A critical review of the readability of online patient education resources from radiologyinfo.org

American Journal of Roentgenology

Volumn 202, Issue 3, 2014, Pages 566-575

  Hansberry, David R ^a   John, Ann ^a   John, Elizabeth ^b   Agarwal, Nitin ^a   Gonzales, Sharon F ^a   Baker, Stephen R ^a  

^a RUTGERS NEW JERSEY MEDICAL SCHOOL   (United States)

^b UNIVERSITY OF CENTRAL FLORIDA COLLEGE OF MEDICINE   (United States)

Author keywords

Internet; Patient education; Radiology; Readability

Indexed keywords

ARTICLE; COMPREHENSION; HEALTH LITERACY; HUMAN; INFORMATION DISSEMINATION; INTERNET; MEDICAL INFORMATION; MEDICAL LITERATURE; MEDICAL SOCIETY; ONLINE SYSTEM; PATIENT EDUCATION; PRIORITY JOURNAL; RADIOLOGY; READING; SCORING SYSTEM; VALIDATION PROCESS; WEB BROWSER;

COMPREHENSION; COMPUTER-ASSISTED INSTRUCTION; EDUCATIONAL MEASUREMENT; HEALTH LITERACY; INTERNET; ONLINE SYSTEMS; PATIENT EDUCATION AS TOPIC; RADIOLOGY;

EID: 84896719075     PISSN: 0361803X     EISSN: 15463141     Source Type: Journal    
DOI: 10.2214/AJR.13.11223     Document Type: Article

References (42)

1. Fox S. The social life of health information, 2011. Pew Research Center website. www.pewinternet.org/Reports/2011/Social-Life-of-Health-Info.aspx. Published May 12, 2011. Accessed November 14, 2013
2. Diaz JA, Griffith RA, Ng JJ, Reinert SE, Friedmann PD, Moulton AW. Patients' use of the internet for medical information. J Gen Intern Med 2002; 17:180-185 (Pubitemid 34603844)
3. Smart JM, Burling D. Radiology and the internet: a systematic review of patient information resources. Clin Radiol 2001; 56:867-870 (Pubitemid 35023823)
4. Internet & American Life Project. Demographics of internet users. Pew Research Center website. pewinternet.org/Trend-Data-(Adults)/Whos-Online.aspx. Published 2011. Accessed November 14, 2013
5. McMullan M. Patients using the Internet to obtain health information: how this affects the patient-health professional relationship. Patient Educ Couns 2006; 63:24-28 (Pubitemid 44331549)
6. Rice RE. Influences, usage, and outcomes of Internet health information searching: multivariate results from the Pew surveys. Int J Med Inform 2006; 75:8-28 (Pubitemid 43075559)
7. U.S. Department of Health and Human Services. America's health literacy: why we need accessible health information. U.S. Department of Health and Human Services website. www.health.gov/communication/literacy/issuebrief/ 2008IssueBrief.pdf. Published 2008. Accessed November 14, 2013
8. Lane P, Blanco M, Ford L, Smith Mirenda H. The health literacy style manual. Covering kids and families website. www.coveringkidsandfamilies.org/ resources/index-InfoCenterID=194.html. Published October 1, 2005. Accessed November 14, 2013
9. Kutner M, Greenberg E, Jin Y, Paulsen C. The health literacy of America's adults: results from the 2003 National Assessment of Adult Literacy (NCES 2006-483). Washington, DC: National Center for Education Statistics, 2006
10. Weis BD. Health literacy: a manual for clinicians. Chicago, IL: American Medical Association and American Medical Foundation, 2003
11. National Institutes of Health. How to write easy-to-read health materials. National Library of Medicine website. www.nlm.nih.gov/medlineplus/ etr.html. Accessed January 4, 2012
12. Eloy JA, Li S, Kasabwala K, et al. Readability assessment of patient education materials on major otolaryngology association websites. Otolaryngol Head Neck Surg 2012; 147:848-854
13. Kasabwala K, Agarwal N, Hansberry DR, Baredes S, Eloy JA. Readability assessment of patient education materials from the American Academy of Otolaryngology-Head and Neck Surgery Foundation. Otolaryngol Head Neck Surg 2012; 147:466-471
14. Kasabwala K, Misra P, Hansberry DR, et al. Readability assessment of the American Rhinologic Society patient education materials. Int Forum Allergy Rhinol 2013; 3:325-333
15. Misra P, Agarwal N, Kasabwala K, Hansberry DR, Setzen M, Eloy JA. Readability analysis of healthcare-oriented education resources from the American Academy of Facial Plastic and Reconstructive Surgery. Laryngoscope 2013; 123:90-96
16. Hansberry DR, Suresh R, Agarwal N, Heary RF, Goldstein IM. Quality assessment of online patient education resources for peripheral neuropathy. J Peripher Nerv Syst 2013; 18:44-47
17. Agarwal N, Hansberry DR, Sabourin V, Tomei KL, Prestigiacomo CJ. A comparative analysis of the quality of patient education materials from medical specialties. JAMA Intern Med 2013; 173:1257-1259
18. Hansberry DR, Agarwal N, Shah R, et al. Analysis of the readability of patient education materials from surgical subspecialties. Laryngoscope 2013 [Epub ahead of print]
19. Flesch R. A new readability yardstick. J Appl Psychol 1948; 32:221-233
20. Kincaid JP. Derivation of new readability formulas: (automated readability index, fog count and Flesch reading ease formula) for Navy enlisted personnel. Springfield, VA: National Technical Information Service, 1975
21. McLaughlin GH. SMOG grading: a new readability formula. J Read 1969; 12:639-646
22. Coleman M, Liau TL. A computer readability formula designed for machine scoring. J Appl Psychol 1975; 60:283-284
23. Gunning R. The technique of clear writing. New York, NY: McGraw-Hill, 1952
24. Chall JS. Readability revisited: the new Dale-Chall readability formula. Northampton, MA: Brookline Books Cambridge, 1995
25. Caylor JS, Sticht TG, Fox LC, Ford JP. Methodologies for determining reading requirements of military occupational specialties [Technical Report No. 73-5]. Alexandria, VA: Human Resources Research Organization, 1973
26. Fry E. A readability formula that saves time. J Read 1968; 11:513-578
27. Raygor AL. The Raygor readability estimate: a quick and easy way to determine difficulty. In: Pearson PD, ed. Reading: theory, research, and practice - 26th yearbook of the National Reading Conference. Clemson, SC: National Reading Conference, 1977
28. Walsh TM, Volsko TA. Readability assessment of internet-based consumer health information. Respir Care 2008; 53:1310-1315
29. Penson RT, Benson RC, Parles K, Chabner B, Lynch T Jr. Virtual connections: Internet health care. Oncologist 2002; 7:555-568 (Pubitemid 36009003)
30. Cherla DV, Sanghvi S, Choudhry OJ, Liu JK, Eloy JA. Readability assessment of internet-based patient education materials related to endoscopic sinus surgery. Laryngoscope 2012; 122:1649-1654
31. Colaco M, Svider PF, Agarwal N, Eloy JA, Jackson IM. Readability assessment of online urology patient education materials. J Urol 2013; 189:1048-1052
32. Misra P, Kasabwala K, Agarwal N, Eloy J, Liu J. Readability analysis of internet-based patient information regarding skull base tumors. J Neurooncol 2012; 109:573-580
33. Patel CR, Cherla DV, Sanghvi S, Baredes S, Eloy JA. Readability assessment of online thyroid surgery patient education materials. Head Neck 2013; 35:1421-1425
34. Sanghvi S, Cherla DV, Shukla PA, Eloy JA. Readability assessment of internet-based patient education materials related to facial fractures. Laryngoscope 2012; 122:1943-1948
35. Svider PF, Agarwal N, Choudhry OJ, et al. Readability assessment of online patient education materials from academic otolaryngology-head and neck surgery departments. Am J Otolaryngol 2013; 34:31-35
36. Kandula S, Zeng-Treitler Q. Creating a gold standard for the readability measurement of health texts. AMIA Annu Symp Proc 2008; Nov 6:353-357
37. Jackson RH, David TC, Bairnsfather LE, George RB, Crouch MA, Gault H. Patient reading ability: an overlooked problem in health care. South Med J 1991; 84:1172-1175
38. Martino A. Pointing the way: radiology-specific resources empower patients in the digital age. American College of Radiology website. www.acr. org/News-Publications/News/News-Articles/2013/ACR-Bulletin/2013-Pointing-the- Way. Published March 14, 2013. Accessed November 14, 2013
39. Doak CC, Doak LG, Root JH. Teaching patients with low literacy skills. Am J Nursing 1996; 96:16M
40. Osborne H. Overcoming communication barriers in patient education. New York, NY: Aspen Publishers, 2001
41. National Literacy and Health Program. Easy does it! Plain language and clear verbal communication training manual. Ottawa, ON: Canadian Public Health Association, 1998
42. U.S. Department of Health and Human Services. Simply put: a guide for creating easy-to-understand materials, 3rd ed. Atlanta, GA: Centers for Disease Control and Prevention, 2009