Table 2.

Review of the Roadmap to Parenthood patient decision aid using the Health Literacy Online Strategies Checklist from the National Institutes of Health.

Criteria		Answer
Write actionable content
	1. Identify user motivations and goals	Yes
	2. Put the most important information first	Yes
	3. Describe the health behavior [information] – just the basics	Yes
	4. Stay positive. Include the benefits of taking action	Yes
	5. Provide specific action steps	Yes
	6. Write in plain language	Yes
	7. Check content for accuracy	Yes
Display content clearly on the page
	8. Limit paragraph size. Use bullets and short lists	Yes
	9. Use meaningful headings	Yes
	10. Use readable font	Yes
	11. Use white space and avoid clutter	Yes
	12. Keep the most important content above the fold – even on mobile	Yes
	13. Use links effectively	Yes
	14. Use color or underline to identify links	Yes
	15. Use Images that help people learn	Yes
	16. Use appropriate contrast	Yes
	17. Make web content printer-friendly	Yes
	18. Make your site accessible to people with disabilities	Yesa
	19. Make websites responsive	Yes
	20. Design mobile content to meet mobile users’ needs	Yes
Organize content and simplify navigation
	21. Create a simple and engaging homepage	Yes
	22. Label and organize content with your users in mind	Yes
	23. Create linear information paths	Yesb
	24. Give buttons meaningful labels	Yes
	25. Make clickable elements recognizable	Yes
	26. Make sure the browser “back” button works	Yes
	27. Provide easy access to home and menu pages	Yes
	28. Give users options to browse	Yes
	29. Include a simple search function	Noc
	30. Display search results clearly	Noc
Engage users
	31. Share information through multimedia	No
	32. Design intuitive interactive graphics and tools	Yes
	33. Provide tailored information	Yesd
	34. Create user-friendly forms and quizzes	Yes
	35. Consider social media sharing options	N/Ae,f
Test your site with users with limited literacy skills
	36. Recruit users with limited literacy skills and limited health literacy skills	Nof
	37. Identify and eliminate logistical barriers to participation	Yes
	38. Create plain language testing materials	Yes
	39. Test whether your content is understandable and actionable	Nof
	40. Use moderators who have experience with users with limited literacy skills	N/Ag

^aDesign decisions were made within the scope of the project to make content accessible to people with disabilities, including using large font and white space.

^bBeginning sections of the decision aid tool were designed so that users would follow a linear path to obtain information about fertility, infertility risks associated with cancer, and family-building options. Following this, users were prompted to choose their own path with respect to which content was most applicable to their situation and needs (eg, finding support vs financial planning strategies).

^cWe were unable to include a search function due to the limitations of web development resources.

^dInformation was tailored to the extent that users had control over content they viewed because of the choose your own path click-through user journey design of the website, use of a drawer design to hide/reveal content based on user interest, and available drop-down features.

^eN/A: not applicable.

^fThis criterion was not yet relevant, as the patient decision aid was still in development.

^gThe tool is designed to be used by young adult female cancer survivors independently, without help from moderators, clinicians, or professionals to provide guidance or decision support. Future work will explore options for use of the tool during patient-provider interactions and for shared decision making.