The role of readability in effective health communication

An experiment using a Japanese health information text on chronic suppurative otitis media

Yukiko Sakai

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objectives: This study identifies the most significant readability factors and examines ways of improving and evaluating Japanese health information text in terms of ease of reading and understanding. Methods: Six different Japanese texts were prepared based on an original short text written by a medical doctor for a hospital web site intended for laypersons regarding chronic suppurative otitis media. Four were revised for single readability factor (syntax, vocabulary, or text structure) and two were modified in all three factors. Using a web-based survey, 270 high school students read one of the seven texts, including the original, completed two kinds of comprehension tests, and answered questions on their impressions of the text's readability. Results: Significantly higher comprehension test scores were shown in the true or false test for a mixed text that presented important information first for better text structure. They were also found in the cloze test for a text using common vocabulary and a cohesive mixed text. Conclusions: Vocabulary could be a critical single readability factor when presumably combined with better text structure. Using multiple evaluation methods can help assess comprehensive readability. The findings on improvement and evaluation methods of readability can be applied to support effective health communication.

Original languageEnglish
Pages (from-to)220-231
Number of pages12
JournalHealth Information and Libraries Journal
Volume30
Issue number3
DOIs
Publication statusPublished - 2013 Sep

Fingerprint

Suppurative Otitis Media
Health Communication
health information
communication
experiment
Health
health
Vocabulary
vocabulary
comprehension
layperson
Reading
evaluation
Students
syntax

Keywords

  • Communication
  • Consumer health information
  • Information literacy
  • Survey

ASJC Scopus subject areas

  • Library and Information Sciences
  • Health Informatics
  • Health Information Management

Cite this

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abstract = "Objectives: This study identifies the most significant readability factors and examines ways of improving and evaluating Japanese health information text in terms of ease of reading and understanding. Methods: Six different Japanese texts were prepared based on an original short text written by a medical doctor for a hospital web site intended for laypersons regarding chronic suppurative otitis media. Four were revised for single readability factor (syntax, vocabulary, or text structure) and two were modified in all three factors. Using a web-based survey, 270 high school students read one of the seven texts, including the original, completed two kinds of comprehension tests, and answered questions on their impressions of the text's readability. Results: Significantly higher comprehension test scores were shown in the true or false test for a mixed text that presented important information first for better text structure. They were also found in the cloze test for a text using common vocabulary and a cohesive mixed text. Conclusions: Vocabulary could be a critical single readability factor when presumably combined with better text structure. Using multiple evaluation methods can help assess comprehensive readability. The findings on improvement and evaluation methods of readability can be applied to support effective health communication.",
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