Table 1.
Proportion responding correctly to each primary communication objective by age group and literacy level
| Primary communication objective Question to assess understanding (Key concept) | Study group | N | Point Estimate % | 95% Confidence Interval (CI) | Performance threshold* | |
|---|---|---|---|---|---|---|
|
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| Product is for abortion What is this product used for? (Indications for use) | Total | 844 | 0.96 | 0.95 | 0.97 | 90% |
| >=9th grade literacy | 687 | 0.97 | 0.96 | 0.98 | ||
| Limited literacy | 157 | 0.92† | 0.86 | 0.96 | ||
| Ages 18–49 | 543 | 0.97 | 0.95 | 0.98 | ||
| Ages 12–17 | 301 | 0.96 | 0.93 | 0.98 | ||
|
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| Ineligible if more than 10 weeks pregnant Diana is 12 weeks pregnant. According to the label, is it OK or not OK for her to use this product? (Eligibility for use) | Total | 844 | 0.98 | 0.97 | 0.99 | 90% |
| >=9th grade literacy | 687 | 0.99 | 0.98 | 0.99 | ||
| Limited literacy | 157 | 0.96 | 0.92 | 0.99 | ||
| Ages 18–49 | 543 | 0.98 | 0.97 | 0.99 | ||
| Ages 12–17 | 301 | 0.99 | 0.97 | 1.00 | ||
|
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| Take pregnancy test 4 weeks later Priya took the medication 4 weeks ago. What does the label say Priya should do? (Recognizing risk of treatment failure) | Total | 844 | 0.93 | 0.91 | 0.95 | 90% |
| >=9th grade literacy | 687 | 0.95 | 0.93 | 0.97 | ||
| Limited literacy | 157 | 0.83† | 0.77 | 0.89 | ||
| Ages 18–49 | 543 | 0.93 | 0.91 | 0.95 | ||
| Ages 12–17 | 301 | 0.93† | 0.89 | 0.95 | ||
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| Contact health professional if pregnancy test is positive When Priya took the pregnancy test, it was positive. What does the label say Priya should do? (Recognizing risk of treatment failure) | Total | 843 | 0.97 | 0.96 | 0.98 | 85% |
| >=9th grade literacy | 686 | 0.98 | 0.96 | 0.99 | ||
| Limited literacy | 157 | 0.96 | 0.91 | 0.98 | ||
| Ages 18–49 | 543 | 0.97 | 0.95 | 0.98 | ||
| Ages 12–17 | 300 | 0.98 | 0.95 | 0.99 | ||
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| Seek medical help or talk to a provider if no or light bleeding within 2 days of taking misoprostol Tikka took this product and had no bleeding within 2 days of taking misoprostol. According to the label, what should Tikka do, if anything? (Recognizing risk of treatment failure) | Total | 844 | 0.79† | 0.76 | 0.82 | 85% |
| >=9th grade literacy | 687 | 0.79† | 0.76 | 0.82 | ||
| Limited literacy | 157 | 0.78† | 0.71 | 0.85 | ||
| Ages 18–49 | 543 | 0.78† | 0.75 | 0.82 | ||
| Ages 12–17 | 301 | 0.81† | 0.76 | 0.85 | ||
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| Take mifepristone first Vicki is ready to take the medication. Which medication should she take first? (Dosing regimen) | Total | 844 | 0.98 | 0.97 | 0.99 | 85% |
| >=9th grade literacy | 687 | 0.98 | 0.97 | 0.99 | ||
| Limited literacy | 157 | 0.97 | 0.94 | 0.99 | ||
| Ages 18–49 | 543 | 0.98 | 0.96 | 0.99 | ||
| Ages 12–17 | 301 | 0.98 | 0.96 | 0.99 | ||
|
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| Take misoprostol 24–48 hours after taking mifepristone Vicki took the mifepristone 10 hours ago. Is it okay or not okay for her to take the misoprostol right now? (Dosing regimen) | Total | 844 | 0.99 | 0.98 | 1.00 | 85% |
| >=9th grade literacy | 687 | 0.99 | 0.98 | 1.00 | ||
| Limited literacy | 157 | 0.99 | 0.97 | 1.00 | ||
| Ages 18–49 | 543 | 0.99 | 0.97 | 0.99 | ||
| Ages 12–17 | 301 | 1.00 | 0.99 | 1.00 ‡ | ||
|
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| Contraindicated if using blood thinners Claudia is taking medicine to thin her blood. What does the label say about this? (Contraindication) | Total | 844 | 0.94 | 0.92 | 0.95 | 80% |
| >=9th grade literacy | 687 | 0.95 | 0.93 | 0.97 | ||
| Limited literacy | 157 | 0.89 | 0.82 | 0.93 | ||
| Ages 18–49 | 543 | 0.94 | 0.91 | 0.96 | ||
| Ages 12–17 | 301 | 0.94 | 0.91 | 0.96 | ||
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| Contraindicated if history of ectopic During a previous pregnancy, Abigail experienced a pregnancy outside the uterus, also called an ectopic pregnancy. She is pregnant again. Is it OK or not OK for her to use this product? (Contraindication) | Total | 844 | 0.99 | 0.98 | 0.99 | 80% |
| >=9th grade literacy | 687 | 0.99 | 0.98 | 1.00 | ||
| Limited literacy | 157 | 0.96 | 0.92 | 0.99 | ||
| Ages 18–49 | 543 | 0.99 | 0.97 | 0.99 | ||
| Ages 12–17 | 301 | 0.99 | 0.97 | 1.00 | ||
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| Contraindicated if history of bleeding disorder Jessica has a bleeding disorder and wants to start to use this product. Is it OK or not OK for her to use this product? (Contraindication) | Total | 844 | 0.98 | 0.97 | 0.99 | 80% |
| >=9th grade literacy | 687 | 0.98 | 0.97 | 0.99 | ||
| Limited literacy | 157 | 0.96 | 0.92 | 0.99 | ||
| Ages 18–49 | 543 | 0.98 | 0.96 | 0.99 | ||
| Ages 12–17 | 301 | 0.98 | 0.96 | 0.99 | ||
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| Contraindicated if history of tubal surgery Laurel had her tubes tied, also called tubal ligation, and became pregnant unexpectedly. She wants to use this product. Is it OK or not OK for her to use this product? (Contraindication) | Total | 844 | 0.96 | 0.95 | 0.97 | 80% |
| >=9th grade literacy | 687 | 0.98 | 0.96 | 0.99 | ||
| Limited literacy | 157 | 0.91 | 0.85 | 0.95 | ||
| Ages 18–49 | 543 | 0.95 | 0.93 | 0.97 | ||
| Ages 12–17 | 301 | 0.99 | 0.97 | 1.00 | ||
|
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| Average primary communication objectives correct | Total | 844 | 0.95 | 0.95 | 0.96 | N/A |
| >=9th grade literacy | 687 | 0.96 | 0.95 | 0.96 | ||
| Limited literacy | 157 | 0.92 | 0.90 | 0.94 | ||
| Ages 18–49 | 543 | 0.95 | 0.94 | 0.96 | ||
| Ages 12–17 | 301 | 0.96 | 0.95 | 0.97 | ||
*
Pre-specified performance threshold for the lower limit of the 95% confidence interval; Objectives that met pre-specified target performance thresholds are indicated in bold font and
“†”
indicates that the lower limit of the 95% confidence interval was below the pre-specified performance threshold
‡
One-sided 97.5% confidence interval used for objectives that scored 100% correct; N/A not applicable.