Table 1.

Key Elements of Learner Verification and Revision

Key Elements of Suitability	Definition	Example Questions	Application
Attraction	Assesses appeal of the materials	Looking at the cover, “Would you want to pick up this booklet and read it?” “What attracts or doesn't attract you?”	Certain colors/shades or designs might draw more attention from audience members (participants). Also, photos of the intended audience rather than stock photos might add appeal and salience. Find out what type of pictures might be most engaging to the audience
Comprehension	Gauges understanding of materials	Tell me in your own words, “What is this booklet/video all about?”	A particular diagram might be too difficult for a patient to understand and draw conclusions. Ask the interviewee what is confusing about the diagram. Have the interviewee suggest ways in which to clarify the materials. Obtain suggested words that make it clear
Self-efficacy	Evaluates confidence in ability to carry out the action presented in the health material	“How confident are you that you could perform what the picture suggests?”	A brochure, booklet, or video segment might call on the reader/viewer to take a certain action. Ask the interviewee if the materials provide enough information and clarity to allow them to perform the action. If not, ask the interviewee what needs clarification or repetition
Cultural-linguistic acceptability	Assess whether the informa tion is culturally appealing and agreeable to the intended audi ence. Assesses use of linguistic terms for relevancy	“Is there anything in the material that makes you uncomfortable?” “Are there any pictures that are not acceptable for you or your family?” “Is the term translated in an appropriate manner?”	Certain words, particular characters in a story, or even the setting of a story, could be offensive or bothersome to your audience. The best way to avoid this is to directly ask, “Does anything about this booklet bother you or offend you?”
Persuasion	Assesses whether the health information is compelling	“Do you think you might be able to do what the materials ask you to do?” (e.g., quit using tobacco)	The goal of health messages is to facilitate health decisions and/or action toward healthy behaviors. “Do audience members (participants) find the message convincing and might they act.” “What areas should be reworded to make the information more helpful?”