Journals
lww-Hearing Journal: April 2020 by Ou, Hua PhD; Squires, Erika S.
Patient education materials (PEM) that
highlight the risk factors, signs, symptoms, and treatment options for
age-related hearing loss (ARHL) are critical given that the number of people
with hearing loss is rapidly increasing due to population aging. When designing
PEMs, it is important to consider the health literacy skills of the intended audience
to ensure that the materials can be read, used, and understood by consumers.
Health literacy is defined as “the degree to which individuals have the
capacity to obtain, process, and under-stand basic health information and
services needed to make appropriate health decisions.” If health care providers
share educational materials that are not matched to the health literacy skills
of their patients, these materials will be ineffective at encouraging
individuals to seek hearing health care and will not support the development of
self-efficacy and self-management skills. In the United States, the average
adult reads at the eight- or ninth-grade level, and only an estimated 12
percent of adults can effectively read and understand health information. Readability
and suitability are common measures used to assess the health literacy of
written PEMs. Readability is an objective measure of how easy or difficult a
text is to read, while suitability measures design appropriateness and
evaluates the adequacy of material content and design, cultural and linguistic
appropriateness, and ability to motivate individuals to take action.
Previous investigations into the
readability and suitability of PEMs on hearing health have revealed that the
majority of materials are not written at an appropriate level for the intended
audience. These studies have focused on the readability and suitability of PEMs
on general hearing health topics; however, the issue of health literacy is
particularly relevant to older adults who demonstrate lower levels of health
literacy compared with their younger counterparts.
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KEY ISSUES & SOLUTIONS
Our study revealed that 66.7 percent of
PEMs were written above target readability (i.e., above eighth-grade level),
which was based on the average reading level of U.S. adults. The average
readability of all PEMs in the study was grade level 9.73, indicating that an
individual would need an education level higher than ninth grade to be able to
read the material. An analysis of suitability using the SAM revealed that the
average PEM was classified as adequate. In total, 85.2 percent (23/27) of PEMs
were classified as adequate, and 14.8 percent (4/27) were classified as not
suitable. No PEMs were identified as having superior suitability. READ
MORE ➤➤
Based on (7) readability formulas:
Grade Level: 13
Reading Level: difficult to read.
Reader's Age: 18-19 yrs. Old
(college level entry)
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