Chu Michael W, Cook Julia A, Tholpady Sunil S, Schmalbach Cecelia E, Momeni Arash
*Division of Plastic and Reconstructive Surgery, Indiana University School of Medicine †Division of Plastic and Reconstructive Surgery, RL Roudebush Veterans Administration Medical Center ‡Department of Otolaryngology-Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, IN §Division of Plastic and Reconstructive Surgery, Stanford University, Stanford, CA.
J Craniofac Surg. 2017 May;28(3):759-763. doi: 10.1097/SCS.0000000000003435.
Patient education is essential in enhancing the physician-patient therapeutic alliance, patient satisfaction, and clinical outcomes. The American Medical Association and National Institute of Health recommend that information be written at a 6th-grade reading level, but online resources often exceed patient literacy. The purpose of this study is to assess readability of online material for facial plastics procedures presented on academic plastic surgery and otolaryngology websites.An Internet search was performed of all academic institutions that had both plastic surgery and otolaryngology training programs who offered patient information on facial plastic surgery procedures. National society websites for both plastic surgery and otolaryngology were also analyzed. All procedural information was compiled and readability analyses were performed. A 2-tailed Z-test was used to compare scores, and statistical significance was set at P < 0.05.Sixty-three programs were identified; 42 had educational material. The overall average readability for all information was at a 10th-grade reading level. The national plastic surgery website had a significantly higher word count and number of syllables per word compared to the national otolaryngology website (P < 0.001, P = 0.04).The complexity of written resources represents an obstacle to online patient education and efforts to improve readability could benefit patients seeking medical information online. Current online education materials are a potential hindrance to patient education, satisfaction, and decision making. Healthcare institutions should consider writing new materials with simpler language that would be accessible to patients.
患者教育对于加强医患治疗联盟、提高患者满意度及改善临床疗效至关重要。美国医学协会和美国国立卫生研究院建议,信息应以六年级阅读水平编写,但在线资源的难度往往超出患者的读写能力。本研究旨在评估学术整形外科和耳鼻喉科网站上有关面部整形手术的在线材料的可读性。
对所有设有整形外科和耳鼻喉科培训项目且提供面部整形手术患者信息的学术机构进行了互联网搜索。还分析了整形外科和耳鼻喉科的全国性学会网站。汇总所有手术信息并进行可读性分析。采用双侧Z检验比较得分,设定P<0.05为具有统计学意义。
共识别出63个项目;其中42个有教育材料。所有信息的总体平均可读性为十年级阅读水平。与全国耳鼻喉科网站相比,全国整形外科网站的字数和每个单词的音节数明显更多(P<0.001,P=0.04)。
书面资源的复杂性是在线患者教育的一个障碍,提高可读性的努力可能会使在线寻求医疗信息的患者受益。当前的在线教育材料可能会阻碍患者教育、满意度及决策。医疗机构应考虑用更简单的语言编写新材料,以便患者能够理解。