Institutional review board approval: none required.
Article first published online: 8 JUN 2012
Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 122, Issue 8, pages 1649–1654, August 2012
How to Cite
Cherla, D. V., Sanghvi, S., Choudhry, O. J., Liu, J. K. and Eloy, J. A. (2012), Readability assessment of internet-based patient education materials related to endoscopic sinus surgery. The Laryngoscope, 122: 1649–1654. doi: 10.1002/lary.23309
The authors have no funding, financial relationships, or conflicts of interest to disclose.
- Issue published online: 25 JUL 2012
- Article first published online: 8 JUN 2012
- Accepted manuscript online: 22 MAR 2012 10:18AM EST
- Manuscript Accepted: 27 FEB 2012
- Manuscript Revised: 23 FEB 2012
- Manuscript Received: 1 FEB 2012
- Endoscopic sinus surgery;
- Flesch-Kincaid Grade Level;
- Flesch Reading Ease Score;
- sinus surgery education material
Numerous professional societies, clinical practices, and hospitals provide Internet-based patient education materials (PEMs) to the general public, but not all of this information is written at a reading level appropriate for the average patient. The National Institutes of Health and the US Department of Health and Human Services recommend that PEMs be written at or below the sixth-grade level. Our purpose was to assess the readability of endoscopic sinus surgery (ESS)-related PEMs available on the Internet and compare readability levels of PEMs provided by three sources: professional societies, clinical practices, and hospitals.
A descriptive and correlational design was used for this study.
The readability of 31 ESS-related PEMs was assessed with four different readability indices: Flesch-Kincaid Grade Level (FKGL), Flesch Reading Ease Score (FRES), Simple Measure of Gobbledygook (SMOG), and Gunning Frequency of Gobbledygook (Gunning FOG). Averages were evaluated against national recommendations and between each source using analysis of variance and t tests.
The majority of PEMs (96.8%) were written above the recommended sixth-grade reading level, based on FKGL (P < .001). Only one article (3.2%) had an FKGL at or below the sixth-grade level. The mean readability values were: FRES 47.1 ± 13.4, FKGL 10.7 ± 2.4, SMOG 13.7 ± 1.6, and Gunning FOG 12.4 ± 2.7.
Current Internet-based PEMs related to ESS, regardless of source type, were written well above the recommended sixth-grade level. Materials from the hospitals/university-affiliated websites had lower readability scores, but were still above recommended levels. Web-based PEMs pertaining to ESS should be written with the average patient in mind. Laryngoscope, 2012