Many health websites exceed recommended sixth to eighth reading grade levels (RGLs) and lack the cultural sensitivity needed to facilitate adult comprehension and decision-making. The average U.S. RGL is the seventh to eighth grade, which means that patient education materials be written no higher than the eighth-grade level. Since most patients with cancer (79%) access their community cancer center website, it is imperative that administrators test the grade level of their website prior to deployment and after each revision. The purpose of this cross-sectional correlational quantitative study was to examine the relationships between the readability using the SMOG, FK, and FRE and cultural sensitivity levels of 64 CCCWs using the CSAT. Further, the RGL comprehension in 77 adults, age 50 and older, at two Midwestern active adult facilities was assessed using the REALM. Point-biserial correlation for RQ 1 identified a significant negative relationship between the overall FK RGL and culturally sensitive overall CSAT scores (r = −.283; p = .024), indicating that culturally insensitive CCCWs had higher RGLs, which supported accepting the H1A alternate hypothesis. Correlational analysis was not feasible for RQ 2 to examine if a relationship exists between the readability of CCCWs and older adult RGLs; the null hypothesis H20 was accepted. However, descriptive statistics and frequency testing of REALM data identified that 74.7% of participants read at a fourth to eighth RGL, whereas FK RGL results showed that 100% of the 64 CCCWs were written at a high school RGL, suggesting support for the H2A alternate hypothesis.
|Advisor:||Steele-Moses, Susan K.|
|Commitee:||Huggins, Leonard J., Whitfield Varley, Melissa|
|School:||University of Phoenix|
|Department:||School of Advanced Studies|
|School Location:||United States -- Arizona|
|Source:||DAI-A 81/6(E), Dissertation Abstracts International|
|Subjects:||Communication, Health care management, Web Studies|
|Keywords:||Adult comprehension, Cancer, Cultural sensitivity, Health literacy, Readability, Websites|
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