title: Development of a comprehensive list of criteria for evaluating consumer education materials on colorectal cancer screening.
abstract: BACKGROUND
  Appropriate patient information materials may support the consumer's decision to attend or not to attend colorectal cancer (CRC) screening tests (fecal occult blood test and screening colonoscopy). The aim of this study was to develop a list of criteria to assess whether written health information materials on CRC screening provide balanced, unbiased, quantified, understandable, and evidence-based health information (EBHI) about CRC and CRC screening.
  
  
  METHODS
  The list of criteria was developed based on recommendations and assessment tools for health information in the following steps: (1) Systematic literature search in 13 electronic databases (search period: 2000-2010) and completed by an Internet search (2) Extraction of identified criteria (3) Grouping of criteria into categories and domains (4) Compilation of a manual of adequate answers derived from systematic reviews and S3 guidelines (5) Review by external experts (6) Modification (7) Final discussion with external experts.
  
  
  RESULTS
  Thirty-one publications on health information tools and recommendations were identified. The final list of criteria includes a total of 230 single criteria in three generic domains (formal issues, presentation and understandability, and neutrality and balance) and one CRC-specific domain. A multi-dimensional rating approach was used whenever appropriate (e.g., rating for the presence, correctness, presentation and level of evidence of information). Free text input was allowed to ensure the transparency of assessment. The answer manual proved to be essential to the rating process. Quantitative analyses can be made depending on the level and dimensions of criteria.
  
  
  CONCLUSIONS
  This comprehensive list of criteria clearly has a wider range of evaluation than previous assessment tools. It is not intended as a final quality assessment tool, but as a first step toward thorough evaluation of specific information materials for their adherence to EBHI requirements. This criteria list may also be used to revise leaflets and to develop evidence-based health information on CRC screening. After adjustment for different procedure-specific criteria, the list of criteria can also be applied to other cancer screening procedures.
authors.affiliation: Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Carl-Neuberg Str, 1, 30625 Hannover, Germany. Dreier.maren@mh-hannover.de.
authors.forename: Maren
authors.initials: M
authors.lastname: Dreier
authors.forename: Birgit
authors.initials: B
authors.lastname: Borutta
authors.forename: Gabriele
authors.initials: G
authors.lastname: Seidel
authors.forename: Inga
authors.initials: I
authors.lastname: Kreusel
authors.forename: Jürgen
authors.initials: J
authors.lastname: Töppich
authors.forename: Eva M
authors.initials: EM
authors.lastname: Bitzer
authors.forename: Marie-Luise
authors.initials: ML
authors.lastname: Dierks
authors.forename: Ulla
authors.initials: U
authors.lastname: Walter
mesh_terms: D001294:Attitude to Health; D003113:Colonoscopy / Q000592:standards* / Q000639:trends; D054626:Consumer Health Information / Q000592:standards* / Q000639:trends; D055088:Early Detection of Cancer / Q000592:standards* / Q000639:trends; D019317:Evidence-Based Medicine; D005260:Female; D017408:Guidelines as Topic; D006293:Health Promotion / Q000592:standards / Q000639:trends; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods / Q000706:statistics & numerical data; D010349:Patient Compliance / Q000706:statistics & numerical data; D013664:Teaching Materials; D014481:United States
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