Mahdieh Arian - MSc, Faculty of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, Iran
Monir Ramezani - Assistant Professor, Evidence Based Care Research Centre, Department of Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Mahbubeh Tabatabaeichehr - MSc, Faculty of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, Iran
Azadeh Kamali - Tabatabaeichehr

Background: Hundreds of patient education materials i.e. pamphlets are annually published in healthcare systems following their design, correction, and revision. Aim: to design and evaluate patient education pamphlets based on readability indexes and their comparison with literacy level in society. Method: The average literacy level among 500 patients admitted to two training hospitals in Bojnurd (northeastern Iran) was determined in 2014-2015. Afterwards, all patient education pamphlets in both hospitals (n=69) were collected and their readability level was determined. After that, all the pamphlets were re-designed according to the given standards and in line with literacy level in society. The SPSS software (Version 20) was also used to analyze the data. Results: The average level of literacy among 500 patients in both hospitals in the present study was 6.72±4.34 which was placed in grades six and seven in terms of the guide to readability indexes. In line with McLaughlin’s SMOG Readability Formula, the bulk of pamphlets (91.3%) were at college level before corrections and revisions based on the given standards, but 23.2% were at a level lower than grade seven following corrections and revisions. Implications for Practice: Evaluation of patient education pamphlets plays an important role in promoting self-care among patients. Due to the novelty of the present study in Iran, the results of this study can contribute to patient education researchers in order to identify the strengths and weaknesses of patient education materials i.e. pamphlets based on scientific indices as well as their revisions and re-developments.

Patient Education, Pamphlet, Readability Indexes