The main limiting factors were the difficulty on comprehension and adaptation of the model to the patient care services and the characteristic of autonomy of the medical practice.
Higher prevalence of multiple illnesses and cognitive impairment among older patients pose a risk of comprehension difficulties, potentially leading to medication errors.
Higher prevalence of multiple illnesses and transient or chronic cognitive impairment among older patients pose a risk of comprehension difficulties, which may lead to medication errors and unplanned readmissions.
The item with most frequent problems in interpretation was question 7: 'Have you had enough help and advice for your family to plan for the future?' for which 13 interviewees gave responses indicative of comprehension difficulties.
In our study, this proved to be of significant value to International students, who may experience language barriers and difficulties in comprehension of complex concepts, unlike their North American counterparts.
The Flesch Reading Ease [11] and the Flesch-Kincaid Grade Level [12] are valid and reproducible methods of assessing both readability and level of comprehension difficulty.
The majority of metrics proposed for readability are based on factors that represent two broad aspects of comprehension difficulty: (i) lexical or semantic features and (ii) sentence or syntactic complexity.
Convergence insufficiency is associated with near visual symptoms, including eyestrain, headaches, blurred vision, diplopia, difficulty concentrating, and loss of comprehension after brief short periods of reading or performing near work activities [ 21- 23].
Furthermore, patients may have been provided with a choice, but may not have experienced it as such because of difficulties with the comprehension of information due to psychological distress (e.g. anxiety, depression) or specific coping strategies (e.g. denial).
