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新西兰早产儿视网膜病变的书面信息:识别、审查和改进机会。

Written information about retinopathy of prematurity in Aotearoa New Zealand: identification, review and opportunities for improvement.

机构信息

He Rau Kawakawa (School of Pharmacy), University of Otago, Dunedin, Aotearoa New Zealand.

出版信息

N Z Med J. 2024 Jul 5;137(1598):33-43. doi: 10.26635/6965.6486.

Abstract

AIMS

The aims of this research include adapting a patient information tool for whānau (extended family) Māori needs, identifying and reviewing written information provided for the retinopathy of prematurity eye examination (ROPEE) and identifying improvements to ROPEE written information.

METHODS

ROPEE patient information (printed leaflets, website, app) was obtained from all tertiary neonatal intensive care units in Aotearoa New Zealand (Aotearoa). Information was reviewed using an adapted "20 good-design principles" guide and given a star rating and Flesch-Kincaid readability score to identify acceptability and usability for patients.

RESULTS

Seven ROPEE information materials were reviewed and varied in alignment with the adapted good-design principles tool. Based on the adapted good-design principles, opportunities were identified in many aspects of the written information for improvement, including words and language, tone and meaning, content and design. The Flesch-Kincaid grade level reading scores ranged from 12-22 years reading age. Written information also did not use te reo Māori (Aotearoa Indigenous language) or extensively use Māori imagery.

CONCLUSION

Opportunities exist to improve ROPEE whānau information, including making content more readable, understandable and visually appealing. Optimising the clinical information on ROPEE nationally for Aotearoa will support whānau decision making, and aligning written information with Māori (Indigenous peoples of Aotearoa) is a priority.

摘要

目的

本研究旨在满足毛利族大家庭(whānau)的需求,对患者信息工具进行改编,确定并审查早产儿视网膜病变(ROP)检查(ROPEE)所提供的书面信息,并确定改进 ROPEE 书面信息的方法。

方法

从新西兰奥克兰(Aotearoa)所有三级新生儿重症监护病房(neonatal intensive care unit)获取 ROPEE 患者信息(印刷传单、网站、应用程序)。使用改编后的“20 条良好设计原则”指南对信息进行审查,并对星级和 Flesch-Kincaid 可读性评分进行评分,以确定患者的可接受性和可用性。

结果

共审查了 7 种 ROPEE 信息材料,这些材料在与改编后的良好设计原则工具的一致性方面存在差异。根据改编后的良好设计原则,书面信息的许多方面都有改进的机会,包括用词、语气和含义、内容和设计。Flesch-Kincaid 阅读水平评分范围从 12 岁到 22 岁。书面信息也未使用毛利语(Aotearoa 土著语言)或广泛使用毛利意象。

结论

有机会改进 ROPEE 家庭信息,包括使内容更具可读性、易懂性和视觉吸引力。优化全国范围内 ROPEE 的临床信息将支持家庭的决策制定,使书面信息与毛利人(Aotearoa 的土著民族)保持一致是当务之急。

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