Division of General Internal Medicine and Geriatrics, Department of Medicine, Feinberg School of Medicine at Northwestern University, Chicago 60611, USA.
Patient Educ Couns. 2012 Oct;89(1):7-14. doi: 10.1016/j.pec.2012.06.007. Epub 2012 Jul 4.
Evaluate the evidence regarding the relative effectiveness of multimedia and print as modes of dissemination for patient education materials; examine whether development of these materials addressed health literacy.
A structured literature review utilizing Medline, PsycInfo, and the Cumulative Index to the Nursing and Allied Health Literature (CINAHL), supplemented by reference mining.
Of 738 studies screened, 30 effectively compared multimedia and print materials. Studies offered 56 opportunities for assessing the effect of medium on various outcomes (e.g., knowledge). In 30 instances (54%), no difference was noted between multimedia and print in terms of patient outcomes. Multimedia led to better outcomes vs. print in 21 (38%) comparisons vs. 5 (9%) instances for print. Regarding material development, 12 studies (40%) assessed readability and 5 (17%) involved patients in tool development.
Multimedia appears to be a promising medium for patient education; however, the majority of studies found that print and multimedia performed equally well in practice. Few studies involved patients in material development, and less than half assessed the readability of materials.
Future research should focus on comparing message-equivalent tools and assessing their effect on behavioral outcomes. Material development should include explicit attention to readability and patient input.
评估多媒体和印刷品作为患者教育材料传播模式的相对有效性的证据；检查这些材料的开发是否解决了健康素养问题。
利用 Medline、PsycInfo 和 Cumulative Index to the Nursing and Allied Health Literature（CINAHL）进行结构化文献综述，并辅以参考文献挖掘。
在筛选出的 738 项研究中，有 30 项有效地比较了多媒体和印刷材料。这些研究为评估媒介对各种结果（如知识）的影响提供了 56 次机会。在 30 个实例（54%）中，多媒体和印刷品在患者结果方面没有差异。与印刷品相比，多媒体在 21 次（38%）比较中导致更好的结果，而在 5 次（9%）比较中导致印刷品更好的结果。关于材料开发，有 12 项研究（40%）评估了可读性，有 5 项研究（17%）让患者参与工具开发。
多媒体似乎是一种有前途的患者教育媒介；然而，大多数研究发现，在实践中，印刷品和多媒体的表现同样出色。很少有研究让患者参与材料开发，不到一半的研究评估了材料的可读性。
未来的研究应侧重于比较信息等效的工具，并评估它们对行为结果的影响。材料开发应明确关注可读性和患者投入。
