Language,Reading, and Readability Formulas: Implications for Developing and Adapting Tests

Issues pertaining to language and reading while developing and adapting tests are examined. Strengths and limitations associated with the use of readability formulas are discussed. Their use should be confined to paragraphs and longer passages, not items. Readability methods that consider both quantitative and qualitative variables and are performed by seasoned professionals are recommended. Research examining the use of readability formulas applied to test content is needed.     

How Readability Shapes Social Media Engagement

We suggest that text readability plays an important role in driving consumer engagement on social media. Consistent with a processing fluency account, we find that easy‐to‐read posts are more liked, commented on, and shared on social media. We analyze over 4,000 Facebook posts from Humans of New York, a popular photography blog on social media, over a 3‐year period to see how readability shapes social media engagement. The results hold when controlling for photo features, story valence, and other content‐related characteristics. Experimental findings further demonstrate the causal impact of readability and the processing fluency mechanism in the context of a fictitious brand community. This research articulates the impact of processing fluency on brief word‐of‐mouth transmissions in the real world while empirically demonstrating that readability as a message feature matters. It also extends the impact of processing fluency to a novel behavioral outcome: commenting and sharing actions.     

Assessment of the Readability of Genetic Counseling Patient Letters

Patient letters are a powerful tool that genetic counselors use to communicate with their patients. Patient letters are often sent to provide information on a new diagnosis, reiterate test results, and to serve as a permanent record of the visit. Patient letters, however, are only helpful if the patients can understand them. More than 50 % of the US population reads below a 9th grade reading level and over one-third of the population has low health literacy skills. In this study we evaluate the readability of genetic counseling patient letters by assessing reading level, image use, and terminology use. One hundred forty-nine genetic counselors participated in the survey and of these, 79 submitted a sample patient letter. Analyses of the letters revealed a mean reading level of 10.93. On average, 6 genetic terms were included in each letter, and only 25 % of these terms were defined. Analyses of survey responses revealed over 75 % of the genetic counselors did not include images in their patient letters. These results indicate there is room for improvement in order to make genetic counseling patient letters more accessible to the general population.     

Readability of prescription drug labels by older and younger adults

This experiment investigated the readability of medication labels using various combinations of fonts, sizes, and weights of print. Older and younger adult reading speeds and error rates for different print types were compared for both bottle and flat labels. Findings of the study indicated significant differences in reading speed, error rates, and subjective evaluations for print characteristics investigated. Furthermore, the effects of these print characteristics varied for different age groups. Implications of these findings for the design of medication labels for older adults are discussed.