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Review
. 2016 Feb 6;21(1):e20141.
doi: 10.5812/traumamon.20141. eCollection 2016 Feb.

Readability of Trauma-Related Patient Education Materials From the American Academy of Orthopaedic Surgeons

Adam E M Eltorai  1 , Nathan P Thomas  1 , Heejae Yang  1 , Alan H Daniels  2 , Christopher T Born  2
Affiliations
Review

Readability of Trauma-Related Patient Education Materials From the American Academy of Orthopaedic Surgeons

Adam E M Eltorai et al. Trauma Mon. .

Abstract

Context: According to the american medical association (AMA) and the national institutes of health (NIH), the recommended readability of patient education materials should be no greater than a sixth-grade reading level. The online patient education information produced by the american academy of orthopaedic surgeons (AAOS) may be too complicated for some patients to understand. This study evaluated whether the AAOS's online trauma-related patient education materials meet recommended readability guidelines for medical information.

Evidence acquisition: Ninety-nine articles from the "Broken Bones and Injuries" section of the AAOS-produced patient education website, orthoinfo.org, were analyzed for grade level readability using the Flesch-Kincaid formula, a widely-used and validated tool to evaluate the text reading level. Results for each webpage were compared to the AMA/NIH recommended sixth-grade reading level and the average reading level of U.S. adults (eighth-grade).

Results: The mean (SD) grade level readability for all patient education articles was 8.8 (1.1). All but three of the articles had a readability score above the sixth-grade level. The readability of the articles exceeded this level by an average of 2.8 grade levels (95% confidence interval, 2.6 - 3.0; P < 0.0001). Furthermore, the average readability of the articles exceeded the average reading skill level of U.S. adults (eighth grade) by nearly an entire grade level (95% confidence interval, 0.6-1.0; P < 0.0001).

Conclusions: The majority of the trauma-related articles from the AAOS patient education website have readability levels that may make comprehension difficult for a substantial portion of the patient population.

Keywords: AAOS; Health Literacy; Online Health Information; Patient Education; Readability; Trauma.

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Figures

Figure 1.
Figure 1.. Patient Education Articles on AAOS-Produced Orthoinfo.org, Sorted by Grade Level Readability.
See this image and copyright information in PMC

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References

    1. Beall Iii MS, Golladay GJ, Greenfield MLVH, Hensinger RN, Biermann JS. Use of the Internet by pediatric orthopaedic outpatients. J Pediatr Orthop. 2002;22(2):261–4. - PubMed
    1. Krempec J, Hall J, Biermann JS. Internet use by patients in orthopaedic surgery. Iowa Orthop J. 2003;23:80–2. - PMC - PubMed
    1. Beall III MS, Beall Jr MS, Beall MJ, Greenfield MLV, Biermann JS. Patient Internet use in a community outpatient orthopaedic practice. Iowa Orthop J. 2002;22:103–7. - PMC - PubMed
    1. Brooks BA. Using the Internet for patient education. Orthop Nurs. 2001;20(5):69–77. - PubMed
    1. Fox S. Online Health Search 2006 Pew Internet and American Life Project. 2006. Available from: http://www.pewinternet.org/~/media/Files/Reports/2006/PIP_Online_Health_....

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