Moll J M, Wright V, Jeffrey M R, Goode J D, Humberstone P M
Ann Rheum Dis. 1977 Jun;36(3):225-31. doi: 10.1136/ard.36.3.225.
A sample of 50 consecutive patients with gout was tested by means of a multiple-choice knowledge-testing questionnaire based on the Arthritis and Rheumatism Council's Gout: A Handbook for Patients. Patients were divided into two groups: (a) those tested with an illustrated booklet containing 89 cartoons, and (b) those tested with an unillustrated booklet with text exactly the same as in the illustrated booklet. No significant difference was observed in either the overall test scores between the two groups or between individual question scores. It was concluded that increasing the number of illustrations in the Arthritis and Rheumatism Council's handbook on gout had not significantly increased the value of this material as a communication aid. Certain sources of error have been discussed including the possibility of an 'interest factor' due to the inevitable interest patients have in reading about their own disease, and also the possibility that technical factors to do with page layout and picture/text imbalance might be responsible for failing to show differences between the two groups.
采用一份基于关节炎与风湿病理事会的《痛风：患者手册》的多项选择题知识测试问卷，对连续选取的50例痛风患者样本进行了测试。患者被分为两组：(a) 接受一本包含89幅漫画的图文手册测试的患者，以及(b) 接受一本内容与图文手册完全相同但无插图的手册测试的患者。两组之间的总体测试分数或各个问题的分数均未观察到显著差异。得出的结论是，增加关节炎与风湿病理事会痛风手册中的插图数量，并未显著提高该材料作为沟通辅助工具的价值。文中讨论了某些误差来源，包括由于患者必然对阅读自身疾病相关内容感兴趣而产生的“兴趣因素”可能性，以及与页面布局和图片/文本失衡有关的技术因素可能导致未能显示两组之间差异的可能性。
