Turkish Journal of Urology
Original Article

Readability and understandability of andrology questionnaires


Department of Urology, Health Sciences University, Okmeydanı Teaching and Research Hospital, İstanbul, Turkey


Department of Turkish Language Teaching, Niğde Ömer Halisdemir University, Niğde, Turkey,

Turk J Urol 2019; 45: 171-176
DOI: 10.5152/tud.2018.75272
Read: 2338 Downloads: 126 Published: 25 July 2019



Objective: Medical questionnaires, which enable collection, comparison and analysis of appropriate data as a means of written communication between a patient and a doctor, must be easily readable, and understandable. Here, we measure the readability and understandability of questionnaires used in andrology and examine the relationship between the educational status of the patients and the understandability of the forms. 


Material and methods: Seven questionnaires (SHIM, AIPE, IIEF, MSHQ-EjD, PEDT, NIH-CPSI and IPSS) used to diagnose andological diseases were selected from the European Association of Urology guidelines. The number of syllables per word, the number of words in a sentence, and the average word and sentence lengths were calculated for each Turkish validated form. Readability scores were calculated, and closet tests were used to measure the understandability of the texts. 


Results: Three hundred and twenty-seven male volunteers participated in the study. Two hundred and sixteen of the participants (66%) had a high school or college education. The readability level of the seven forms was determined to be ''Difficult'' or ''Very Difficult,'' and at least a high school education level was required to understand the forms. As education level and monthly income increased, the understandability of the forms increased; as the readability of the forms became more difficult, their understandability decreased (p<0.001).


Conclusion: The readability levels of questionnaires used in andrology are well above the reading level of Turkey. Health providers can help patients to fill out forms to increase doctor-patient communication.


Cite this article as: Atalay HA, Çetinkaya G, Agalarov S, Özbir S, Çulha G, Canat L. Readability and understandability of andrology questionnaires. Turk J Urol 2019; 45(3): 171-6.

EISSN 2149-3057