Abdominal imaging and patient education resources: enhancing the radiologist–patient relationship through improved communication

Hansberry, David R.; Ayyaswami, Varun; Sood, Anshum; Prabhu, Arpan V.; Agarwal, Nitin; Deshmukh, Sandeep

doi:10.1007/s00261-016-0977-3

Cited by 9 publications

(3 citation statements)

References 34 publications

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“…The AMA has promoted readability to make health-related educational materials accessible to patients (Weiss, 2007). In the context of both the numerous studies in the medical field that have demonstrated that Internet-based patient educational materials do not follow national readability recommendations (Bernard et al, 2018; Crihalmeanu, Prabhu, Hansberry, Agarwal, & Fine, 2018; Hansberry, Ayyaswami et al, 2017; Hansberry, D'Angelo, et al, 2018; Kher et al, 2017; Lee at al., 2019; Prabhu, Crihalmeanu, et al, 2017; Prabhu, Gupta, et al, 2016; Prabhu, Hansberry, et al, 2016; Prabhu, Kim, et al, 2017; Prabhu et al, 2018) and the promotion of educational materials that exceed readability recommendations by cardiovascular professional societies (Kapoor et al, 2017), the gap that we observed between the readability of online materials and patients' reading level has important implications for patients and health care delivery.…”

Section: Discussionmentioning

confidence: 99%

A Readability Analysis of Online Cardiovascular Disease-Related Health Education Materials

Ayyaswami¹,

Padmanabhan²,

Patel³

et al. 2019

HLRP: Health Literacy Research and Practice

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Background: Online cardiovascular health materials are easily accessible with an Internet connection, but the readability of its content may limit practical use by patients. Objective: The goal of our study was to assess the readability of the most commonly searched Internet health education materials for cardiovascular diseases accessed via Google. Methods: We selected 20 commonly searched cardiovascular disease terms: aneurysm, angina, atherosclerosis, cardiomyopathy, congenital heart disease, coronary artery disease, deep vein thrombosis, heart attack, heart failure, high blood pressure, pericardial disease, peripheral arterial disease, rheumatic heart disease, stroke, sudden death, valvular heart disease, mini-stroke, lower extremity edema, pulmonary embolism, and exertional dyspnea. Terms were selected on Google and selected up to 10 results in order of presentation in the search results by reviewing a maximum of 15 pages of Google search results specifically providing education toward patients to yield 196 total patient education articles. Key Results: All readability measures assessing grade level measures found the 196 articles were written at a mean 10.9 ( SD = 1.8) grade reading level. Moreover, 99.5% of the articles were written beyond the 5th- to 6th-grade level recommended by the American Medical Association. Conclusions: Given the prominent use of online patient education material, we consider readability as a quality metric that should be evaluated prior to online publication of any health education materials. Further study of how to improve the readability of online materials may enhance patient education, engagement, and health outcomes. [ HLRP: Health Literacy Research and Practice . 2019;3(2):e74–e80.] Plain Language Summary: Patients often use Google as a tool for understanding their medical conditions. This study examined the readability of articles accessed via Google for commonly searched cardiovascular diseases and found all articles were written above reading grade levels appropriate for patients. We hope this study will promote the importance of ensuring that online patient education articles are written at appropriate reading levels.

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Section: Discussionmentioning

confidence: 99%

A Readability Analysis of Online Cardiovascular Disease-Related Health Education Materials

Ayyaswami¹,

Padmanabhan²,

Patel³

et al. 2019

HLRP: Health Literacy Research and Practice

Self Cite

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“…The use of PRWs by patients should encourage ROs to increase and improve their online presence [ 10 ]. Through blogs or personal webpages, ROs and other physicians can also adapt appropriate education materials to encourage patient engagement [ 24 - 28 ]. There are also greater opportunities for ROs to engage with the public through social media such as Twitter [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

How Do Patients Rate Their Radiation Oncologists in the Modern Era: An Analysis of Vitals.com

Randhawa

Viqar

Strother

et al. 2018

Cureus

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IntroductionThe popularity of online physician rating websites has risen substantially. These third-party sites have the potential to significantly influence patients’ perception of their healthcare providers. The purpose of this study was to evaluate online ratings of U.S. radiation oncologists (ROs) on Vitals.com, one of the most popular physician rating websites, and the variables that most significantly affect patients’ overall rating (OR) of their ROs. MethodsThe Centers for Medicare and Medicaid Physician Comparable Downloadable File was analyzed to obtain data on all self-identified ROs in the U.S. and Puerto Rico. Patient Review Satisfaction Scores (PRSS) that ranged from one (poor) to five (excellent) for the following variables were recorded: OR, accurate diagnosis, spending appropriate time with patients, ease of appointment, courteous staff, bedside manner, follow-up after visit, promptness, and wait time. Associations among these factors were assessed. ResultsOf 4,443 self-identifying Medicare-accepting ROs, 1,797 (40.4%) ROs who had at least one OR rating and at least one written comment were included in this study. The ROs’ mean OR was 4.34 ± 0.2 (median 4; 30% received a score of 5; 78% received a score greater than 4). OR was found to have a strong correlation with accuracy of diagnosis (r = 0.69), bedside manner (r = 0.71), and spends appropriate time with patients (r = 0.69). With the exception of the number of ratings (p = 0.07), physicians with over 10 years of experience showed statistically significant differences in how much better they scored in each of the variables compared to those with less than 10 years of experience (p < 0.01 for each characteristic). Significant differences in OR were also observed between ROs whose wait times exceeded 20 minutes compared to those with wait times less than 10 minutes (p < 0.01) for all internal and external metrics except for the number of ratings (p = 0.42) and number of reviews (p = 0.88)ConclusionPatients are providing high ratings for their ROs on Vitals.com and are more frequently recommending them to friends and family. Given the rise in popularity of third-party physician rating sites, it is important for ROs to understand the various factors that may influence their online ratings.

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“…Patients increasingly seek information on the Internet about planned imaging examinations but may become misinformed if they choose websites whose information is incorrect (7,8). Development of web-based information by a nuclear medicine department may be one way to provide patients with accurate information tailored to their needs.…”

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confidence: 99%

Randomized Controlled Trial Examining Effects of Web-Based Information on Patient Satisfaction and Image Quality in ¹⁸F-FDG PET/CT Examinations

Andersson

Pulido

Åhlström

et al. 2018

J. Nucl. Med. Technol.

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The aim was to investigate the effect of web-based patient information on patients' satisfaction with care during an F-FDG PET/CT examination, their knowledge about the examination and the image quality, compared with standard care, and to explore the usage of and satisfaction with web-based information. One hundred-forty-eight patients were recruited between October 2015 and December 2016 and randomly assigned to Standard Care (SC) or an Intervention Group (IG). SC received information about the F-FDG PET/CT examination according to standard care and IG also received access to web-based information about the examination. A questionnaire was used to evaluate patient satisfaction, knowledge and discomfort and a blinded image quality assessment was conducted. The overall satisfaction was high in both IG and SC. The lowest satisfaction concerned the information about how the patients would receive the results about the PET/CT examination. More patients in IG than SC knew how the F-FDG PET/CT examination was conducted. Descriptive data suggest that image quality was slightly better in IG than SC, but there were no statistically significant differences between the groups regarding any of the outcomes. The recruitment encountered several obstacles leading to an insufficient power to detect differences. Also, only 54 of 75 patients (72%) in IG used the web-based information. However, those who used the web-based information were satisfied and found it helpful. Effects of web-based information need to be investigated in a larger sample of patients. Improved information before an F-FDG PET/CT examination may increase patient knowledge and help them to prepare and undergo the examination. It may also improve image quality. However, this needs to be investigated using image quality as the primary outcome. The results may be used to improve patient information and care and thereby optimise theF-FDG PET/CT examination procedure.

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Abdominal imaging and patient education resources: enhancing the radiologist–patient relationship through improved communication

Cited by 9 publications

References 34 publications

A Readability Analysis of Online Cardiovascular Disease-Related Health Education Materials

A Readability Analysis of Online Cardiovascular Disease-Related Health Education Materials

How Do Patients Rate Their Radiation Oncologists in the Modern Era: An Analysis of Vitals.com

Randomized Controlled Trial Examining Effects of Web-Based Information on Patient Satisfaction and Image Quality in ¹⁸F-FDG PET/CT Examinations

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Abdominal imaging and patient education resources: enhancing the radiologist–patient relationship through improved communication

Cited by 9 publications

References 34 publications

A Readability Analysis of Online Cardiovascular Disease-Related Health Education Materials

A Readability Analysis of Online Cardiovascular Disease-Related Health Education Materials

How Do Patients Rate Their Radiation Oncologists in the Modern Era: An Analysis of Vitals.com

Randomized Controlled Trial Examining Effects of Web-Based Information on Patient Satisfaction and Image Quality in 18F-FDG PET/CT Examinations

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Randomized Controlled Trial Examining Effects of Web-Based Information on Patient Satisfaction and Image Quality in ¹⁸F-FDG PET/CT Examinations