Ryu Justine H, Yi Paul H
*Medical Student, Boston University School of Medicine, MA†Orthopaedic Resident, Department of Orthopaedic Surgery, University of California, San Francisco.
Spine (Phila Pa 1976). 2016 May;41(9):E561-5. doi: 10.1097/BRS.0000000000001321.
Cross-sectional analysis of online spine-related patient education materials from leading academic centers.
To assess the readability levels of spine surgery-related patient education materials available on the websites of academic orthopedic surgery departments.
The Internet is becoming an increasingly popular resource for patient education. Yet many previous studies have found that Internet-based orthopedic-related patient education materials from subspecialty societies are written at a level too difficult for the average American; however, no prior study has assessed the readability of spine surgery-related patient educational materials from leading academic centers.
All spine surgery-related articles from the online patient education libraries of the top five US News & World Report-ranked orthopedic institutions were assessed for readability using the Flesch-Kincaid (FK) readability test. Mean readability levels of articles amongst the five academic institutions and articles were compared. We also determined the number of articles with readability levels at or below the recommended sixth- or eight-grade levels. Intraobserver and interobserver reliability of readability assessment were assessed.
A total of 122 articles were reviewed. The mean overall FK grade level was 11.4; the difference in mean FK grade level between each department varied significantly (range, 9.3-13.4; P < 0.0001). Twenty-three articles (18.9%) had a readability level at or below the eighth grade level, and only one (0.8%) was at or below the sixth grade level. Intraobserver and interobserver reliability were both excellent (intraclass correlation coefficient of 1 for both).
Online patient education materials related to spine from academic orthopedic centers are written at a level too high for the average patient, consistent with spine surgery-related patient education materials provided by the American Academy of Orthopaedic Surgeons and spine subspecialty societies. This study highlights the potential difficulties patients might have in reading and comprehending the information in publicly available education materials related to spine.
N/A.
对来自顶尖学术中心的在线脊柱相关患者教育资料进行横断面分析。
评估骨科手术学术部门网站上脊柱手术相关患者教育资料的可读性水平。
互联网正日益成为患者教育的热门资源。然而,此前许多研究发现,专业学会提供的基于互联网的骨科相关患者教育资料的写作水平对于普通美国人来说太难;然而,此前尚无研究评估过顶尖学术中心的脊柱手术相关患者教育资料的可读性。
使用弗莱什-金凯德(FK)可读性测试对美国新闻与世界报道排名前五的骨科机构在线患者教育库中所有脊柱手术相关文章的可读性进行评估。比较了这五家学术机构文章的平均可读性水平以及不同文章之间的可读性水平。我们还确定了可读性水平在或低于推荐的六年级或八年级水平的文章数量。评估了可读性评估的观察者内和观察者间信度。
共审查了122篇文章。总体平均FK年级水平为11.4;各科室之间的平均FK年级水平差异显著(范围为9.3 - 13.4;P<0.0001)。23篇文章(18.9%)的可读性水平在或低于八年级水平,只有1篇(0.8%)在或低于六年级水平。观察者内和观察者间信度均极佳(组内相关系数均为1)。
骨科学术中心与脊柱相关的在线患者教育资料的写作水平对于普通患者来说过高,这与美国骨科医师学会和脊柱专业学会提供的脊柱手术相关患者教育资料情况一致。本研究凸显了患者在阅读和理解公开可得的脊柱相关教育资料中的信息时可能遇到的潜在困难。
无。