Table 2.
Comparison of suitability scores for materials before and after training (by item).
| Evaluation items | Before* 31 materials |
After* 31 materials |
p-value† |
|---|---|---|---|
| 1. Content | |||
| a) Is the title prominent? | 53.8 (21.7) | 56.2 (23.0) | 0.61 |
| b) Is the purpose specific in the title and others? | 57.7 (22.2) | 56.5 (26.3) | 0.84 |
| c) Is there information necessary for the action for health checkups? | 50.7 (20.8) | 59.5 (18.0) | 0.0496 |
| d) Is there too much information on medical facts? | 63.0 (18.2) | 61.4 (24.5) | 0.73 |
| e) Are the benefits of undergoing health checkups explained? | 29.3 (24.7) | 29.2 (25.4) | 0.98 |
| f) Is the cost of health checkups written? | 47.2 (31.0) | 44.0 (34.3) | 0.69 |
| g) Is the deadline of health checkups written? | 46.6 (31.0) | 41.7 (38.7) | 0.40 |
| 2. Literacy demand | |||
| a) Is the text easy to read? | 36.4 (10.5) | 38.2 (17.2) | 0.71 |
| b) Is it written in a conversational style? | 67.7 (20.7) | 72.0 (8.03) | 0.06 |
| c) Is it written in active voice? | 68.4 (8.3) | 72.6 (9.13) | 0.12 |
| d) Is the language and terminology too difficult? | 48.2 (9.4) | 50.5 (24.1) | 0.66 |
| 3. Graphic illustrations, lists, tables, charts | |||
| a) Is the meaning clear with favorable emphasis? | 28.5 (21.6) | 31.9 (18.5) | 0.50 |
| b) Is it not too technical? | 66.5 (16.8) | 64.8 (17.9) | 0.67 |
| c) Does it visually represent only the key points? | 58.4 (18.9) | 60.1 (16.0) | 0.80 |
| d) Is there a title and a caption to indicate the content? | 27.7 (28.9) | 43.8 (26.9) | 0.03 |
| 4. Layout and typography | |||
| a) Is the layout consistent and readable in sequence? | 51.5 (21.5) | 62.0 (15.8) | 0.04 |
| b) Are there sufficient margins and line spacing? | 42.6 (25.8) | 54.6 (19.7) | 0.046 |
| c) Is the emphasis of the type not excessive? | 41.6 (32.6) | 46.4 (32.9) | 0.39 |
| d) Is the type not too small? | 41.7 (20.1) | 42.1 (23.3) | 0.92 |
| e) Is the information divided into small sections with headings? | 62.1 (15.3) | 59.6 (16.5) | 0.58 |
| 5. Learning stimulation and motivation | |||
| a) Is the information not one-sided? | 11.7 (26.8) | 13.4 (30.4) | 0.82 |
| b) Do the readers feel able to receive the health checkups? | 45.2 (13.9) | 47.8 (20.1) | 0.44 |
| c) Do the expressions convey an attitude of respect for the reader as a person? | 63.4 (12.7) | 59.3 (19.5) | 0.30 |
| 6. Custom contextual appropriateness | |||
| a) Is the color use suitable? | 42.6 (27.7) | 53.1 (21.2) | 0.11 |
| b) Is the contact information clear? | 60.4 (22.2) | 65.8 (22.8) | 0.12 |
| c) Is the paper size suitable? | 49.8 (20.2) | 52.9 (16.5) | 0.50 |
Bold values indicate the best performance for each metric. *Mean (standard deviation), †Paired t-test (two-sided).