Abstract：
OBJECTIVE: Maxillomandibular advancement (MMA) is an effective surgical option for patients suffering from obstructive sleep apnea (OSA). As a relatively new treatment option, patients may turn to the Internet to learn more. However, online patient education materials (OPEMs) on MMA may be written at a higher literacy level than recommended for patients. The aim of this study was to analyze the readability of OPEMs on MMA.
METHODS: A Google search of \"maxillomandibular advancement\" was performed, and the first 100 results were screened. Websites that met eligibility criteria were analyzed for their readability using the Automated Readability Index (ARI), Coleman-Liau Index (CLI), Flesch-Kincaid Grade Level (FKGL), Gunning Fog (GF), and Simple Measure of Gobbledygook (SMOG) and compared to the recommended sixth-grade reading level using one-tailed t tests. Readability scores were compared based on the type of website, including hospitals/universities or physician clinics, using ANOVA tests.
RESULTS: The mean (SD) for ARI, CLI, FKGL, GF, and SMOG was 11.91 (2.43), 13.42 (1.81), 11.91 (2.06), 14.32 (2.34), and 13.99 (1.56), respectively. All readability scores were significantly higher than a sixth-grade reading level (p < 0.001). After comparing readability scores between different website types (university/hospital, clinic, and other), there was no statistical difference found.
CONCLUSIONS: The available OPEMs on MMA surgery for OSA are above the recommended sixth-grade reading level. Identifying and reducing the gap between the reading levels of OPEMs and the reading level of the patient are needed to encourage a more active role, informed decisions, and better patient satisfaction.
METHODS: A Google search of \"maxillomandibular advancement\" was performed, and the first 100 results were screened. Websites that met eligibility criteria were analyzed for their readability using the Automated Readability Index (ARI), Coleman-Liau Index (CLI), Flesch-Kincaid Grade Level (FKGL), Gunning Fog (GF), and Simple Measure of Gobbledygook (SMOG) and compared to the recommended sixth-grade reading level using one-tailed t tests. Readability scores were compared based on the type of website, including hospitals/universities or physician clinics, using ANOVA tests.
RESULTS: The mean (SD) for ARI, CLI, FKGL, GF, and SMOG was 11.91 (2.43), 13.42 (1.81), 11.91 (2.06), 14.32 (2.34), and 13.99 (1.56), respectively. All readability scores were significantly higher than a sixth-grade reading level (p < 0.001). After comparing readability scores between different website types (university/hospital, clinic, and other), there was no statistical difference found.
CONCLUSIONS: The available OPEMs on MMA surgery for OSA are above the recommended sixth-grade reading level. Identifying and reducing the gap between the reading levels of OPEMs and the reading level of the patient are needed to encourage a more active role, informed decisions, and better patient satisfaction.
摘要：
目的：上颌下颌前移术（MMA）是阻塞性睡眠呼吸暂停（OSA）患者的有效手术选择。作为一种相对较新的治疗选择，患者可能会转向互联网了解更多。然而,有关MMA的在线患者教育材料(OPEM)的阅读水平可能高于患者推荐的水平.这项研究的目的是分析OPEM对MMA的可读性。
方法：谷歌搜索“上颌下颌前移”，并筛选了前100个结果。使用自动可读性指数(ARI)分析符合资格标准的网站的可读性，科尔曼-廖氏指数(CLI)，Flesch-Kincaid等级(FKGL),GunningFog(GF),和Gobbledygook的简单测量（SMOG），并使用单尾t检验与推荐的六年级阅读水平进行比较。根据网站类型比较可读性得分，包括医院/大学或医师诊所，使用方差分析测试。
结果：ARI的平均值（SD），CLI,FKGL,GF,SMOG为11.91（2.43），13.42(1.81),11.91(2.06),14.32(2.34),和13.99（1.56），分别。所有可读性得分均显着高于六年级阅读水平（p<0.001）。在比较不同网站类型(大学/医院，诊所,和其他)，没有发现统计学差异。
结论：OSAMMA手术的可用OPEM高于推荐的六年级阅读水平。需要识别和减少OPEM的阅读水平与患者的阅读水平之间的差距，以鼓励更积极的角色，明智的决定，更好的患者满意度。
方法：谷歌搜索“上颌下颌前移”，并筛选了前100个结果。使用自动可读性指数(ARI)分析符合资格标准的网站的可读性，科尔曼-廖氏指数(CLI)，Flesch-Kincaid等级(FKGL),GunningFog(GF),和Gobbledygook的简单测量（SMOG），并使用单尾t检验与推荐的六年级阅读水平进行比较。根据网站类型比较可读性得分，包括医院/大学或医师诊所，使用方差分析测试。
结果：ARI的平均值（SD），CLI,FKGL,GF,SMOG为11.91（2.43），13.42(1.81),11.91(2.06),14.32(2.34),和13.99（1.56），分别。所有可读性得分均显着高于六年级阅读水平（p<0.001）。在比较不同网站类型(大学/医院，诊所,和其他)，没有发现统计学差异。
结论：OSAMMA手术的可用OPEM高于推荐的六年级阅读水平。需要识别和减少OPEM的阅读水平与患者的阅读水平之间的差距，以鼓励更积极的角色，明智的决定，更好的患者满意度。
