Poor health literacy and patient comprehension have been associated with adverse health outcomes. Patient educational materials (PEMs) are articles that are intended to assist patients in their understanding of a given medical condition. Given that the average American adult reads at the 8th grade level, the American Medical Association and the Center for Disease Control recommend PEM be written at the 6th grade level. However, literature has found the majority of PEMs to be written significantly higher than the 8th grade level. In order to improve their readability, a number of studies have displayed the effectiveness of large language models (LLMs) such as ChatGPT to simplify the text of a given PEM. Despite the improvement in readability, the effectiveness of these simplified PEMs on improving patient comprehension of the AI augmented material has yet to be investigated.
The purpose of our study is to test whether the improvement in readability found in AI-simplified PEMs corresponds to a greater understanding of the material compared to the original PEM. Understanding if AI-simplified PEM truly improves comprehension could further support this use case for AI and aid providers and healthcare organizations in improving the health literacy of their patients.
This study aims to answer the following question:
Do AI simplified PEMs improve the comprehension of pediatric orthopaedic conditions?
Researchers will compare AI-simplified PEMs to their original, unmodified counterparts in order to see if there is any difference in post reading comprehension of the participants.
Participation in the study will include:
* A brief baseline survey (e.g. demographics and educational attainment) * A randomly assigned reading of either the original PEM or the AI simplified version. * A 10 question post-reading multiple choice quiz
Parents or guardians of pediatric patients receiving treatment at Hospital for Special Surgery
Non-English Speaking
primary occupation is in healthcare
participants with prior knowledge on the condition pertaining to the material (osteogenesis imperfecta)
Parallel
AI Simplification
Other interventionA patient educational article will be simplified by artificial intelligence (ChatGPT 5.2) in order to improve its readability.
Unmodified Patient Educational Material
Other interventionAn unmodified patient educational material, written by a physician and publicly available on the institution's website will be administered to participants of the designated arm of the study.
Post Reading Comprehension Scores
Participants will complete a 10 question multiple choice quiz to measure their comprehension of the assigned reading. Scores can range from a minimum of 0 to a maximum of 10 and an increase in score is associated with a greater degree of comprehension of the material.
Factors Associated with Comprehension Scores
Demographic characteristics such as sex, age, level of educational attainment, health literacy, and insurance status affect comprehension of pediatric orthopaedic educational materials.
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