Using the Health Literacy Universal Precautions Toolkit to Improve the Quality of Patient Materials

Angela G. Brega, Megan A G Freedman, William G. LeBlanc, Juliana Barnard, Natabhona M. Mabachi, Maribel Cifuentes, Karen Albright, Barry D Weiss, Cindy Brach, David R. West

Research output: Contribution to journalArticle

22 Scopus citations

Abstract

Patient materials are often written above the reading level of most adults. Tool 11 of the Health Literacy Universal Precautions Toolkit ("Design Easy-to-Read Material") provides guidance on ensuring that written patient materials are easy to understand. As part of a pragmatic demonstration of the Toolkit, we examined how four primary care practices implemented Tool 11 and whether written materials improved as a result. We conducted interviews to learn about practices' implementation activities and assessed the readability, understandability, and actionability of patient education materials collected during pre-and postimplementation site visits. Interview data indicated that practices followed many action steps recommended in Tool 11, including training staff, assessing readability, and developing or revising materials, typically focusing on brief documents such as patient letters and information sheets. Many of the revised and newly developed documents had reading levels appropriate for most patients and-in the case of revised documents-better readability than the original materials. In contrast, the readability, understandability, and actionability of lengthier patient education materials were poor and did not improve over the 6-month implementation period. Findings guided revisions to Tool 11 and highlighted the importance of engaging multiple stakeholders in improving the quality of patient materials.

Original languageEnglish (US)
Pages (from-to)69-76
Number of pages8
JournalJournal of Health Communication
Volume20
DOIs
Publication statusPublished - Oct 9 2015

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ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Library and Information Sciences
  • Communication

Cite this

Brega, A. G., Freedman, M. A. G., LeBlanc, W. G., Barnard, J., Mabachi, N. M., Cifuentes, M., ... West, D. R. (2015). Using the Health Literacy Universal Precautions Toolkit to Improve the Quality of Patient Materials. Journal of Health Communication, 20, 69-76. https://doi.org/10.1080/10810730.2015.1081997