A polio immunization pamphlet with increased appeal and simplified language does not improve comprehension to an acceptable level

Patient Education and Counseling

Volumn 33, Issue 1, 1998, Pages 25-37

  Davis, Terry C ^a   Fredrickson, Doren D ^b   Arnold, Connie ^a   Murphy, Peggy W ^a   Herbst, Melissa ^a   Bocchini, Joseph A ^a  

^a LOUISIANA STATE UNIV MEDICAL CENTER   (United States)

^b UNIVERSITY OF KANSAS SCHOOL OF MEDICINE WICHITA   (United States)

Author keywords

Adult education; Informed consent; Parent; Patient information brochures; Patient literacy; Patient parent education

Indexed keywords

POLIOMYELITIS VACCINE;

ADULT; ARTICLE; CLINICAL TRIAL; COMPREHENSION; CONTROLLED STUDY; FEMALE; HEALTH EDUCATION; HUMAN; IMMUNIZATION; INFORMED CONSENT; MALE; PARENT; PATIENT; PATIENT EDUCATION; PATIENT INFORMATION; POLIOMYELITIS; PRIORITY JOURNAL; QUESTIONNAIRE; RANDOMIZED CONTROLLED TRIAL; READING; SCIENTIFIC LITERATURE;

ACADEMIC MEDICAL CENTERS; ADULT; CENTERS FOR DISEASE CONTROL AND PREVENTION (U.S.); FEMALE; HEALTH EDUCATION; HUMANS; LOUISIANA; MALE; PARENTS; POLIOVIRUS VACCINE, INACTIVATED; POLIOVIRUS VACCINE, ORAL; QUESTIONNAIRES; TEACHING MATERIALS; UNITED STATES;

EID: 0031973329     PISSN: 07383991     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0738-3991(97)00053-0     Document Type: Article

References (51)

1. Miles S., Davis T. Patients who can't read: Implications for the health care system. J Am Med Assoc. 274(21):1995;1719-1720.
2. Davis T., Mayeaux E., Fredrickson S., Bocchini J., Jackson R., Murphy P. Reading ability of parents compared with reading level of pediatric patient education materials. Pediatrics. 93:1994;460-468.
3. Davis T., Crouch M., Wills G., Miller S., Abdehou D. The gap between patient reading comprehension and the readability of patient education materials. J Fam Pract. 31:1990;533-538.
4. Doak L., Doak C. Patient comprehension profiles: recent findings and strategies. Patient Couns Health Educ. 2:1980;101-106.
5. Meade C., Byrd J. Patient literacy and the readability of smoking education literature. Am J Public Health. 79:1989;204-206.
6. Powers R. Emergency department patient literacy and the readability of patient-directed materials. Ann Emerg Med. 17:1988;124-126.
7. Jolly B., Scott J., Feied C., Sanford S. Functional illiteracy among emergency department patients: a preliminary study. Ann Emerg Med. 22:1993;573-578.
8. Spandorfer J., Karras D., Hughes L., Caputo C. Comprehension of discharge instructions by patients in an urban emergency department. Ann Emerg Med. 25:1995;71-74.
9. Meade C., Howser D. Consent forms: how to determine and improve their readability. Oncol Nurs Forum. 19:1992;1523-1528.
10. Grunder TM. On the readability of surgical consent forms. New Engl J Med April 17 1980;900-902.
11. Morrow G.R. How readable are subject consent forms? J Am Med Assoc. 244(1):1980;56-58.
12. Williams M.V., Parker R.M., Baker D.W.et al. Inadequate functional health literacy among patients at two public hospitals. J Am Med Assoc. 274:1995;1677-1682.
13. Davis T.C., Bocchini J.A., Fredrickson D.et al. Study of patient comprehension of polio vaccine information pamphlets. Pediatrics. 97:1996;804-810.
14. Kirsch I, Jungeblut A, Jenkins L, Kolstad A. Adult literacy in America: A first look at the results of the national adult literacy survey. Washington: National Center for Education Statistics, US Dept of Education, 1993.
15. Weiss B.D. Illiteracy among Medicaid recipients and its relation to health care costs. J Health Care Poor Underserved. 5:1994;99-111.
16. U.S. Department of Health and Human Services: Healthy People 2000: National health promotion and disease prevention objectives. Washinton: U.S. Printing Office, DHHS Publication No. (PHS) 91-50213, 1992:122-23.
17. Department of Health and Human Services. Vaccine information materials. 45 CRF Part 110. Centers for Disease Control. Federal Register 1991;56(199):51798-51818.
18. Goldsmith M. Medical News and Perspectives: Vaccine information pamphlets here, but some physicians react strongly. J Am Med Assoc. 267(15):1992;2005-2005.
19. Department of Health and Human Services. Proposed new vaccine information materials. 42 USC 300AA-26. Centers for Disease Control. Federal Register 1994;59(17):3752-3755.
20. Wampler BE, Williams MP. Grammatik for Windows. San Francisco: Reference Software International, 1991.
21. Gunning R. The technique of clear writing. New York: McGraw Hill, 1974.
22. Flesch R. The Art of Readable Writing. New York: Harper and Row, 1974.
23. Humiston S.G., Rodewald L.E., Woodin K.A., Carges M.S., Szilagyi P.G. Parental comprehension and opinion of one-page vaccine information material. Arch Pediatr Adolesc Med. 148(4):1994;49.
24. Davis T.C., Long S., Jackson R.et al. Rapid estimate of adult literacy in medicine: A shortened screening instrument. Fam Med. 25:1993;391-395.
25. Markwardt FS. Peabody individual achievement test. Revised. Circle Pinas: American Guidance Service, 1989.
26. Jastak S, Wilkinson GS. Wide range achievement test. Revised 3. Wilmington: Jastak, 1993.
27. Slosson RJL. Slosson oral reading tests. Revised. East Aurora (NY): Slosson Educational, 1990.
28. Parker R., Baker D., Williams M., Nurss J. The test of functional health literacy in adults (TOFHLA): A new instrument for measuring patients' literacy skills. J Gen Intern Med. 10:1995;537-545.
29. Microsoft Corporation. Excel for Windows. Redmond (WA), 1993.
30. Conceptual software. DBMS/Copy. Houston (TX), 1994.
31. SAS Institute. Statistical analysis software 6.10. Cary (NC), 1994.
32. Friedenberg L. Psychological testing-design, analysis and use. Boston: Allyn and Bacon, 1995:260-294.
33. Wilson F. Measuring patients ability to read and comprehend: A first step in patient education. Nurs Connections. 8:1995;17-25.
34. Mohammed M.F. Patients' understanding of written health information. Nurs Res. 13(2):1964;100-108.
35. Meade C.D., Byrd J.C., Lee M. Improving patient comprehension of literature on smoking. Am J Public Health. 79(10):1989;1411-1412.
36. Meade C.D., McKinney W.P., Barnas G.P. Educating patients with limited literacy skills: The effectiveness of printed and videotaped materials about colon cancer. Am J Public Health. 84(1):1994;119-121.
37. Michielutte R., Bahnson J., Dignan M., Schroeder E. The use of illustrations and narrative text style to improve readability of a health education brochure. J Cancer Educ. 7(3):1992;251-260.
38. Baker G.C., Newton D.E., Bergstresser P.R. Increased readability improves the comprehension of written information for patients with skin disease. J Amer Acad of Dermatol. 19(6):1988;1135-1141.
39. Meade C.D., Smith C.F. Readability formulas: Cautions and criteria. Patient Educ Couns. 17:1991;153-158.
40. Doak CC, Doak LG, Root JH. Teaching patients with low-literacy skills. 2nd ed. Philadelphia (PA): JB Lippincott, 1996.
41. Doak L.G., Doak C.C., Meade C.D. Strategies to improve cancer education materials. Patient Educ. 23(8):1996;1305-1312.
42. National Cancer Institute. Clear and simple: Developing effective print materials for low literate readers. Washington D.C.: National Institute of Health (publication No. 95-3594), May 1993.
43. Young D.R., Hooker D.T., Freeberg F.E. Informed consent documents: Increasing comprehension by reducing reading level. IRB. 12(3):1990;1-6.
44. Taub H.A., Baker M.T., Sturr J.F. Informed consent for research: Effects of readability, patient age, and education. J Am Geriatr Soc. 34:1986;601-606.
45. Pramanik S., Divers S.G., Davis T.C., Holcombe R.F. Improving informed consent: A trial comparing standard and simplified forms. J Invest Med. 45(1):1997;26A.
46. Reid J.C., Klachko D.M., Kardash C.A., Robinson R.D., Scholes R., Howard D. Why people don't learn from diabetes literature: Influence of text and reader characteristics. Patient Educ Couns. 25:1995;31-38.
47. Rudd R.E., Comings J.D. Learner developed materials: an empowering product. Health Educ Q. 21:1994;313-327.
48. Freire P. Pedagogy of the oppressed. New York: Continuum, 1993.
49. Plimpton S., Root J. Materials and strategies that work in low literacy health communication. Public Health Rep. 109:1994;86-92.
50. Stedman LC, Kaestle CF. Literacy and reading performance in the United States from 1880 to the present. In: Kaestle CF, Damon-Moore H, Stedman LC, et al., editors. Literacy in the United States: Readers and reading since 1880. 1991:75-128.
51. Davis T.C., Arnold C., Berkel H., Nandy I., Jackson R.H., Glass J. Knowledge and attitude on screening mammography among low-literate, low-income women. Cancer. 78(9):1996;1912-1920.