Five-step Methodology for Evaluation and Adaptation of Print Patient Health Information to Meet the <5th Grade Readability Criterion
Bibliographic Data
| ID | 9102739 |
|---|---|
| Authors | Felicia Hill-Briggs, Felicia Hill‐Briggs (0000-0002-2804-3278, Johns Hopkins University, corresponding author), Kristina P Schumann (Johns Hopkins University), Ogechi Dike, Ogechi N Dike (Johnson University) |
| Year | 2012 |
| Volume | 50 |
| Issue | 4 |
| Pages | 294-301 |
| Publication date | 2012-04-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0b013e318249d6c8 |
| PMID | 22354210 |
| PMCID | PMC3318988 |
| OpenAlex | W2167615766 |
| Language | EN |
| Citations received | 3 |
| References cited | 14 |
BACKGROUND: In the setting of declining U.S. literacy, new policies include use of clear communication and low-literacy accessibility practices with all patients. Reliable methods for adapting health information to meet such criteria remain a pressing need. OBJECTIVES: To report method validation (study 1) and method replication (study 2) procedures and outcomes for a 5-step method for evaluating and adapting print health information to meet the current low-literacy criterion of 2-3 syllables) minimized or avoided. Interrater reliability for the document evaluations was determined. RESULTS: Training in the methodology resulted in interrater reliability of 0.99-1.00 in study 1 and 0.98-1.00 in study 2. Original documents met none of the targeted low literacy criteria. In study 1, following low-literacy adaptation, mean reading grade level decreased from 10.4±1.8 to 3.8±0.6 (P<0.0001), with consistent achievement of criteria for words per sentence, passive voice, and syllables per word. Study 2 demonstrated similar achievement of all target criteria, with a resulting decrease in mean reading grade level from 11.0±1.8 to 4.6±0.3 (P<0.0001). CONCLUSIONS: The 5-step methodology proved teachable and efficient. Targeting a limited set of modifiable criteria was effective and reliable in achieving <5th grade readability
Adaptation (eye) · Grade level · Health care · Health literacy · Inter-rater reliability · Linguistics · Literacy · Mathematics education · Medical education · Natural language processing · Pedagogy · Readability · Reading (process) · Reliability (semiconductor) · Sentence · Applied Psychology · Computer Science · Health Literacy and Information Accessibility · Medicine · Psychology · Reading and Literacy Development · Text Readability and Simplification
| Citations per year | 0.33 |
|---|---|
| Citation span | 2017 - 2021 (5) |
| Highly cited | No |