Evidence map›Paper›PMID 28656111›Full record

ArticleAdvances in preventive medicine2017

Readability Assessment of Online Patient Education Material on Congestive Heart Failure.

Akhil Kher, Sandra Johnson, Robert Griffith

Open access · hybridAbstract read
In one paragraph

Article in Advances in preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 2 pooled it
20.2field-weighted citation impact, top 1% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 2 syntheses or guidelines pooled it, 164 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. The readability of total elbow arthroplasty educational materials.Journal of shoulder and elbow arthroplasty · 2026
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  9. Quality of AI-generated exercise awareness messages for older adults aligned with the ICFSR consensus: a comparative study of three LLMs.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2026
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25 more citing papers are in PubMed but not listed here.

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

3 authors at 1 institution in 1 country.

Akhil KherGeisinger Commonwealth School of Medicine, Scranton, PA, USA.ORCID 0000-0001-9680-6516
Sandra JohnsonGeisinger Commonwealth School of Medicine, Scranton, PA, USA.ORCID 0000-0002-7440-525X
Robert GriffithGeisinger Commonwealth School of Medicine, Scranton, PA, USA.ORCID 0000-0001-7031-8709
Geisinger Commonwealth School of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOnline health information is being used more ubiquitously by the general population. However, this information typically favors only a small percentage of readers, which can result in suboptimal medical outcomes for patients.

objectiveThe readability of online patient education materials regarding the topic of congestive heart failure was assessed through six readability assessment tools.

methodsThe search phrase "congestive heart failure" was employed into the search engine Google. Out of the first 100 websites, only 70 were included attending to compliance with selection and exclusion criteria. These were then assessed through six readability assessment tools.

resultsOnly 5 out of 70 websites were within the limits of the recommended sixth-grade readability level. The mean readability scores were as follows: the Flesch-Kincaid Grade Level (9.79), Gunning-Fog Score (11.95), Coleman-Liau Index (15.17), Simple Measure of Gobbledygook (SMOG) index (11.39), and the Flesch Reading Ease (48.87).

conclusionMost of the analyzed websites were found to be above the sixth-grade readability level recommendations. Efforts need to be made to better tailor online patient education materials to the general population.

Identifiers

PMID28656111
PMCPMC5471568
OpenAlexW2621009456

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.