{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T04:55:29Z","timestamp":1790657729731,"version":"4.1.0"},"reference-count":42,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T00:00:00Z","timestamp":1788566400000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Patient education handouts are used to enhance patient knowledge and support decision making, although many handouts do not meet recommended readability benchmarks. For people with hallux valgus, there is a dearth of co\u2010designed, credible, evidence\u2010based and readable resources to enhance health literacy. The aim of this study was to co\u2010design an evidence\u2010based, clinically accurate handout for hallux valgus targeting a readability level of grade seven or below.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between October 2023 and August 2024, a descriptive qualitative design was used across two stages. Stage 1 involved focus groups with six health professionals and two individuals with hallux valgus to inform content development. Stage 2 presented a prototype to five health professionals and 10 individuals with hallux valgus for feedback on clarity, completeness and accuracy. Readability was assessed using Flesch Reading Ease and Flesch\u2010Kincaid Grade Level tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The handout included information about the characteristics of hallux valgus and a balance between non\u2010surgical and surgical approaches, with transparency about limited evidence for some treatments. Participants emphasised the need for clarity, relevance, and accessibility and reinforced that treatment decisions, especially surgery, are often not urgent and can evolve over time. The handout is a starting point for discussion and not a standalone resource. The final version meets the readability standards for ages 9\u201310\u00a0years. The readability was further enhanced with the use of visuals and adherence to accessibility guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A co\u2010designed, evidence\u2010based handout was produced that meets recommended readability and accessibility standards for consumer health information.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/msc.70260","type":"journal-article","created":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T03:40:06Z","timestamp":1788666006000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Development of a Co\u2010Designed Patient Handout for Adults With Hallux Valgus"],"prefix":"10.1002","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6966-5324","authenticated-orcid":false,"given":"Matthew","family":"Cotchett","sequence":"first","affiliation":[{"name":"Department of Physiotherapy, Podiatry and Prosthetics and Orthotics School of Allied Health Human Services and Sport La Trobe University  Melbourne Australia"},{"name":"Northern Hospital  Epping Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9866-0327","authenticated-orcid":false,"given":"Steven","family":"Edwards","sequence":"additional","affiliation":[{"name":"Foot and Ankle Medicine and Surgery  Hampton Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2211-5231","authenticated-orcid":false,"given":"Rebecca","family":"Jessup","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Podiatry and Prosthetics and Orthotics School of Allied Health Human Services and Sport La Trobe University  Melbourne Australia"},{"name":"Victorian Centre for Virtual Health Research Northern Health  Epping Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2045-3846","authenticated-orcid":false,"given":"Hylton B.","family":"Menz","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Podiatry and Prosthetics and Orthotics School of Allied Health Human Services and Sport La Trobe University  Melbourne Australia"},{"name":"Faculty of Sports Science Chulalongkorn University  Bangkok Thailand"},{"name":"Centre of Excellence in Exercise Physiology for Special Populations Chulalongkorn University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,5]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Added Bytes 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