Skip to main content
Top
Published in: CardioVascular and Interventional Radiology 4/2014

01-08-2014 | Laboratory Investigation

Health Literacy in Vascular and Interventional Radiology: A Comparative Analysis of Online Patient Education Resources

Authors: David R. Hansberry, Carl Kraus, Nitin Agarwal, Stephen R. Baker, Sharon F. Gonzales

Published in: CardioVascular and Interventional Radiology | Issue 4/2014

Login to get access

Abstract

Purpose

The Internet is frequently accessed by patients as a resource for medical knowledge. However, the provided material is typically written at a level well above the recommended 7th grade level. A clear understanding of the capabilities, limitations, risks, and benefits of interventional radiology by patients, both current and prospective, is hindered when the textual information offered to the public is pitched at a level of sophistication too high for general comprehension.

Methods

In January 2013, all 25 patient education resources from the Cardiovascular and Interventional Radiology Society of Europe (CIRSE) Web site (http://​www.​cirse.​org) and all 31 resources from the Society of Interventional Radiology (SIR) Web site (http://​www.​sirweb.​org) were analyzed for their specific level of readability using ten quantitative scales: Flesch Reading Ease, Flesch–Kincaid Grade Level, Simple Measure of Gobbledygook, Gunning fog index, New Fog Count, Coleman–Liau index, FORCAST formula, Fry graph, Raygor Readability Estimate, and New Dale–Chall.

Results

Collectively, the patient education resources on the CIRSE Web site are written at the 12.3 grade level, while the resources on the SIR Web site are written at the 14.5 grade level.

Conclusion

Educational health care materials available on both the CIRSE and the SIR Web sites are presented in language in the aggregate that could be too difficult for many lay people to fully understand. Given the complex nature of vascular and interventional radiology, it may be advantageous to rewrite these educational resources at a lower reading level to increase comprehension.
Literature
2.
go back to reference Diaz JA, Griffith RA, Ng JJ, Reinert SE, Friedmann PD, Moulton AW (2002) Patients’ Use of the Internet for medical information. J Gen Intern Med 17:180–185PubMedCentralPubMedCrossRef Diaz JA, Griffith RA, Ng JJ, Reinert SE, Friedmann PD, Moulton AW (2002) Patients’ Use of the Internet for medical information. J Gen Intern Med 17:180–185PubMedCentralPubMedCrossRef
4.
go back to reference Hesse BW, Nelson DE, Kreps GL, Croyle RT, Arora NK, Rimer BK et al (2005) Trust and sources of health information: the impact of the Internet and its implications for health care providers: findings from the first Health Information National Trends Survey. Arch Intern Med 165(22):2618–2624. doi:10.1001/archinte.165.22.2618 PubMedCrossRef Hesse BW, Nelson DE, Kreps GL, Croyle RT, Arora NK, Rimer BK et al (2005) Trust and sources of health information: the impact of the Internet and its implications for health care providers: findings from the first Health Information National Trends Survey. Arch Intern Med 165(22):2618–2624. doi:10.​1001/​archinte.​165.​22.​2618 PubMedCrossRef
7.
go back to reference Commission of the European Communities (2002) Commission of the European Communities (2002)
11.
go back to reference Weis BD (2003) Health literacy: a manual for clinicians. American Medical Association; American Medical Foundation, Chicago Weis BD (2003) Health literacy: a manual for clinicians. American Medical Association; American Medical Foundation, Chicago
13.
go back to reference Eloy JA, Li S, Kasabwala K, Agarwal N, Hansberry DR, Baredes S et al (2012) Readability assessment of patient education materials on major otolaryngology association websites. Otolaryngol Head Neck Surg 147(5):848–854. doi:10.1177/0194599812456152 Eloy JA, Li S, Kasabwala K, Agarwal N, Hansberry DR, Baredes S et al (2012) Readability assessment of patient education materials on major otolaryngology association websites. Otolaryngol Head Neck Surg 147(5):848–854. doi:10.​1177/​0194599812456152​
14.
go back to reference Kasabwala K, Agarwal N, Hansberry DR, Baredes S, Eloy JA (2012) Readability assessment of patient education materials from the American Academy of Otolaryngology—Head and Neck Surgery Foundation. Otolaryngol Head Neck Surg 147(3):466–471. doi:10.1177/0194599812442783 PubMedCrossRef Kasabwala K, Agarwal N, Hansberry DR, Baredes S, Eloy JA (2012) Readability assessment of patient education materials from the American Academy of Otolaryngology—Head and Neck Surgery Foundation. Otolaryngol Head Neck Surg 147(3):466–471. doi:10.​1177/​0194599812442783​ PubMedCrossRef
15.
go back to reference Misra P, Agarwal N, Kasabwala K, Hansberry DR, Setzen M, Eloy JA (2013) Readability analysis of healthcare-oriented education resources from the American Academy of Facial Plastic and Reconstructive Surgery. Laryngoscope 123(1):90–96. doi:10.1002/lary.23574 PubMedCrossRef Misra P, Agarwal N, Kasabwala K, Hansberry DR, Setzen M, Eloy JA (2013) Readability analysis of healthcare-oriented education resources from the American Academy of Facial Plastic and Reconstructive Surgery. Laryngoscope 123(1):90–96. doi:10.​1002/​lary.​23574 PubMedCrossRef
16.
go back to reference Kasabwala K, Misra P, Hansberry DR, Agarwal N, Baredes S, Setzen M et al (2013) Readability assessment of the American Rhinologic Society patient education materials. Int Forum Allergy Rhinol 3(4):325–333. doi:10.1002/alr.21097 PubMedCrossRef Kasabwala K, Misra P, Hansberry DR, Agarwal N, Baredes S, Setzen M et al (2013) Readability assessment of the American Rhinologic Society patient education materials. Int Forum Allergy Rhinol 3(4):325–333. doi:10.​1002/​alr.​21097 PubMedCrossRef
17.
go back to reference Cherla DV, Sanghvi S, Choudhry OJ, Liu JK, Eloy JA (2012) Readability assessment of internet-based patient education materials related to endoscopic sinus surgery. Laryngoscope 122(8):1649–1654. doi:10.1002/lary.23309 PubMedCrossRef Cherla DV, Sanghvi S, Choudhry OJ, Liu JK, Eloy JA (2012) Readability assessment of internet-based patient education materials related to endoscopic sinus surgery. Laryngoscope 122(8):1649–1654. doi:10.​1002/​lary.​23309 PubMedCrossRef
18.
go back to reference Colaco M, Svider PF, Agarwal N, Eloy JA, Jackson IM (2012) Readability assessment of online urology patient education materials. J Urol 189(3):1048–1052PubMedCrossRef Colaco M, Svider PF, Agarwal N, Eloy JA, Jackson IM (2012) Readability assessment of online urology patient education materials. J Urol 189(3):1048–1052PubMedCrossRef
19.
go back to reference Svider PF, Agarwal N, Choudhry OJ, Hajart AF, Baredes S, Liu JK et al (2012) Readability assessment of online patient education materials from academic otolaryngology–head and neck surgery departments. Am J Otolaryngol 34(1):31–35PubMedCrossRef Svider PF, Agarwal N, Choudhry OJ, Hajart AF, Baredes S, Liu JK et al (2012) Readability assessment of online patient education materials from academic otolaryngology–head and neck surgery departments. Am J Otolaryngol 34(1):31–35PubMedCrossRef
23.
go back to reference Kincaid JP (1975) Derivation of new readability formulas: (automated readability index, fog count and Flesch reading ease formula) for navy enlisted personnel. Chief of naval technical training, Naval air station memphis, Millington, TN; Springfield, VA Kincaid JP (1975) Derivation of new readability formulas: (automated readability index, fog count and Flesch reading ease formula) for navy enlisted personnel. Chief of naval technical training, Naval air station memphis, Millington, TN; Springfield, VA
24.
go back to reference McLaughlin GH (1969) SMOG grading a new readability formula. J Reading 12:8 McLaughlin GH (1969) SMOG grading a new readability formula. J Reading 12:8
25.
go back to reference Coleman M, Liau TL (1975) A computer readability formula designed for machine scoring. J Appl Psychol 60:2CrossRef Coleman M, Liau TL (1975) A computer readability formula designed for machine scoring. J Appl Psychol 60:2CrossRef
26.
go back to reference Gunning R (1952) The technique of clear writing. McGraw-Hill, New York Gunning R (1952) The technique of clear writing. McGraw-Hill, New York
27.
go back to reference Chall JS (1995) Readability revisited: The new Dale-Chall readability formula. Brookline Books, Cambridge Chall JS (1995) Readability revisited: The new Dale-Chall readability formula. Brookline Books, Cambridge
28.
go back to reference Caylor JS, Fox LC, Ford JP (1973) Methodologies for determining reading requirements of military occupational specialties. Technical report 73-5. Human Resources Research Organization, Alexandria Caylor JS, Fox LC, Ford JP (1973) Methodologies for determining reading requirements of military occupational specialties. Technical report 73-5. Human Resources Research Organization, Alexandria
29.
go back to reference Fry E (1968) A readability formula that saves time. J Reading 11:4 Fry E (1968) A readability formula that saves time. J Reading 11:4
30.
go back to reference Raygor AL (ed) (1977) The Raygor readability estimate: a quick and easy way to determine difficulty. Paper presented at national reading conference, Clemson Raygor AL (ed) (1977) The Raygor readability estimate: a quick and easy way to determine difficulty. Paper presented at national reading conference, Clemson
31.
go back to reference Martino A (2013) Pointing the way. ACR Bull 68:16–18 Martino A (2013) Pointing the way. ACR Bull 68:16–18
35.
go back to reference Katz MG, Kripalani S, Weiss BD (2006) Use of pictorial aids in medication instructions: a review of the literature. Am J Health Syst Pharm 63:2391–2397PubMedCrossRef Katz MG, Kripalani S, Weiss BD (2006) Use of pictorial aids in medication instructions: a review of the literature. Am J Health Syst Pharm 63:2391–2397PubMedCrossRef
Metadata
Title
Health Literacy in Vascular and Interventional Radiology: A Comparative Analysis of Online Patient Education Resources
Authors
David R. Hansberry
Carl Kraus
Nitin Agarwal
Stephen R. Baker
Sharon F. Gonzales
Publication date
01-08-2014
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 4/2014
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-013-0752-6

Other articles of this Issue 4/2014

CardioVascular and Interventional Radiology 4/2014 Go to the issue