Table 2.
GROW intervention SAM assessment and revision.
| Module | SMOG Index | Fry graph | Primary SAM evaluation | Final SAM evaluation | General changes required |
|---|---|---|---|---|---|
| (1) Community building | 6.1 | 7 | 38/44 (86%) | 40/44 (91%) | Simplified language (e.g. “contagious” Δ to “spread”), reframing of messages, active voice |
| (2) Behavior change/goal setting | 6 | 5 | 38/44 (86%) | 40/44 (91%) | Improved writing style |
| (3) Parenting styles | 6 | 6 | 36/44 (82%) | 41/44 (93%) | Improved literacy demand, improved graphics |
| (4) Community center | 6.1 | 7 | 40/44 (90%) | N/A | Simplified language (e.g. “etiquette” removed), reframing of messages |
| (5) Family physical activity | 6.6 | 7 | 36/44 (82%) | 39/44 (88%) | Simplified sentence structure and language (“weight-bearing exercises” Δ to “walking/playing tag”), active voice |
| (6) Snacks and drinks | 5 | 6 | 32/40 (80%) | 37/40 (92%) | Simplified language, reframing of messages |
| (7) Mindful eating | 4.2 | 5 | 38/44 (86%) | 40/44 (91%) | Simplified language, improved graphics |
| (8) Sleep | 5.4 | 6 | 41/44 (93%) | N/A | Active voice |
| (9) Choosing foods | 6.1 | 7 | 39/44 (88%) | 41/44 (93%) | Improved literacy demand, modeling of behavior |
| (10) Meal planning | 4.8 | 6 | 40/44 (90%) | N/A | Improved interaction during problem solving and graphical layout |
| (11) Eating together | 4.8 | 5 | 28/42 (66%) | 39/42 (93%) | Reduction of jargon, simplified language (“control portion sizes” Δ to “control your plate”), active voice, reduce prose burden, reframing of messages |
| (12) Media time | 6.4 | 5 | 38/44 (86%) | 41/44 (93%) | Simplified language, active voice, removed unfamiliar jargon (“game boys” Δ to “hand-held video games”), improved subheadings |
| Average score ± SD | 5.63 ± 0.76 | 6.00 ± 0.85 | 85% ± 7 | 91.5 ± 1.62 |