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02.05.2023 | 2023 SAGES Oral

Spanish-language bariatric surgery patient education materials fail to meet healthcare literacy standards of readability

verfasst von: George Padilla, Sabrina Awshah, Rahul S. Mhaskar, Abdul-Rahman Fadi Diab, Joseph A. Sujka, Christopher DuCoin, Salvatore Docimo

Erschienen in: Surgical Endoscopy | Ausgabe 8/2023

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Abstract

Background

The Hispanic population is the fastest growing ethnic minority in the United States, contributing to nearly half of the population growth over the last decade. Unfortunately, this population suffers from lower-than-average health literacy rates, leading to poorer health outcomes. Per the American Medical Association and National Institutes of Health, patient education materials (PEMs) should be written at no higher than a 6th grade reading level. Given that US Hispanic adults have the second-highest obesity prevalence, this study aims to analyze the readability of Spanish-language PEMs regarding bariatric surgery available in US-based academic and medical centers.

Methods

A total of 50 PEMs were found via the query ““cirugía de pérdida de peso” site: (edu OR.org)” on the Google search engine. Thirty-nine sources met the inclusion criteria of belonging to a US-based academic or medical center and containing information regarding the indications for bariatric surgery, descriptions of the types of bariatric surgery, what to expect before and after surgery, or the risks and benefits of bariatric surgery. The excerpts were analyzed according to three readability formulas designed specifically for the Spanish language and evaluated for their reading grade level.

Results

All 39 sources were at the college reading level per the Fry graph corrected for Spanish. Per the Spaulding formula, 37 sources were “Grade 12 + ” and two sources were “Grade 8–10.” Per the Fernandez-Huerta formula, 16 sources were at the 8th/9th grade reading level, 22 sources were at the 7th grade reading level, and one was at the 6th grade reading level.

Conclusion

The Spanish-language bariatric surgery PEMs available online from US-based academic and medical centers are generally above the recommended 6th grade reading level. Failure to meet the recommended sixth-grade reading level decreases health care literacy for Spanish-speaking patients within the United States seeking bariatric surgery.

U.S. Department of Health and Human Services (2008) America’s health literacy: why we need accessible health information. An issue brief from the U.S. Department of Health and Human Services

People H (2000) Healthy people 2010: understanding and improving health, [January 2000]. US Department of Health and Human Services

Squiers L, Peinado S, Berkman N, Boudewyns V, McCormack L (2012) The health literacy skills framework. J Health Commun 17(sup3):30–54. https://doi.org/10.1080/10810730.2012.713442CrossRefPubMed

Berkman ND, Sheridan SL, Donahue KE et al (2011) Health literacy interventions and outcomes: an updated systematic review. Evid Rep Technol Assess 199:1–941

Weiss BD (2007) Health literacy and patient safety: help patients understand. AMA

Arterburn DE, Olsen MK, Smith VA et al (2015) Association between bariatric surgery and long-term survival. JAMA 313(1):62–70. https://doi.org/10.1001/jama.2014.16968CrossRefPubMed

Kröner Florit PT, Corral Hurtado JE, Wijarnpreecha K, Elli EF, Lukens FJ (2019) Bariatric surgery, clinical outcomes, and healthcare burden in hispanics in the USA. Obes Surg 29(11):3646–3652. https://doi.org/10.1007/s11695-019-04047-4CrossRefPubMed

Mazmudar RS, Sheth A, Tripathi R, Scott JF (2021) Readability of online Spanish patient education materials in dermatology. Arch Dermatol Res 313(3):201–204. https://doi.org/10.1007/s00403-020-02036-7CrossRefPubMed

Nassif SJ, Wong K, Levi JR (2018) The Índice Flesch-Szigriszt and Spanish lexile analyzer to evaluate Spanish patient education materials in otolaryngology. Laryngoscope 128(1):E21–E26. https://doi.org/10.1002/lary.26910CrossRefPubMed

10.

Karthik N, Barekatain K, Vu H, Wu DTY, Ehrlich JR (2022) A readability comparison of online Spanish and English patient education materials about vision health. Ophthalmic Epidemiol 29(2):182–188. https://doi.org/10.1080/09286586.2021.1910316CrossRefPubMed

11.

Miles RC, Baird GL, Choi P, Falomo E, Dibble EH, Garg M (2019) Readability of online patient educational materials related to breast lesions requiring surgery. Radiology 291(1):112–118. https://doi.org/10.1148/radiol.2019182082CrossRefPubMed

12.

Docimo S, Seeras K, Acho R, Pryor A, Spaniolas K (2022) Academic and community hernia center websites in the United States fail to meet healthcare literacy standards of readability. Hernia 26(3):779–786. https://doi.org/10.1007/s10029-022-02584-zCrossRefPubMed

13.

Vargas CR, Chuang DJ, Lee BT (2014) Online patient resources for hernia repair: analysis of readability. J Surg Res 190(1):144–150. https://doi.org/10.1016/j.jss.2014.03.045CrossRefPubMed

14.

Spaulding S (1956) A Spanish readability formula. Mod Lang J 40(8):433–441. https://doi.org/10.1111/j.1540-4781.1956.tb02145.xCrossRef

15.

Fernández HJ (1959) Medidas sencillas de lecturabilidad. Consigna 214:29–32

16.

Gilliam B, Peña SC, Mountain L (1980) The fry graph applied to Spanish readability. Read Teach 33(4):426–430

17.

Gorrepati PL, Smith GP (2021) Contrasting readability and availability of Spanish language with English language patient education materials. Pediatr Dermatol 38(S2):142–143. https://doi.org/10.1111/pde.14485CrossRefPubMed

18.

Coco L, Colina S, Atcherson SR, Marrone N (2017) Readability level of Spanish-language patient-reported outcome measures in audiology and otolaryngology. Am J Audiol 26(3):309–317. https://doi.org/10.1044/2017_AJA-17-0018CrossRefPubMedPubMedCentral

19.

Separador y contador de sílabas, analizador de poesías y textos. Published January 10, 2023. https://www.separarensilabas.com/index.php

20.

Blanco Pérez A, Gutiérrez CU (2002) Readability of health web pages for patients and readers among the general population. Rev Esp Salud Publica 76(4):321–331PubMed

21.

Fountain-Chambers JF (1982) Readability of primary-grade Spanish reading books: a correlational study of the Spaulding formula and the Fry graph (Adapted). Dissertation, Texas Womens University Graduate School, School of Library Science. Published online 1984.

22.

Thonis EW (1976) Literacy for America’s Spanish speaking children. International Reading Association

23.

Fry E (1968) A readability formula that saves time. J Read 11(7):513–516

24.

U.S. Census Bureau QuickFacts. https://www.census.gov/quickfacts/fact/table/US/PST045221. Accessed 28 Feb 2023.

25.

Pew Research Center (2021) Mobile Fact Sheet. https://www.pewresearch.org/internet/fact-sheet/mobile/. Accessed 20 Jan 2022.

26.

Tatarian T, McPartland C, Nie L, Yang J, Spaniolas K, Docimo S, Pryor AD (2022) Socioeconomic disparities in the utilization of primary robotic hernia repair. Surg Endosc. https://doi.org/10.1007/s00464-022-09627-7. (PMID: 36138250)CrossRefPubMed

27.

Tsui ST, Yang J, Zhang X, Tatarian T, Docimo S, Spaniolas K, Pryor AD (2021) Health disparity in access to bariatric surgery. Surg Obes Relat Dis 17(2):249–255. https://doi.org/10.1016/j.soard.2020.10.015. (Epub 2020 Oct 16 PMID: 33249086)CrossRefPubMed

28.

Sher T, Diab AR, Mhaskar R, Docimo S Jr, Sujka J, DuCoin C (2023) Evaluating the Spanish readability of American Society for metabolic and bariatric surgery (ASMBS) centers of excellence (COE) websites. Surg Endosc. https://doi.org/10.1007/s00464-023-09978-9. (PMID: 36914781)CrossRefPubMedPubMedCentral

29.

Juzych MS, Randhawa S, Shukairy A, Kaushal P, Gupta A, Shalauta N (2008) Functional health literacy in patients with glaucoma in urban settings. Arch Ophthalmol Chic Ill 126(5):718–724. https://doi.org/10.1001/archopht.126.5.718CrossRef

30.

Freda MC (2005) The readability of American academy of pediatrics patient education brochures. J Pediatr Health Care 19(3):151–156. https://doi.org/10.1016/j.pedhc.2005.01.013CrossRefPubMed

31.

National Center for Health Statistics (US) (2012) Healthy people 2010: final review. U.S. Dept. of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics

32.

Baker DW, Parker RM, Williams MV, Clark WS, Nurss J (1997) The relationship of patient reading ability to self-reported health and use of health services. Am J Public Health 87(6):1027–1030. https://doi.org/10.2105/AJPH.87.6.1027CrossRefPubMedPubMedCentral

33.

Fouad MN, Kiefe CI, Bartolucci AA, Burst NM, Ulene V, Harvey MR (1997) A hypertension control program tailored to unskilled and minority workers. Ethn Dis 7(3):191–199PubMed

34.

Colaco M, Svider PF, Agarwal N, Eloy JA, Jackson IM (2013) Readability assessment of online urology patient education materials. J Urol 189(3):1048–1052. https://doi.org/10.1016/j.juro.2012.08.255CrossRefPubMed

35.

Huang G, Fang CH, Agarwal N, Bhagat N, Eloy JA, Langer PD (2015) Assessment of online patient education materials from major ophthalmologic associations. JAMA Ophthalmol 133(4):449. https://doi.org/10.1001/jamaophthalmol.2014.6104CrossRefPubMed

36.

Kapoor K, George P, Evans MC, Miller WJ, Liu SS (2017) Health literacy: readability of ACC/AHA online patient education material. Cardiology 138(1):36–40. https://doi.org/10.1159/000475881CrossRefPubMed

37.

Kasabwala K, Misra P, Hansberry DR et al (2013) Readability assessment of the American Rhinologic society patient education materials: readability of ARS patient education materials. Int Forum Allergy Rhinol 3(4):325–333. https://doi.org/10.1002/alr.21097CrossRefPubMed

38.

Kirrsch IS, Jungeblut A, Jenkins L, Kolstad A (1993) Adult literacy in America: a first look at the results of the national adult literacy survey. US Government Printing Office

39.

U.S. Department of Education (2006) National assessment of adult literacy (NAAL): a first look at the literacy of America’s adults in the 21st century. NCES Publication

40.

Davis RM (2000) Healthy people 2010: objectives for the United States. BMJ 320(7238):818–819. https://doi.org/10.1136/bmj.320.7238.818CrossRefPubMedPubMedCentral

41.

Ley P, Florio T (1996) The use of readability formulas in health care. Psychol Health Med 1(1):7–28. https://doi.org/10.1080/13548509608400003CrossRef

42.

Doak CC, Doak LG, Root JH (1996) Teaching patients with low literacy skills. AJN Am J Nurs. 96(12):10

43.

Institute of Medicine (US) (2004) Committee on health literacy. In: Nielsen-Bohlman L, Panzer AM, Kindig DA (eds) Health literacy: a prescription to end confusion. National Academies Press

44.

Spache GD (1968) Good reading for poor readers. ERIC

45.

Fitzgerald GG (1980) Reliability of the fry sampling procedure. Read Res Q 15(4):489. https://doi.org/10.2307/747276CrossRef

Titel: Spanish-language bariatric surgery patient education materials fail to meet healthcare literacy standards of readability
verfasst von: George Padilla
Sabrina Awshah
Rahul S. Mhaskar
Abdul-Rahman Fadi Diab
Joseph A. Sujka
Christopher DuCoin
Salvatore Docimo
Publikationsdatum: 02.05.2023
Verlag: Springer US
Erschienen in: Surgical Endoscopy / Ausgabe 8/2023
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-023-10088-9

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Spanish-language bariatric surgery patient education materials fail to meet healthcare literacy standards of readability