Vol 3, No 2 (2018)
Research paper
Published online: 2018-09-27

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Evaluation of the Readability of Informed Consent Forms Used for Emergency Procedures

Leyla Öztürk Sönmez12, Mehmet Giray Sönmez3, Mustafa Kürşat Ayrancı1, Mehmet Gül1
Disaster Emerg Med J 2018;3(2):51-55.

Abstract

INTRODUCTION: The aim of the study was to evaluate the readability levels of informed consent forms used for patient consent before emergency procedures applied in emergency service in Necmettin Erbakan University Meram Medical Faculty Emergency Service Clinic through readability formula.

METHOD: Fifteen informed patient consent forms used for emergency medical applications in Necmettin Erbakan University Meram Medical Faculty Emergency Medicine Department were evaluated. Information text available on the forms was transferred into Microsoft Word program. Average word number, syllable number and words with syllable number of four and above were calculated. Ateşman and Bezirci-Yılmaz formulas defined for determining the readability level of Turkish texts and Gunning fog, Flesch kincaid formulas measuring the general readability level were used for calculating the readability level of consent forms.

RESULTS: Readability levels of all consent forms were detected at average difficulty level according to Ateşman formula, very difficult according to Flesch-Kincaid formula, difficult according to Gunning fog formula and at high school level according to Bezirci-Yılmaz.

CONCLUSIONS: In this study, the readability level of emergency intervention consent forms used in the clinic was detected as hard and required high school or higher education level. The conclusion is that attention should be paid to this subject which is both medically and legally binding for the doctors and verbal and visual support should be provided for informing the patients in addition to consent forms.

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References

  1. Sonmez M, Kozanhan B, Ozkent M, et al. The evaluation of the readability of informed consent forms used for urology: Is there a difference between open, endoscopic and laparoscopic surgery? Turkish Journal of Surgery. 2017.
  2. Hilgart MM, Ritterband LM, Thorndike FP, et al. A behavior change model for internet interventions. Ann Behav Med. 2009; 38(1): 18–27.
  3. Borello A, Ferrarese A, Passera R, et al. Use of a simplified consent form to facilitate patient understanding of informed consent for laparoscopic cholecystectomy. Open Med (Wars). 2016; 11(1): 564–573.
  4. Boztaş N, Özbilgin Ş, Öçmen E, et al. Evaluating the readibility of informed consent forms available before anaesthesia: a comparative study. Turk J Anaesthesiol Reanim. 2014; 42(3): 140–144.
  5. Ateşman E. Measuring readability in Turkish. A.U. Tömer Language Journal. 1997; 58: 171–4.
  6. Bezirci B, Yılmaz AE. A software library for measurement of readability of texts and a new readability metric for turkish. DEÜ FMD. 2010; 12(3): 49–62.
  7. Flesch R. A new readability yardstick. J Appl Psychol. 1948; 32(3): 221–233.
  8. Gunning R. The Technique of Clear Writing. McGraw-Hill International Book Co, New York 1952.
  9. Mello MM, Studdert DM, DesRoches CM, et al. Effects of a malpractice crisis on specialist supply and patient access to care. Ann Surg. 2005; 242(5): 621–628.
  10. Paasche-Orlow MK, Taylor HA, Brancati FL. Readability standards for informed-consent forms as compared with actual readability. N Engl J Med. 2003; 348(8): 721–726.
  11. Sanghvi S, Cherla DV, Shukla PA, et al. Readability assessment of internet-based patient education materials related to facial fractures. Laryngoscope. 2012; 122(9): 1943–1948.
  12. Eltorai AEM, Sharma P, Wang J, et al. Most American Academy of Orthopaedic Surgeons' online patient education material exceeds average patient reading level. Clin Orthop Relat Res. 2015; 473(4): 1181–1186.
  13. Eltorai AEM, Han A, Truntzer J, et al. Readability of patient education materials on the American Orthopaedic Society for Sports Medicine website. Phys Sportsmed. 2014; 42(4): 125–130.
  14. Eltorai AEM, Ghanian S, Adams CA, et al. Readability of patient education materials on the american association for surgery of trauma website. Arch Trauma Res. 2014; 3(2): e18161.
  15. San Norberto EM, Gómez-Alonso D, Trigueros JM, et al. [Readability of surgical informed consent in Spain]. Cir Esp. 2014; 92(3): 201–207.
  16. Eltorai AEM, Naqvi SS, Ghanian S, et al. Readability of Invasive Procedure Consent Forms. Clin Transl Sci. 2015; 8(6): 830–833.
  17. Gargoum FS, O'Keeffe ST. Readability and content of patient information leaflets for endoscopic procedures. Ir J Med Sci. 2014; 183(3): 429–432.
  18. Barro R, Lee JW. Educational Attainment Dataset. Available at: www.barrolee.com.
  19. Tanrıöver MD, Yıldırım HH, Ready FND, et al. Turkey Health Literacy Survey. Available at: www.sagliksen.org.tr/cdn/uploads/gallery/pdf/8dcec50aa18c21cdaf86a2b33001a409.pdf.
  20. Shukla AN, Daly MK, Legutko P. Informed consent for cataract surgery: patient understanding of verbal, written, and videotaped information. J Cataract Refract Surg. 2012; 38(1): 80–84.