期刊论文详细信息
BMC Oral Health
How readable are Australian paediatric oral health education materials?
Mark Fort Harris1  Loc Giang Do4  Zahra Karami3  Andy SF Lam3  Amit Arora2 
[1] Centre for Primary Health Care and Equity, Faculty of Medicine, UNSW Australia, Room 345, Level 3, AGSM Building, Gate 11, Botany Street, Randwick NSW 2052, Australia;Sydney and Sydney South West Local Health District, Sydney, NSW, Australia;Faculty of Dentistry, University of Sydney, Westmead, NSW, Australia;Australian Research Centre for Population Oral Health, University of Adelaide, Adelaide, SA, Australia
关键词: Leaflets;    Health communication;    Health literacy;    Oral health;    Dental caries;   
Others  :  1091931
DOI  :  10.1186/1472-6831-14-111
 received in 2014-05-21, accepted in 2014-08-29,  发布年份 2014
PDF
【 摘 要 】

Background

The objective of this study was to analyse the readability of paediatric oral health education leaflets available in Australia.

Methods

Forty paediatric oral health education materials were analysed for general readability according to the following parameters: Thoroughness; Textual framework; Terminology; and Readability (Flesch-Kincaid grade level (FKGL), Gunning Fog index (Fog) and Simplified Measure of Gobbledygook (SMOG)).

Results

Leaflets produced by the industry were among the hardest to read with an average readability at the 8th grade (8.4 ± 0.1). The readability of leaflets produced by the commercial sector was at the 7th grade (7.1 ± 1.7) and the government at the 6th grade (6.3 ± 1.9). The FKGL consistently yielded readabilities 2 grades below the Fog and SMOG indexes. In the content analyses, 14 essential paediatric oral health topics were noted and Early Childhood Caries (ECC) was identified as the most commonly used jargon term.

Conclusion

Paediatric oral health education materials are readily available, yet their quality and readability vary widely and may be difficult to read for disadvantaged populations in Australia. A redesign of these leaflets while taking literacy into consideration is suggested.

【 授权许可】

   
2014 Arora et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150128175219501.pdf 546KB PDF download
Figure 1. 67KB Image download
【 图 表 】

Figure 1.

【 参考文献 】
  • [1]Arora A, Schwarz E, Blinkhorn AS: Risk factors for early childhood caries in disadvantaged populations. J Invest Clin Dent 2011, 2:223-228.
  • [2]Do LG, Spencer AJ, Slade GD, Ha DH, Roberts-Thomson KF, Liu P: Trend of income-related inequality of child oral health in Australia. J Dent Res 2010, 89:959-964.
  • [3]Crocombe LA, Stewart JF, Barnard PD, Slade GD, Roberts-Thomson K, Spencer AJ: Relative oral health outcome trends between people inside and outside capital city areas of Australia. Aust Dent J 2010, 55:280-284.
  • [4]Australian Research Centre for Population Oral Health: Dental caries trends in Australian school children. Aust Dent J 2011, 56:227-230.
  • [5]Mejia GC, Amarasena N, Ha DH, Roberts-Thomson KF, Ellershaw AC: Child Dental Health Survey Australia 2007: 30-Year Trends in Child Oral Health. Dental Statistics and Research Series No. 60. Cat. no. DEN 217. Canberra: AIHW; 2012.
  • [6]Lader D, Chadwick B, Chestnutt I, Harker R, Morris J, Nuttal N, Pitts N, Steele J, White D: Children’s Dental Health in the United Kingdom, 2003. London: Office for National statistics; 2004.
  • [7]Beltran-Aguilar ED, Barker LK, Canto MT, Gooch BF, Griffin SO, Hyman J, Jaramillo F, Kingman A, Nowjack-Raymer R, Selwitz RH, Wu T: Surveillance for dental caries, dental sealants, tooth retention, edentulism and enamel fluorosis–United States, 1981–94 and 1999–2002. MMWR Surveill Summ 2005, 54:1-43.
  • [8]Arora A, Scott JA, Bhole S, Do L, Schwarz E, Blinkhorn AS: Early Childhood feeding practices and dental caries in preschool children: a multi-centre birth cohort study. BMC Public Health 2011, 11:28. BioMed Central Full Text
  • [9]Slack-Smith L, Colvin L, Leonard H, Kilpatrick N, Bower C, Brearley Messer L: Factors associated with dental admissions for children aged under 5 years in Western Australia. Arch Dis Child 2009, 94:517-523.
  • [10]Blinkhorn AS: Influence of social norms on toothbrushing behavior of preschool children. Community Dent Oral Epidemiol 1978, 6:222-226.
  • [11]Edmunds LD: Parents’ perceptions of health professionals’ responses when seeking help for their overweight children. Fam Pract 2005, 22:287-292.
  • [12]Soubhi H, Potvin L: Homes and Families as Health Promotion Settings: Linking Theory and Practice. Thousand Oaks, CA: SAGE Publications; 2000.
  • [13]Fisher-Owens SA, Gansky S, Platt L, Weintraub J, Soobader M, Bramlett M, Newacheck P: Influences on children’s oral health: a conceptual model. Pediatr 2007, 120:e510-e520.
  • [14]Institute of Medicine of the National Academies: Health Literacy. A Prescription to End Confusion. Washington, DC: National Academy Press; 2004. Available at: [http://iom.edu/Reports/2004/Health-Literacy-A-Prescription-to-End-Confusion.aspx webcite] last accessed 15 January 2014
  • [15]Weinman J: Providing written information for patients: psychological considerations. J Roy Soc Med 1990, 83:303-305.
  • [16]George C, Waters W, Nicholas J: Prescription information leaflets: a pilot study in general practice. Br Med J 1983, 287:1193-1196.
  • [17]Albert T, Chadwick S: How readable are practice leaflets? Br Med J 1992, 305:1266-1268.
  • [18]Bennett J, Bridger P: Communicating with patients. Br Med J 1992, 305:1294.
  • [19]Davis TC, Mayeaux EJ, Fredrickson D, Bocchini JA Jr, Jackson RH, Murphy PW: Reading ability of parents compared with reading level of pediatric patient education materials. Pediatr 1994, 93:460-468.
  • [20]Brug J, Steenhuis I, Van Assema P, de Vries H: The impact of a computer tailored intervention. Prev Med 1996, 84:783-787.
  • [21]National Institute of Dental and Craniofacial Research, National Institutes of Health, U.S. Public Health Service, U.S. Department of Health and Human Services: The invisible barrier: literacy and its relationship with oral health. A report of a work- group sponsored by the National Institute of Dental and Craniofacial Research, National Institutes of Health, U.S. Public Health Service, Department of Health and Human Services. J Public Health Dent 2005, 65:174-182.
  • [22]Australian Bureau of Statistics: Health Literacy 2006 Australia. Canberra: Australian Bureau of Statistics; 2008. Available at: [http://www.abs.gov.au/ausstats/abs@.nsf/mf/4233.0 webcite] Last accessed 5 December 2013
  • [23]Schumacher JR, Hall AG, Davis TC, Arnold CL, Bennett RD, Wolf MS, Carden DL: Potentially preventable use of emergency services: the role of low health literacy. Med Care 2013, 51:654-658.
  • [24]DeWalt DA, Hink A: Health literacy and child health outcomes: a systematic review of the literature. Pediatr 2009, 124(Suppl 3):S265-S274.
  • [25]Jackson R: Parental health literacy and children’s dental health: implications for the future. Pediatr Dent 2006, 28:72-75.
  • [26]Harwood A, Harrison JE: How readable are orthodontic patient information leaflets? J Ortho 2004, 31:210-219.
  • [27]Kang E, Fields HW, Cornett S, Beck FM: An evaluation of pediatric dental patient education materials using contemporary health literacy measures. Pediatr Dent 2005, 27:409-413.
  • [28]Alexander RE: Readability of published dental educational materials. J Am Dent Assoc 2000, 131:937-942.
  • [29]Whittingham JR, Ruiter RA, Castermans D, Huiberts A, Kok G: Designing effective health education materials: experimental pre-testing of a theory brochure to increase knowledge. Health Educ Res 2008, 23:414-426.
  • [30]Kools M, Ruiter RA, van de Wiel MW, Kok G: Increasing reader’s comprehension of health education brochures: a qualitative study into how professional writers make texts coherent. Health Educ Behav 2004, 31:720-740.
  • [31]Hendrickson RL, Huebner CE, Riedy CA: Readability of pediatric health materials for preventive dental care. BMC Oral Health 2006, 6:14. BioMed Central Full Text
  • [32]Ley P, Florio T: The use of readability formulas in health care. Psych Health Med 1996, 1:7-28.
  • [33]Edit Central [http://www.editcentral.com/gwt1/EditCentral.html webcite]
  • [34]Alexander RE: Patient understanding of postsurgical instruction forms. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999, 87:153-158.
  • [35]Osborne H: Health Literacy Consulting. [http://www.healthliteracy.com webcite]
  • [36]Meade CD, Smith CF: Readability formulas: cautions and criteria. Patient Educ Counsel 1991, 17:153-158.
  • [37]Cutts M: The Plain English Guide. Oxford: Oxford University Press; 1996.
  • [38]Blinkhorn AS, Verity JM: Assessment of the readability of dental health education literature. Comm Dent Oral Epidemiol 1979, 7:195-198.
  • [39]Sansgiry SS, Cady PS, Adamcik BA: Consumer comprehension of information on over-the-counter medication labels: effects of picture superiority and individual differences based on age. J Pharmaceut Market Manag 1997, 11:63-76.
  • [40]Morgaine KC, Carter AS, Meldrum AM, Cullinan MP: Design of an oral health information brochure for at-risk individuals. Health Educ J 2014. doi:10.1177/0017896913516095
  • [41]Gauld VA: Compliance and recall. J Roy Coll Gen Pract 1981, 83:298-300.
  • [42]Grosse RN, Auffrey C: Literacy and health status in developing countries. Ann Rev Public Health 1989, 10:281-297.
  • [43]Joint Commission on Accreditation of Health Care Organizations: Patient and family education. In Accreditation Manual for Hospitals. Chicago: Joint Commission on Accreditation of Health Care Organizations; 1996.
  文献评价指标  
  下载次数:11次 浏览次数:13次