East Lancashire Hospitals NHS Trust, Burnley, UK.
Faculty of Health, Psychology and Social Care, Manchester Metropolitan University, Manchester, UK.
Musculoskelet Sci Pract. 2022 Jun;59:102531. doi: 10.1016/j.msksp.2022.102531. Epub 2022 Feb 19.
Recovery following an upper arm break can be prolonged and cause loss of independence. Appropriate information provision to empower and enable active participation in rehabilitation is vital to achieve the best clinical outcomes.
To identify and analyse, through the lens of health literacy, publicly available information leaflets produced for patients following upper arm breaks in the United Kingdom National Health Service (NHS) to understand their fitness for purpose.
An electronic search of online search engines was undertaken using search terms to identify information leaflets for upper arm breaks. Relevant leaflets were retrieved and a thematic analysis was undertaken from a health literacy perspective. To complement this, each information leaflet was also formally assessed for readability.
Thirty-five information leaflets were analysed. Two main themes were generated: 'Empowerment' and 'Language Use', with subthemes of promoting recovery, readability and risk of misinterpretation. The information presented in these leaflets was often complicated and sometimes contradictory. Less than half (46%) of the information leaflets were presented at a level that would be understood by the general population.
Current information leaflets made available for patients following upper arm breaks are not fit for purpose and are written in a way that the general population would not readily understand. There is an urgent need to understand the information needs of patients and present such information in an accessible way to optimise clinical outcomes following upper arm breaks.
上臂骨折后的康复过程可能会延长,并导致患者丧失独立性。为了实现最佳的临床效果,为患者提供适当的信息,以增强他们的能力并使其能够积极参与康复至关重要。
通过健康素养的视角,识别和分析英国国民保健制度(NHS)为上臂骨折患者提供的、可公开获得的信息传单,以了解其是否符合目的。
使用搜索词在在线搜索引擎上进行电子搜索,以识别上臂骨折的信息传单。检索到相关的传单,并从健康素养的角度进行主题分析。为了补充这一点,还对每份信息传单进行了正式的可读性评估。
分析了 35 份信息传单。产生了两个主要主题:“赋权”和“语言使用”,并有促进康复、可读性和误解风险等子主题。这些传单中提供的信息往往很复杂,有时甚至相互矛盾。只有不到一半(46%)的信息传单是以大众能够理解的水平呈现的。
目前为上臂骨折患者提供的信息传单不符合目的,而且是以大众不容易理解的方式编写的。迫切需要了解患者的信息需求,并以易于理解的方式提供此类信息,以优化上臂骨折后的临床效果。