4.5 Article

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

Journal

PATIENT EDUCATION AND COUNSELING
Volume 92, Issue 2, Pages 260-265

Publisher

ELSEVIER IRELAND LTD
DOI: 10.1016/j.pec.2013.03.008

Keywords

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

Funding

  1. National Cancer Institute [R01CA131386]
  2. California Academy of Family Physicians Research Externship Grant
  3. UC Davis Department of Family and Community Medicine Research Grant

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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.

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