Hurtado B, Jones L, Burniston F
Southern Health NHS Foundation Trust, Community Learning Disability Team. Psychology service, High Wycombe, UK.
J Intellect Disabil Res. 2014 Sep;58(9):822-9. doi: 10.1111/jir.12097. Epub 2013 Nov 20.
Producing accessible information regarding health issues is very important in order to ensure that people with intellectual disabilities (ID) have equal access to services and can make informed decisions about their treatment.
This study examined whether an Easy Read leaflet improved service users' comprehension and compared the efficacy of two different modalities of presenting information: 'text and pictures' or 'pictures only'. Participants' knowledge was assessed at baseline and immediately after the leaflet.
Our findings indicate that the use of the leaflet improved knowledge but neither modality of presenting information was significantly more effective at making the document easier to understand. Contrary to expectation, people with milder ID may find pictures more effective in the absence of text.
Although pictures were not found to be detrimental, our results do not favour the use of pictures as well as text when giving information, particularly to people with milder disabilities. The generalised use of text and picture formats for all people with ID in spite of the scant evidence supporting its effectiveness is concerning.
提供有关健康问题的易懂信息对于确保智障人士能够平等获得服务并就其治疗做出明智决策非常重要。
本研究调查了一份简易阅读手册是否提高了服务使用者的理解能力，并比较了两种不同信息呈现方式的效果：“文字与图片”或“仅图片”。在基线时以及手册发放后立即评估参与者的知识水平。
我们的研究结果表明，手册的使用提高了知识水平，但两种信息呈现方式在使文档更易于理解方面均未显示出显著更有效的效果。与预期相反，轻度智障人士可能发现在没有文字的情况下图片更有效。
尽管未发现图片有不利影响，但我们的结果并不支持在提供信息时同时使用图片和文字，尤其是对于轻度残疾人士。尽管缺乏证据支持其有效性，但仍普遍为所有智障人士使用文字和图片格式，这令人担忧。
