A critical evaluation of written discharge advice for people with mild traumatic brain injury : what should we be looking for?

Kempe, Chloe B., Sullivan, Karen A., & Edmed, Shannon L. (2014) A critical evaluation of written discharge advice for people with mild traumatic brain injury : what should we be looking for? Brain Injury, 28(12), pp. 1551-1558.

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Abstract

Objective: To formally evaluate the written discharge advice for people with mild traumatic brain injury (mTBI).

Methods: Eleven publications met the inclusion criteria: (1) intended for adults; (2) ≤two A4 pages; (3) published in English; (4) freely accessible; and (5) currently used (or suitable for use) in Australian hospital emergency departments or similar settings. Two independent raters evaluated the content and style of each publication against established standards. The readability of the publication, the diagnostic term(s) contained in it and a modified Patient Literature Usefulness Index (mPLUI) were also evaluated.

Results: The mean content score was 19.18 ± 8.53 (maximum = 31) and the mean style score was 6.8 ± 1.34 (maximum = 8). The mean Flesch-Kincaid reading ease score was 66.42 ± 4.3. The mean mPLUI score was 65.86 ± 14.97 (maximum = 100). Higher scores on these metrics indicate more desirable properties. Over 80% of the publications used mixed diagnostic terminology. One publication scored optimally on two of the four metrics and highly on the others.

Discussion: The content, style, readability and usefulness of written mTBI discharge advice was highly variable. The provision of written information to patients with mTBI is advised, but this variability in materials highlights the need for evaluation before distribution. Areas are identified to guide the improvement of written mTBI discharge advice.

Impact and interest:

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ID Code: 80144
Item Type: Journal Article
Refereed: Yes
Keywords: Acquired brain injury; head injury; mild traumatic brain injury; neuropsychology; neurocognitive disorder; patient information; post-concussion syndrome; post-traumatic stress disorder
DOI: 10.3109/02699052.2014.937360
ISSN: 1362-301X
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Psychology & Counselling
Deposited On: 15 Jan 2015 23:42
Last Modified: 19 Jan 2015 00:31

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