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A n I n t r o d u c t i o n T o t h e P a t i e n t E d u c a t i o n M a t e r i a l s A s s e s s m e n t T o o l ( P E M A T )
W h a t I s t h e P E M A T ?
T h e P a t i e n t E d u c a t i o n M a t e r i a l s A s s e s s m e n t T o o l ( P E M A T ) i s a s y s t e m a t i c m e t h o d t o e v a l u a t e a n d c o m p a r e t h e u n d e r s t a n d a b i l i t y a n d a c t i o n a b i l i t y o f p a t i e n t e d u c a t i o n m a t e r i a l s . T h e f o l l o w i n g a r e o u r d e f i n i t i o n s o f u n d e r s t a n d a b i l i t y a n d a c t i o n a b i l i t y :
U n d e r s t a n d a b i l i t y : P a t i e n t e d u c a t i o n m a t e r i a l s a r e u n d e r s t a n d a b l e w h e n c o n s u m e r s o f d i v e r s e b a c k g r o u n d s a n d v a r y i n g l e v e l s o f h e a l t h l i t e r a c y c a n p r o c e s s a n d e x p l a i n k e y m e s s a g e s .
A c t i o n a b i l i t y : P a t i e n t e d u c a t i o n m a t e r i a l s a r e a c t i o n a b l e w h e n c o n s u m e r s o f d i v e r s e b a c k g r o u n d s a n d v a r y i n g l e v e l s o f h e a l t h l i t e r a c y c a n i d e n t i f y w h a t t h e y c a n d o b a s e d o n t h e i n f o r m a t i o n p r e s e n t e d .
U s i n g a n i n v e n t o r y o f b o t h d e s i r a b l e a n d u n d e s i r a b l e c h a r a c t e r i s t i c s o f p a t i e n t e d u c a t i o n m a t e r i a l s , t h e P E M A T p r o d u c e s s e p a r a t e n u m e r i c s c o r e s f o r u n d e r s t a n d a b i l i t y a n d a c t i o n a b i l i t y .
T h e r e a r e t w o v e r s i o n s o f t h e P E M A T :
P E M A T - P f o r p r i n t a b l e m a t e r i a l s ( e . g . , b r o c h u r e s , p a m p h l e t s , P D F s ) , c o n s i s t i n g o f 1 7 i t e m s m e a s u r i n g u n d e r s t a n d a b i l i t y a n d 7 i t e m s m e a s u r i n g a c t i o n a b i l i t y .
P E M A T - A / V f o r a u d i o v i s u a l m a t e r i a l s ( e . g . , v i d e o s , m u l t i - m e d i a m a t e r i a l s ) , c o n s i s t i n g o f 1 3 i t e m s m e a s u r i n g u n d e r s t a n d a b i l i t y a n d 4 i t e m s m e a s u r i n g a c t i o n a b i l i t y .
W h i l e m o s t i t e m s a r e r e l e v a n t t o b o t h p r i n t a b l e a n d a u d i o v i s u a l m a t e r i a l s , s o m e i t e m s a r e a p p l i c a b l e t o o n l y o n e t y p e o f m a t e r i a l .
W h o S h o u l d U s e t h e P E M A T ?
T h e P E M A T w a s d e s i g n e d t o b e c o m p l e t e d b y p r o f e s s i o n a l s , i n c l u d i n g h e a l t h c a r e p r o v i d e r s , h e a l t h l i b r a r i a n s a n d o t h e r s t a s k e d w i t h p r o v i d i n g h i g h - q u a l i t y m a t e r i a l s t o p a t i e n t s o r c o n s u m e r s . T h e P E M A T h e l p s y o u s e l e c t f r o m t h e m a n y p a t i e n t e d u c a t i o n m a t e r i a l s a v a i l a b l e t o d e t e r m i n e t h o s e t h a t a r e e a s i e r t o u n d e r s t a n d a n d e a s i e r t o a c t o n . M a t e r i a l s t h a t s c o r e b e t t e r o n t h e P E M A T c a n b e d i s t r i b u t e d t o p a t i e n t s a n d c o n s u m e r s i n h a r d c o p y , p l a c e d i n a n e l e c t r o n i c h e a l t h r e c o r d ( E H R ) s y s t e m f o r p r o v i d e r s t o a c c e s s a t t h e p o i n t o f c a r e , o r p o s t e d o n p a t i e n t W e b p o r t a l s .
I f m o r e t h a n 1 i n d i v i d u a l w i l l b e r a t i n g m a t e r i a l s , y o u c a n m a x i m i z e c o n s i s t e n c y a m o n g r a t e r s b y f o l l o w i n g t h i s p r o c e s s :
H a v e e a c h r a t e r i n d e p e n d e n t l y r a t e t h e s a m e t w o m a t e r i a l s .
I d e n t i f y i t e m s o n w h i c h d i s c r e p a n c i e s w e r e c o m m o n .
D i s c u s s e a c h r a t e r s r a t i o n a l e f o r t h e r a t i n g p r o v i d e d .
R e v i e w t h e P E M A T U s e r s G u i d e t o c l a r i f y h o w e a c h i t e m w a s i n t e n d e d t o b e r a t e d .
C o m e t o c o n s e n s u s o n h o w t h e g u i d a n c e i n t h e U s e r s G u i d e s h o u l d b e i m p l e m e n t e d i n p r a c t i c e .
R e p e a t t h i s p r o c e s s w i t h a d d i t i o n a l m a t e r i a l s u n t i l t h e r e i s a g r e e m e n t o n m o s t i t e m s .
C a n t h e P E M A T B e U s e d T o A s s e s s A l l P a t i e n t E d u c a t i o n M a t e r i a l s ?
N o . T h e P E M A T c a n b e u s e d o n l y f o r p r i n t a b l e a n d a u d i o v i s u a l m a t e r i a l s . ( S e e d e f i n i t i o n s i n t h e U s e r ' s G u i d e . ) F o r e x a m p l e , t h e P E M A T c a n n o t b e u s e d f o r p o d c a s t s o r t o a s s e s s t h e u s e r - f r i e n d l i n e s s o f W e b s i t e s ( o n l y m a t e r i a l s t h a t c a n b e p r i n t e d o r v i e w e d f r o m a W e b s i t e ) .
A r e A l l M a t e r i a l s W i t h H i g h P E M A T S c o r e s H i g h Q u a l i t y ?
N o t n e c e s s a r i l y . T h e P E M A T d o e s n o t a s s e s s a c c u r a c y o r c o m p r e h e n s i v e n e s s , o r p e r f o r m r e a d a b i l i t y t e s t s . F o r e x a m p l e , a m a t e r i a l c o u l d b e v e r y u n d e r s t a n d a b l e , b u t c o n t a i n i n a c c u r a t e i n f o r m a t i o n . Y o u w i l l w a n t t o s u p p l e m e n t t h e P E M A T w i t h a d d i t i o n a l a s s e s s m e n t s .
W e r e c o m m e n d c o n d u c t i n g a r e a d a b i l i t y a s s e s s m e n t f o r p r i n t m a t e r i a l s i n c o n j u n c t i o n w i t h u s i n g t h e P E M A T . U s i n g o n l y a r e a d a b i l i t y f o r m u l a , h o w e v e r , i s n o t a s u b s t i t u t e f o r u s i n g t h e P E M A T . R e a d a b i l i t y f o r m u l a s i g n o r e m a n y o f t h e f a c t o r s t h a t c o n t r i b u t e t o c o m p r e h e n s i o n a n d c a n b e m i s l e a d i n g . 1
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T h e r e a r e s e v e n s t e p s t o u s i n g t h e P E M A T t o a s s e s s a p a t i e n t e d u c a t i o n m a t e r i a l .
S t e p 1 : R e a d t h r o u g h t h e P E M A T a n d U s e r s G u i d e . B e f o r e u s i n g t h e P E M A T , r e a d t h r o u g h t h e e n t i r e U s e r s G u i d e a n d i n s t r u m e n t t o f a m i l i a r i z e y o u r s e l f w i t h a l l t h e i t e m s . I n t h i s U s e r s G u i d e a ( P ) a n d ( A / V ) a r e l i s t e d a f t e r a n i t e m t o i n d i c a t e w h e t h e r i t i s r e l e v a n t f o r p r i n t a n d a u d i o v i s u a l m a t e r i a l s , r e s p e c t i v e l y .
S t e p 2 : R e a d o r v i e w p a t i e n t e d u c a t i o n m a t e r i a l . R e a d t h r o u g h o r v i e w t h e p a t i e n t e d u c a t i o n m a t e r i a l t h a t y o u a r e r a t i n g i n i t s e n t i r e t y .
S t e p 3 : D e c i d e w h i c h P E M A T t o u s e . C h o o s e t h e P E M A T - P f o r p r i n t a b l e m a t e r i a l s o r t h e P E M A T - A / V f o r a u d i o v i s u a l m a t e r i a l s .
S t e p 4 : G o t h r o u g h e a c h P E M A T i t e m o n e b y o n e . A l l i t e m s w i l l h a v e t h e a n s w e r o p t i o n s D i s a g r e e o r A g r e e . S o m e b u t n o t a l l i t e m s w i l l a l s o h a v e a N o t A p p l i c a b l e a n s w e r o p t i o n . G o o n e b y o n e t h r o u g h e a c h o f t h e i t e m s , 2 4 f o r p r i n t a b l e m a t e r i a l s a n d 1 7 f o r a u d i o v i s u a l m a t e r i a l s a n d i n d i c a t e i f y o u a g r e e o r d i s a g r e e t h a t t h e m a t e r i a l i s m e e t i n g a s p e c i f i c c h a r a c t e r i s t i c . O r , w h e n a p p r o p r i a t e , s e l e c t t h e N o t A p p l i c a b l e o p t i o n .
Y o u m a y r e f e r t o t h e m a t e r i a l a t a n y t i m e w h i l e y o u c o m p l e t e t h e f o r m . Y o u d o n t h a v e t o r e l y o n y o u r m e m o r y . C o n s i d e r e a c h i t e m f r o m a p a t i e n t p e r s p e c t i v e . F o r e x a m p l e , f o r I t e m 1 : T h e m a t e r i a l m a k e s i t s p u r p o s e c o m p l e t e l y e v i d e n t , a s k y o u r s e l f , I f I w e r e a p a t i e n t u n f a m i l i a r w i t h t h e s u b j e c t , w o u l d I r e a d i l y k n o w w h a t t h e p u r p o s e o f t h e m a t e r i a l w a s ?
S t e p 5 : R a t e t h e m a t e r i a l o n e a c h i t e m a s y o u g o . A f t e r y o u d e t e r m i n e t h e r a t i n g y o u w o u l d g i v e t h e m a t e r i a l o n a s p e c i f i c i t e m , s e l e c t t h e n u m b e r ( o r N A ) f r o m t h e d r o p - d o w n m e n u t h a t c o r r e s p o n d s w i t h y o u r a n s w e r i n t h e R a t i n g c o l u m n o f t h e P E M A T . D o n o t s c o r e a n i t e m a s N o t A p p l i c a b l e u n l e s s t h e r e i s a N o t A p p l i c a b l e o p t i o n . S c o r e t h e m a t e r i a l o n e a c h i t e m a s f o l l o w s :
I f D i s a g r e e E n t e r 0
I f A g r e e E n t e r 1
I f N o t A p p l i c a b l e E n t e r N A
A d d i t i o n a l G u i d a n c e f o r R a t i n g t h e M a t e r i a l o n E a c h I t e m ( S t e p 5 ) :
R a t e a n i t e m A g r e e w h e n a c h a r a c t e r i s t i c o c c u r s t h r o u g h o u t a m a t e r i a l , t h a t i s , n e a r l y a l l o f t h e t i m e ( 8 0 % t o 1 0 0 % ) . Y o u r g u i d i n g p r i n c i p l e i s t h a t i f t h e r e a r e o b v i o u s e x a m p l e s o r t i m e s w h e n a c h a r a c t e r i s t i c c o u l d h a v e b e e n m e t o r c o u l d h a v e b e e n b e t t e r m e t , t h e n t h e i t e m s h o u l d b e r a t e d D i s a g r e e . T h i s U s e r s G u i d e p r o v i d e s a d d i t i o n a l g u i d a n c e f o r r a t i n g e a c h i t e m .
D o n o t s k i p a n y i t e m s . I f t h e r e i s n o N o t A p p l i c a b l e o p t i o n , y o u m u s t s c o r e t h e i t e m 0 ( D i s a g r e e ) o r 1 ( A g r e e ) .
D o n o t u s e a n y k n o w l e d g e y o u h a v e a b o u t t h e s u b j e c t b e f o r e y o u r e a d o r v i e w t h e p a t i e n t e d u c a t i o n m a t e r i a l . B a s e y o u r r a t i n g s O N L Y o n w h a t i s i n t h e m a t e r i a l t h a t y o u a r e r a t i n g .
D o n o t l e t y o u r r a t i n g o f o n e i t e m i n f l u e n c e y o u r r a t i n g o f o t h e r i t e m s . B e c a r e f u l t o r a t e e a c h i t e m s e p a r a t e l y a n d d i s t i n c t l y f r o m h o w y o u r a t e d o t h e r i t e m s .
I f y o u a r e r a t i n g m o r e t h a n o n e m a t e r i a l , f o c u s o n l y o n t h e m a t e r i a l t h a t y o u a r e r e v i e w i n g a n d d o n o t t r y t o c o m p a r e i t t o t h e p r e v i o u s m a t e r i a l t h a t y o u l o o k e d a t .
S t e p 6 : C a l c u l a t e t h e M a t e r i a l s S c o r e s . T h i s P E M A T A u t o - S c o r i n g F o r m a u t o m a t i c a l l y c a l c u l a t e s a n o v e r a l l u n d e r s t a n d a b i l i t y a n d a c t i o n a b i l i t y s c o r e b a s e d o n t h e r a t i n g s y o u p r o v i d e .
S t e p 7 : I n t e r p r e t t h e P E M A T S c o r e s . T h e h i g h e r t h e s c o r e , t h e m o r e u n d e r s t a n d a b l e o r a c t i o n a b l e t h e m a t e r i a l . F o r e x a m p l e , a m a t e r i a l t h a t r e c e i v e s a n u n d e r s t a n d a b i l i t y s c o r e o f 9 0 % i s m o r e u n d e r s t a n d a b l e t h a n a m a t e r i a l t h a t r e c e i v e s a n u n d e r s t a n d a b i l i t y s c o r e o f 6 0 % , a n d t h e s a m e g o e s f o r A c t i o n a b i l i t y . I f y o u u s e t h e P E M A T t o r a t e t h e u n d e r s t a n d a b i l i t y a n d a c t i o n a b i l i t y o f m a n y m a t e r i a l s , y o u m a y g e t a s e n s e o f w h a t s c o r e i n d i c a t e s e x c e p t i o n a l l y g o o d o r e x c e p t i o n a l l y p o o r m a t e r i a l s .
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