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Plain Language vs Standard Format for Youth Understanding of COVID-19 Recommendations: A Randomized Clinical Trial
L. Stallwood, A. Sammy, M. Prebeg, J. Relihan, A. Baba, R. Charide, S. Sayfi, SA. Elliott, L. Hartling, M. Munan, DP. Richards, JL. Mathew, T. Kredo, L. Mbuagbaw, A. Motilall, SD. Scott, M. Klugar, T. Lotfi, AL. Stevens, K. Pottie, HJ....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, práce podpořená grantem
Grantová podpora
GA3-177732
CIHR - Canada
FRN VR4-172741
CIHR - Canada
REC 183153
CIHR - Canada
- MeSH
- COVID-19 * prevence a kontrola MeSH
- hodnocení výsledků zdravotní péče MeSH
- konstruktivní zpětná vazba MeSH
- lidé MeSH
- mladiství MeSH
- průzkumy a dotazníky MeSH
- vakcíny proti COVID-19 MeSH
- Check Tag
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
IMPORTANCE: To ensure that youths can make informed decisions about their health, it is important that health recommendations be presented for understanding by youths. OBJECTIVE: To compare understanding, accessibility, usability, satisfaction, intention to implement, and preference of youths provided with a digital plain language recommendation (PLR) format vs the original standard language version (SLV) of a health recommendation. DESIGN, SETTING, AND PARTICIPANTS: This pragmatic, allocation-concealed, blinded, superiority randomized clinical trial included individuals from any country who were 15 to 24 years of age, had internet access, and could read and understand English. The trial was conducted from May 27 to July 6, 2022, and included a qualitative component. INTERVENTIONS: An online platform was used to randomize youths in a 1:1 ratio to an optimized digital PLR or SLV format of 1 of 2 health recommendations related to the COVID-19 vaccine; youth-friendly PLRs were developed in collaboration with youth partners and advisors. MAIN OUTCOMES AND MEASURES: The primary outcome was understanding, measured as the proportion of correct responses to 7 comprehension questions. Secondary outcomes were accessibility, usability, satisfaction, preference, and intended behavior. After completion of the survey, participants indicated their interest in completing a 1-on-1 semistructured interview to reflect on their preferred digital format (PLR or SLV) and their outcome assessment survey response. RESULTS: Of the 268 participants included in the final analysis, 137 were in the PLR group (48.4% female) and 131 were in the SLV group (53.4% female). Most participants (233 [86.9%]) were from North and South America. No significant difference was found in understanding scores between the PLR and SLV groups (mean difference, 5.2%; 95% CI, -1.2% to 11.6%; P = .11). Participants found the PLR to be more accessible and usable (mean difference, 0.34; 95% CI, 0.05-0.63) and satisfying (mean difference, 0.39; 95% CI, 0.06-0.73) and had a stronger preference toward the PLR (mean difference, 4.8; 95% CI, 4.5-5.1 [4.0 indicated a neutral response]) compared with the SLV. No significant difference was found in intended behavior (mean difference, 0.22 (95% CI, -0.20 to 0.74). Interviewees (n = 14) agreed that the PLR was easier to understand and generated constructive feedback to further improve the digital PLR. CONCLUSIONS AND RELEVANCE: In this randomized clinical trial, compared with the SLV, the PLR did not produce statistically significant findings in terms of understanding scores. Youths ranked it higher in terms of accessibility, usability, and satisfaction, suggesting that the PLR may be preferred for communicating health recommendations to youths. The interviews provided suggestions for further improving PLR formats. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT05358990.
Canadian Arthritis Patient Alliance Toronto Ontario Canada
Centre for Addiction and Mental Health Toronto Ontario Canada
Centre for Development of Best Practices in Health Yaoundé Central Hospital Yaoundé Cameroon
Centre for Immunization Readiness Public Health Agency of Canada Ottawa Ontario Canada
Cochrane Child Health Department of Pediatrics University of Alberta Edmonton Alberta Canada
Cochrane South Africa South African Medical Research Council Cape Town South Africa
Department of Anesthesia McMaster University Hamilton Ontario Canada
Department of Biomedical Sciences Humanitas University Milan Italy
Department of Medicine McMaster University Hamilton Ontario Canada
Department of Pediatrics McMaster University Hamilton Ontario Canada
Department of Psychiatry University of Toronto Toronto Ontario Canada
Division of Neonatology The Hospital for Sick Children Toronto Ontario Canada
Faculty of Nursing University of Alberta Edmonton Alberta Canada
Five02 Labs Inc Toronto Ontario Canada
Institute of Health Policy Management and Evaluation University of Toronto Toronto Ontario Canada
Michael G DeGroote School of Medicine McMaster University Hamilton Ontario Canada
Postgraduate Institute of Medical Education and Research Chandigarh India
Schulich School of Medicine and Dentistry Western University London Ontario Canada
Citace poskytuje Crossref.org
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