Evidence map›Paper›PMID 39608994›Full record

ArticleBMJ open2024

Are plain language summaries published in health journals written according to instructions and health literacy principles? A systematic environmental scan.

Karen Gainey, Jenna Smith, Kirsten McCaffery, Sharon Clifford, Danielle Muscat

Erratum issued Registry-linked trialAbstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT07140107 (Patients' Perceptions and Comprehension of Original Versus AI-Generated Plain Language Summaries of Cochrane Oncology Systematic Reviews), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

NCT07140107 naenrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Patients' Perceptions and Comprehension of Original Versus AI-Generated Plain Language Summaries of Cochrane Oncology Systematic Reviews

TypeinterventionalSponsorUniversity of Split, School of MedicineRan2025 to 2026Enrolled130ConditionsNon-Metastatic Breast CancerArmsAI-generated PLS, Original PLS
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Karen GaineyFaculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia karen.gainey@sydney.edu.au.ORCID http://orcid.org/0000-0001-6351-0962
Jenna SmithFaculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-0480-8125
Kirsten McCafferyFaculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0003-2696-5006
Sharon CliffordSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Danielle MuscatFaculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0001-6106-6298

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPlain language summaries (PLSs) are easy-to-understand summaries of research articles that should follow principles of plain language and health literacy. PLS author instructions from health journals help guide authors on word count/PLS length, structure and the use of jargon. However, it is unclear whether published PLSs currently adhere to author instructions.

objectivesThis study aims to determine (1) the degree of compliance of published PLSs against the PLS author instructions in health journals and (2) the extent to which PLSs meet health literacy principles. STUDY

designWe conducted a three-part systematic environmental scan.

methodsWe examined 26 health journals identified from a previous review. In part 1, we assessed the inclusion frequency of PLSs in the 26 journals; in part 2, we assessed the level of compliance of PLSs with PLS author instructions; and in part 3, we conducted a health literacy assessment of the PLSs.

resultsPart 1: we found PLSs for 20/26 (76.9%) included journals. Part 2: no journal achieved 100% compliance with PLS author instructions. The highest level was 86% and the lowest was 0%. Part 3: no PLS was written at a readability level suitable for a general audience. The mean reading level was grade 15.8 (range 10.2-21.2and mean percentage of complex words, 31% (range 8.5%-49.8%). DISCUSSION: PLSs are an important means through which consumers can access research findings. We found a lack of compliance between PLS author instructions and PLSs published in health journals that may impede access and use by consumers. This study highlights the need for better ways to support authors adhere to PLS instructions and improved monitoring by journals.

Indexed as

Health LiteracyLanguagePeriodicals as TopicComprehensionHumansWritingHealth EducationHealth LiteracyPatient-Centered CarePUBLIC HEALTH

Identifiers

PMID39608994
PMCPMC11603698

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.