Table 2.

Summary of design considerations identified and responses incorporated into the materials

Considerations	Responses
Framing
1. Avoid stigmatising messages 2. Recognise the collective nature of reproductive decisions	Framed as ‘genetic conditions affect all communities’ Designed to be accessible to all age-groups and generations Encouragement to discuss and share with family members
Content
1. Recognise mistrust of information sources 2. Address the need for moral and religious guidance 3. Recognise the complexity of the genetic information and the danger of contradiction if messages are too brief/simplistic	NHS logoFacts and figures with reference to trusted sources Moral/religious dimensions acknowledged Religious scholar contact information included Inheritance patterns carefully explained with pictorial illustration and words Encouragement to see the GP if concerned about genetic condition in the family
Format
1. Use conceptual translation and pay attention to appropriateness of language 2. Consider dangers of stereotyping 3. Recognise diversity of learning styles within community	Consistent and familiar terms Ethnically ambiguous images of parents and baby Names that are common across ethnic/religious groups Variety of presentational approaches: factual; narrative; and question and answer