Yi Xu, Roslyn Wong, Shuhan He, Aaron Veldre, Sally Andrews
Is it smart to read on your phone? The impact of reading format and culture on the continued influence of misinformation
Memory & cognition
patient education materials pems extracted provincial cancer agencies determine organizational health literacy evaluating quality actionability functional accessibility eg readability understandability pems pems 10 provincial agencies assessed grade reading level grl using eight numerical two graphical readability scales underwent difficult word analysis agencies assessed pem quality using two methods jama benchmarks discern actionability understandability assessed using patient education materials assessment tool pemat seven hundred eightysix pems analyzed overall average grl 93 21 recommended 7th grl health information difficult word analysis showed 154 51 texts contained complex words 358 68 texts contained long words 242 66 texts contained unfamiliar words additionally high overlap frequently identified difficult words pems frequently misunderstood words cancer patients identified literature regarding quality indicators agency displayed four indicators according jama benchmarks discern scores ranged 38 poor 66 excellent pemat scores ranged 68 88 understandability 57 88 actionability pems continue written level recommended grl across provinces overall high variability quality understandability actionability pems among provincial agencies represents opportunity optimize materials thus ensuring understanding wider audience improving health literacy among canadian cancer patients