School of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Department of Dermatology, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Arch Dermatol Res. 2023 Sep;315(7):2175-2178. doi: 10.1007/s00403-023-02598-2. Epub 2023 Mar 14.
iPledge is a program meant to reduce the incidence of pregnancy in patients using isotretinoin, a teratogenic acne medication. Adherence to the iPledge program is essential in preventing pregnancy complications among isotretinoin users. We present an analysis of the readability of both English and Spanish patient education materials published by iPledge. Readability grade levels for twelve iPledge documents were compared using both Lexile and graph-based methods (English: Fry; Spanish: Gilliam-Peña-Mountain). In both English and Spanish, aggregate Lexile grade levels are written below the 6th grade level; however, approximately one-third of pages are written above the 6th grade level. Aggregate graph-based grade levels are written above the 6th grade level as well. This suggests that iPledge materials should be rewritten at a lower grade level. Doing so may allow more patients to understand and utilize the important information presented in iPledge.
iPledge 计划旨在降低使用异维 A 酸（一种致畸性痤疮药物）的患者的妊娠发生率。遵守 iPledge 计划对于预防异维 A 酸使用者的妊娠并发症至关重要。我们分析了 iPledge 发布的英文和西班牙文患者教育材料的可读性。使用 Lexile 和基于图形的方法（英文：Fry；西班牙文：Gilliam-Peña-Mountain）比较了 12 份 iPledge 文件的可读性等级。在英文和西班牙文中，Lexile 综合等级水平都低于 6 年级，但大约三分之一的页面高于 6 年级。基于图形的综合等级水平也高于 6 年级。这表明 iPledge 材料应该用更低的年级水平重写。这样做可能会让更多的患者理解和利用 iPledge 中提供的重要信息。
