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Patient-Reported Outcome Measures in Voice: An Updated Readability Analysis
Julia Stefu1, Bonnie K Slavych2, Richard I Zraick1
1University of Central Florida, Orlando, Florida.
Journal of Voice : Official Journal of the Voice Foundation
|March 19, 2021
Summary
Most voice-related patient-reported outcome measures (PROMs) are written above a sixth-grade reading level, despite health literacy recommendations. This study analyzed eight PROMs to assess their readability and adherence to health literacy standards.
Area of Science:
- Health Literacy
- Patient-Reported Outcome Measures (PROMs)
- Voice Disorders
Background:
- Health literacy experts recommend patient-facing materials be written at a fifth-to-sixth grade reading level.
- Patient-reported outcome measures (PROMs) are crucial for assessing patient experiences and treatment effectiveness.
Purpose of the Study:
- To evaluate whether voice-related PROMs developed since 2011 meet the recommended fifth-to-sixth grade reading level.
- To assess the current state of health literacy in voice-related patient outcome instruments.
Main Methods:
- A readability analysis was performed on eight voice-related PROMs.
- Multiple established readability formulas were used, including Coleman-Liau, Flesch-Kincaid, FORCAST, Gunning-Fog, and SMOG.
Main Results:
- A significant majority (75%) of the analyzed voice-related PROMs exceeded the recommended fifth-to-sixth grade reading level.
- The readability assessment indicated a gap between expert recommendations and the actual reading level of these patient-facing tools.
Conclusions:
- Despite increased awareness of health literacy, voice-related PROMs are often created without adequate consideration for reading level.
- There is a need for researchers to revise existing PROMs and develop new ones with improved readability, alongside other enhancing features.
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