Research Article
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Evaluation of the readability of consent forms used in cardiovascular surgery clinics

Year 2023, Volume: 6 Issue: 5, 860 - 864, 28.09.2023
https://doi.org/10.32322/jhsm.1325569

Abstract

Aims: The readability of the informed consent forms, which are a power of attorney agreement between the physician and the patient, is very important especially in clinics where high-risk procedures such as cardiovascular surgery are performed. In this study, we aimed to determine the readability levels of consent forms, which are frequently used in cardiovascular surgery clinics, according to accepted scales.
Methods: The readability level of the 15 patient consent forms recommended by the Turkish Society of Cardiovascular Surgery to its members; word counts, syllable counts, letter and character counts were calculated using Ateşman and Bezirci-Yılmaz formulas.
Results: Consent forms included in the study were found to be readable at the 11-12th grade level according to the Ateşman scale and at the high school level in the Bezirci-Yılmaz scale. These texts have also been studied at international scales and it has been determined that they are at the level of readability that requires undergraduate education.
Conclusion: Research and data from the Turkish Statistical Institute show that the average year of schooling in our country is 6.5, and the ratio of high school graduates or equivalent to the entire population is 22.3%. We advocate simplifying the informed consent forms recommended by the Turkish Society of Cardiovascular Surgery, from the level that requires high school education to the 6-year education level, which is the average schooling year in Turkey.

References

  • Ersoy N. Aydınlatılmış onam öğretisinin gelişimi. Tıbbi Etik Derg. 1999;3(1):1-6.
  • Kurt MG. Tibbi müdahalelerde aydınlatılmiş onam. Türkiye Barolar Birliği Derg. 2020;146:187-218.
  • DuBay, William H. The Principles of Readability. CA: Costa Mesa; 2004 p.1-3.
  • Bezirci B, Yilmaz AE. Metinlerin okunabilirliğinin ölçülmesi üzerine bir yazilim kütüphanesi ve Türkçe için yeni bir okunabilirlik ölçütü. Dokuz Eylül Üniv Mühendislik Fak Fen Mühendislik Derg. 2010;12(3):49-62.
  • Turkish Society of Cardiovascular Surgery‘s official website member-specific patient consent forms. Available at: https://www.tkdcd.org/content/343/hasta-onam-formlari. html. Accessed February 1 ,2023
  • Çarkıt C, Bahadır Hİ. An investigation on the readability levels of the national struggle and Atatürk theme texts in secondary school turkish textbooks. Cumhuriyet Int J Educ. 2022;11(1):103-111.
  • Ateşman E. Measuring readability in Turkish. AU Tömer Language J. 1997;58(2):171-174.
  • Bezirci B, Yılmaz A. A software library for measurement of readability of texts and a new readability metric for Turkish. Dokuz Eylül Üniv Mühendislik Fak Fen Mühendislik Derg. 2010;12(3): 49-62.
  • Peiris, R., Cornell, S., Greaves, K., Bonner, C. Do hospital consent forms for cardiology procedures meet health literacy standards? Evaluation of understandability and readability. Patient Education Counseling. 2022;105(5):1254-1260.
  • Yeşilyurt ME, Karadeniz O, Gülel FE, Çağlar A, Uyar SG. Türkiye’de illere göre ortalama ve beklenen okullaşma yılı. Pamukkale J Eua Soc Stu. 2016;3(1):1-7.
  • Turkey Statistical Institute official website data portal. Available at: https://data.tuik.gov.tr/Kategori/GetKategori?p=egitim-kultur-spor-ve-turizm-105&dil=1.html. Accessed Feb 1, 2023.
  • Dural İE. Are consent forms used in cardiology clinics easy to read? Arch Turk Soc Cardiol. 2022;50(8):590-594.
  • San Norberto EM, Gómez-Alonso D, Trigueros JM, Quiroga J, Gualis J, Vaquero C. Readability of surgical informed consent in Spain. Cirugía Española (English Edition). 2014;92(3):201-207.
  • Fischer AE, Venter WDF, Collins S, Carman M, Lalla-Edward ST. The readability of informed consent forms for research studies conducted in South Africa. South African Med J. 2021;111(2):180–183.
  • Beier, Sofie, et al. "Readability research: An interdisciplinary approach." Foundations and Trends® in Human–Computer Interaction 2022;16.4:214-324.
  • Temur AGT. Okunabilirlik (readability) kavramı. Türklük Bilimi Araştırmaları. 2003;13 Available at: https://dergipark.org.tr/tr/pub/tubar/issue/16954/177007
  • Meade, Maurice J., and Craig W. Dreyer. "Orthodontic treatment consent forms: A readability analysis." J Orthodont. 2022;49.1:32-38.
  • Terranova, Giuseppina, et al. "Low quality and lack of clarity of current informed consent forms in cardiology: how to improve them." JACC: Cardiovasc Imag. 2012;5.6: 649-655.
  • Świeczkowski, Damian, and Sławomir Kułacz. "The use of the Gunning Fog Index to evaluate the readability of Polish and English drug leaflets in the context of Health Literacy challenges in Medical Linguistics: An exploratory study." Cardiol J. 2021;28.4:627-631.
  • Abutaqiya, Mohammed IL, et al. "Aromatic Ring Index (ARI): A characterization factor for nonpolar hydrocarbons from molecular weight and refractive index." Energy & Fuels 2021:35.2: 1113-1119.
Year 2023, Volume: 6 Issue: 5, 860 - 864, 28.09.2023
https://doi.org/10.32322/jhsm.1325569

Abstract

References

  • Ersoy N. Aydınlatılmış onam öğretisinin gelişimi. Tıbbi Etik Derg. 1999;3(1):1-6.
  • Kurt MG. Tibbi müdahalelerde aydınlatılmiş onam. Türkiye Barolar Birliği Derg. 2020;146:187-218.
  • DuBay, William H. The Principles of Readability. CA: Costa Mesa; 2004 p.1-3.
  • Bezirci B, Yilmaz AE. Metinlerin okunabilirliğinin ölçülmesi üzerine bir yazilim kütüphanesi ve Türkçe için yeni bir okunabilirlik ölçütü. Dokuz Eylül Üniv Mühendislik Fak Fen Mühendislik Derg. 2010;12(3):49-62.
  • Turkish Society of Cardiovascular Surgery‘s official website member-specific patient consent forms. Available at: https://www.tkdcd.org/content/343/hasta-onam-formlari. html. Accessed February 1 ,2023
  • Çarkıt C, Bahadır Hİ. An investigation on the readability levels of the national struggle and Atatürk theme texts in secondary school turkish textbooks. Cumhuriyet Int J Educ. 2022;11(1):103-111.
  • Ateşman E. Measuring readability in Turkish. AU Tömer Language J. 1997;58(2):171-174.
  • Bezirci B, Yılmaz A. A software library for measurement of readability of texts and a new readability metric for Turkish. Dokuz Eylül Üniv Mühendislik Fak Fen Mühendislik Derg. 2010;12(3): 49-62.
  • Peiris, R., Cornell, S., Greaves, K., Bonner, C. Do hospital consent forms for cardiology procedures meet health literacy standards? Evaluation of understandability and readability. Patient Education Counseling. 2022;105(5):1254-1260.
  • Yeşilyurt ME, Karadeniz O, Gülel FE, Çağlar A, Uyar SG. Türkiye’de illere göre ortalama ve beklenen okullaşma yılı. Pamukkale J Eua Soc Stu. 2016;3(1):1-7.
  • Turkey Statistical Institute official website data portal. Available at: https://data.tuik.gov.tr/Kategori/GetKategori?p=egitim-kultur-spor-ve-turizm-105&dil=1.html. Accessed Feb 1, 2023.
  • Dural İE. Are consent forms used in cardiology clinics easy to read? Arch Turk Soc Cardiol. 2022;50(8):590-594.
  • San Norberto EM, Gómez-Alonso D, Trigueros JM, Quiroga J, Gualis J, Vaquero C. Readability of surgical informed consent in Spain. Cirugía Española (English Edition). 2014;92(3):201-207.
  • Fischer AE, Venter WDF, Collins S, Carman M, Lalla-Edward ST. The readability of informed consent forms for research studies conducted in South Africa. South African Med J. 2021;111(2):180–183.
  • Beier, Sofie, et al. "Readability research: An interdisciplinary approach." Foundations and Trends® in Human–Computer Interaction 2022;16.4:214-324.
  • Temur AGT. Okunabilirlik (readability) kavramı. Türklük Bilimi Araştırmaları. 2003;13 Available at: https://dergipark.org.tr/tr/pub/tubar/issue/16954/177007
  • Meade, Maurice J., and Craig W. Dreyer. "Orthodontic treatment consent forms: A readability analysis." J Orthodont. 2022;49.1:32-38.
  • Terranova, Giuseppina, et al. "Low quality and lack of clarity of current informed consent forms in cardiology: how to improve them." JACC: Cardiovasc Imag. 2012;5.6: 649-655.
  • Świeczkowski, Damian, and Sławomir Kułacz. "The use of the Gunning Fog Index to evaluate the readability of Polish and English drug leaflets in the context of Health Literacy challenges in Medical Linguistics: An exploratory study." Cardiol J. 2021;28.4:627-631.
  • Abutaqiya, Mohammed IL, et al. "Aromatic Ring Index (ARI): A characterization factor for nonpolar hydrocarbons from molecular weight and refractive index." Energy & Fuels 2021:35.2: 1113-1119.
There are 20 citations in total.

Details

Primary Language English
Subjects Cardiovascular Surgery
Journal Section Original Article
Authors

İbrahim Çağrı Kaya 0000-0002-2909-4034

Early Pub Date September 26, 2023
Publication Date September 28, 2023
Published in Issue Year 2023 Volume: 6 Issue: 5

Cite

AMA Kaya İÇ. Evaluation of the readability of consent forms used in cardiovascular surgery clinics. J Health Sci Med / JHSM. September 2023;6(5):860-864. doi:10.32322/jhsm.1325569

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