Understandability, actionability, and readability of online patient education materials about diabetes mellitus
Understandability, actionability, and readability of online patient education materials about diabetes mellitus
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DOI：
10.1093/ajhp/zxy021
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发表时间：
2019-02-01
影响因子：
2.7
通讯作者：
Moser, Lynette
中科院分区：
文献类型：
--
作者：
Lipari, Melissa;Berlie, Helen;Moser, Lynette
目的.本研究的目的是评估在线糖尿病教育材料的可理解性、可操作性和可读性。这是一项描述性研究，通过在线搜索确定可打印的糖尿病教育材料。材料来自以下来源：材料经专家小组批准的国家组织，材料需经FDA批准的公司，以及具有跨专业咨询委员会批准材料的非营利组织。主题包括糖尿病的基本知识，低血糖，胰岛素和血糖目标。如果材料不可打印、包含活动链接、出版日期在2011年1月之前、长度超过2页或以儿科为重点，则将其排除。使用患者教育材料评估工具（PEMAT）评价患者教育材料的可理解性和可操作性。采用描述性统计和使用kappa统计的评定者间可靠性分析。使用Flesch-Kincaid等级水平和Gobbledygook简单测量（SMOG）公式评估可读性。计算Pearson相关系数，以评估阅读等级水平与PEMAT分数之间的关系。共确定了25个网站，其中5个符合纳入标准;纳入了13份患者教育材料，PEMAT评分显示其中4份符合可理解性标准，只有1份符合可操作性标准。PEMAT成绩与阅读成绩之间无相关性（Pearson相关系数=-0.30，p = 0.325）。大多数糖尿病患者的教育材料审查得分不佳使用PEMAT。糖尿病患者教育材料的未来发展应该以增加可理解性和可操作性为目标。
Purpose. The purpose of this study was to assess the understandability, actionability, and readability of online diabetes education materials.Summary. This was a descriptive study that identified printable diabetes education materials through an online search. Materials were included from the following sources: national organizations with materials approved by expert panels, corporations with materials subject to FDA approval, and not-for-profit organizations with inter-professional advisory boards to approve materials. Topics included were basic knowledge of diabetes, hypoglycemia, insulin, and blood sugar goals. Materials were excluded if they were non-printable, contained active links, had a publication date prior to January 2011, were greater than 2 pages in length, or were pediatric focused. Understandability and actionability of the patient education materials were evaluated using the Patient Education Materials Assessment Tool (PEMAT). Descriptive statistics and inter-rater reliability analysis using the kappa statistic were utilized. Readability was assessed using the Flesch-Kincaid Grade Level and Simple Measure of Gobbledygook (SMOG) formula. Pearson correlation coefficient was calculated to assess the relationship between reading grade level and PEMAT scores. In total, 25 websites were identified, 5 of which met the inclusion criteria; 13 patient education materials were included, PEMAT scoring revealed that 4 of these met the criteria for understandability and only 1 met the criteria for actionability. There was no correlation found between PEMAT scores and reading grade levels (Pearson correlation coefficient = -0.30, p = 0.325).Conclusion. The majority of diabetes patient education materials reviewed scored poorly using the PEMAT. Future development of diabetes patient education materials should be designed with the goal of increasing understandability and actionability.