Rainbow Babies and Children's Hospital.
MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH.
J Pediatr Orthop. 2023 Aug 1;43(7):e591-e599. doi: 10.1097/BPO.0000000000002402. Epub 2023 Mar 30.
As most patients and their families utilize online education materials, ensuring that their readability is at or below the recommended reading level of sixth grade is imperative to enhance informed consent, patient involvement, and shared decision-making. We evaluated and compared the readability of online patient education materials (PEMs) about pediatric orthopaedics for academic-sponsored websites and search-engine result websites.
Following the PRISMA-P guidelines, we performed a systematic review to answer our study question (PROSPERO registration of the study protocol: CRD42022352323, August 8, 2022). PubMed, EBSCOhost, Medline, and Google Scholar electronic databases were utilized to identify all studies evaluating the readability of pediatric orthopaedic online PEMs between January 1, 2000 and September 9, 2022. We included studies with full-text manuscripts in English addressing the readability of pediatric orthopaedic online patient education materials. We excluded general reviews, papers, case reports, duplicate studies between databases, grey literature, and publications in languages other than English. The quality of included studies was assessed using the Joanna Briggs Institute (JBI) tool for cross-sectional studies.
Our initial search yielded 196 candidate publications. Of these, 11 studies met inclusion criteria. These included a total of 893 PEMs assessed for readability between January 2001 to December 2021. The mean JBI score was 7.3±1.1. Each of the seven studies assessing PEMs from academic-sponsored sources reported mean readability scores of at least an eighth-grade level. Among the 5 studies assessing the readability of PEMs accessed through search engines, 3 studies reported ninth-grade reading level whereas the other 2 reported 10th-grade. Academic and search-engine website readability scores remained constant between 2001 and 2021.
Our analysis showed poor readability scores for both academic-sponsored website PEMs and those accessed through search engines. In addition, the readability scores remained constant between 2001 and 2021, indicating that revisions to orthopaedic online PEMs are needed. Supplementation with visuals should be included to educate patients with lower health literacy.
III.
由于大多数患者及其家属会利用在线教育材料，因此确保其可读性达到或低于六年级的推荐阅读水平至关重要，这有助于增强知情同意、患者参与度和共同决策。我们评估和比较了学术赞助网站和搜索引擎结果网站上有关小儿矫形的在线患者教育材料（PEM）的可读性。
根据 PRISMA-P 指南，我们进行了系统评价以回答我们的研究问题（研究方案的 PROSPERO 注册：CRD42022352323，2022 年 8 月 8 日）。我们利用 PubMed、EBSCOhost、Medline 和 Google Scholar 电子数据库，检索 2000 年 1 月 1 日至 2022 年 9 月 9 日期间评估小儿矫形在线 PEM 可读性的所有研究。我们纳入了全文以英文发表的研究，内容涉及小儿矫形在线患者教育材料的可读性。我们排除了一般综述、论文、病例报告、数据库之间的重复研究、灰色文献和非英文出版物。使用 Joanna Briggs 研究所（JBI）的横断面研究工具评估纳入研究的质量。
我们最初的搜索产生了 196 篇候选出版物。其中，11 项研究符合纳入标准。这些研究共评估了 2001 年 1 月至 2021 年 12 月期间的 893 份 PEM 的可读性。JBI 平均得分为 7.3±1.1。7 项评估学术赞助来源 PEM 的研究中有 6 项报告了至少八年级水平的平均可读性得分。在评估通过搜索引擎访问的 PEM 可读性的 5 项研究中，有 3 项报告了 9 年级阅读水平，而另外 2 项报告了 10 年级。学术和搜索引擎网站的可读性评分在 2001 年至 2021 年间保持不变。
我们的分析表明，学术赞助网站的 PEM 和通过搜索引擎访问的 PEM 的可读性评分都较差。此外，2001 年至 2021 年间可读性评分保持不变，这表明需要对矫形科在线 PEM 进行修订。应补充视觉效果以教育文化程度较低的患者。
III。
