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. Author manuscript; available in PMC: 2022 Oct 6.
Published in final edited form as: J Cancer Educ. 2021 Apr 6;37(5):1532–1539. doi: 10.1007/s13187-021-02003-4

Table 3.

Strengths and weaknesses of materials using PEMAT-P

PEMAT-P Item Materials
n = 14
Examples
Understandability Strengths
Organization
The material breaks or “chunks” information into short sections 14 (100%) All of the material was separated into paragraphs or shorter sections
The material presents information in a logical sequence 14 (100%) All of the material was presented in a logical sequence with the most important information presented first
Content
Material does not include information or content that distracts from its purpose 13 (93%) Most of the items included content directly related to the purpose
Use of Numbers
The material does not expect the user to perform calculations 13 (93%) No calculations required except asking the patient to calculate heart rate1
Weaknesses
Word Choice & Style
Material uses common, everyday language 6 (43%) Examples of technical, unfamiliar language:
- Alleviate - Precautions
- Ridding - Perspective
- Incorporate
- Medical management guidelines
Use of Visual Aids
The material’s visual aids reinforce rather than distract from the content2 2 (33%) Overall pictures are more decorative than informative
- Visuals such as holding hands not relevant
- Most pictures not supportive of text
The material’s visual aids have clear titles or captions2 2 (33%) Minimal use titles or captions for visuals (graphs or pictures)
Actionability Strengths
The material clearly identifies at least one action the user can take 14 (100%) All of the material clearly directed the patient to taking at least one action
Weaknesses
The material breaks down any action into manageable, explicit steps 10 (72%) Most of the material did not break down action into specific steps
- No description of where patients can pursue genetic testing3
- No discussion of how to “take steps toward reconstruction”4

Note. A score of 70% is recommended for patient education materials.

1

Breast Cancer Treatment Handbook, Chapter 20: Diet and Exercise.

2

Sample was out of 6; remaining materials were rated as N/A.

3

Patient Resource Magazine.

4

Breast Cancer Survivorship Handbook, Chapter 11 – Dealing with Body Image Issues.