- 作者：Erin Freed ; Debra Long ; Tonantzin Rodriguez ; Peter Franks ; Richard L. Kravitz ; Anthony Jerant
- 关键词：Colorectal neoplasms ; Early detection of cancer ; Educational status ; Health literacy ; Mass screening ; Mental recall ; Patient education as topic ; Patient education handout ; Randomized controlled trial ; Reading
- 刊名：Patient Education and Counseling
- 出版年：2013
- 出版时间：August, 2013
- 年：2013
- 卷：92
- 期：2
- 页码：260-265
- 全文大小：486 K
Objective
To compare the effects of two health information texts on patient recognition memory, a key aspect of comprehension.Methods
Randomized controlled trial (N = 60), comparing the effects of experimental and control colorectal cancer (CRC) screening texts on recognition memory, measured using a statement recognition test, accounting for response bias (score range ?0.91 to 5.34). The experimental text had a lower Flesch-Kincaid reading grade level (7.4 versus 9.6), was more focused on addressing screening barriers, and employed more comparative tables than the control text.
Results
Recognition memory was higher in the experimental group (2.54 versus 1.09, t = ?3.63, P = 0.001), including after adjustment for age, education, and health literacy (¦Â = 0.42, 95 % CI: 0.17, 0.68, P = 0.001), and in analyses limited to persons with college degrees (¦Â = 0.52, 95 % CI: 0.18, 0.86, P = 0.004) or no self-reported health literacy problems (¦Â = 0.39, 95 % CI: 0.07, 0.71, P = 0.02).
Conclusion
An experimental CRC screening text improved recognition memory, including among patients with high education and self-assessed health literacy.
Practice implications
CRC screening texts comparable to our experimental text may be warranted for all screening-eligible patients, if such texts improve screening uptake.