Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy & Health Sciences, Wayne State University, Ascension St. John Hospital, Detroit.
Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy & Health Sciences, Wayne State University Health Centers Medical Detroit, Detroit.
Am J Health Syst Pharm. 2019 Jan 25;76(3):182-186. doi: 10.1093/ajhp/zxy021.
The purpose of this study was to assess the understandability, actionability, and readability of online diabetes education materials.
This was a descriptive study that identified printable diabetes education materials through an online search. Materials were included from the following sources: national organizations with materials approved by expert panels, corporations with materials subject to FDA approval, and not-for-profit organizations with inter-professional advisory boards to approve materials. Topics included were basic knowledge of diabetes, hypoglycemia, insulin, and blood sugar goals. Materials were excluded if they were non-printable, contained active links, had a publication date prior to January 2011, were greater than 2 pages in length, or were pediatric focused. Understandability and actionability of the patient education materials were evaluated using the Patient Education Materials Assessment Tool (PEMAT). Descriptive statistics and inter-rater reliability analysis using the kappa statistic were utilized. Readability was assessed using the Flesch-Kincaid Grade Level and Simple Measure of Gobbledygook (SMOG) formula. Pearson correlation coefficient was calculated to assess the relationship between reading grade level and PEMAT scores. In total, 25 websites were identified, 5 of which met the inclusion criteria; 13 patient education materials were included, PEMAT scoring revealed that 4 of these met the criteria for understandability and only 1 met the criteria for actionability. There was no correlation found between PEMAT scores and reading grade levels (Pearson correlation coefficient = -0.30, p = 0.325).
The majority of diabetes patient education materials reviewed scored poorly using the PEMAT. Future development of diabetes patient education materials should be designed with the goal of increasing understandability and actionability.
本研究旨在评估在线糖尿病教育材料的易懂性、可操作性和可读性。
这是一项描述性研究，通过在线搜索确定可打印的糖尿病教育材料。纳入的材料来自以下来源：有经专家小组批准的材料的国家组织、有经 FDA 批准的材料的公司，以及有跨专业咨询委员会批准材料的非营利组织。包括糖尿病基础知识、低血糖、胰岛素和血糖目标等主题。如果材料不可打印、包含活动链接、出版日期早于 2011 年 1 月、超过 2 页或针对儿科人群，则将其排除在外。使用患者教育材料评估工具（PEMAT）评估患者教育材料的易懂性和可操作性。使用 Kappa 统计量进行描述性统计和评分者间可靠性分析。使用 Flesch-Kincaid 年级水平和简单测谎评分（SMOG）公式评估可读性。计算 Pearson 相关系数以评估阅读水平与 PEMAT 评分之间的关系。总共确定了 25 个网站，其中 5 个符合纳入标准；纳入了 13 份患者教育材料，PEMAT 评分显示其中 4 份符合易懂性标准，只有 1 份符合可操作性标准。PEMAT 评分与阅读水平之间未发现相关性（Pearson 相关系数= -0.30，p = 0.325）。
评估的糖尿病患者教育材料中，大多数使用 PEMAT 评分较差。未来应设计糖尿病患者教育材料，以提高易懂性和可操作性为目标。
