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A multimethods randomized trial found that plain language versions improved parents' understanding of health recommendations
SA. Elliott, SD. Scott, R. Charide, L. Patterson-Stallwood, S. Sayfi, A. Motilall, A. Baba, T. Lotfi, J. Suvada, M. Klugar, T. Kredo, JL. Mathew, DP. Richards, NJ. Butcher, M. Offringa, K. Pottie, HJ. Schünemann, L. Hartling
Jazyk angličtina Země Spojené státy americké
Typ dokumentu randomizované kontrolované studie, časopisecké články, práce podpořená grantem
Grantová podpora
GA3-177732
CIHR - Canada
FRN VR4-172741
CIHR - Canada
REC 183,153
CIHR - Canada
NLK
ProQuest Central
od 2003-01-01 do Před 2 měsíci
Nursing & Allied Health Database (ProQuest)
od 2003-01-01 do Před 2 měsíci
Health & Medicine (ProQuest)
od 2003-01-01 do Před 2 měsíci
Health Management Database (ProQuest)
od 2003-01-01 do Před 2 měsíci
Public Health Database (ProQuest)
od 2003-01-01 do Před 2 měsíci
- MeSH
- COVID-19 * MeSH
- dítě MeSH
- dospělí MeSH
- jazyk (prostředek komunikace) MeSH
- lidé MeSH
- mladiství MeSH
- rodiče * MeSH
- sběr dat MeSH
- Check Tag
- dítě MeSH
- dospělí MeSH
- lidé MeSH
- mladiství MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- randomizované kontrolované studie MeSH
OBJECTIVES: To assess the effectiveness of plain language compared with standard language versions of COVID-19 recommendations specific to child health. STUDY DESIGN AND SETTING: Pragmatic, allocation-concealed, blinded, superiority randomized controlled trial with nested qualitative component. Trial was conducted online, internationally. Parents or legal guardians (≥18 years) of a child (<18 years) were eligible. Participants were randomized to receive a plain language recommendation (PLR) or standard (SLV) verison of a COVID-19 recommendation specific to child health. Primary outcome was understanding. Secondary outcomes included: preference, accessibility, usability, satisfaction, and intended behavior. Interviews explored perceptions and preferences for each format. RESULTS: Between July and August 2022, 295 parents were randomized; 241 (81.7%) completed the study (intervention n = 121, control n = 120). Mean understanding scores were significantly different between groups (PLR 3.96 [standard deviation (SD) 2.02], SLV 3.33 [SD 1.88], P = 0.014). Overall participants preferred the PLR version: mean rating 5.05/7.00 (95% CI 4.81, 5.29). Interviews (n = 12 parents) highlighted their preference for the PLR and provided insight on elements to enhance future knowledge mobilization of health recommendations. CONCLUSION: Compared to SLVs, parents preferred PLRs and better understood the recommendation. Guideline developers should strive to use plain language to increase understanding, uptake, and implementation of evidence by the public.
Canadian Arthritis Patient Alliance Toronto 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 Biomedical Sciences Humanitas University Milan Italy
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 and GRADE Centres 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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- $a Elliott, Sarah A $u Alberta Research Centre for Health Evidence, Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada; Cochrane Child Health, Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada
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- $a OBJECTIVES: To assess the effectiveness of plain language compared with standard language versions of COVID-19 recommendations specific to child health. STUDY DESIGN AND SETTING: Pragmatic, allocation-concealed, blinded, superiority randomized controlled trial with nested qualitative component. Trial was conducted online, internationally. Parents or legal guardians (≥18 years) of a child (<18 years) were eligible. Participants were randomized to receive a plain language recommendation (PLR) or standard (SLV) verison of a COVID-19 recommendation specific to child health. Primary outcome was understanding. Secondary outcomes included: preference, accessibility, usability, satisfaction, and intended behavior. Interviews explored perceptions and preferences for each format. RESULTS: Between July and August 2022, 295 parents were randomized; 241 (81.7%) completed the study (intervention n = 121, control n = 120). Mean understanding scores were significantly different between groups (PLR 3.96 [standard deviation (SD) 2.02], SLV 3.33 [SD 1.88], P = 0.014). Overall participants preferred the PLR version: mean rating 5.05/7.00 (95% CI 4.81, 5.29). Interviews (n = 12 parents) highlighted their preference for the PLR and provided insight on elements to enhance future knowledge mobilization of health recommendations. CONCLUSION: Compared to SLVs, parents preferred PLRs and better understood the recommendation. Guideline developers should strive to use plain language to increase understanding, uptake, and implementation of evidence by the public.
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