Abstract
We investigated the readability of seven mental health brochures on mental, emotional, and behavioral disorders in children that were selected from a website developed by the Center for Mental Health Services at http://www.mentalhealth.org. The reading grade levels of the brochures ranged from 11.1 to 14.8 (mean 13.23), considerably higher than the 8th grade level recommended for educational material by the U. S. Department of Education (1986). On other readability variables, assessed using the Readability Assessment Instrument (RAIN; Singh, 1994), all brochures met criterion on most variables but failed on those for new words (audience appropriateness) and print size. This is a favorable result in comparison with other studies that have assessed readability of mental health information on the Internet using the RAIN, although less so with reading grade levels.
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Adkins, A. D., Elkins, E. N., & Singh, N. N. (2001). Readability of NIMH Easy-to-Read patient education materials. Journal of Child and Family Studies, 10, 279-285.
Adkins, A. D. & Singh, N. N. (2001). Reading level and readability of patient education materials in mental health. Journal of Child and Family Studies, 10, 1-8.
Adkins, A. D., Singh, N. N., McKeegan, G, F., Lanier, A. E., & Oswald, D. P. (2002). Behavior treatment programs, readability and treatment outcomes. Research in Developmental Disabilities, 23, 253-265.
Albright, J., de Guzman, C., Acebo, P., Paiva, D., Faulkner, M., & Swanson, J. (1996). Readability of patient education materials: Implications for clinical practice. Applied Nurse Research, 9, 139-143.
Berland, G. K., Elliott, M. N., Morales, L. S., Algazy, J. I., Kravitz, R. L., Broder, M. S., Kanouse, D. E., Munoz, J. A., Puyol, J., Lara, M., Watkins, K. E., Yang, H., & McGlynn, E. A. (2001). Health information on the Internet: Accessibility, quality, and readability in English and Spanish. The Journal of the American Medical Association, 285, 2612-2638.
Dollahite, J., Thompson, C., & McNew, R. (1996). Readability of printed sources of diet and health information. Patient Education and Counseling, 27, 123-134.
Doak, L. G., & Doak, C. C. (1987). Lowering the silent barriers to compliance for patients with low literacy skills. Promoting Health, 8, 6-8.
Estey, A., Musseau, A., & Keehn, L. (1994). Patient's understanding of health information: A multihospital comparison. Patient Education and Counseling, 24, 73-78.
Glanz, K., & Rudd, J. (1990). Readability and content analysis of print cholesterol education materials. Patient Education and Counseling, 16, 109-118.
Graber, M. A., Roller, C. M., & Kaeble, B. (1999). Readability levels of patient education material on the World Wide Web. The Journal of Family Practice, 48, 58-61.
Horner, S. D., Surratt, D., & Juliusson, S. (2000). Improving readability of patient education materials. Journal of Community Health Nursing, 17, 15-23.
Johnson, S. T. (1999). Adults performing at the two lowest literacy levels. In U. S. Department of Education. National Center for Education Statistics. Adult literacy and education in America: Four studies based on the national adult literacy survey, NCFS 1999–469 [On-line]. Available: www.nces.ed.gov/pubs2001/2001534.pdf
Kirkpatrick, M. F., & Mohler, C. (1999). Using the readability assessment instrument to evaluate medication leaflets. Drug Information Journal, 33, 557-563.
Richardson, J. S., & Morgan, R. F. (1994). Reading to learn in the content areas. Belmont, CA: Wadsworth Publishing Co.
Singh, J. (1994). RAIN: Readability Assessment Instrument Manual. Midlothian, VA: Woodlake Institute for Human Services.
Singh, J. (1995). The readability of education materials written for parents of children with attention-deficit hyperactivity disorder. Journal of Child and Family Studies, 4, 207-218.
Singh, J. (2000). The readability of HIV/AIDS education materials. AIDS Education and Prevention, 12, 214-224.
Slaten, D., Parrott, R., & Steiner, C. (1999). Readability of skin cancer prevention brochures targeting parents of young children. Journal of the American Academy of Dermatology, 40, 997-999.
Smith, H., Gooding, S., Brown, R., & Frew, A. (1998). Evaluation of readability and accuracy of information leaflets in general practice for patients with asthma. British Medical Journal, 317, 264-265.
United States Department of Education. (1986). Digest of Education Statistics (1985–1986). Washington, DC: Office of Educational Research and Improvement, United States Department of Education Center for Statistics.
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King, M.M., Winton, A.S. & Adkins, A.D. Assessing the Readability of Mental Health Internet Brochures for Children and Adolescents. Journal of Child and Family Studies 12, 91–99 (2003). https://doi.org/10.1023/A:1021362210470
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DOI: https://doi.org/10.1023/A:1021362210470