title: Development and Evaluation of Patient Education Materials for Elderly Lung Cancer Patients.
abstract: Patients treated for lung cancer are often elderly presenting a unique challenge for developing patient education materials. This study developed and evaluated a patient education pamphlet on lung stereotactic body radiotherapy (SBRT) designed specifically for an elderly population. The SBRT pamphlet was developed using a participatory design involving a convenience sample of patients. This prospective study assessed patient's opinions of pamphlet effectiveness through self-report questionnaires. The pamphlet was deemed "effective" if patients rated 16/18 evaluation statements as "strongly agree" or "agree." Demographic data and health literacy (Rapid Estimate of Adult Literacy in Medicine short-form (REALM-SF)) were also assessed. Patient opinion of pamphlet "effectiveness" was compared between patients with REALM-SF scores of 7 versus <7 using Fisher's exact test. The overall EQ-5D-5L score was compared for patients who did and did not find the pamphlet effective using the Wilcoxon-Mann-Whitney test. Thirty-seven patients participated. The median age was 76 years (range 56-93) and 22 patients (59 %) had ≤high school education. Most patients preferred to have verbal (65 %) or written (78 %) educational materials as opposed to online information or educational classes. Thirty-two patients (86 %) rated the pamphlet as effective. The proportion of patients who found the pamphlet effective was 85.7 versus 86.7 % (p = 1.00) in those with REALM 7 versus <7. The mean EQ-5D score was 67.5 (SD 19.1) versus 71.8 (SD 8.7) (p = 0.84) in those who found the pamphlet effective versus not. Participatory design is an effective method for developing education materials for challenging patient groups such as elderly patients. Despite advanced age and comorbidity, this patient group had adequate health literacy.
authors.affiliation: Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, ON, Canada.
authors.forename: Natalie
authors.initials: N
authors.lastname: Jewitt
authors.affiliation: Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, ON, Canada.|Department of Radiation Oncology, University of Toronto, Toronto, ON, Canada.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Hope
authors.affiliation: Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, ON, Canada.
authors.forename: Robin
authors.initials: R
authors.lastname: Milne
authors.affiliation: Department of Biostatistics, Princess Margaret Cancer Centre, Toronto, ON, Canada.
authors.forename: Lisa W
authors.initials: LW
authors.lastname: Le
authors.affiliation: Patient Education and Survivorship, Princess Margaret Cancer Centre, Toronto, ON, Canada.
authors.forename: Janet
authors.initials: J
authors.lastname: Papadakos
authors.affiliation: ELLICSR Wellness Program, Princess Margaret Cancer Centre, Toronto, ON, Canada.
authors.forename: Nazek
authors.initials: N
authors.lastname: Abdelmutti
authors.affiliation: Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, ON, Canada.|Department of Radiation Oncology, University of Toronto, Toronto, ON, Canada.
authors.forename: Pamela
authors.initials: P
authors.lastname: Catton
authors.affiliation: Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, ON, Canada. Meredith.Giuliani@rmp.uhn.on.ca.|Department of Radiation Oncology, University of Toronto, Toronto, ON, Canada. Meredith.Giuliani@rmp.uhn.on.ca.
authors.forename: Meredith E
authors.initials: ME
authors.lastname: Giuliani
mesh_terms: D000230:Adenocarcinoma / Q000517:prevention & control; D000368:Aged; D000369:Aged, 80 and over; D018287:Carcinoma, Large Cell / Q000517:prevention & control; D002289:Carcinoma, Non-Small-Cell Lung / Q000517:prevention & control*; D002294:Carcinoma, Squamous Cell / Q000517:prevention & control; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D057220:Health Literacy; D006801:Humans; D008175:Lung Neoplasms / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D010174:Pamphlets; D010353:Patient Education as Topic; D011379:Prognosis; D016730:Program Development; D011446:Prospective Studies; D057566:Self Report; D013664:Teaching Materials
keywords: Health literacy; Lung cancer; Older adults; Patient education; Stereotactic body radiotherapy