Galloway Gloria, Murphy Peggy, Chesson Andrew L, Martinez Karen
Children's Hospital, Ohio State University, Columbus, OH, USA.
J Neurosci Nurs. 2003 Jun;35(3):171-4. doi: 10.1097/01376517-200306000-00007.
The purpose of this study was to assess patient literacy and the readability of patient education brochures from the American Academy of Electrodiagnostic Medicine and Muscular Dystrophy Association. Materials with the appropriate readability and suitability are more likely to provide instruction patients will understand. The readability of the brochure was assessed with Grammatik (Fry, 1977), the literacy of the participants with the Rapid Estimate of Adult Literacy (REALM) in Medicine test, and the suitability of the brochure was tested with the Suitability Assessment of Materials measure (Doak, Doak, & Root, 1993). The average REALM score for participation in this study correlated with a reading level of 7th-8th grade. All six brochures were found to be too difficult for many patients. Readability levels in four of the brochures were at 11th- or 12th-grade levels, one at 9th grade, and one at 10th grade. Materials with readability levels for 9th grade or higher should be rewritten to be understandable by most Americans, or supplemental instruction should be given. Readability and suitability assessments should be made to determine whether educational materials are appropriate for patients.
本研究的目的是评估患者的读写能力以及美国电诊断医学学会和肌肉萎缩症协会患者教育手册的可读性。具有适当可读性和适用性的材料更有可能提供患者能够理解的指导。使用Grammatik（Fry，1977）评估手册的可读性，使用医学成人读写能力快速评估（REALM）测试参与者的读写能力，并使用材料适用性评估方法（Doak、Doak和Root，1993）测试手册的适用性。参与本研究的参与者的平均REALM分数与7至8年级的阅读水平相关。发现所有六份手册对许多患者来说都太难了。其中四份手册的可读性水平为11或12年级，一份为9年级，一份为10年级。可读性水平为9年级或更高的材料应进行改写，以便大多数美国人能够理解，或者应提供补充指导。应进行可读性和适用性评估，以确定教育材料是否适合患者。
