Journal of the American Society for Information Science and Technology
Proceedings of the 2nd ACM SIGHIT International Health Informatics Symposium
Assessing user-specific difficulty of documents
Information Processing and Management: an International Journal
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Consumer health information written by health care professionals is often inaccessible to the consumers it is written for. Traditional readability formulas examine syntactic features like sentence length and number of syllables, ignoring the target audience's grasp of the words themselves. The use of specialized vocabulary disrupts the understanding of patients with low reading skills, causing a decrease in comprehension. A naïve Bayes classifier for three levels of increasing medical terminology specificity (consumer/patient, novice health learner, medical professional) was created with a lexicon generated from a representative medical corpus. Ninety-six percent accuracy in classification was attained. The classifier was then applied to existing consumer health web pages. We found that only 4% of pages were classified at a layperson level, regardless of the Flesch reading ease scores, while the remaining pages were at the level of medical professionals. This indicates that consumer health web pages are not using appropriate language for their target audience.