The effects of two health information texts on patient recognition memory: A randomized controlled trial

PATIENT EDUCATION AND COUNSELING

卷:92

Article

Freed, Erin¹  Long, Debra¹  Rodriguez, Tonantzin²  Franks, Peter³  Kravitz, Richard L.⁴  Jerant, Anthony³ 

[1] Univ Calif Davis, Dept Psychol, Davis, CA 95616 USA

[2] Univ Calif Davis, Sch Med, Sacramento, CA 95817 USA

[3] Univ Calif Davis, Sch Med, Dept Family & Community Med, Sacramento, CA 95817 USA

[4] Univ Calif Davis, Sch Med, Dept Internal Med, Sacramento, CA 95817 USA

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;   

DOI  :  10.1016/j.pec.2013.03.008

来源: Elsevier

【 摘 要 】

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 (beta = 0.42,95% Cl: 0.17, 0.68, P = 0.001), and in analyses limited to persons with college degrees (beta = 0.52,95% CI: 0.18, 0.86, P = 0.004) or no self-reported health literacy problems (beta = 039, 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. (C) 2013 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

Free