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Comparison of neurological healthcare oriented educational resources for patients on the internet

机译:互联网上面向患者的神经保健医疗教育资源的比较

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The internet has become a major contributor to health literacy promotion. The average American reads at 7th-8th grade level and it is recommended to write patient education materials at or below 6th grade reading level. We tried to assess the level of literacy required to read and understand online patient education materials (OPEM) for neurological diseases from various internet resources. We then compared those to an assumed reference OPEM source, namely the patient education brochures from the American Academy of Neurology (AAN), the world's largest professional association of neurologists. Disease specific patient education brochures were downloaded from the AAN website. OPEM for these diseases were also accessed from other common online sources determined using a predefined criterion. All OPEM were converted to Microsoft Word (Microsoft Corp., Redmond, WA, USA) and their reading level was analyzed using Readability Studio Professional Edition version 2012.1 (Oleander Software, Vandalia, OH, USA). Descriptive analysis and analysis of variance were used to compare reading levels of OPEM from different resources. Medline Plus, Mayo clinic and Wikipedia qualified for OPEM analysis. All OPEM from these resources, including the AAN, were written above the recommended 6th grade reading level. They were also found to be "fairly difficult", "difficult" or "confusing" on the Flesch Reading Ease scale. AAN OPEM on average needed lower reading level, with Wikipedia OPEM being significantly (p < 0.01) more difficult to read compared to the other three resources. OPEM on neurological diseases are being written at a level of reading complexity higher than the average American and the recommended reading levels. This may be undermining the utility of these resources. (C) 2014 Elsevier Ltd. All rights reserved.
机译:互联网已成为促进健康素养的主要因素。美国人的平均阅读水平为7-8年级,建议编写6年级或以下水平的患者教育材料。我们试图评估从各种互联网资源中阅读和理解有关神经系统疾病的在线患者教育材料(OPEM)所需的识字水平。然后,我们将这些数据与假设的参考OPEM来源进行了比较,这些来源是来自美国神经病学会(AAN)的患者教育手册,该学会是世界上最大的神经病学家专业协会。从AAN网站下载了针对特定疾病的患者教育手册。还可以从其他使用预定标准确定的常见在线资源中访问这些疾病的OPEM。所有OPEM均转换为Microsoft Word(美国华盛顿州雷德蒙德的Microsoft Corp.),并使用Readability Studio Professional Edition 2012.1版(美国俄亥俄州凡达利亚的夹竹桃软件)对它们的阅读水平进行了分析。描述性分析和方差分析用于比较来自不同资源的OPEM的阅读水平。 Medline Plus,Mayo诊所和Wikipedia有资格进行OPEM分析。这些资源(包括AAN)中的所有OPEM均高于建议的6年级阅读水平。在Flesch Reading Ease量表中,还发现它们“相当困难”,“困难”或“令人困惑”。平均而言,AAN OPEM需要较低的阅读水平,而与其他三种资源相比,Wikipedia OPEM的阅读难度明显要大(p <0.01)。关于神经系统疾病的OPEM的阅读复杂度高于美国人的平均水平和建议的阅读水平。这可能会破坏这些资源的利用率。 (C)2014 Elsevier Ltd.保留所有权利。

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