.9–14.4), which equates to the average reading level of a college or university student. Discern scores were variable but consistently showed good-quality information. Conclusion Chronic rhinosinusitis information is of a high quality but is for a reading level higher than that of the average adult. Standardising patient information should ensure adequate comprehension and improve patient compliance.

Reframing and Wisdom within Proverbs

2002 ◽  
Vol 22 (2) ◽  
pp. 117-162 ◽  
Author(s):  
Robert J. Tracy ◽  
Nicholas Greco ◽  
Erika Felix ◽  
Donald F. Kilburg
Keyword(s):  
College Students ◽  
Grade Level ◽  
The Other ◽  
Proactive Coping ◽  
Other Hand ◽  
Reading Grade Level ◽  
Thinking Strategies ◽  
Difficult Situations ◽  
Silver Lining

Many proverbs seem to convey wisdom because they help people to reframe life's predicaments. Positive reframes, such as Every cloud has a silver lining, often draw positive implications from adverse circumstances (cf. “positive reappraisals,” “gain frames”). In contrast, negative reframes, such as All that glitters is not gold, provide helpful warnings about difficult situations, and therefore encourage proactive coping (cf. “problem-focused coping”). This study examined the validity of the distinction between positive and negative reframes and whether the distinction applies to proverbs. Six judges categorized 199 proverbs as positive or negative reframes. Results showed that the positive reframes were rated by college students as more pleasant, conceptually simpler, and more familiar than the negative reframes. Further, proverbs that were composed by students were of higher quality when they were positive rather than negative reframes. On the other hand, positive and negative reframes occurred similarly often among the 199 proverbs, and did not differ consistently in rated truth, rated imagery arousal, or reading grade level. We concluded that many proverbs can be regarded as positive or negative reframes, which constitute basic thinking strategies that help people cope with life's challenges.

scholarly journals Poor Readability of AOSSM Patient Education Resources and Opportunities for Improvement

2018 ◽  
Vol 6 (11) ◽  
pp. 232596711880538 ◽  
Author(s):  
Rafael Kakazu ◽  
Adam Schumaier ◽  
Chelsea Minoughan ◽  
Brian Grawe
Keyword(s):  
Patient Education ◽  
Grade Level ◽  
Sports Medicine ◽  
Cross Sectional Study ◽  
Reading Level ◽  
Eighth Grade ◽  
Cross Sectional ◽  
Education Resources ◽  
Reading Grade Level ◽  
Readability Formula

Background: Appropriate education on the disease processes associated with orthopaedic pathology can affect patient expectations and functional outcome. Hypothesis: Patient education resources from the American Orthopaedic Society for Sports Medicine (AOSSM) are too complex for comprehension by the average orthopaedic patient. Study Design: Cross-sectional study. Methods: Patient education resources provided by the AOSSM were analyzed with software that provided 10 readability scores as well as opportunities for improving readability. The readability scores were compared with the recommended eighth-grade reading level. Results: A total of 39 patient education resources were identified and evaluated. The mean ± SD reading grade-level scores were as follows: Coleman-Liau Index, 12.5 ± 1.11; New Dale-Chall Readability Formula, 10.9 ± 1.37; Flesch-Kincaid Grade Level, 9.9 ± 1.06; FORCAST Readability Formula, 11.4 ± 0.51; Fry Readability Formula, 12.8 ± 2.79; Gunning Fog Index, 11.9 ± 1.37; Raygor Readability Index, 13.1 ± 2.37; Simple Measure of Gobbledygook, 12.3 ± 0.90; Automated Readability Index, 11.2 ± 1.18; and New Automated Readability Index, 10.6 ± 1.27. After averaging the reading grade-level scores, only 1 patient education resource was found to be written at an 8th- to 9th-grade level, and 14 (36%) were written above a 12th-grade level. All scores were significantly different from the eighth-grade level ( P < .0065). The percentage of complex words and long words were 19.6% ± 2.67% and 41.4% ± 3.18%, respectively. Conclusion: Patient education resources provided by the AOSSM are at a significantly higher reading level than recommended. Simple changes can drastically improve these scores to increase health literacy and possibly outcome.

scholarly journals A health literacy analysis of the consumer-oriented COVID-19 information produced by ten state health departments

2021 ◽  
Vol 109 (3) ◽  
Author(s):  
Nandita S. Mani ◽  
Terri Ottosen ◽  
Megan Fratta ◽  
Fei Yu
Keyword(s):  
Public Health ◽  
Health Literacy ◽  
Health Information ◽  
Grade Level ◽  
Assessment Tool ◽  
Health Departments ◽  
Eligibility Criteria ◽  
Public Health Departments ◽  
Material Type ◽  
Information Materials

Objective: The COVID-19 pandemic highlights the public’s need for quality health information that is understandable. This study aimed to identify (1) the extent to which COVID-19 messaging by state public health departments is understandable, actionable, and clear; (2) whether materials produced by public health departments are easily readable; (3) relationships between material type and understandability, actionability, clarity, and reading grade level; and (4) potential strategies to improve public health messaging around COVID-19. Methods: Based on US Centers for Disease Control and Prevention statistics from June 30, 2020, we identified the ten states with the most COVID-19 cases and selected forty-two materials (i.e., webpages, infographics, and videos) related to COVID-19 prevention according to predefined eligibility criteria. We applied three validated health literacy tools (i.e., Patient Education Materials Assessment Tool, CDC Clear Communication Index, and Flesch-Kincaid Grade Level) to assess material understandability, actionability, clarity, and readability. We also analyzed correlations between scores on the three health literacy tools and material types.Results: Overall, COVID-19 materials had high understandability and actionability but could be improved in terms of clarity and readability. Material type was significantly correlated with understandability, actionability, and clarity. Infographics and videos received higher scores on all tools.Conclusions: Based on our findings, we recommend public health entities apply a combination of these tools when developing health information materials to improve their understandability, actionability, and clarity. We also recommend using infographics and videos when possible, taking a human-centered approach to information design, and providing multiple modes and platforms for information delivery.

scholarly journals Readability of the American, Canadian, and British Otolaryngology–Head and Neck Surgery Societies’ Patient Materials

2021 ◽  
pp. 019459982110332
Author(s):  
Joo Hyun Kim ◽  
Elysia Grose ◽  
Justine Philteos ◽  
David Forner ◽  
Christopher W. Noel ◽  
...  
Keyword(s):  
Patient Education ◽  
Head And Neck ◽  
Grade Level ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Reading Level ◽  
Head And Neck Surgery ◽  
Cross Sectional ◽  
Patient Comprehension ◽  
Reading Grade Level

Objective Patient education materials across 3 national English otolaryngology–head and neck surgery (OHNS) societies: the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS), the Canadian Society of Otolaryngology–Head and Neck Surgery (CSOHNS), and Ear, Nose, and Throat United Kingdom (ENT UK) were examined to determine whether they are written at a level suitable for patient comprehension. Study Design Cross-sectional study. Setting Online patient materials presented through OHNS national societies. Methods Readability was calculated using the Flesch-Kincaid Grade Level, Flesch-Kincaid Reading Ease Score, and Simple Measure of Gobbledygook Index. All public patient education materials available through the CSOHNS, AAO-HNS, and ENT UK websites were assessed. Patient education materials were grouped into categories by subspecialty. Results In total, 128 patient materials from the 3 societies were included in the study. All 3 societies required a minimum grade 9 reading comprehension level to understand their online materials. According to Flesch-Kincaid Grade Level, the CSOHNS required a significantly higher reading grade level to comprehend the materials presented when compared to AAO-HNS (11.3 vs 9.9; 95% CI, 0.5-2.4; P < .01) and ENT UK (11.3 vs 9.4; 95% CI, 0.9-2.9; P < .01). Patient education materials related to rhinology were the least readable among all 3 societies. Conclusion This study suggests that the reading level of the current patient materials presented through 3 national OHNS societies are written at a level that exceeds current recommendations. Promisingly, it highlights an improvement for the readability of patient materials presented through the AAO-HNS.

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