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. Author manuscript; available in PMC: 2021 Jan 4.
Published in final edited form as: J Consum Health Internet. 2020 Feb 11;24(1):50–61. doi: 10.1080/15398285.2019.1710980
Present Developing Not Present
Provide understandable self-care Information responsive to:
Health Literacy:
  • Readability (equal to or less than 5th grade level- Flesch-Kincaid)

  • Understandability- little to no abstract thought

  • Use of pictures to enhance understanding

  • Small groupings of information with topic breaks

  • Short sentences or bullets

  • Few three syllable words

Culture: Sociological characteristics
  • Addresses individual directly with an action they can take

Preferred language:
  • Offered in language commonly used by the population in service area

Health Literacy:
  • Readability at 6th grade level

  • Little abstract thought needed for understanding

  • Pictures present

  • Small groupings of information with topic breaks

  • Short sentences or bullets

  • Few three syllable words


Culture: Sociological characteristics
  • Addresses individual directly with an action they can take


Preferred language:
  • Considers language preference

Health Literacy:
  • Readability greater than 6th grade level

  • Abstract thought needed for understanding

  • No use of pictures

  • Large groupings of information with few topic breaks

  • Long sentences

  • Many three syllable words


Culture: Sociological characteristics
  • Lacking use of sociological characteristics and addressing the individual directly


Preferred language:
  • No mention of languages offered / or translation