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Lung Cancer Screening Guidelines: How Readable Are Internet-Based Patient Education Resources?
David Richard Hansberry1, Michael D White2, Michael D'Angelo2
11 Department of Radiology, Thomas Jefferson University Hospitals, 132 S 10th St, Philadelphia, PA 19107.
AJR. American Journal of Roentgenology
|May 1, 2018
Summary
Online lung cancer screening materials are too difficult for most patients to understand. This may prevent people from learning about the benefits of lung cancer screening and improving their health literacy.
Area of Science:
- Medical Education
- Public Health Communication
- Radiology
Background:
- National guidelines recommend low-dose CT screening for lung cancer.
- Online patient education is crucial for disseminating screening information.
- Understanding patient education materials is key to health literacy.
Purpose of the Study:
- To assess the readability of online patient education materials on lung cancer screening.
- To determine if current materials align with recommended reading levels for public comprehension.
Main Methods:
- Searched Google for "pulmonary nodule," "radiation," "low-dose CT," and "lung cancer screening."
- Downloaded and analyzed the top 20 patient-focused resources for each term using 10 readability scales.
- Excluded non-patient-specific websites.
Main Results:
- The 80 analyzed articles averaged a 12.6 grade reading level (range 4.0-19.0).
- 62.5% required a high school education, and 22.6% required a college degree or higher.
- Only 2.5% met the recommended 3rd-7th grade reading level.
Conclusions:
- Online lung cancer screening materials are written significantly above the general public's comprehension level.
- This readability gap may hinder patient understanding and adoption of lung cancer screening.
- Improving material accessibility is vital for enhancing patient health literacy and screening uptake.
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