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. Author manuscript; available in PMC: 2014 May 2.
Published in final edited form as: J Cardiovasc Nurs. 2012 Nov-Dec;27(6):485–494. doi: 10.1097/JCN.0b013e318220720c

Table 1.

SAM criteria utilized for appraisal of PEMs

Category Criteria
Message Content
Does the material explain the purpose and benefits from the patient’s view?
Is the content limited to a few essential main points that the majority of the target population will benefit from?
Are behaviors and skills emphasized rather than just facts?
Are readers provided with opportunities small successes?
Are key points reviewed at the end of each section/page?
Is the material sensitive to cultural differences?
Is the new information placed in the context of the patients’ lives?
Are readers told what they should get from the material and what can do to improve their health?
Is the organization of the paragraphs and sentences conducive to easy reading?
Are instructions broken into easy-to-read parts?
Is the material interactive (encourage the patient to write, answer questions, ask questions, cut out forms, etc)?
Text Appearance
Is the font size no smaller than 12–14pt?
Is easy-to-read font (no fancy script or lettering) used?
Are bold and underline used instead of ALL CAPS and italics?
Are colors used to promote easy reading? (Dark fonts on light backgrounds are best.)
Is overall sharp contrast and large font used?
Visuals
Do the visuals all help communicate your messages in a literal manner (no abstract symbols)?
Are the visuals culturally relevant and sensitive?
Are the visuals easy for your readers to follow and understand?
Are internal body parts or small objects shown in context and in a realistic manner?
Are the visuals professional and appropriate for an adult audience?
Are the visuals free of distracting details that take away from the main idea?
Do all the graphics contribute to your message?
Are examples given for any lists, charts, or diaries that readers are supposed to complete?
Layout and Design
Is the cover effectively designed?
Are messages organized so they are easy to act on and recall? (Headings, sub-headings, etc.)
Is there a lot of white space (no dense text)?
Is the text easy for the eye to follow (Bullets, paragraph shape: 40–50 characters wide, text boxes)?

SAM, suitability assessment of materials; PEM, patient education meterials