Daghio M Monica, Fattori Giuseppe, Ciardullo Anna V
Laboratory for Citizen Empowerment, Communication and Marketing Unit, Local Health Unit, Via S. Giovanni del Cantone, 23 - 41100 - Modena, Italy.
Promot Educ. 2006;13(3):191-6.
The objective of this study was to evaluate if easy-to-read information material on the prevention of chronic-degenerative diseases through healthy lifestyle co-written by communicators, educators, physicians and citizens -using a networking strategy- could be judged comprehensible. Readability scores were computed. The survey involved 100 individuals attending our centralized booking centre for medical appointments during an "index week". They filled out an anonymous questionnaire, just before and after they had read the material. Readability and comprehensibility frequencies were calculated. The participants had a mean age of 59.1+/-15.1 (SD) years (range 19-81yrs), 62% were females. Twenty-six percent of them had received no education, 30% "primary", 28% "secondary", and 14% had a "degree". According to readability scores, the booklet was "readable" by all persons who had finished primary school. Of the 100 participants, 40 percent found the booklet's language to be "easy" or "very easy", 46% "sufficiently easy", and 14% "difficult" for laypersons to understand. Ninety-four percent of them found no unintelligible words in the text. Education levels showed no differences. Readers' answers were more correct after they had read the booklet. The pre-test showed that 61+/-26% of the readers answered the comprehensibility items correctly. After reading the booklet, 81+/-17% of them gave correct answers. The after-minus-before net increase in knowledge was +20% (95% CIs +8 to +32%). The booklet was designed and written using a networking strategy with the help of the local population. It was found to be easy to read and quite clear.
本研究的目的是评估由传播者、教育工作者、医生和市民共同撰写的、通过健康生活方式预防慢性退行性疾病的通俗易懂的信息材料（采用网络策略）是否能被认为易于理解。计算了可读性得分。该调查涉及在“索引周”期间到我们的集中医疗预约中心就诊的100个人。他们在阅读材料之前和之后填写了一份匿名问卷。计算了可读性和可理解性频率。参与者的平均年龄为59.1±15.1（标准差）岁（范围19 - 81岁），62%为女性。其中26%未接受过教育，30%为“小学”学历，28%为“中学”学历，14%拥有“学位”。根据可读性得分，该手册对于所有小学毕业的人来说都是“可读的”。在100名参与者中，40%的人认为手册的语言“简单”或“非常简单”，46%认为“足够简单”，14%认为外行人理解起来“困难”。其中94%的人在文本中未发现难以理解的词汇。不同教育水平之间没有差异。读者阅读手册后的回答更正确。预测试显示，61±26%的读者正确回答了可理解性问题。阅读手册后，81±17%的人给出了正确答案。知识的前后净增加量为+20%（95%置信区间+8至+32%）。该手册是在当地居民的帮助下采用网络策略设计和编写的。结果发现它易于阅读且相当清晰。
