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Trial lay summaries were not fit for purpose
1TRAMS (Trials Research and Methodologies Unit), HRB Clinical Research Facility, University College Cork, Cork, Ireland; School of Public Health, University College Cork, Cork, Ireland; HRB Trials Methodology Research Network, University College Cork, Cork, Ireland.
Trial lay summaries are often too difficult for the public to understand, failing to meet recommended reading levels. Improving the readability of these important health communication documents requires specialized writing skills and funder support.
Area of Science:
- Health communication
- Clinical trial reporting
- Readability assessment
Background:
- Lay summaries are crucial for disseminating clinical trial results to the public.
- Effective communication requires content accessible to a non-specialist audience.
- Assessing readability is key to ensuring public understanding of health information.
Purpose of the Study:
- To evaluate the suitability of trial lay summaries for lay readers.
- To determine if lay summaries meet established readability standards and guidelines.
Main Methods:
- A random sample of 60 randomized controlled trial (RCT) lay summaries from the NIHR Journals Library were analyzed.
- Readability was assessed using multiple validated scales (FRES, FKGL, SMOG, GF, CLI, ARI).
- Compatibility with Plain English UK and NALA (Ireland) guidelines was evaluated.
Main Results:
- No lay summary achieved the recommended reading age of 11-12 years.
- Over 85% of summaries were classified as "difficult" to read.
- None of the analyzed summaries were considered "easy" to read.
Conclusions:
- Current trial lay summaries frequently fail to meet accessibility standards for the general public.
- Readability assessment and adherence to plain language guidelines are feasible improvements.
- Recognizing and supporting the need for specialized expertise in writing lay summaries is essential.
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