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Effectiveness of Telehealth Versus In-Person Informed Consent: Randomized Study of Comprehension and Decision-Making

Effectiveness of Telehealth Versus In-Person Informed Consent: Randomized Study of Comprehension and Decision-Making

Challenges in decision-making and comprehension of in-person IC are multifaceted. Patients often have varying levels of health literacy, which can significantly impact their understanding of medical information and their ability to make informed decisions [13]. Time constraints during consultations can further hinder thorough discussions, leaving patients with insufficient information [7].

Saif Khairat, Paige Ottmar, Prabal Chourasia, Jihad Obeid

J Med Internet Res 2025;27:e63473

Individual Characteristics in the Comprehension of Pandemic Video Communication: Randomized Controlled Between-Subjects Design

Individual Characteristics in the Comprehension of Pandemic Video Communication: Randomized Controlled Between-Subjects Design

Comprehension is one of the main aims of health communication and was assessed as both subjective (or perceived) and objective comprehension. Here, subjective comprehension indicates the extent to which someone believes to have understood that information, while objective comprehension refers to the ability to understand the information and to incorporate it into one’s knowledge [47].

Daniel Adrian Lungu, Jo Røislien, Ionica Smeets, Siri Wiig, Kolbjørn Kallesten Brønnick

J Med Internet Res 2024;26:e48882

Evaluating the Capabilities of Generative AI Tools in Understanding Medical Papers: Qualitative Study

Evaluating the Capabilities of Generative AI Tools in Understanding Medical Papers: Qualitative Study

This study aims to address this gap by evaluating the comprehension capabilities of LLMs in accurately and efficiently understanding medical research papers. We use the STROBE checklist to assess LLMs’ ability to understand different sections of research papers. This study uses a novel benchmark pipeline that can process Pub Med papers regardless of their length using various generative AI tools.

Seyma Handan Akyon, Fatih Cagatay Akyon, Ahmet Sefa Camyar, Fatih Hızlı, Talha Sari, Şamil Hızlı

JMIR Med Inform 2024;12:e59258

Comparative Effectiveness of eConsent: Systematic Review

Comparative Effectiveness of eConsent: Systematic Review

Data extraction (conducted by AB and reviewed by BB) included measures and outcomes for patient comprehension, acceptability, usability, enrollment rates, retention rates, cycle time, site workload, and stakeholder views. The extracted data were summarized descriptively. Data on patient comprehension, acceptability, and usability with e Consent versus paper-based ICFs were tabulated as part of the main descriptive summary.

Edwin Cohen, Bill Byrom, Anja Becher, Magnus Jörntén-Karlsson, Andrew K Mackenzie

J Med Internet Res 2023;25:e43883

Assessing the Effect of Nonvisual Information Factors in Pandemic-Related Video Communication: Randomized Controlled Between-Subjects Experiment

Assessing the Effect of Nonvisual Information Factors in Pandemic-Related Video Communication: Randomized Controlled Between-Subjects Experiment

Comprehension refers to the ability to understand the information and to incorporate it into one’s knowledge. Several barriers and facilitators to comprehension have been identified. They can be classified into 3 categories: patient-specific, physician-specific, and other factors [42,43].

Daniel Adrian Lungu, Jo Røislien, Siv Hilde Berg, Ionica Smeets, Marie Therese Shortt, Henriette Thune, Kolbjørn Kallesten Brønnick

J Med Internet Res 2023;25:e42528

Comprehension by Caregivers and Adolescents of Clinical Trial Information Delivered via Multimedia Video Versus Conventional Practice: Nonrandomized Controlled Trial

Comprehension by Caregivers and Adolescents of Clinical Trial Information Delivered via Multimedia Video Versus Conventional Practice: Nonrandomized Controlled Trial

The NVS was included as a covariate in the comprehension analysis. The comprehension assessment tool was developed by the study psychologists and principal investigator as a 17-item open-ended questionnaire designed to assess the knowledge and comprehension of the consent material (Textbox 1). The tool was derived from questionnaires previously developed by coinvestigators in preliminary studies (NCI R03 CA133442 and NCI R03 CA133419; T Wysocki, Ph D, unpublished data, 2010).

Kathryn V Blake, Holly Antal, H Timothy Bunnell, Jiaxian He, Robert Henderson, Janet T Holbrook, Suzanne M McCahan, Chris Pennington, Linda Rogers, David Shade, Elizabeth A Sugar, Alexandra Taylor, Robert A Wise, Tim Wysocki

JMIR Pediatr Parent 2023;6:e44252

Using Animated Videos to Promote the Accessibility and Understandability of Package Leaflets: Retrospective Observational Study Evaluating the First Year of Implementation

Using Animated Videos to Promote the Accessibility and Understandability of Package Leaflets: Retrospective Observational Study Evaluating the First Year of Implementation

A way to improve comprehension and medication adherence is by adjusting the information in the package leaflets. Especially for people with limited health literacy skills, using pictograms—picture-based instructions instead of text-based instructions—could help increase their understanding of the information about the medication. Indeed, several studies show that the combination of pictograms and text is more effective than using either one alone [17,22-24].

Liselot N van den Berg, Niels H Chavannes, Jiska J Aardoom

J Med Internet Res 2023;25:e40914

Multiple Automated Health Literacy Assessments of Written Health Information: Development of the SHeLL (Sydney Health Literacy Lab) Health Literacy Editor v1

Multiple Automated Health Literacy Assessments of Written Health Information: Development of the SHeLL (Sydney Health Literacy Lab) Health Literacy Editor v1

It is the only readability formula for which the grade reading score assumes the reader has a complete comprehension of the text [40]. For example, the SMOG assumes that a Grade 8 reader would score 100% on a multiple-choice comprehension test for a text written at a Grade 8 reading level. By comparison, the Flesch Reading Ease assumes that Grade 8 readers would correctly answer 75% on a multiple-choice comprehension test for the same text [43].

Julie Ayre, Carissa Bonner, Danielle M Muscat, Adam G Dunn, Eliza Harrison, Jason Dalmazzo, Dana Mouwad, Parisa Aslani, Heather L Shepherd, Kirsten J McCaffery

JMIR Form Res 2023;7:e40645