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PubMed1994

Why are some pamphlets hard for patients to read?

In this study with lung cancer patients, we describe not only text characteristics that hinder comprehension, including unfamiliar words and poor organization, but also reader characteristics that hinder comprehension, such as educational level, and what the patient wants to know. Based on our and other's research we recommend writing what the reader wants to know, relating new learning to what the learner already knows, and using organizational cues for clarity and emphasis.

Aged↗
PubMed1993

[Public information on normal forgetfulness and dementia: effectiveness of a systematically developed information pamphlet].

Previous research revealed that many elderly people are worried about their memory and are afraid of falling victim to dementia. An information brochure was developed in 1991 for this target group. After reading the brochure, 63% of all respondents who were worried about dementia beforehand (n = 307), said that their anxiety had decreased or disappeared. Approximately 3% of the total group of 400 respondents became more worried. A cognitive test battery was used to determine whether people's increased or decreased anxiety was justifiable. This test battery gave an indication of the severity of cognitive problems. A sample of 104 people was tested. Thirty subjects achieved a low test score and sixteen of them were inappropriately reassured by the brochure. Approximately 64% of fifty-four subjects who performed well on cognitive test and were worried about dementia beforehand, were rightly reassured, but the other 36% were (still) unnecessarily worried. The occurrence of dementia in a close relative covaried with worries about possible dementia in people with good test results. In conclusion, it appeared that an information brochure about normal forgetfulness and dementia may reduce the anxiety for dementia.

Aged↗
PubMed1993

[Metabolic improvement of diabetes mellitus through pamphlets on the norms of self-monitoring control measures].

OBJECTIVE: To assess whether giving a leaflet containing norms of self-control to diabetics receiving insulin treatment results in a metabolic improvement. The HbA1c was established prior and subsequent to giving out the leaflet. The written norms contained in the leaflet were highlighted from the wider range of instructions obtained from diabetes education. DESIGN: A longitudinal intervention study with no random allocation. SETTING: Hospital care in a specialised Endocrinology clinic. PATIENTS AND OTHER PARTICIPANTS: 122 types 1 and 2 diabetics, treated with various insulin diets, who had received prior diabetes education and carried out blood self-controls. Cases of meta-diabetic syndrome, serious illnesses and those without apparent hypoglycaemia symptoms were excluded. INTERVENTIONS: Giving out of a leaflet with written norms of self-control. MEASUREMENTS AND MAIN RESULTS: The averages, standard deviations and 95% confidence intervals of the basal HbA1c and of those at four-monthly check-ups were calculated. Basal 8.07 (CI 7.75 - 8.39); 4th month 6.88 (CI 6.74 - 7.17); 8th month 6.59 CI 6.29 - 6.90); 12th month 6.60 (CI 6.23 - 6.94); 16th month 6.06 (CI 5.63 - 6.49); 20th month 5.40 (CI 3.04 - 7.75). Averages were compared by the Student T test and all values had p < 0.005 against the basal. CONCLUSIONS: Following the written norms produced a clear metabolic improvement, represented by the significant fall of HbA1c. Therefore, though without ignoring the overall context of treatment and diabetes education, it is proposed that the relationship of the most practical features of insulin dosing to written norms of self-control should be emphasised.

Blood Glucose Self-Monitoring↗
PubMed1996

[Comments on the revision of the Königstein instructional pamphlet].

The "Königsteiner Merkblatt (juris prudence)" is an instructional booklet of the general association of juris prudence involves accident insurance ("Hauptverband der gewerblichen Berufsgenossenschaften") in Germany. Medico-legal examinations of occupational noise-induced hearing loss are detailed. In contrast to prior editions, the 4th edition of this booklet, published in January 1996, has been extended by the definitions of legal regulations important for the physician in making medical decisions. Also the number of tests recommended for audiological investigation has been extended. The rules for estimating hearing disability and the calculation of individual handicaps have been changed, and the handicaps for complete deafness in one or both ears have been increased to 20% or 80%, respectively. The most important changes and extensions of the new edition are cited and discussed.

Eligibility Determination↗
PubMed2001

More than just a pamphlet: development of an innovative computer-based education program for cancer patients.

Patients with cancer continue to lack practical information regarding their illness and report low levels of awareness and use of patient services. The challenge to educators is to find cost-effective and timely ways to deliver a complex mix of interesting and high-quality information and expertise to this large and diverse audience, while still tailoring the content to individual needs and situations. In the present article, we describe the Princess Margaret Hospital (PMH) computer-based patient education program. The program is aimed toward empowering those dealing with cancer and provides comprehensive medical information and support via an interactive Intranet web site containing information about cancer (the Oncology Interactive Education Series), library resources, Internet links, information about PMH services, and a hospital calendar of events. Preliminary evaluation results have provided valuable direction for on-going program development and suggest that the program is easy to use, informative, and enjoyable for patients, families, volunteers, and health professionals.

Computer Communication Networks↗