A multimethods randomized trial found that plain language
versions improved adults understanding of health
recommendations

J 2024

A multimethods randomized trial found that plain language versions improved adults understanding of health recommendations

SAYFI, Shahab, Rana CHARIDE, Sarah A ELLIOTT, Lisa HARTLING, Matthew MUNAN et. al.

Basic information

Original name

A multimethods randomized trial found that plain language versions improved adults understanding of health recommendations

Authors

SAYFI, Shahab, Rana CHARIDE, Sarah A ELLIOTT, Lisa HARTLING, Matthew MUNAN, Lisa STALLWOOD, Nancy J BUTCHER, Dawn P RICHARDS, Joseph L MATHEW, Jozef SUVADA, Elie A AKL, Tamara KREDO, Lawrence MBUAGBAW, Ashley MOTILALL, Ami BABA, Shannon D SCOTT, Maicon FALAVIGNA, Miloslav KLUGAR (203 Czech Republic, belonging to the institution), Tereza FRIESSOVÁ (203 Czech Republic, belonging to the institution), Tamara LOTFI, Adrienne STEVENS, Martin OFFRINGA, Holger J SCHUNEMANN and Kevin POTTIE

Edition

Journal of clinical epidemiology, New York, Elsevier, 2024, 0895-4356

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30304 Public and environmental health

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 7.200 in 2022

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1016/j.jclinepi.2023.11.009

UT WoS

001143943900001

Keywords in English

Health information; Vaccine recommendations; Plain language recommendation; COVID-19; RCT; Knowledge mobilization

Abstract

V originále

Objectives: To make informed decisions, the general population should have access to accessible and understandable health recommendations. To compare understanding, accessibility, usability, satisfaction, intention to implement, and preference of adults provided with a digital "Plain Language Recommendation" (PLR) format vs. the original "Standard Language Version" (SLV).Study Design and Setting: An allocation-concealed, blinded, controlled superiority trial and a qualitative study to understand participant preferences. An international on-line survey. 488 adults with some English proficiency. 67.8% of participants identified as female, 62.3% were from the Americas, 70.1% identified as white, 32.2% had a bachelor's degree as their highest completed education, and 42% said they were very comfortable reading health information. In collaboration with patient partners, advisors, and the Cochrane Consumer Network, we developed a plain language format of guideline recommendations (PLRs) to compare their effectiveness vs. the original standard language versions (SLVs) as published in the source guideline. We selected two recommendations about COVID-19 vaccine, similar in their content, to compare our versions, one from the World Health Organization (WHO) and one from Centers for Disease Control and Prevention (CDC). The primary outcome was understanding, measured as the proportion of correct responses to seven comprehension questions. Secondary outcomes were accessibility, usability, satisfaction, preference, and intended behavior, measured on a 1-7 scale.Results: Participants randomized to the PLR group had a higher proportion of correct responses to the understanding questions for the WHO recommendation (mean difference [MD] of 19.8%, 95% confidence interval [CI] 14.7-24.9%; P < 0.001) but this difference was smaller and not statistically significant for the CDC recommendation (MD of 3.9%, 95% CI -0.7% to 8.3%; P = 0.096). However, regardless of the recommendation, participants found the PLRs more accessible, (MD of 1.2 on the seven-point scale, 95% CI 0.9-1.4%; P < 0.001) and more satisfying (MD of 1.2, 95% CI 0.9-1.4%; P < 0.001). They were also more likely to follow the recommendation if they had not already followed it (MD of 1.2, 95% CI 0.7-1.8%; P < 0.001) and share it with other people they know (MD of 1.9, 95% CI 0.5-1.2%; P < 0.001). There was no significant difference in the preference between the two formats (MD of -0.3, 95% CI -0.5% to 0.03%; P = 0.078). The qualitative interviews supported and contextualized these findings.Conclusion: Health information provided in a PLR format improved understanding, accessibility, usability, and satisfaction and thereby has the potential to shape public decision-making behavior.(c) 2023 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

Citovat

SAYFI, Shahab, Rana CHARIDE, Sarah A ELLIOTT, Lisa HARTLING, Matthew MUNAN, Lisa STALLWOOD, Nancy J BUTCHER, Dawn P RICHARDS, Joseph L MATHEW, Jozef SUVADA, Elie A AKL, Tamara KREDO, Lawrence MBUAGBAW, Ashley MOTILALL, Ami BABA, Shannon D SCOTT, Maicon FALAVIGNA, Miloslav KLUGAR, Tereza FRIESSOVÁ, Tamara LOTFI, Adrienne STEVENS, Martin OFFRINGA, Holger J SCHUNEMANN and Kevin POTTIE. A multimethods randomized trial found that plain language versions improved adults understanding of health recommendations. Journal of clinical epidemiology. New York: Elsevier, 2024, vol. 165, January 2024, p. 1-12. ISSN 0895-4356. Available from: https://dx.doi.org/10.1016/j.jclinepi.2023.11.009.

@article{2371839,
   author = {Sayfi, Shahab and Charide, Rana and Elliott, Sarah A and Hartling, Lisa and Munan, Matthew and Stallwood, Lisa and Butcher, Nancy J and Richards, Dawn P and Mathew, Joseph L and Suvada, Jozef and Akl, Elie A and Kredo, Tamara and Mbuagbaw, Lawrence and Motilall, Ashley and Baba, Ami and Scott, Shannon D and Falavigna, Maicon and Klugar, Miloslav and Friessová, Tereza and Lotfi, Tamara and Stevens, Adrienne and Offringa, Martin and Schunemann, Holger J and Pottie, Kevin},
   article_location = {New York},
   article_number = {January 2024},
   doi = {http://dx.doi.org/10.1016/j.jclinepi.2023.11.009},
   keywords = {Health information; Vaccine recommendations; Plain language recommendation; COVID-19; RCT; Knowledge mobilization},
   language = {eng},
   issn = {0895-4356},
   journal = {Journal of clinical epidemiology},
   title = {A multimethods randomized trial found that plain language versions improved adults understanding of health recommendations},
   url = {https://www.sciencedirect.com/science/article/pii/S0895435623003037?via%3Dihub},
   volume = {165},
   year = {2024}
}

TY  - JOUR
ID  - 2371839
AU  - Sayfi, Shahab - Charide, Rana - Elliott, Sarah A - Hartling, Lisa - Munan, Matthew - Stallwood, Lisa - Butcher, Nancy J - Richards, Dawn P - Mathew, Joseph L - Suvada, Jozef - Akl, Elie A - Kredo, Tamara - Mbuagbaw, Lawrence - Motilall, Ashley - Baba, Ami - Scott, Shannon D - Falavigna, Maicon - Klugar, Miloslav - Friessová, Tereza - Lotfi, Tamara - Stevens, Adrienne - Offringa, Martin - Schunemann, Holger J - Pottie, Kevin
PY  - 2024
TI  - A multimethods randomized trial found that plain language versions improved adults understanding of health recommendations
JF  - Journal of clinical epidemiology
VL  - 165
IS  - January 2024
SP  - 1-12
EP  - 1-12
PB  - Elsevier
SN  - 08954356
KW  - Health information
KW  - Vaccine recommendations
KW  - Plain language recommendation
KW  - COVID-19
KW  - RCT
KW  - Knowledge mobilization
UR  - https://www.sciencedirect.com/science/article/pii/S0895435623003037?via%3Dihub
N2  - Objectives: To make informed decisions, the general population should have access to accessible and understandable health recommendations. To compare understanding, accessibility, usability, satisfaction, intention to implement, and preference of adults provided with a digital "Plain Language Recommendation" (PLR) format vs. the original "Standard Language Version" (SLV).Study Design and Setting: An allocation-concealed, blinded, controlled superiority trial and a qualitative study to understand participant preferences. An international on-line survey. 488 adults with some English proficiency. 67.8% of participants identified as female, 62.3% were from the Americas, 70.1% identified as white, 32.2% had a bachelor's degree as their highest completed education, and 42% said they were very comfortable reading health information. In collaboration with patient partners, advisors, and the Cochrane Consumer Network, we developed a plain language format of guideline recommendations (PLRs) to compare their effectiveness vs. the original standard language versions (SLVs) as published in the source guideline. We selected two recommendations about COVID-19 vaccine, similar in their content, to compare our versions, one from the World Health Organization (WHO) and one from Centers for Disease Control and Prevention (CDC). The primary outcome was understanding, measured as the proportion of correct responses to seven comprehension questions. Secondary outcomes were accessibility, usability, satisfaction, preference, and intended behavior, measured on a 1-7 scale.Results: Participants randomized to the PLR group had a higher proportion of correct responses to the understanding questions for the WHO recommendation (mean difference [MD] of 19.8%, 95% confidence interval [CI] 14.7-24.9%; P < 0.001) but this difference was smaller and not statistically significant for the CDC recommendation (MD of 3.9%, 95% CI -0.7% to 8.3%; P = 0.096). However, regardless of the recommendation, participants found the PLRs more accessible, (MD of 1.2 on the seven-point scale, 95% CI 0.9-1.4%; P < 0.001) and more satisfying (MD of 1.2, 95% CI 0.9-1.4%; P < 0.001). They were also more likely to follow the recommendation if they had not already followed it (MD of 1.2, 95% CI 0.7-1.8%; P < 0.001) and share it with other people they know (MD of 1.9, 95% CI 0.5-1.2%; P < 0.001). There was no significant difference in the preference between the two formats (MD of -0.3, 95% CI -0.5% to 0.03%; P = 0.078). The qualitative interviews supported and contextualized these findings.Conclusion: Health information provided in a PLR format improved understanding, accessibility, usability, and satisfaction and thereby has the potential to shape public decision-making behavior.(c) 2023 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
ER  -

SAYFI, Shahab, Rana CHARIDE, Sarah A ELLIOTT, Lisa HARTLING, Matthew MUNAN, Lisa STALLWOOD, Nancy J BUTCHER, Dawn P RICHARDS, Joseph L MATHEW, Jozef SUVADA, Elie A AKL, Tamara KREDO, Lawrence MBUAGBAW, Ashley MOTILALL, Ami BABA, Shannon D SCOTT, Maicon FALAVIGNA, Miloslav KLUGAR, Tereza FRIESSOVÁ, Tamara LOTFI, Adrienne STEVENS, Martin OFFRINGA, Holger J SCHUNEMANN and Kevin POTTIE. A multimethods randomized trial found that plain language versions improved adults understanding of health recommendations. \textit{Journal of clinical epidemiology}. New York: Elsevier, 2024, vol.~165, January 2024, p.~1-12. ISSN~0895-4356. Available from: https://dx.doi.org/10.1016/j.jclinepi.2023.11.009.

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