Bladder Cancer Health Literacy: Assessing Readability of Online Patient Education Materials.

IF 1 4区医学 Q4 ONCOLOGY Bladder Cancer Pub Date : 2021-03-19 eCollection Date: 2021-01-01 DOI:10.3233/BLC-200387

Lauren E Powell, Theodore I Cisu, Adam P Klausner

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Abstract

Background: Understanding of health-related materials, termed health literacy, affects decision makings and outcomes in the treatment of bladder cancer. The National Institutes of Health recommend writing education materials at a sixth-seventh grade reading level. The goal of this study is to assess readability of bladder cancer materials available online.

Objective: The goal of this study is to characterize available information about bladder cancer online and evaluate readability.

Methods: Materials on bladder cancer were collected from the American Urological Association's Urology Care Foundation (AUA-UCF) and compared to top 50 websites by search engine results. Resources were analyzed using four different validated readability assessment scales. The mean and standard deviation of the materials was calculated, and a two-tailed t test for used to assess for significance between the two sets of patient education materials.

Results: The average readability of AUA materials was 8.5 (8th-9th grade reading level). For the top 50 websites, average readability was 11.7 (11-12th grade reading level). A two-tailed t test between the AUA and top 50 websites demonstrated statistical significance between the readability of the two sets of resources (P = 0.0001), with the top search engine results being several grade levels higher than the recommended 6-7th grade reading level.

Conclusions: Most health information provided by the AUA on bladder cancer is written at a reading ability that aligns with most US adults, with top websites for search engine results exceeding the average reading level by several grade levels. By focusing on health literacy, urologists may contribute lowering barriers to health literacy, improving health care expenditure and perioperative complications.

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膀胱癌健康扫盲：评估在线患者教育材料的可读性。

背景：对健康相关材料的理解（即健康素养）会影响治疗膀胱癌的决策和结果。美国国立卫生研究院建议按照六至七年级的阅读水平编写教材。本研究旨在评估网上膀胱癌资料的可读性：本研究的目的是了解网上现有膀胱癌信息的特点并评估其可读性：方法：从美国泌尿外科协会泌尿外科护理基金会（AUA-UCF）收集有关膀胱癌的资料，并与搜索引擎结果排名前 50 位的网站进行比较。使用四种不同的经过验证的可读性评估量表对资源进行了分析。计算了材料的平均值和标准偏差，并使用双尾t检验来评估两套患者教育材料之间的显著性：结果：友盟材料的平均可读性为 8.5（8-9 年级阅读水平）。排名前 50 的网站的平均可读性为 11.7（11-12 年级阅读水平）。对美国友协和排名前 50 的网站进行的双尾 t 检验表明，两组资源的可读性之间存在统计学意义（P = 0.0001），排名靠前的搜索引擎结果比建议的 6-7 年级阅读水平高出几个年级：结论：美国膀胱癌协会提供的大多数膀胱癌健康信息的阅读能力与大多数美国成年人的阅读能力相符，搜索引擎结果中排名靠前的网站比平均阅读水平高出几个年级。通过关注健康素养，泌尿科医生可以为降低健康素养障碍、改善医疗支出和围手术期并发症做出贡献。

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来源期刊

Bladder Cancer Medicine-Urology

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： Bladder Cancer is an international multidisciplinary journal to facilitate progress in understanding the epidemiology/etiology, genetics, molecular correlates, pathogenesis, pharmacology, ethics, patient advocacy and survivorship, diagnosis and treatment of tumors of the bladder and upper urinary tract. The journal publishes research reports, reviews, short communications, and letters-to-the-editor. The journal is dedicated to providing an open forum for original research in basic science, translational research and clinical medicine that expedites our fundamental understanding and improves treatment of tumors of the bladder and upper urinary tract.