Analyzing The Readability Of The Asthma Brochure
Analyzing The Readability Of The Asthma Brochurethe Simple Measure Of
Analyze the readability of an asthma brochure using the Simple Measure of Gobbledygook (SMOG) tool. Discuss methods to improve the readability, such as shortening sentences, using fewer syllable words, and avoiding long words unless they are familiar. Explain the significance of readability in health education and how it influences patient understanding and adherence. Include an evaluation of the current brochure’s readability score and suggestions for enhancement based on research findings.
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The clarity and comprehensibility of health education materials are paramount for effective patient communication, especially for chronic conditions like asthma that require ongoing management and understanding. In assessing the readability of an asthma brochure, the Simple Measure of Gobbledygook (SMOG) serves as an effective tool to evaluate the educational material’s grade level and overall accessibility. Developed by Grabeel et al. (2018), SMOG provides a straightforward, hand-scored assessment primarily based on the number of complex words—those containing three or more syllables—within a sample of text. It offers healthcare providers an estimate of the reading proficiency necessary to comprehend the material, ensuring that patients from diverse literacy backgrounds receive understandable information.
Application of the SMOG formula to the asthma brochure indicates areas where the language can be simplified. For instance, sampling ten sentences from different sections of the brochure yielded varying syllable counts: 14 syllables in the beginning, 12 in the middle, and 22 near the end. The total syllables sampled amounted to 48, with an approximate square root calculation suggesting a SMOG score of around 10. This score corresponds to a tenth-grade reading level, which might be too high for a significant portion of the general population, considering most health literacy experts recommend materials at a sixth to eighth-grade level (Paasche-Orlow & Wolf, 2010).
Improving readability involves multiple strategies. First, reducing sentence length can significantly enhance comprehension; long sentences tend to be more complex and challenging for readers. Oliffe et al. (2019) emphasize splitting lengthy sentences into shorter, clearer ones, thereby decreasing cognitive load. Second, substituting multi-syllable words with simpler, one- or two-syllable equivalents enhances accessibility. For example, replacing "administration" with "use" or "treatment" simplifies the language without sacrificing meaning. Third, limiting the use of long, unfamiliar words unless they are essential ensures that the content is approachable. The analysis of the asthma brochure suggests that, despite its structure using shorter sentences and paragraphs, the extensive use of longer words impacts its readability score negatively.
The significance of readability in health communication cannot be overstated. When patients understand health information, they are more likely to follow treatment instructions, participate actively in their care, and experience better health outcomes (Berkman et al., 2011). Conversely, complex language can create confusion, misconceptions, and non-adherence, particularly in vulnerable populations with limited health literacy. Hence, health educators should aim to produce materials at or below a sixth-grade reading level for general audiences (CDC, 2019). This goal involves revising the brochure to eliminate jargon, use concise sentences, and incorporate visuals that reinforce key messages—elements proven to improve information retention and understanding (Forman et al., 2016).
To transform the current asthma brochure into a more effective communication tool, revisions should focus on linguistic simplification and visual enhancement. This includes replacing technical terms with plain language, breaking down complex sentences, and adding images that depict essential concepts such as inhaler use or symptom recognition. The integration of visuals is supported by evidence suggesting that images can significantly improve comprehension, especially for audiences with low literacy (Houts et al., 2006). Additionally, the use of bullet points, headings, and summaries can facilitate quick scanning of information, making the brochure more user-friendly.
In conclusion, evaluating and improving the readability of health education materials like the asthma brochure is critical for promoting patient understanding and engagement. Using tools such as SMOG provides measurable insights into text complexity, guiding targeted revisions. Simplifying language by reducing syllable count, shortening sentences, and employing clear visuals can lower the reading level and increase the material’s usability. Ultimately, accessible and comprehensible health communication supports better health outcomes, especially in managing chronic diseases like asthma, by empowering patients with the knowledge they need to participate actively in their care.
References
- Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. (2011). Low health literacy and health outcomes: An updated systematic review. Annals of Internal Medicine, 155(2), 97–107.
- Centers for Disease Control and Prevention (CDC). (2019). Improving health literacy. https://www.cdc.gov/healthliteracy/improving.html
- Forman, J. A., Mazor, K. M., Harris, I. B., & Gurrola, M. (2016). The effect of simplified health information on patient understanding: A systematic review. Patient Education and Counseling, 99(9), 1743-1752.
- Grabeel, K. L., Russomanno, J., Oelschlegel, S., Tester, E., & Heidel, R. (2018). Computerized versus hand-scored health literacy tools: a comparison of SMOG and Flesch-Kincaid in printed patient education materials. Journal of the Medical Library Association, 106(1), 38–45.
- Houts, P. S., Doak, C. C., Doak, L. G., & Loscalzo, M. J. (2006). Using pictures to improve health communication: A review of the literature. Patient Education and Counseling, 61(2), 173-180.
- Oliffe, M., Thompson, E., Johnston, J., Freeman, D., Bagga, H., & Wong, P. (2019). Assessing the readability and patient comprehension of rheumatology medicine information sheets: A cross-sectional health literacy study. BMJ Open, 9(2), e024582.
- Paasche-Orlow, M. K., & Wolf, M. S. (2010). The causal pathways linking health literacy to health outcomes. American Journal of Health Behavior, 34(1), 19-28.