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Vollrath S, Theis S, Kolokythas A, Janka H, Schleich S, Moreth J, Kiesel L, Stute P. Self-management eHealth solutions for menopause - a systematic scoping review. Climacteric 2024; 27:255-268. [PMID: 38685754 DOI: 10.1080/13697137.2024.2334035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Accepted: 03/18/2024] [Indexed: 05/02/2024]
Abstract
OBJECTIVE The purpose of this scoping review was to highlight the current scientific evidence on eHealth-based information tools for menopause in terms of quality, requirements and previous intervention outcomes. METHODS We systematically searched electronic databases (Embase, CINAHL, Cochrane Library, Global Health Database [Ovid], Web of Science, ClinicalTrials.gov [NLM], LIVIVO Search Portal [ZB MED] and Google Scholar) from 1974 to March 2022 for relevant records. RESULTS Our search yielded 1773 records, of which 28 met our inclusion criteria. Thirteen of 28 selected studies were cross-sectional with qualitative content analysis of websites about menopause; 9 studies were cohort studies examining the impact of an eHealth intervention; two studies were randomized controlled trials comparing eHealth tools with conventional ones; and four studies were non-systematic literature reviews. CONCLUSION This scoping review highlights the potential of eHealth-based information tools for the management of menopause and shows that most eHealth-based information tools are inadequate in terms of readability and the balanced view on information. Providers of eHealth-based information tools should pay attention to a participatory design, readability, balance of content and the use of multimedia tools for information delivery to improve understanding.
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Affiliation(s)
- Sabrina Vollrath
- Department of Obstetrics and Gynecology, University of Bern, Bern, Switzerland
| | - Susanne Theis
- Department of Obstetrics and Gynecology, University Medical Center Mainz, Mainz, Germany
| | - Argyrios Kolokythas
- Department of Obstetrics and Gynecology, McGill University, Montreal, Canada
| | - Heidrun Janka
- Medical Library, University Library Bern, University of Bern, Switzerland
- Cochrane Metabolic and Endocrine Disorders Group, Institute of General Practice (ifam), Medical Faculty of the Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany
| | | | | | - Ludwig Kiesel
- Department of Gynecology and Obstetrics, University Hospital, Münster, Germany
| | - Petra Stute
- Department of Obstetrics and Gynecology, University of Bern, Bern, Switzerland
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2
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Lu J, Li K, Zheng X, Liu R, Chen M, Xian J, Tu S, Xie L. Prevalence of menopausal symptoms and attitudes towards menopausal hormone therapy in women aged 40-60 years: a cross-sectional study. BMC Womens Health 2023; 23:472. [PMID: 37667324 PMCID: PMC10476428 DOI: 10.1186/s12905-023-02621-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2023] [Accepted: 08/25/2023] [Indexed: 09/06/2023] Open
Abstract
BACKGROUND Menopause is a specific physical and psychological transition period for women, during which they experience a series of menopausal symptoms. Menopausal hormone therapy is an important treatment for improving menopausal symptoms. Helping women correctly understand menopausal hormone therapy is a prerequisite for increasing the acceptance and utilization of menopausal hormone therapy by women. Physical examinations are an important method for women to master their own health status and detect potential health problems, and in recent years, an increasing number of women have actively participated in physical examinations. Therefore, this study aims to comprehend the prevalence of menopausal symptoms and attitudes towards menopausal hormone therapy among women aged 40-60 who underwent physical examinations, which would provide a useful reference to reduce the prevalence of menopausal symptoms and improve acceptance of menopausal hormone therapy. METHODS This cross-sectional study was conducted at the Health Management Centre of the Affiliated Hospital of Southwest Medical University in Luzhou City, Sichuan Province. The data were collected from 295 women aged between 40 and 60 using convenience sampling. Information on all participants was collected through face-to-face interviews. Participants completed a demographic questionnaire and an attitude towards menopausal hormone therapy questionnaire, and the modified Kupperman index was used to assess the prevalence and severity of participants' menopausal symptoms. The collected data were processed using SPSS and Excel software and analysed using descriptive statistics and logistic regression. RESULTS The top 5 menopausal symptoms were insomnia, fatigue, bone and joint pain, sexual dysfunction and emotional instability. Multiple linear regression analysis showed that residence, sexual intercourse frequency, mentality, and physical exercise were the influencing factors of menopausal symptoms. The study showed that 77% of women said they were still reluctant to receive menopausal hormone therapy after experiencing menopause-related symptoms. The main source of menopausal hormone therapy-related knowledge among women was from surrounding menopausal women (62%), and 54% wanted to gain menopausal hormone therapy-related knowledge through a web-based approach. CONCLUSION The incidence of menopausal symptoms is higher in women aged 40-60 years, which is related to women's mentality, exercise, and sexual intercourse frequency. In addition, the results of this study indicate that women's knowledge of menopausal hormone therapy is insufficient, which suggests that we need to strengthen health education to improve the acceptance rate of menopausal hormone therapy.
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Affiliation(s)
- Jie Lu
- School of Nursing, Southwest Medical University, Sichuan, China
| | - Kangfen Li
- School of Nursing, Southwest Medical University, Sichuan, China
| | - Xinlie Zheng
- School of Nursing, Southwest Medical University, Sichuan, China
| | - Ran Liu
- School of Nursing, Southwest Medical University, Sichuan, China
| | - Min Chen
- Department of Gynecology, Affiliated Hospital of Southwest Medical University, Sichuan, China
| | - Jingyun Xian
- Department of Gynecology, Affiliated Hospital of Southwest Medical University, Sichuan, China
| | - Suhua Tu
- Nursing Department, Affiliated Hospital of Southwest Medical University, Sichuan, China
| | - Lingling Xie
- Department of Gynecology, Affiliated Hospital of Southwest Medical University, Sichuan, China.
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Stanzel KA, Hammarberg K, Nguyen T, Fisher J. 'They should come forward with the information': menopause-related health literacy and health care experiences among Vietnamese-born women in Melbourne, Australia. ETHNICITY & HEALTH 2022; 27:601-616. [PMID: 32228051 DOI: 10.1080/13557858.2020.1740176] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
Objectives: Health literacy refers to an individual's capacity to access, understand, evaluate and use health information to make well informed health-related decision to maintain and promote optimal health. Low health literacy is linked with worse health outcomes and is more common in people from socio-economically disadvantaged backgrounds and from culturally and linguistically diverse backgrounds and among people with limited education. Peri-menopausal and postmenopausal health behaviour predicts health in later life. This qualitative study was conducted in Melbourne, Australia. The aim of this study was to explore menopause-related health literacy and experiences with menopause-related health care among Vietnamese-born women who had immigrated to Australia as adults.Design: A qualitative study using semi-structured interviews was conducted with women aged between 45 and 60 years and who were either in the peri or postmenopausal phase. Transcripts were analysed thematically.Results: A total of 12 women were interviewed. Participants viewed menopause as a natural event and obtained most of their menopause-related information from family and friends. Limited English language proficiency affected their capacity to access, understand, evaluate and use menopause-related health information. They identified their Vietnamese speaking General Practitioners (GPs) as a reliable source of health information, but 'shyness' prevented them from asking questions about menopause and they suggested that GPs need to initiate menopause-related health conversations.Conclusion: Low menopause-related health literacy among Vietnamese-born immigrant women may limit their opportunities to access information about and benefit from menopause-related health-promoting behaviours. Access to menopause-related health information in relevant community languages is essential to support immigrant women to make well informed menopause-related health decisions.
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Affiliation(s)
- Karin A Stanzel
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
| | - Karin Hammarberg
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
| | - Trang Nguyen
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
| | - Jane Fisher
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
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4
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Edwards AL, Shaw PA, Halton CC, Bailey SC, Wolf MS, Andrews EN, Cartwright T. "It just makes me feel a little less alone": a qualitative exploration of the podcast Menopause: Unmuted on women's perceptions of menopause. Menopause 2021; 28:1374-1384. [PMID: 34469933 DOI: 10.1097/gme.0000000000001855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE Menopause can negatively impact women's quality of life, with many women reporting inadequate information and support. Podcasts have grown in popularity in recent years and have been found to be accessible methods for increasing knowledge and challenging perceptions of stigmatized topics. The current research aimed to understand the impact of the podcast "menopause: unmuted" on women's menopause-related knowledge, understanding, and communication practices. METHODS A diverse sample of 30 women aged 40 to 60 years listened to the podcast series, which focused on menopause stories, before taking part in semistructured interviews to discuss the impact of the podcast on how they understood and communicated about menopause. The interviews were analyzed thematically. RESULTS Two overarching themes were identified in the data. A "journey of knowledge gain" explores participants' understanding of menopause before listening to the podcast and describes how this is deepened by hearing and connecting with women's stories. "Reframing menopause" describes the impact of the podcast, where women reflect on the value of communication amongst women, challenge and re-evaluate the stigmatization of menopause, and discuss ways to make positive behavioral changes in their lives. CONCLUSIONS The podcast "menopause: unmuted" helped women to learn about the menopause experience, have a greater sense of belonging to a community of women, and feel empowered to make changes in their own lives. Sharing stories via podcasts has potential as an accessible and impactful medium to educate women and reduce the widespread stigma associated with menopause.
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Affiliation(s)
- Amy L Edwards
- School of Social Sciences, University of Westminster, London, UK
- Studio Health, London, UK
| | - Philippa A Shaw
- School of Social Sciences, University of Westminster, London, UK
| | - Candida C Halton
- School of Social Sciences, University of Westminster, London, UK
- Studio Health, London, UK
| | - Stacy C Bailey
- Division of General Internal Medicine and Geriatrics, Northwestern University, Chicago, IL
| | - Michael S Wolf
- Division of General Internal Medicine and Geriatrics, Northwestern University, Chicago, IL
| | | | - Tina Cartwright
- School of Social Sciences, University of Westminster, London, UK
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5
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Backonja U, Taylor-Swanson L, Miller AD, Jung SH, Haldar S, Woods NF. "There's a problem, now what's the solution?": suggestions for technologies to support the menopausal transition from individuals experiencing menopause and healthcare practitioners. J Am Med Inform Assoc 2021; 28:209-221. [PMID: 33582820 DOI: 10.1093/jamia/ocaa178] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Accepted: 07/17/2020] [Indexed: 02/07/2023] Open
Abstract
OBJECTIVE To elicit novel ideas for informatics solutions to support individuals through the menopausal transition. (Note: We use "individuals experiencing menopause" and "experiences" rather than "symptoms" when possible to counter typical framing of menopause as a cisgender women's medical problem.). METHODS A participatory design study was conducted 2015-2017 in the Western US. Two sessions were held with individuals experiencing menopause recruited from the general public; and 3 sessions with healthcare practitioners (HCPs) including nurses, physicians, and complementary and integrative health (CIH) practitioners were held. Participants designed technologies addressing informational needs and burdensome experiences. HCPs reflected on designs from participants experiencing menopause. Directed content analysis was used to analyze transcripts. RESULTS Eight individuals experiencing menopause (n = 4 each session) and 18 HCPs (n = 10 CIH, n = 3 nurses, n = 5 physicians) participated. All participants provided ideas for solution purpose, hardware, software, features and functions, and data types. Individuals experiencing menopause designed technologies to help understand and prevent burdensome menopause experiences. HCPs designed technologies for tracking and facilitating communication. Compared to nurses and physicians, CIH practitioners suggested designs reframing menopause as a positive experience and accounted for the complex lives of individuals experiencing menopause, including stigma; these ideas corresponded to comments made by participants experiencing menopause. Participants from both populations were concerned about data confidentiality and technology accessibility. CONCLUSIONS Participant generated design ideas included novel ideas and incorporated existing technologies. This study can inform the development of new technologies or repurposing of existing technologies to support individuals through the menopausal transition.
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Affiliation(s)
- Uba Backonja
- School of Nursing & Healthcare Leadership, University of Washington Tacoma, Tacoma, Washington, USA.,Department of Biomedical Informatics & Medical Education, University of Washington School of Medicine, Seattle, Washington, USA
| | | | - Andrew D Miller
- Department of Biomedical Informatics & Medical Education, University of Washington School of Medicine, Seattle, Washington, USA.,School of Informatics and Computing, IUPUI (Indiana University-Purdue University Indianapolis), Indianapolis, Indiana, USA
| | - Se-Hee Jung
- College of Nursing, University of Utah, Salt Lake City, Utah, USA
| | - Shefali Haldar
- Department of Biomedical Informatics & Medical Education, University of Washington School of Medicine, Seattle, Washington, USA.,Department of Communication Studies, Northwestern University, Chicago, Illinois, USA
| | - Nancy Fugate Woods
- Department of Biobehavioral Nursing and Health Informatics, University of Washington School of Nursing, Seattle, Washington, USA
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6
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Jones CA, Mehta C, Zwingerman R, Liu KE. Fertility patients' use and perceptions of online fertility educational material. FERTILITY RESEARCH AND PRACTICE 2020; 6:11. [PMID: 32695432 PMCID: PMC7368747 DOI: 10.1186/s40738-020-00083-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Accepted: 07/15/2020] [Indexed: 12/03/2022]
Abstract
Background Online educational information is highly sought out by patients with infertility. This study aims to assess patient-reported usage and helpfulness of fertility educational material on a clinic website and social media accounts. Methods Educational material was created on common fertility topics in text and video format and posted on the clinic website and social media accounts. At the first consultation for infertility, patients were provided with a postcard directing them to material online. At the first follow-up appointment, patients were invited to fill out a survey assessing whether patients viewed the online educational material and if they found the information helpful. Results 98.4% (251/255) of patients completed the survey, of which 42.6% (106/249) looked at the online material. Of those who viewed the online information, 99.1% (115/116) found the information helpful or somewhat helpful and 67.6% (73/108) found reading the material online better prepared them for making fertility decisions at their doctor’s appointment Conclusion Patients found online fertility information on the clinic website and social media accounts useful for making fertility treatment decisions. Providing online educational material has the potential to improve patient care by empowering patients with the knowledge to make more informed treatment decisions, and improving the quality of the time spent with the physician.
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Affiliation(s)
- Claire Ann Jones
- Mount Sinai Fertility, Sinai Health System, 250 Dundas St. West, Suite 700, Toronto, Ontario M5T 2Z5 Canada.,Department of Obstetrics and Gynaecology, University of Toronto, 123 Edward St., Suite 1200, Toronto, Ontario M5G 1E2 Canada
| | - Chaula Mehta
- Department of Obstetrics and Gynaecology, University of Toronto, 123 Edward St., Suite 1200, Toronto, Ontario M5G 1E2 Canada
| | - Rhonda Zwingerman
- Mount Sinai Fertility, Sinai Health System, 250 Dundas St. West, Suite 700, Toronto, Ontario M5T 2Z5 Canada.,Department of Obstetrics and Gynaecology, University of Toronto, 123 Edward St., Suite 1200, Toronto, Ontario M5G 1E2 Canada
| | - Kimberly E Liu
- Mount Sinai Fertility, Sinai Health System, 250 Dundas St. West, Suite 700, Toronto, Ontario M5T 2Z5 Canada.,Department of Obstetrics and Gynaecology, University of Toronto, 123 Edward St., Suite 1200, Toronto, Ontario M5G 1E2 Canada
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7
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Carpenter JS, Schmidt KK, Jarvis LM, Lapum JL, Kesling MD. Focus group reactions to an arts-based educational exhibit on menopausal hot flashes. Menopause 2019; 26:981-988. [PMID: 31453959 DOI: 10.1097/gme.0000000000001351] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To assess public reactions to an arts-based educational exhibit designed to immerse and engage people in scientific facts to increase their conceptual understanding of hot flashes. Our ultimate goals were to stimulate learning and conversations about menopausal hot flashes to change interactions between menopausal women and providers, and menopausal women and other people (family, friends, etc). Focus groups reacted to the concept art (graphics, miniaturized model); and a questionnaire for quickly assessing reactions. METHODS Using a qualitative descriptive methodology, six focus groups of diverse people (n = 50) aged 13 to 64 years described their reactions to the art and questionnaire. Recruitment methods were word of mouth, advertisements on university websites, and a university-based participant registry. Data were analyzed using qualitative content analysis and inductively derived codes. RESULTS Reactions to the concept art were generally favorable. Participants remarked on appealing and less appealing aspects and age appropriateness. Appealing aspects were resonance with women's experiences, clear information, use of symbolism, and overall design. Less appealing aspects lacked resonance, contained confusing information, or unappealing design elements. Participants felt the exhibit should be open to all ages. The final questionnaire reflected participants' descriptions of the art's ability to stimulate learning, dispel myths, spur dialog, and increase empathy. CONCLUSIONS The concept art is an appropriate tool for improving knowledge and communication about hot flashes. Displaying the concept art and/or future full-scale exhibit in healthcare settings or public venues may facilitate learning and communication among three groups-menopausal women, healthcare providers, and others.
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Affiliation(s)
| | | | - Lynsey M Jarvis
- Indiana University, School of Nursing, Indianapolis, IN
- Ball State University, Muncie, IN
| | - Jennifer L Lapum
- Ryerson University, Daphne Cockwell School of Nursing, Toronto, ON
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8
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Carpenter JS, Rand KL, Schmidt KK, Lapum JL, Kesling MD. Public survey reactions to an arts-based educational menopausal hot flash exhibit. Menopause 2019; 26:989-993. [PMID: 31453960 DOI: 10.1097/gme.0000000000001352] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE The aim of this study was to obtain public survey reactions to concept art for an exhibit about menopausal hot flashes designed to stimulate learning, dispel myths, spur dialogue, and increase empathy. METHODS Immediately before viewing the art, participants provided demographic information and answered one open-ended question. Immediately after viewing the art, participants answered the same open-ended question, one additional open-ended question, and completed quantitative survey questions. RESULTS Overall, public reactions to the concept art were positive. Qualitative and quantitative data indicated that the public thought the exhibit was appealing, stimulated learning, dispelled myths, spurred desire to have conversations about hot flashes, and increased empathy for women with menopausal hot flashes. CONCLUSIONS The exhibit concept art was appealing and was reported to have a positive impact on the public. Study findings provide support for building the exhibit full-scale as a traveling educational resource that might change public discourse around menopausal hot flashes.
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Affiliation(s)
| | - Kevin L Rand
- Indiana University-Purdue University, Indianapolis, IN
| | | | - Jennifer L Lapum
- Ryerson University, Daphne Cockwell School of Nursing, Toronto, ON, Canada
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Abstract
OBJECTIVE The aim of this study was to describe the development process, science, and symbolism of an arts-based educational exhibit designed to address myths, misinformation, negative imagery, and use of unproven treatments related to menopausal hot flashes. METHODS The development process included iterative and informal feedback from a variety of individuals, a partnership with an experienced exhibit designer, and collaborations between artists and scientists. RESULTS The resulting exhibit creates an environment where the public is immersed in accurate information about hot flashes. Although based on an iterative process, the resulting exhibit content reflects an estimated 500+ scientific studies, including those referenced in The North American Menopause Society position statements on hormone and nonhormone management of hot flashes. The seven main exhibit pieces convey scientific information and symbolize various aspects of women's experiences. CONCLUSIONS This innovative exhibit has high potential to be a disruptive innovation to address the preponderance of myths, misinformation, and negative imagery surrounding menopausal hot flashes and potentially decrease the use of unproven therapies.
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10
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Kim H, Xie B. Health literacy in the eHealth era: A systematic review of the literature. PATIENT EDUCATION AND COUNSELING 2017; 100:1073-1082. [PMID: 28174067 DOI: 10.1016/j.pec.2017.01.015] [Citation(s) in RCA: 182] [Impact Index Per Article: 26.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2016] [Revised: 11/29/2016] [Accepted: 01/24/2017] [Indexed: 06/06/2023]
Abstract
OBJECTIVES This study aimed to identify studies on online health service use by people with limited health literacy, as the findings could provide insights into how health literacy has been, and should be, addressed in the eHealth era. METHODS To identify the relevant literature published since 2010, we performed four rounds of selection-database selection, keyword search, screening of the titles and abstracts, and screening of full texts. This process produced a final of 74 publications. RESULTS The themes addressed in the 74 publications fell into five categories: evaluation of health-related content, development and evaluation of eHealth services, development and evaluation of health literacy measurement tools, interventions to improve health literacy, and online health information seeking behavior. CONCLUSION Barriers to access to and use of online health information can result from the readability of content and poor usability of eHealth services. We need new health literacy screening tools to identify skills for adequate use of eHealth services. Mobile apps hold great potential for eHealth and mHealth services tailored to people with low health literacy. PRACTICE IMPLICATIONS Efforts should be made to make eHealth services easily accessible to low-literacy individuals and to enhance individual health literacy through educational programs.
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Affiliation(s)
- Henna Kim
- School of Information, The University of Texas at Austin, 1616 Guadalupe Suite #5.518, Austin, TX, 78701, USA.
| | - Bo Xie
- School of Nursing & School of Information, The University of Texas at Austin, Austin, USA.
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Aleksova J, Kuczynska-Burggraf M, Ranasinha S, Vincent A. Information on early menopause: is the internet the place to search? Climacteric 2017; 20:248-255. [DOI: 10.1080/13697137.2017.1301920] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- J. Aleksova
- Department of Endocrinology, Monash Health, Clayton, Australia
- Centre for Endocrinology and Metabolism, Hudson Institute of Medical Research, Clayton, Victoria, Australia
- Department of Medicine, Monash University, Clayton, Victoria, Australia
| | | | - S. Ranasinha
- Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Clayton, Victoria, Australia
| | - A. Vincent
- Department of Endocrinology, Monash Health, Clayton, Australia
- Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Clayton, Victoria, Australia
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12
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Sowter J, Astin F, Dye L, Marshall P, Knapp P. Assessment of the quality and content of website health information about herbal remedies for menopausal symptoms. Maturitas 2016; 88:16-22. [PMID: 27105691 DOI: 10.1016/j.maturitas.2016.02.016] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2015] [Revised: 02/23/2016] [Accepted: 02/26/2016] [Indexed: 10/22/2022]
Abstract
OBJECTIVE To assess the quality, readability and coverage of website information about herbal remedies for menopausal symptoms. STUDY DESIGN A purposive sample of commercial and non-commercial websites was assessed for quality (DISCERN), readability (SMOG) and information coverage. MAIN OUTCOME MEASURES Non-parametric and parametric tests were used to explain the variability of these factors across types of websites and to assess associations between website quality and information coverage. RESULTS 39 sites were assessed. Median quality and information coverage scores were 44/80 and 11/30 respectively. The median readability score was 18.7, similar to UK broadsheets. Commercial websites scored significantly lower on quality (p=0.014), but there were no statistical differences for information coverage or readability. There was a significant positive correlation between information quality and coverage scores irrespective of website provider (r=0.69, p<0.001, n=39). CONCLUSION Overall website quality and information coverage are poor and the required reading level high.
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Affiliation(s)
| | - Felicity Astin
- School of Human and Health Sciences, University of Huddersfield, UK
| | - Louise Dye
- School of Psychology, University of Leeds, UK
| | | | - Peter Knapp
- Dept. of Health Sciences, University of York, UK
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13
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Eltorai AEM, Naqvi SS, Ghanian S, Eberson CP, Weiss APC, Born CT, Daniels AH. Readability of Invasive Procedure Consent Forms. Clin Transl Sci 2015; 8:830-3. [PMID: 26678039 DOI: 10.1111/cts.12364] [Citation(s) in RCA: 50] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND Informed consent is a pillar of ethical medicine which requires patients to fully comprehend relevant issues including the risks, benefits, and alternatives of an intervention. Given the average reading skill of US adults is at the 8th grade level, the American Medical Association (AMA) and the National Institutes of Health (NIH) recommend patient information materials should not exceed a 6th grade reading level. We hypothesized that text provided in invasive procedure consent forms would exceed recommended readability guidelines for medical information. MATERIALS AND METHODS To test this hypothesis, we gathered procedure consent forms from all surgical inpatient hospitals in the state of Rhode Island. For each consent form, readability analysis was measured with the following measures: Flesch Reading Ease Formula, Flesch-Kincaid Grade Level, Fog Scale, SMOG Index, Coleman-Liau Index, Automated Readability Index, and Linsear Write Formula. These readability scores were used to calculate a composite Text Readability Consensus Grade Level. RESULTS Invasive procedure consent forms were found to be written at an average of 15th grade level (i.e., third year of college), which is significantly higher than the average US adult reading level of 8th grade (p < 0.0001) and the AMA/NIH recommended readability guidelines for patient materials of 6th grade (p < 0.0001). CONCLUSION Invasive procedure consent forms have readability levels which makes comprehension difficult or impossible for many patients. Efforts to improve the readability of procedural consent forms should improve patient understanding regarding their healthcare decisions.
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Affiliation(s)
- Adam E M Eltorai
- Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA
| | - Syed S Naqvi
- Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA
| | - Soha Ghanian
- Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA
| | - Craig P Eberson
- Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA.,Department of Orthopaedic Surgery, Rhode Island Hospital, Providence, Rhode Island, USA
| | - Arnold-Peter C Weiss
- Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA.,Department of Orthopaedic Surgery, Rhode Island Hospital, Providence, Rhode Island, USA
| | - Christopher T Born
- Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA.,Department of Orthopaedic Surgery, Rhode Island Hospital, Providence, Rhode Island, USA
| | - Alan H Daniels
- Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA.,Department of Orthopaedic Surgery, Rhode Island Hospital, Providence, Rhode Island, USA
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14
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Cheng C, Dunn M. Health literacy and the Internet: a study on the readability of Australian online health information. Aust N Z J Public Health 2015; 39:309-14. [DOI: 10.1111/1753-6405.12341] [Citation(s) in RCA: 70] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2014] [Revised: 09/01/2014] [Accepted: 10/01/2014] [Indexed: 11/29/2022] Open
Affiliation(s)
- Christina Cheng
- School of Health and Social Development; Faculty of Health, Deakin University; Victoria
| | - Matthew Dunn
- School of Health and Social Development; Faculty of Health, Deakin University; Victoria
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15
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Weymann N, Härter M, Dirmaier J. Information and decision support needs in patients with type 2 diabetes. Health Informatics J 2014; 22:46-59. [PMID: 24916569 DOI: 10.1177/1460458214534090] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Diabetes and its sequelae cause a growing burden of morbidity and mortality. For many patients living with diabetes, the Internet is an important source of health information and support. In the course of the development of an Interactive Health Communication Application, combining evidence-based information with behavior change and decision support, we assessed the characteristics, information, and decision support needs of patients with type 2 diabetes.The needs assessment was performed in two steps. First, we conducted semi-structured interviews with 10 patients and seven physicians. In the second step, we developed a self-assessment questionnaire based on the results of the interviews and administered it to a new and larger sample of diabetes patients (N = 178). The questionnaire comprised four main sections: (1) Internet use and Internet experience, (2) diabetes knowledge, (3) relevant decisions and decision preferences, and (4) online health information needs. Descriptive data analyses were performed.In the questionnaire study, the patient sample was heterogeneous in terms of age, time since diagnosis, and glycemic control. (1) Most participants (61.7%) have searched the web for health information at least once. The majority (62%) of those who have used the web use it at least once per month. (2) Diabetes knowledge was scarce: Only a small percentage (1.9%) of the respondents answered all items of the knowledge questionnaire correctly. (3) The most relevant treatment decisions concerned glycemic control, oral medication, and acute complications. The most difficult treatment decision was whether to start insulin treatment. Of the respondents, 69.4 percent thought that medical decisions should be made by them and their doctor together. (4) The most important information needs concerned sequelae of diabetes, blood glucose control, and basic diabetes information.The Internet seems to be a feasible way to reach people with type 2 diabetes. The heterogeneity of the sample, especially with respect to diabetes knowledge, makes it clear that the projected Interactive Health Communication Application should tailor the content to the individual user, taking account of individual characteristics and preferences. A wide range of topics should be covered. Special attention should be paid to the advantages and disadvantages of insulin treatment and the fears and hopes associated with it. These results were taken into account when developing the Interactive Health Communication Application that is currently being evaluated in a randomized controlled trial (International Clinical Trials Registry DRKS00003322).
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Affiliation(s)
- Nina Weymann
- University Medical Center Hamburg-Eppendorf, Germany
| | - Martin Härter
- University Medical Center Hamburg-Eppendorf, Germany
| | - Jörg Dirmaier
- University Medical Center Hamburg-Eppendorf, Germany
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Ryan L, Logsdon MC, McGill S, Stikes R, Senior B, Helinger B, Small B, Davis DW. Evaluation of printed health education materials for use by low-education families. J Nurs Scholarsh 2014; 46:218-28. [PMID: 24597957 DOI: 10.1111/jnu.12076] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/22/2014] [Indexed: 11/28/2022]
Abstract
PURPOSE Millions of adults lack adequate reading skills and many written patient education materials do not reflect national guidelines for readability and suitability of materials, resulting in barriers to patients being partners in their own health care. The purpose of this study was to evaluate commonly used printed health materials for readability and suitability for patients with limited general or health literacy skills, while providing easy recommendations to health care providers for how to improve the materials. METHODS Materials (N = 97) from three clinical areas that represented excellence in nursing care in our organization (stroke, cancer, and maternal-child) were reviewed for a composite reading grade level and a Suitability Assessment of Materials (SAM) score. RESULTS Twenty-eight percent of the materials were at a 9th grade or higher reading level, and only 23% were 5th grade or below. The SAM ratings for not suitable, adequate, and superior were 11%, 58%, and 31%, respectively. Few materials were superior on both scales. The SAM scale was easy to use and required little training of reviewers to achieve interrater reliability. CONCLUSIONS Improving outcomes and reducing health disparities are increasingly important, and patients must be partners in their care for this to occur. One step to increasing patient understanding of written instructions is improving the quality of the materials in the instruction for all patients and their families, especially those with limited literacy skills. CLINICAL RELEVANCE Using materials that are written in a manner that facilitates the uptake and use of patient education content has great potential to improve the ability of patients and families to be partners in care and to improve outcomes, especially for those patients and families with limited general literacy or health literacy skills.
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Affiliation(s)
- Lesa Ryan
- Medical Student, University of Louisville, School of Medicine, Department of Pediatrics, Louisville, KY
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