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Table 2 Comparison of first and last letters for: Plain language writing quality, patients’ data, and letters attributes

From: Teaching plain language to medical students: improving communication with disadvantaged patients

Item

1st letter

3rd letter

P

Mean (SD)

Median

Mean (SD)

Median

Assessment Items

 1. Telling the hospitalization narrative

3.2 (1.1)

3.0

4.0 (1.2)

4.0

P = 0.004

 2. Adequacy and clarity of medical terms

3.2 (1.2)

3.0

3.6 (1.2)

4.0

NS

 3. Language and style

3.9 (1.2)

4.0

4.5 (0.8)

5.0

P = 0.006

 4. Structure of the letter: medical problems

3.6 (1.2)

4.0

4.0 (1.0)

4.0

NS

 5. Structure of the letter: Medication table

3.3 (1.3)

4.0

4.1 (1.1)

4.0

P = 0.029

 6. Structure of the letter: instructions

4.2 (0.9)

4.0

4.4 (0.7)

5.0

NS

Overall scorea

3.5 (0.8)

3.5

4.1 (0.6)

4.2

P = 0.001

Patient Data

 No. medications listed

3.10 (2.96)

2.00

3.83 (3.02)

3.00

NS

 No. of background diseases

2.62 (3.14)

1.00

2.54 (2.44)

2.00

NS

Letter attributes

 No. Sentences narrative

11.2 (7.8)

9.00

14.2 (10.3)

10.00

P = 0.042

 No. words narrative

153.7 (108.0)

106.00

189.3 (116.3)

155.00

P = 0.027

  1. amean score of three factors: telling the narrative (item 1), plain and clear language (items 2,3 averaged) and structure (item 4–6 averaged)