Patel Raumil V, Qeska Denis, Amadio Jennifer M, Bowers Nicolas, Ha Andrew C T, Wijeysundera Harindra C
Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Division of Cardiology, Department of Medicine, Schulich Heart Program, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
CJC Open. 2024 Nov 25;7(3):297-303. doi: 10.1016/j.cjco.2024.11.012. eCollection 2025 Mar.
Percutaneous coronary intervention (PCI) is the most common treatment for coronary artery disease revascularization. Many patients undergoing PCI may seek educational information online, but the reliability of such resources remains uncertain. This study seeks to assess the readability and understandability of online patient resources for PCI from Canadian hospital sources.
We performed a descriptive study evaluating online educational materials pertaining to PCI hosted by all Canadian hospitals that perform the procedure. The primary outcomes were readability, assessed using the Flesch-Kincaid Grade Level (FKGL) and Scolarius score, and understandability plus actionability, as assessed using the Patient Education Materials Assessment Tool (PEMAT). Educational clinical material is recommended to be written at an FKGL between 6 and 8. A score between 50 and 89 on the Scolarius tool suggests the text is readable by most adults, and a PEMAT score >70% corresponds to an understandable and actionable educational material.
A total of 29 Canadian hospitals performing PCI and hosting unique educational content were identified. Only 71% of PCI-capable hospitals provide relevant online educational resources to patients. The average FKGL of the analyzed content was 10 (range 5-18) and the average Scolarius score was 127.8 (range 79-173). The average total PEMAT print score was 46.1%, whereas the average total PEMAT audiovisual score was 71.8%.
Most of the educational material pertaining to PCI created by Canadian hospitals is in English and print format, and of poor readability, understandability, and actionability. Audiovisual materials perform better but are sparsely used.
经皮冠状动脉介入治疗（PCI）是冠心病血运重建最常见的治疗方法。许多接受PCI的患者可能会在网上寻求教育信息，但此类资源的可靠性仍不确定。本研究旨在评估加拿大医院提供的PCI在线患者资源的可读性和可理解性。
我们进行了一项描述性研究，评估了所有开展该手术的加拿大医院所提供的有关PCI的在线教育材料。主要结果包括可读性（使用弗莱什-金凯德年级水平（FKGL）和斯科拉里厄斯评分进行评估）以及可理解性和可操作性（使用患者教育材料评估工具（PEMAT）进行评估）。建议教育临床材料的FKGL在6至8之间。斯科拉里厄斯工具得分在50至89之间表明大多数成年人可读该文本，PEMAT得分>70%对应于一份可理解且可操作的教育材料。
共确定了29家开展PCI并拥有独特教育内容的加拿大医院。仅有71%具备PCI能力的医院为患者提供相关在线教育资源。分析内容的平均FKGL为10（范围5 - 18），平均斯科拉里厄斯评分为127.8（范围79 - 173）。PEMAT印刷材料的平均总得分是46.1%，而PEMAT视听材料的平均总得分是71.8%。
加拿大医院制作的大多数有关PCI的教育材料为英文且是印刷格式，可读性、可理解性和可操作性较差。视听材料表现较好，但使用较少。
