Table 2.

Readability and PEMAT Scoring.

Website	Setting type	FRE† score	FKGL‡	Understandability§	Actionability
http://www.entnet.org/content/ear-tubes	Society website	45.9	12	80%	47%
http://www.mayoclinic.org/tests-procedures/ear-tubes/home/ovc-20199999	Academic health system	53.3	9	85%	73%
http://kidshealth.org/en/parents/ear-infections.html	Community health system	55.5	10	80%	47%
http://www.webmd.com/cold-and-flu/ear-infection/tubes-for-ear-infections	Health & Wellness website	70.6	6	83%	80%
http://www.medicinenet.com/ear_tubes/article.htm	Health & Wellness website	53.6	9	92%	73%
http://www.emedicinehealth.com/ear_tubes/article_em.htm	Health & Wellness website	44.5	12	86%	33%
http://www.earcentergreensboro.com/medical-education/ear_tubes.php	Physician group	50.4	10	77%	53%
https://en.wikipedia.org/wiki/Tympanostomy_tube	Wikipedia	40.4	12	73%	0%
http://www.childrenshospital.vanderbilt.org/services.php?mid=9847	Academic health system	61.8	9	88%	40%
http://emedicine.medscape.com/article/1890757-overview	Health & Wellness website	28.8	15	75%	0%

^†Flesch Reading Ease score interpretation: 0–60 difficult to read, 60–70 standard, 70–100 easy to read.¹⁷.

^‡Flesch-Kincaid grade level converts reading score to a U.S. grade level.¹⁸ The NIH recommends patient education material be written at a 7^th to 8^th grade level to subvert inadequate health literacy.²⁵

^§Materials with scores of 70% or more are deemed to be adequately understood and actionable.²²