Wong Kevin, Gilad Amir, Cohen Michael B, Kirke Diana N, Jalisi Scharukh M
Department of Otolaryngology-Head and Neck Surgery, Boston University Medical Center, Boston, Massachusetts.
Division of Otolaryngology, Department of Surgery, Veterans' Affairs Boston Healthcare System, Boston, Massachusetts.
Head Neck. 2017 Nov;39(11):2256-2263. doi: 10.1002/hed.24891. Epub 2017 Aug 16.
The decision to undergo laryngectomy carries medical, social, and emotional consequences. This study evaluates the understandability and actionability of current laryngectomy information.
Laryngectomy-related educational materials from an online search were evaluated using the validated Patient Education Materials Assessment Tool (PEMAT). Reading difficulty was calculated using the Flesch-Kincaid Level, Flesch Reading Ease, Gunning-Fog Index (GFI), Coleman-Liau Index, Automated Readability Index, and Simple Measure of Gobbledygook (SMOG) score. Interrater agreement was assessed using Cohen's kappa. Pearson's correlation coefficient was used to determine the relationship among readability, understandability, and actionability.
Forty-four articles were included. Interrater agreement was substantial (κ = 0.71). Mean understandability was 68.3% ± 17% and mean actionability was 66.3% ± 24%. Average reading difficulty exceeded the ability of an average American adult. There was a negative correlation between readability and understandability (R = -0.49; P < .05).
Most laryngectomy information is too difficult for the average person to read, understand, or act upon. Revisions may be warranted to benefit a larger readership.
决定接受喉切除术会带来医学、社会和情感方面的后果。本研究评估了当前喉切除术信息的可理解性和可操作性。
使用经过验证的患者教育材料评估工具（PEMAT）对通过在线搜索获得的与喉切除术相关的教育材料进行评估。使用弗莱施 - 金凯德等级、弗莱施易读性、冈宁 - 福格指数（GFI）、科尔曼 - 廖指数、自动可读性指数和简单晦涩度量表（SMOG）分数来计算阅读难度。使用科恩kappa系数评估评分者间的一致性。使用皮尔逊相关系数来确定可读性、可理解性和可操作性之间的关系。
纳入了44篇文章。评分者间的一致性较高（κ = 0.71）。平均可理解性为68.3% ± 17%，平均可操作性为66.3% ± 24%。平均阅读难度超过了美国普通成年人的能力水平。可读性与可理解性之间存在负相关（R = -0.49；P < .05）。
大多数喉切除术信息对于普通人来说太难阅读、理解或采取行动。可能需要进行修订以惠及更多读者。
