Evidence map›Paper›PMID 25927192›Full record

ArticleBMC medical informatics and decision making2015

Usefulness scale for patient information material (USE) - development and psychometric properties.

Lars P Hölzel, Zivile Ries, Jörg Dirmaier, Jördis M Zill, Levente Kriston, Christian Klesse, Martin Härter, Isaac Bermejo

2 registry-linked trialsAbstract readValidation Study
In one paragraph

Article in BMC medical informatics and decision making, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05091671 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Investigating the Effectiveness of the "Free From Pain" Exercise and Education Programme in Decreasing Early Osteoarthritic / Generalised Musculoskeletal Pain in People Over 60 Years of Age

TypeinterventionalSponsorTalita Cumi Ltd.Ran2023 to 2023Enrolled60ConditionsMusculoskeletal Pain, Fear of FallingArmsFree From Pain Exercise Programme Variation 1, Free From Pain Exercise Programme Variation 2
NCT05359107 naunknown statusnot on this mapstarted 2023, after this paper: background citation

A Pragmatic Randomised Control Trial Comparing the Efficacy of the "Free From Pain Exercise Book" Versus "The Back Book" in Decreasing Back Pain in Adults Over 60 Years of Age.

TypeinterventionalSponsorTalita Cumi Ltd.Ran2023 to 2023Enrolled60ConditionsSarcopenia, Back Pain, ArthritisArms"The Free From Pain Exercise Book", "The Back Book"
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. The Cleft Lip Education with Augmented Reality (CLEAR) VR Phase 2 Trial: A Pilot Randomized Crossover Trial of a Novel Patient Information Leaflet.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2023
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  8. An Evaluation of Online Resources for Paediatric Tube Feeding in Aotearoa New Zealand: A Document Analysis.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lars P HölzelResearch Group on Psychotherapy and Health Services Research, Department of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Freiburg, Germany. lars.hoelzel@uniklinik-freiburg.de.
Zivile RiesResearch Group on Psychotherapy and Health Services Research, Department of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Freiburg, Germany. zivile.ries@uniklinik-freiburg.de.
Jörg DirmaierDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. dirmaier@uke.de.
Jördis M ZillDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. j.zill@uke.de.
Levente KristonDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. l.kriston@uke.de.
Christian KlesseRhein-Jura-Klinik, Bad Säckingen, Germany. c.klesse@rhein-jura-klinik.de.
Martin HärterDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. m.haerter@uke.de.
Isaac BermejoMedical Center - University of Freiburg, Freiburg, Germany. i.bermejo@celenus-kliniken.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne economical way to inform patients about their illness and medical procedures is to provide written health information material. So far, a generic and psychometrically sound scale to evaluate cognitive, emotional, and behavioral aspects of the subjectively experienced usefulness of patient information material from the patient's perspective is lacking. The aim of our study was to develop and psychometrically test such a scale.

methodsThe Usefulness Scale for Patient Information Material (USE) was developed using a multistep approach. Ultimately, three items for each subscale (cognitive, emotional, and behavioral) were selected under consideration of face validity, discrimination, difficulty, and item content. The final version of the USE was subjected to reliability analysis. Structural validity was tested using confirmatory factor analysis, and convergent and divergent validity were tested using correlation analysis. The criterion validity of the USE was tested in an experimental design. To this aim, patients were randomly allocated to one of two groups. One group received a full version of an information brochure on depression or chronic low back pain depending on the respective primary diagnosis. Patients in the second group received a reduced version with a lower design quality, smaller font size and less information. Patients were recruited in six hospitals in Germany. After reading the brochure, they were asked to fill in a questionnaire.

resultsAnalyzable data were obtained from 120 questionnaires. The confirmatory factor analysis supported the structural validity of the scale. Reliability analysis of the total scale and its subscales showed Cronbach's α values between .84 and .94. Convergent and divergent validity were supported. Criterion validity was confirmed in the experimental condition. Significant differences between the groups receiving full and reduced information were found for the total score (p<.001) and its three subscales (cognitive p<.001, emotional p=.001, and behavioral p<.001), supporting criterion validity.

conclusionsWe developed a generic scale to measure the subjective usefulness of written patient information material from a patient perspective. Our construct is defined in line with current theoretical models for the evaluation of written patient information material. The USE was shown to be a short, reliable and valid psychometric scale.

Indexed as

AdultConsumer Health InformationGermanyHumansPatient Education as TopicPsychometricsRandom AllocationSurveys and Questionnaires

Identifiers

PMID25927192
PMCPMC4456699

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.