Analysis of stroke patients' and carers' reading ability and the content and design of written materials: Recommendations for improving written stroke information

Hoffmann, Tammy and McKenna, Kryss (2006) Analysis of stroke patients' and carers' reading ability and the content and design of written materials: Recommendations for improving written stroke information. Patient Education and Counseling, 60 3: 286-293. doi:10.1016/j.psc.2005.06.020


Author Hoffmann, Tammy
McKenna, Kryss
Title Analysis of stroke patients' and carers' reading ability and the content and design of written materials: Recommendations for improving written stroke information
Journal name Patient Education and Counseling   Check publisher's open access policy
ISSN 0738-3991
1873-5134
Publication date 2006
Sub-type Article (original research)
DOI 10.1016/j.psc.2005.06.020
Volume 60
Issue 3
Start page 286
End page 293
Total pages 8
Editor A. Visser
L. S. Wissow
L. W. Green
Place of publication Ireland
Publisher Shannon, Ireland
Collection year 2006
Language eng
Subject C1
321024 Rehabilitation and Therapy - Occupational and Physical
730303 Occupational, speech and physiotherapy
Abstract Objective: This study (a) evaluated the reading ability of patients following stroke and their carers and the reading level and content and design characteristics of the written information provided to them, (b) explored the influence of sociodemographic and clinical characteristics on patients' reading ability, and (c) described an education package that provides well-designed information tailored to patients' and carers' informational needs. Methods: Fifty-seven patients and 12 carers were interviewed about their informational needs in an acute stroke unit. Their reading ability was assessed using the Rapid Estimate of Adult Literacy in Medicine (REALM). The written information provided to them in the acute stroke unit was analysed using the SMOG readability formula and the Suitability Assessment of Materials (SAM). Results: Thirteen (22.8%) patients and 5 (41.7%) carers had received written stroke information. The mean reading level of materials analysed was 11th grade while patients read at a mean of 7-8th grade. Most materials (89%) scored as only adequate in content and design. Patients with combined aphasia read significantly lower (4-6th grade) than other patients (p = 0.001). Conclusion: Only a small proportion of patients and carers received written materials about stroke and the readability level and content and design characteristics of most materials required improvement. Practice implications: When developing and distributing written materials about stroke, health professionals should consider the reading ability and informational needs of the recipients, and the reading level and content and design characteristics of the written materials. A computer system can be used to generate written materials tailored to the informational needs and literacy skills of patients and carers. (c) 2005 Elsevier Ireland Ltd. All rights reserved.
Keyword Patient education
Stroke
Written information
Tailored information
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

 
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