■该研究的目的是评估在线患者教育材料(PEM)对先天性手差异的可读性。
■在线排名前十,10种条件的英语PEM(多指,齐体,触发手指/拇指,clindactyly,Camptodactyly,合音尖顶,拇指发育不全,放射状发育不良,还原缺陷,和羊膜带综合征)按来源和国家进行汇编和分类。使用5种工具评估可读性:Flesch阅读轻松评分(FRES),Flesch-Kincaid等级(FKGL),GunningFogIndex(GFI),科尔曼-廖氏指数(CLI),和简单测量的步声指数(SMOG)。为了说明上述公式中每个条件名称的潜在影响,在用单音节单词替换名称后,重复了分析。
■100个PEM的平均可读性评分为FRES56.3,其中目标≥80,FKGL8.8,GFI11.5,CLI10.9和SMOG8.6,中位数评分为9.8,其中目标评分≤6.9。调整后,所有可读性评分均显著改善(P<.001)。调整后评分为FRES63.8,FKGL7.8,GFI10.7,CLI9.1和SMOG8.0,中位评分为8.6。使用所有工具,只有1个网页达到了目标水平。发表国(美国和英国)的双样本t检验表明,使用预调整CLI(P=.009)和中位数等级指标(P=.048),来自英国的PEM更易于阅读。单因素方差分析显示,条件或来源对可读性没有影响。
■大多数针对先天性手差异的在线PEM的书写水平都高于六年级的推荐阅读水平,即使是根据条件名称的影响进行了调整。
UNASSIGNED: The aim of the study is to assess the readability of online patient education materials (PEMs) for congenital hand differences.
UNASSIGNED: The top 10 online, English-language PEMs for 10 conditions (polydactyly, syndactyly, trigger finger/thumb, clinodactyly, camptodactyly, symbrachydactyly, thumb hypoplasia, radial dysplasia, reduction defect, and amniotic band syndrome) were compiled and categorized by source and country. Readability was assessed using 5 tools: Flesch Reading Ease Score (FRES), Flesch-Kincaid Grade Level (FKGL), Gunning Fog Index (GFI), Coleman-Liau Index (CLI), and Simple Measure of Gobbledygook Index (SMOG). To account for the potential effect of each condition\'s name in the aforementioned formulas, the analysis was repeated after replacing the name with a monosyllabic word/s.
UNASSIGNED: The mean readability scores of the 100 PEMs were FRES 56.3, where the target was ≥80, FKGL 8.8, GFI 11.5, CLI 10.9, and SMOG 8.6, and the median grade score was 9.8, where the target grade was ≤6.9. Following adjustment, all readability scores improved significantly (P < .001). Postadjustment scores were FRES 63.8, FKGL 7.8, GFI 10.7, CLI 9.1, and SMOG 8.0, and the median grade score was 8.6. Only 1 webpage met the target level using all tools. Two-sample t test for country of publication (the United States and the United Kingdom) demonstrated that PEMs originating from the United Kingdom were easier to read using the preadjustment CLI (P = .009) and median grade metrics (P = .048). A 1-way analysis of variance revealed no influence of condition or source on readability.
UNASSIGNED: Most online PEMs for congenital hand differences are written above the recommended reading level of sixth grade, even when adjusted for the effect of the condition\'s name.