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. 2024 Mar 6;7:e50163. doi: 10.2196/50163

Table 1.

Readability and health literacy measures of American Academy of Dermatology Association (AAD) text, ChatGPT output, ChatGPT output with 1 prompt, and ChatGPT output with 2 prompts.


AAD ChatGPT ChatGPT with 1 prompt ChatGPT with 2 prompts
Sunscreen FAQs

Flesch Reading Ease score 60.9 (standard/average) 60.5 (standard/average) 69.4 (standard/average) 80.2 (easy)

Gunning Fog 11.1 (hard) 11.7 (hard) 8.0 (fairly easy) 6.2 (fairly easy)

Flesch-Kincaid Grade Level 8.9 (9th grade) 9.1 (9th grade) 5.6 (6th grade) 3.8 (4th grade)

Coleman-Liau Index 10.0 (10th grade) 10.0 (10th grade) 10.0 (10th grade) 8.0 (8th grade)

SMOGa Index 8.2 (8th grade) 8.6 (9th grade) 6.0 (6th grade) 4.9 (5th grade)

Automated Readability Index 9.4 (9th grade) 9.4 (9th grade) 4.6 (5th grade) 2.5 (3rd grade)

Linsear Write Formula 9.3 (9th grade) 10.8 (11th grade) 4.0 (4th grade) 2.8 (3rd grade)

Average readabilityb 9.2 (9th grade) 9.6 (10th grade) 6.0 (6th grade) 4.4 (4th grade)
Melanoma FAQs

Flesch Reading Ease score 56.2 (fairly difficult) 46.5 (difficult) 58.9 (fairly difficult) 59.3 (fairly difficult)

Gunning Fog 12.5 (hard to read) 13.7 (hard to read) 11.0 (hard to read) 10.9 (hard to read)

Flesch-Kincaid Grade Level 9.5 (10th grade) 10.5 (11th grade) 8.0 (8th grade) 7.9 (8th grade)

Coleman-Liau Index 9.0 (9th grade) 12.0 (12th grade) 10.0 (10th grade) 8.0 (8th grade)

SMOG Index 9.4 (9th grade) 10.1 (10th grade) 8.3 (8th grade) 8.2 (8th grade)

Automated Readability Index 8.4 (8th grade) 9.7 (10th grade) 6.9 (7th grade) 6.3 (6th grade)

Linsear Write Formula 10.8 (11th grade) 9.5 (10th grade) 7.0 (7th grade) 6.8 (7th grade)

Average readability 9.4 (9th grade) 10.4 (10th grade) 8.0 (8th grade) 7.4 (7th grade)
Accuracy scorec, mean (SD) 2.82 (0.25) 2.89 (0.19) 2.63 (0.41) 2.62 (0.37)

aSMOG: Simple Measure of Gobbledygook.

bThe average readability score was computed by averaging the tests with grade levels as outputs: Flesch-Kincaid Grade Level, Coleman-Liau Index, SMOG Index, Automated Readability Index, and Linsear Write Formula.

cThe accuracy score represents the mean score of 3 dermatology residents who assessed the educational materials using a numeric scale: 1 (not accurate), 2 (somewhat accurate), and 3 (accurate).