Readability assessment of online gynecologic oncology patient education materials from major governmental, non-profit and pharmaceutical organizations

David Samuel, Nicole Vilardo, Sara S. Isani, D. Y.S. Kuo, Gregory M. Gressel

Research output: Contribution to journalArticle

Abstract

Objective: Patients are increasingly using online materials to learn about gynecologic cancer. Providers can refer patients to online educational materials produced by a number of different major medical organizations and pharmacology companies. The National Institutes of Health (NIH) and the American Medical Association (AMA) recommend that patient educational materials (PEMs) are written between a sixth and eighth grade reading level. In this study, we assess the readability of online PEMs published by major medical organizations and industry partners. Methods: Websites from twelve websites providing educational materials for gynecologic oncology patients were surveyed. Online PEMs were identified and analyzed using seven validated readability indices. One-way ANOVA and Tukey's Honestly Significant Difference (HSD) post-hoc analysis were performed to detect differences in readability between publishers. Results: Two-hundred and sixty PEMs were included in this analysis. Overall, PEMs were written at a mean 11th ± 0.6 grade reading level. Only 6.5% of articles were written at the AMA/NIH recommended reading grade level of 6th to 8th grade or below. ANOVA demonstrated a significant difference in readability between publishing associations (p < 0.01). PEMs from the Centers for Disease Control had a mean 9th ± 1.2 grade reading level and were significantly lower than all other organizations. PEMs from The Foundation for Women's Cancer had a mean 13th ± 1.8 grade reading level and were significantly higher than most other organizations. PEMs from pharmaceutical companies (mean readability = 10.1 ± 1.1, N = 30) required the lowest reading grade level and were significantly more readable than those from governmental organizations (11.1 ± 1.7, p < 0.05) and nonprofit medical associations (12.4 ± 1.7, p < 0.01) in ANOVA and Tukey-Kramer post hoc analysis. Conclusions: Gynecologic oncology PEMs available from twelve major organization websites are written well above the recommended sixth to eighth grade reading difficulty level.

Original languageEnglish (US)
JournalGynecologic Oncology
DOIs
StatePublished - Jan 1 2019

Fingerprint

Nonprofit Organizations
Patient Education
Reading
Pharmaceutical Preparations
Organizations
Analysis of Variance
National Institutes of Health (U.S.)
American Medical Association
Centers for Disease Control and Prevention (U.S.)

Keywords

  • Disparities
  • Health literacy
  • Online health resources
  • Patient education
  • Readability

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynecology

Cite this

@article{b603be8af6874ed39f90a513bb5d0072,
title = "Readability assessment of online gynecologic oncology patient education materials from major governmental, non-profit and pharmaceutical organizations",
abstract = "Objective: Patients are increasingly using online materials to learn about gynecologic cancer. Providers can refer patients to online educational materials produced by a number of different major medical organizations and pharmacology companies. The National Institutes of Health (NIH) and the American Medical Association (AMA) recommend that patient educational materials (PEMs) are written between a sixth and eighth grade reading level. In this study, we assess the readability of online PEMs published by major medical organizations and industry partners. Methods: Websites from twelve websites providing educational materials for gynecologic oncology patients were surveyed. Online PEMs were identified and analyzed using seven validated readability indices. One-way ANOVA and Tukey's Honestly Significant Difference (HSD) post-hoc analysis were performed to detect differences in readability between publishers. Results: Two-hundred and sixty PEMs were included in this analysis. Overall, PEMs were written at a mean 11th ± 0.6 grade reading level. Only 6.5{\%} of articles were written at the AMA/NIH recommended reading grade level of 6th to 8th grade or below. ANOVA demonstrated a significant difference in readability between publishing associations (p < 0.01). PEMs from the Centers for Disease Control had a mean 9th ± 1.2 grade reading level and were significantly lower than all other organizations. PEMs from The Foundation for Women's Cancer had a mean 13th ± 1.8 grade reading level and were significantly higher than most other organizations. PEMs from pharmaceutical companies (mean readability = 10.1 ± 1.1, N = 30) required the lowest reading grade level and were significantly more readable than those from governmental organizations (11.1 ± 1.7, p < 0.05) and nonprofit medical associations (12.4 ± 1.7, p < 0.01) in ANOVA and Tukey-Kramer post hoc analysis. Conclusions: Gynecologic oncology PEMs available from twelve major organization websites are written well above the recommended sixth to eighth grade reading difficulty level.",
keywords = "Disparities, Health literacy, Online health resources, Patient education, Readability",
author = "David Samuel and Nicole Vilardo and Isani, {Sara S.} and Kuo, {D. Y.S.} and Gressel, {Gregory M.}",
year = "2019",
month = "1",
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doi = "10.1016/j.ygyno.2019.06.026",
language = "English (US)",
journal = "Gynecologic Oncology",
issn = "0090-8258",
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T1 - Readability assessment of online gynecologic oncology patient education materials from major governmental, non-profit and pharmaceutical organizations

AU - Samuel, David

AU - Vilardo, Nicole

AU - Isani, Sara S.

AU - Kuo, D. Y.S.

AU - Gressel, Gregory M.

PY - 2019/1/1

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N2 - Objective: Patients are increasingly using online materials to learn about gynecologic cancer. Providers can refer patients to online educational materials produced by a number of different major medical organizations and pharmacology companies. The National Institutes of Health (NIH) and the American Medical Association (AMA) recommend that patient educational materials (PEMs) are written between a sixth and eighth grade reading level. In this study, we assess the readability of online PEMs published by major medical organizations and industry partners. Methods: Websites from twelve websites providing educational materials for gynecologic oncology patients were surveyed. Online PEMs were identified and analyzed using seven validated readability indices. One-way ANOVA and Tukey's Honestly Significant Difference (HSD) post-hoc analysis were performed to detect differences in readability between publishers. Results: Two-hundred and sixty PEMs were included in this analysis. Overall, PEMs were written at a mean 11th ± 0.6 grade reading level. Only 6.5% of articles were written at the AMA/NIH recommended reading grade level of 6th to 8th grade or below. ANOVA demonstrated a significant difference in readability between publishing associations (p < 0.01). PEMs from the Centers for Disease Control had a mean 9th ± 1.2 grade reading level and were significantly lower than all other organizations. PEMs from The Foundation for Women's Cancer had a mean 13th ± 1.8 grade reading level and were significantly higher than most other organizations. PEMs from pharmaceutical companies (mean readability = 10.1 ± 1.1, N = 30) required the lowest reading grade level and were significantly more readable than those from governmental organizations (11.1 ± 1.7, p < 0.05) and nonprofit medical associations (12.4 ± 1.7, p < 0.01) in ANOVA and Tukey-Kramer post hoc analysis. Conclusions: Gynecologic oncology PEMs available from twelve major organization websites are written well above the recommended sixth to eighth grade reading difficulty level.

AB - Objective: Patients are increasingly using online materials to learn about gynecologic cancer. Providers can refer patients to online educational materials produced by a number of different major medical organizations and pharmacology companies. The National Institutes of Health (NIH) and the American Medical Association (AMA) recommend that patient educational materials (PEMs) are written between a sixth and eighth grade reading level. In this study, we assess the readability of online PEMs published by major medical organizations and industry partners. Methods: Websites from twelve websites providing educational materials for gynecologic oncology patients were surveyed. Online PEMs were identified and analyzed using seven validated readability indices. One-way ANOVA and Tukey's Honestly Significant Difference (HSD) post-hoc analysis were performed to detect differences in readability between publishers. Results: Two-hundred and sixty PEMs were included in this analysis. Overall, PEMs were written at a mean 11th ± 0.6 grade reading level. Only 6.5% of articles were written at the AMA/NIH recommended reading grade level of 6th to 8th grade or below. ANOVA demonstrated a significant difference in readability between publishing associations (p < 0.01). PEMs from the Centers for Disease Control had a mean 9th ± 1.2 grade reading level and were significantly lower than all other organizations. PEMs from The Foundation for Women's Cancer had a mean 13th ± 1.8 grade reading level and were significantly higher than most other organizations. PEMs from pharmaceutical companies (mean readability = 10.1 ± 1.1, N = 30) required the lowest reading grade level and were significantly more readable than those from governmental organizations (11.1 ± 1.7, p < 0.05) and nonprofit medical associations (12.4 ± 1.7, p < 0.01) in ANOVA and Tukey-Kramer post hoc analysis. Conclusions: Gynecologic oncology PEMs available from twelve major organization websites are written well above the recommended sixth to eighth grade reading difficulty level.

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KW - Patient education

KW - Readability

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