Christopher Michel, Christopher Dijanic, George Abdelmalek, Suleiman Sudah, Daniel Kerrigan, George Gorgy, Praveen Yalamanchili
{"title":"来自顶级骨科学术机构的儿童脊柱疾病患者教育材料的可读性评估。","authors":"Christopher Michel, Christopher Dijanic, George Abdelmalek, Suleiman Sudah, Daniel Kerrigan, George Gorgy, Praveen Yalamanchili","doi":"10.1177/18632521231156435","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The Internet has become a popular source of health information for patients and their families. Healthcare experts recommend that the readability of online education materials be at or below a sixth grade reading level. This translates to a standardized Flesch Reading Ease Score between 81 and 90, which is equivalent to conversational English. However, previous studies have demonstrated that the readability of online education materials of various orthopedic topics is too advanced for the average patient. To date, the readability of online education materials for pediatric spinal conditions has not been analyzed. The objective of this study was to assess the readability of online educational materials of top pediatric orthopedic hospital websites for pediatric spinal conditions.</p><p><strong>Methods: </strong>Online patient education materials from the top 25 pediatric orthopedic institutions, as ranked by the U.S. News and World Report hospitals for pediatric orthopedics, were assessed utilizing multiple readability assessment metrics including Flesch-Kincaid, Flesch Reading Ease, Gunning Fog Index, and others. Correlations between academic institutional ranking, geographic location, and the use of concomitant multimedia modalities with Flesch-Kincaid scores were evaluated using a Spearman regression.</p><p><strong>Results: </strong>Only 32% (8 of 25) of top pediatric orthopedic hospitals provided online health information at or below a sixth grade reading level. The mean Flesch-Kincaid score was 9.3 ± 2.5, Flesch Reading Ease 48.3 ± 16.2, Gunning Fog Score 10.7 ± 3.0, Coleman-Liau Index 12.1 ± 2.8, Simple Measure of the Gobbledygook Index 11.7 ± 2.1, Automated Readability Index 9.0 ± 2.7, FORCAST 11.3 ± 1.2, and Dale-Chall Readability Index 6.7 ± 1.4. There was no significant correlation between institutional ranking, geographic location, or use of video material with Flesch-Kincaid scores (p = 0.1042, p = 0.7776, p = 0.3275, respectively).</p><p><strong>Conclusion: </strong>Online educational material for pediatric spinal conditions from top pediatric orthopedic institutional websites is associated with excessively complex language which may limit comprehension for the majority of the US population.</p><p><strong>Type of study/level of evidence: </strong>Economic and Decision Analysis/level III.</p>","PeriodicalId":56060,"journal":{"name":"Journal of Childrens Orthopaedics","volume":"17 3","pages":"284-290"},"PeriodicalIF":1.3000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/eb/1a/10.1177_18632521231156435.PMC10242376.pdf","citationCount":"1","resultStr":"{\"title\":\"Readability assessment of patient educational materials for pediatric spinal conditions from top academic orthopedic institutions.\",\"authors\":\"Christopher Michel, Christopher Dijanic, George Abdelmalek, Suleiman Sudah, Daniel Kerrigan, George Gorgy, Praveen Yalamanchili\",\"doi\":\"10.1177/18632521231156435\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The Internet has become a popular source of health information for patients and their families. Healthcare experts recommend that the readability of online education materials be at or below a sixth grade reading level. This translates to a standardized Flesch Reading Ease Score between 81 and 90, which is equivalent to conversational English. However, previous studies have demonstrated that the readability of online education materials of various orthopedic topics is too advanced for the average patient. To date, the readability of online education materials for pediatric spinal conditions has not been analyzed. 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The mean Flesch-Kincaid score was 9.3 ± 2.5, Flesch Reading Ease 48.3 ± 16.2, Gunning Fog Score 10.7 ± 3.0, Coleman-Liau Index 12.1 ± 2.8, Simple Measure of the Gobbledygook Index 11.7 ± 2.1, Automated Readability Index 9.0 ± 2.7, FORCAST 11.3 ± 1.2, and Dale-Chall Readability Index 6.7 ± 1.4. 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引用次数: 1
摘要
背景:互联网已成为患者及其家属获取健康信息的流行来源。医疗保健专家建议，在线教育材料的可读性应达到或低于六年级的阅读水平。这相当于标准化的Flesch阅读轻松得分在81到90之间，相当于会话英语。然而，以往的研究表明，各种骨科主题的在线教育材料的可读性对于普通患者来说过于先进。迄今为止，尚未对儿童脊柱疾病在线教育材料的可读性进行分析。本研究的目的是评估顶级儿科骨科医院网站的儿童脊柱疾病在线教育材料的可读性。方法:采用多种可读性评估指标，包括Flesch- kincaid、Flesch Reading Ease、Gunning Fog Index等，对美国新闻与世界报道医院儿科骨科排名前25位的儿科骨科机构的在线患者教育材料进行评估。使用Spearman回归评估学术机构排名、地理位置和使用伴随的多媒体模式与Flesch-Kincaid评分之间的相关性。结果:只有32%(25家中的8家)的顶级儿科骨科医院提供的在线健康信息达到或低于六年级阅读水平。平均Flesch- kincaid评分为9.3±2.5分，Flesch Reading Ease评分为48.3±16.2分，Gunning Fog评分为10.7±3.0分，Coleman-Liau评分为12.1±2.8分，Simple Measure of Gobbledygook评分为11.7±2.1分，Automated可读性指数为9.0±2.7分，forecast评分为11.3±1.2分，Dale-Chall可读性指数为6.7±1.4分。机构排名、地理位置或视频材料的使用与Flesch-Kincaid评分无显著相关(p = 0.1042, p = 0.7776, p = 0.3275)。结论:来自顶级儿科骨科机构网站的儿童脊柱疾病在线教育材料与过于复杂的语言相关，这可能限制大多数美国人口的理解。研究类型/证据水平:经济与决策分析/第三级。
Readability assessment of patient educational materials for pediatric spinal conditions from top academic orthopedic institutions.
Background: The Internet has become a popular source of health information for patients and their families. Healthcare experts recommend that the readability of online education materials be at or below a sixth grade reading level. This translates to a standardized Flesch Reading Ease Score between 81 and 90, which is equivalent to conversational English. However, previous studies have demonstrated that the readability of online education materials of various orthopedic topics is too advanced for the average patient. To date, the readability of online education materials for pediatric spinal conditions has not been analyzed. The objective of this study was to assess the readability of online educational materials of top pediatric orthopedic hospital websites for pediatric spinal conditions.
Methods: Online patient education materials from the top 25 pediatric orthopedic institutions, as ranked by the U.S. News and World Report hospitals for pediatric orthopedics, were assessed utilizing multiple readability assessment metrics including Flesch-Kincaid, Flesch Reading Ease, Gunning Fog Index, and others. Correlations between academic institutional ranking, geographic location, and the use of concomitant multimedia modalities with Flesch-Kincaid scores were evaluated using a Spearman regression.
Results: Only 32% (8 of 25) of top pediatric orthopedic hospitals provided online health information at or below a sixth grade reading level. The mean Flesch-Kincaid score was 9.3 ± 2.5, Flesch Reading Ease 48.3 ± 16.2, Gunning Fog Score 10.7 ± 3.0, Coleman-Liau Index 12.1 ± 2.8, Simple Measure of the Gobbledygook Index 11.7 ± 2.1, Automated Readability Index 9.0 ± 2.7, FORCAST 11.3 ± 1.2, and Dale-Chall Readability Index 6.7 ± 1.4. There was no significant correlation between institutional ranking, geographic location, or use of video material with Flesch-Kincaid scores (p = 0.1042, p = 0.7776, p = 0.3275, respectively).
Conclusion: Online educational material for pediatric spinal conditions from top pediatric orthopedic institutional websites is associated with excessively complex language which may limit comprehension for the majority of the US population.
Type of study/level of evidence: Economic and Decision Analysis/level III.
期刊介绍：
Aims & Scope
The Journal of Children’s Orthopaedics is the official journal of the European Paediatric Orthopaedic Society (EPOS) and is published by The British Editorial Society of Bone & Joint Surgery.
It provides a forum for the advancement of the knowledge and education in paediatric orthopaedics and traumatology across geographical borders. It advocates an increased worldwide involvement in preventing and treating musculoskeletal diseases in children and adolescents.
The journal publishes high quality, peer-reviewed articles that focus on clinical practice, diagnosis and treatment of disorders unique to paediatric orthopaedics, as well as on basic and applied research. It aims to help physicians stay abreast of the latest and ever-changing developments in the field of paediatric orthopaedics and traumatology.
The journal welcomes original contributions submitted exclusively for review to the journal. This continuously published online journal is fully open access and will publish one print issue each year to coincide with the EPOS Annual Congress, featuring the meeting’s abstracts.
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