Assessment of printed lung cancer surgery patient education materials in the United StatesCentral MessagePerspective
Objective: Well-designed patient education materials (PEMs) increase health literacy, which has been linked to better surgical patient outcomes. The quality of lung cancer surgery PEMs is unknown, however. Here we assessed printed lung cancer surgery PEMs for readability, understandability, actionab...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | JTCVS Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666273624002535 |
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| author | Woorin Jang, BS Savanna Kerstiens, MA Rachel Nordgren, PhD Anne Dijkstra, MB Marina DePablo, MPH, DNP, RN Lauren Gleason, MD, MPH Darren Bryan, MD Jessica S. Donington, MD, MSCR Mark K. Ferguson, MD Jane L. Holl, MD, MPH Maria Lucia Madariaga, MD |
| author_facet | Woorin Jang, BS Savanna Kerstiens, MA Rachel Nordgren, PhD Anne Dijkstra, MB Marina DePablo, MPH, DNP, RN Lauren Gleason, MD, MPH Darren Bryan, MD Jessica S. Donington, MD, MSCR Mark K. Ferguson, MD Jane L. Holl, MD, MPH Maria Lucia Madariaga, MD |
| author_sort | Woorin Jang, BS |
| collection | DOAJ |
| description | Objective: Well-designed patient education materials (PEMs) increase health literacy, which has been linked to better surgical patient outcomes. The quality of lung cancer surgery PEMs is unknown, however. Here we assessed printed lung cancer surgery PEMs for readability, understandability, actionability, and accessibility. Methods: Various lung cancer programs throughout the United States were contacted for their lung cancer surgery PEMs. The readability of the received materials was calculated using 6 readability tests. Four thoracic surgeon–advanced practice practitioner dyads scored the PEMs for understandability, actionability, and accessibility using the Patient Education Material Assessment Tool and the Accessibility Assessment Tool, with the recommended minimum threshold of 70%. One-sample t tests were performed to compare each parameter against its recommended threshold. Results: Out of 34 institutions contacted, 18 (52.9%) provided PEMs. The average reading level of the PEMs ranged from 7th grade to 11th grade, significantly exceeding the recommended 6th grade health literacy threshold (P < .01). Although mean understandability (73.7 ± 13.2%) and actionability (70.2 ± 17.8%) scores were not significantly different from the minimum threshold, and the mean accessibility score (81.8 ± 13.5%) was significantly higher than the threshold (P < .05), there was wide variation in the scores. Most PEMs scored well in organization and writing but lacked other features that can enhance patient understanding, such as visual aids and summaries. Conclusions: PEMs are written at reading levels that are too advanced for patients. Although PEMs scored well in understandability, actionability, and accessibility, analysis of individual items revealed the need for improvement, including the use of shorter sentences, more visual aids and summaries, and expansion of language translations. |
| format | Article |
| id | doaj-art-739601c729ef43e2b8372608bb5de5d5 |
| institution | OA Journals |
| issn | 2666-2736 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JTCVS Open |
| spelling | doaj-art-739601c729ef43e2b8372608bb5de5d52025-08-20T02:35:43ZengElsevierJTCVS Open2666-27362024-12-012253053910.1016/j.xjon.2024.09.005Assessment of printed lung cancer surgery patient education materials in the United StatesCentral MessagePerspectiveWoorin Jang, BS0Savanna Kerstiens, MA1Rachel Nordgren, PhD2Anne Dijkstra, MB3Marina DePablo, MPH, DNP, RN4Lauren Gleason, MD, MPH5Darren Bryan, MD6Jessica S. Donington, MD, MSCR7Mark K. Ferguson, MD8Jane L. Holl, MD, MPH9Maria Lucia Madariaga, MD10Section of Thoracic Surgery, Department of Surgery, University of Chicago Medicine, Chicago, IllSection of Thoracic Surgery, Department of Surgery, University of Chicago Medicine, Chicago, IllDepartment of Public Health Sciences, University of Chicago, Chicago, IllSection of Thoracic Surgery, Department of Surgery, University of Chicago Medicine, Chicago, IllPatient Experience and Engagement Program, UChicago Medicine, Chicago, IllSection of Geriatrics & Palliative Medicine, Department of Medicine, UChicago Medicine, Chicago, IllSection of Thoracic Surgery, Department of Surgery, University of Chicago Medicine, Chicago, IllSection of Thoracic Surgery, Department of Surgery, University of Chicago Medicine, Chicago, IllSection of Thoracic Surgery, Department of Surgery, University of Chicago Medicine, Chicago, IllSection of Thoracic Surgery, Department of Surgery, University of Chicago Medicine, Chicago, IllSection of Thoracic Surgery, Department of Surgery, University of Chicago Medicine, Chicago, Ill; Address for reprints: Maria Lucia Madariaga, MD, Biological Sciences Division, UChicago Medicine, 5841 S Maryland Ave, MC5047, Chicago, IL 60637.Objective: Well-designed patient education materials (PEMs) increase health literacy, which has been linked to better surgical patient outcomes. The quality of lung cancer surgery PEMs is unknown, however. Here we assessed printed lung cancer surgery PEMs for readability, understandability, actionability, and accessibility. Methods: Various lung cancer programs throughout the United States were contacted for their lung cancer surgery PEMs. The readability of the received materials was calculated using 6 readability tests. Four thoracic surgeon–advanced practice practitioner dyads scored the PEMs for understandability, actionability, and accessibility using the Patient Education Material Assessment Tool and the Accessibility Assessment Tool, with the recommended minimum threshold of 70%. One-sample t tests were performed to compare each parameter against its recommended threshold. Results: Out of 34 institutions contacted, 18 (52.9%) provided PEMs. The average reading level of the PEMs ranged from 7th grade to 11th grade, significantly exceeding the recommended 6th grade health literacy threshold (P < .01). Although mean understandability (73.7 ± 13.2%) and actionability (70.2 ± 17.8%) scores were not significantly different from the minimum threshold, and the mean accessibility score (81.8 ± 13.5%) was significantly higher than the threshold (P < .05), there was wide variation in the scores. Most PEMs scored well in organization and writing but lacked other features that can enhance patient understanding, such as visual aids and summaries. Conclusions: PEMs are written at reading levels that are too advanced for patients. Although PEMs scored well in understandability, actionability, and accessibility, analysis of individual items revealed the need for improvement, including the use of shorter sentences, more visual aids and summaries, and expansion of language translations.http://www.sciencedirect.com/science/article/pii/S2666273624002535patient education materialsreadabilityunderstandabilityaccessibilitylung cancer surgery |
| spellingShingle | Woorin Jang, BS Savanna Kerstiens, MA Rachel Nordgren, PhD Anne Dijkstra, MB Marina DePablo, MPH, DNP, RN Lauren Gleason, MD, MPH Darren Bryan, MD Jessica S. Donington, MD, MSCR Mark K. Ferguson, MD Jane L. Holl, MD, MPH Maria Lucia Madariaga, MD Assessment of printed lung cancer surgery patient education materials in the United StatesCentral MessagePerspective JTCVS Open patient education materials readability understandability accessibility lung cancer surgery |
| title | Assessment of printed lung cancer surgery patient education materials in the United StatesCentral MessagePerspective |
| title_full | Assessment of printed lung cancer surgery patient education materials in the United StatesCentral MessagePerspective |
| title_fullStr | Assessment of printed lung cancer surgery patient education materials in the United StatesCentral MessagePerspective |
| title_full_unstemmed | Assessment of printed lung cancer surgery patient education materials in the United StatesCentral MessagePerspective |
| title_short | Assessment of printed lung cancer surgery patient education materials in the United StatesCentral MessagePerspective |
| title_sort | assessment of printed lung cancer surgery patient education materials in the united statescentral messageperspective |
| topic | patient education materials readability understandability accessibility lung cancer surgery |
| url | http://www.sciencedirect.com/science/article/pii/S2666273624002535 |
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