Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX.
Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Karnataka, India.
Am J Audiol. 2020 Sep 3;29(3):513-527. doi: 10.1044/2020_AJA-19-00040. Epub 2020 Jun 18.
Objectives The objective of this descriptive review was to determine the quality, readability, and suitability of ear and hearing health information and materials for patients and their significant others. Method A literature search was conducted between August 2018 and April 2019 in the databases CINAHL Complete, MEDLINE, and PsychInfo. Inclusion and exclusion criteria were used to shortlist studies. Data regarding quality, suitability, and readability were extracted from the included studies. Data were assessed qualitatively. Results There were 34 studies included in this review. Of those, eight examined quality, 33 assessed readability, and four investigated the suitability of materials. The range of materials assessed included diagnostic reports, patient education materials (PEMs), patient-reported outcome measures, and websites. Quality elements were examined in studies focusing on website information. Findings indicated that most websites were of poor quality. Suitability was examined in studies focusing on PEMs such as hearing aid user guides. Findings indicated that most of the existing materials were not suitable for the intended populations. The reading grade level of information across all four categories was found to be higher than the recommended fifth or sixth reading grade level for health-related materials. Revisions of some diagnostic reports and PEMs showed that improvements are possible. Conclusions This review suggests that ear- and hearing-related materials generally have lower quality and suitability with higher readability (more difficult to read). Development of materials that are suitable, of high quality, and at the appropriate readability levels is required to improve accessibility of ear- and hearing-related materials.
目的 本描述性综述的目的是确定针对患者及其重要他人的耳部和听力健康信息及材料的质量、可读性和适用性。
方法 于 2018 年 8 月至 2019 年 4 月在 CINAHL Complete、MEDLINE 和 PsychInfo 数据库中进行了文献检索。使用纳入和排除标准对研究进行了筛选。从纳入的研究中提取有关质量、适用性和可读性的数据。对数据进行定性评估。
结果 本综述共纳入 34 项研究。其中,8 项研究评估了质量,33 项研究评估了可读性,4 项研究调查了材料的适用性。评估的材料范围包括诊断报告、患者教育材料 (PEM)、患者报告结局测量和网站。专注于网站信息的研究中检查了质量要素。研究结果表明,大多数网站的质量较差。专注于听力辅助设备用户指南等 PEM 的研究中检查了适用性。研究结果表明,大多数现有的材料不适合目标人群。在所有四个类别中,信息的阅读水平都高于推荐的第五或第六级健康相关材料的阅读水平。一些诊断报告和 PEM 的修订表明,改进是可能的。
结论 本综述表明,耳部和听力相关的材料通常质量和适用性较低,而可读性较高(更难阅读)。需要开发适合、高质量且阅读水平适当的材料,以提高耳部和听力相关材料的可及性。