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. 2022 Mar 24;8(1):e25005. doi: 10.2196/25005

Table 2.

Patient Education Materials Assessment Tool understandability and actionability scoring criteria [21].

Item Item response Options
Understandability

Topic: content


1 The material makes its purpose completely evident. Disagree=0, Agree=1


2 The material does not include information or content that distracts from its purpose. Disagree=0, Agree=1

Topic: word choice and style


3 The material uses common, everyday language. Disagree=0, Agree=1


4 Medical terms are used only to familiarize audience with the terms. When used, medical terms are defined. Disagree=0, Agree=1


5 The material uses the active voice. Disagree=0, Agree=1

Topic: use of numbers


6 Numbers appearing in the material are clear and easy to understand. Disagree=0, Agree=1, No numbers=N/Aa


7 The material does not expect the user to perform calculations. Disagree=0, Agree=1

Topic: organization


8 The material breaks or “chunks” information into short sections. Disagree=0, Agree=1, Very short materialb=N/A


9 The material’s sections have informative headers. Disagree=0, Agree=1, Very short materialb=N/A


10 The material presents information in a logical sequence. Disagree=0, Agree=1


11 The material provides a summary. Disagree=0, Agree=1, Very short materialb=N/A

Topic: layout and designc


12 The material uses visual cues (eg, arrows, boxes, bullets, bold, larger font, and highlighting) to draw attention to key points. Disagree=0, Agree=1, Video=N/A

Topic: use of visual aids


15 The material uses visual aids whenever they could make content more easily understood (eg, illustration of a healthy portion size). Disagree=0, Agree=1


16 The material’s visual aids reinforce rather than distract from the content. Disagree=0, Agree=1, No visual aids=N/A


17 The material’s visual aids have clear titles or captions. Disagree=0, Agree=1, No visual aids=N/A


18 The material uses illustrations and photographs that are clear and uncluttered. Disagree=0, Agree=1, No visual aids=N/A


19 The material uses simple tables with short and clear row and column headings. Disagree=0, Agree=1, No tables=N/A
Actionability


20 The material clearly identifies at least one action the user can take. Disagree=0, Agree=1


21 The material addresses the user directly when describing actions. Disagree=0, Agree=1


22 The material breaks down any action into manageable, explicit steps. Disagree=0, Agree=1


23 The material provides a tangible tool (eg, menu planners and checklists) whenever it could help the user take action. Disagree=0, Agree=1


24 The material provides simple instructions or examples of how to perform calculations. Disagree=0, Agree=1, No calculations=N/A


25 The material explains how to use the charts, graphs, tables, or diagrams to take action. Disagree=0, Agree=1, No charts, graphs, tables, or diagrams=N/A


26 The material uses visual aids whenever they could make it easier to act on the instructions. Disagree=0, Agree=1

aN/A: not applicable.

bA very short print material is defined as a material with ≤2 paragraphs and no more than 1 page in length.

cThese items are only used for audiovisual material.