Samuel G B Johnson, Greeshma Rajeev-Kumar, Frank C Keil
Sense-making under ignorance
Cognitive psychology
patients often turn webbased resources following diagnosis osteosarcoma fully understood average american adults american medical association ama national institutes health nih recommend webbased health information written 6th grade level lower previous analyses osteosarcoma resources measured whether text written readers process key information understandability identify available actions take actionability patient education materials assessment tool pemat validated measurement understandability actionability purpose study evaluate webbased osteosarcoma resources using measures readability understandability actionability using search term osteosarcoma two independent google searches performed march 7 2020 ags march 11 2020 trg top 50 results collected websites included directed providing patient education osteosarcoma readability quantified using validated algorithms fleshkincaid grade ease fkge fleschkincaid gradelevel fkgl higher fkge score indicates material easier read readability scores represent us school grade level two independent pemat assessments performed independent scores assigned understandability actionability pemat score 70 considered poorly understandable poorly actionable statistical significance defined p05 two searches yielded 53 unique websites 37 70 met inclusion criteria mean fkge fkgl scores 408 sd 136 120 sd 24 respectively website scored within acceptable nih aha recommended reading level 4 11 1 3 website met acceptable understandability actionability threshold understandability actionability positively correlated fkge 055 p001 060 p001 otherwise significantly associated readability scores associations readability p15 understandability p20 actionability p31 scores google rank overall webbased osteosarcoma patient educational materials scored poorly respect readability understandability actionability none webbased resources scored recommended reading level 4 achieved appropriate score considered understandable general public authors patient resources incorporate pemat readability criteria improve webbased resources support patient understanding