Readability of Patient Education Materials in Hand Surgery and Health Literacy Best Practices for Improvement

Hadden, Kristie; Prince, Latrina Y.; Schnaekel, Asa; Couch, Cory G.; Stephenson, John M.; Wyrick, Theresa

doi:10.1016/j.jhsa.2016.05.006

Cited by 45 publications

(53 citation statements)

References 12 publications

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“…Yet, 81% of the patient education materials provided by the American Academy of Orthopaedic Surgeons (AAOS) had a readability score above the 8th grade level, which is the mean adult reading level in the USA [ 71 •, 72 – 75 ]. Other studies report similar readability of patient education materials across multiple surgical subspecialties including material provided by the American Society of Hand Surgery [ 76 – 78 ].…”

Section: Preoperative Educationmentioning

confidence: 92%

Preoperative Education for Hip and Knee Replacement: Never Stop Learning

Edwards

Mears

Barnes

2017

Curr Rev Musculoskelet Med

109

102

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Purpose of reviewParticipation in alternative payment models has focused efforts to improve outcomes and patient satisfaction while also lowering cost for elective hip and knee replacement. The purpose of this review is to determine if preoperative education classes for elective hip and knee replacement achieve these goals.Recent findingsRecent literature demonstrates that patients who attend education classes prior to surgery have decreased anxiety, better post-operative pain control, more realistic expectations of surgery, and a better understanding of their surgery. As a result, comprehensive clinical pathways incorporating a preoperative education program for elective hip and knee replacement lead to lower hospital length of stay, higher home discharge, lower readmission, and improved cost.SummaryIn summary, we report convincing evidence that preoperative education classes are an essential element to successful participation in alternative payment models such as the Bundle Payment Care Initiative.

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Section: Preoperative Educationmentioning

confidence: 92%

Preoperative Education for Hip and Knee Replacement: Never Stop Learning

Edwards

Mears

Barnes

2017

Curr Rev Musculoskelet Med

109

102

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“…4,5 In the past decade, the field of orthopedics has sought to remove the barriers that limited health literacy may impose on patients through interventions that act at multiple points throughout a patient's health care experience for a given condition. [6][7][8][9] Some of these have included modifying residency curriculums to enable residents to better identify patients with limited health literacy, whereas others have included communication skills workshops. One time point in this experience that has recently gained significant attention is the period before a patient ever sees the physician.…”

Section: Introductionmentioning

confidence: 99%

Kienböck Disease: Quality, Accuracy, and Readability of Online Information

Noback

Trofa

Dziesinski

et al. 2018

Hand (New York, N,Y.)

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Background: Patients with limited health literacy require online educational materials to be written below a sixth grade level for optimal understanding. We assessed the quality, accuracy, and readability of online materials for Kienböck disease (KD). Methods: “Kienbock’s Disease” and “Lunate Avacular Necrosis” were entered into 3 search engines. The first 25 Web sites from each search were collected. Quality was assessed via a custom grading rubric, accuracy by 2 residents and a fellow, and readability by Flesch-Kincaid grade level (FKGL) and New Dale-Chall test. Web sites were stratified according to the search term, FKGL, order of appearance, and authorship type. Results: A total of 38 unique Web sites were included, of which 22 were assigned to “KD” and 16 to “Lunate Avascular Necrosis.” The average quality score out of 30, accuracy score out of 12, and FKGL for all Web sites were 13.3 ± 7.3, 10.4 ± 1.9, and 10.5 ± 1.4, respectively. Web sites assigned to the term “Kienbock’s Disease” had a significantly higher FKGL. Web sites of higher FKGL had significantly worse accuracy scores. Order of appearance had no influence. Physician specialty societies (PSS) had a significantly lower FKGL than Web sites of other authorship types. Conclusions: Despite concerted efforts by national organizations, the readability of online patient materials is above the recommended level for KD. Patients with limited health literacy will be most affected by this reality. Until readability improves, patients should continue to consult their physicians when uncertain and prioritize Web sites that are easier to read and produced by PSS.

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“…Although there have been many earlier works on the readability of healthcare literature even within the field of HIV/AIDS (Adam et al, 2015;AlKhali, Shukk, Patel. Sanghvi, & Hubbi, 2015;Baccini, Iverson, & Caputi, 2010;Cheng & Dunn, 2015;Hadden et al, 2016) there is limited work within the context of Ghana. Except for an earlier work reported by Gyasi (2013), there has not been any.…”

Section: Introductionmentioning

confidence: 99%

Readability of HIV/AIDS Information Manuals in Ghana

Gyasi¹

2019

AFRREV IJAH: Int J. Art and Humanities

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This paper examined the readability of some medical information documents for HIV/AIDS patients in Ghana. The SMOG readability formula was used to determine the reading levels of the documents which were obtained through convenience sampling technique. One sample Ttest was used to determine whether there were statistically significant differences in the readability of the sampled HIV/AIDS literature compared to a standard 8th grade recommended for public documents. The bootstrapping technique was employed in this evaluation to ensure robust estimates of significant or p-value, standard errors and the confident intervals. The study revealed that the leaflets were generally difficult to comprehend when compared to the standard readability score of public reading materials. The study concluded that it is prudent such documents are written in plane language in order that the target readers would benefit from the information carried by these documents.

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Readability of Patient Education Materials in Hand Surgery and Health Literacy Best Practices for Improvement

Cited by 45 publications

References 12 publications

Preoperative Education for Hip and Knee Replacement: Never Stop Learning

Preoperative Education for Hip and Knee Replacement: Never Stop Learning

Kienböck Disease: Quality, Accuracy, and Readability of Online Information

Readability of HIV/AIDS Information Manuals in Ghana

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