Accessibility in Health Communication
Accessibility includes making health information, advice and guidance easy to understand and act on, as well as ensuring that communication channels are intuitive and easy for target audiences to use. You cannot achieve your health communication goals, if the health messages, materials, information or data you’re disseminating are not accessible to your audience.
In this section of the #HealthComm Toolbox, you will find information, tools, and resources for improving:
In this section of the #HealthComm Toolbox, you will find information, tools, and resources for improving:
- Accessibility compliance
- Personal and organizational health literacy
- Plain language
- Readability
- Cultural and linguistic competence
- Usability and user experience
1. Accessibility Compliance Standards and Guidelines in Health Communication
The most common accessibility compliance standards and guidelines include the Americans With Disabilities Act (ADA), Section 508 of the Rehabilitation Act (508), and the Web Content Accessibility Guidelines (WCAG). Complying with these standards and guidelines ensures that health information and communication channels, materials, and content (i.e., website, social media, videos, PDFs, word documents, etc.) are accessible to people with disabilities.
Resources for Accessibility Compliance Standards and Guidelines in Health Communication
These tools and resources will help you to understand the various standards and guidelines, as well as how to implement them in your health communication:
- Business 2 Community - What is 508 Compliance?
- Technology Transformation Services, U.S. General Services Administration - Federal Social Media Accessibility Toolkit Hackpad
- U.S. Department of Health & Human Services - Section 508 Guide: How to Identify Errors in PDF
- U.S. General Services Administration - Section508.gov
- WebAIM - WebAIM's WCAG 2 Checklist
- WebFX - ADA vs. 508 Compliance vs. WCAG
2. Health Literacy
Healthy People 2030 defines personal health literacy as “the degree to which individuals have the ability to find, understand, and use information and services to inform health-related decisions and actions for themselves and others,” and organizational health literacy as “the degree to which organizations equitably enable individuals to find, understand, and use information and services to inform health-related decisions and actions for themselves and others.” People need information they can understand and use to make the best decisions for their health. Health messages, materials, information or data that are too technical or complex for target audiences to understand and use can negatively impact health status, behaviors, outcomes, and costs.
Resources for Health Literacy
These resources will help you with your efforts to improve and expand both personal and organizational health literacy.
- Agency for Healthcare Research and Quality - Health Literacy Tools and Training
- Boston University - Health Literacy Tool Shed
- Center for Health Care Strategies, Inc. - Improving Print Communication to Promote Health Literacy
- Centers for Disease Control and Prevention - Health Literacy Information, Tools, Training, and Links
- Centers for Disease Control and Prevention - Attributes of a Health Literate Organization
- Centers for Medicare & Medicaid Services - Toolkit for Making Written Material Clear and Effective
- Harvard T.H. Chan School of Public Health - Health Literacy Studies: Assessing Materials
- The Journal of Public Health Management & Practice - Equity in Communication: A Policy Template for Promoting Organizational Health Literacy
- National Health Council - Health Literacy: A Three-Part Series To Support Better Communication
- National Library of Medicine - MEDLINE/PubMed Search and Health Literacy Information Resources
- Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services - Health Literacy Online (First Edition): A Guide to Writing and Designing Easy-to-Use Health Web Sites
- Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services - Health Literacy Online (Second Edition): A Guide for Simplifying the User Experience
A) Plain Language for Health Communication
Plain language is language that is clear and easy to understand. According to the Plain Language Action and Information Network, a material or message is plain language if “your audience can find what they need, understand what they find the first time they read or hear it, and use what they find to meet their needs.” Using plain language is a key strategy for promoting health literacy.
Resources for Plain Language for Health Communication
These tools and resources will help you in your efforts to communicate health messages, information or data in plain language.
- Agency for Healthcare Research and Quality - The Patient Education Materials Assessment Tool (PEMAT) and User’s Guide
- Center for Plain Language - Five Steps to Plain Language
- Centers for Disease Control and Prevention - Everyday Words for Public Health Communication
- Centers for Disease Control and Prevention - The CDC Clear Communication Index
- Digital Communications Division, U.S. Department of Health & Human Services - Plain Writing in One Page
- Kaiser Permanente Washington Health Research Institute - PRISM Readability Toolkit
- National Institutes of Health - The “Clear Communication” initiative
- National Institutes of Health - Plain Language: Getting Started or Brushing Up
- Plain Language Action and Information Network - Resources
- Technology Transformation Services, U.S. General Services Administration - Plain Language Web Writing Tips
- UnitedHealth Group - Just Plain Clear Glossary
- University of Michigan Library - Plain Language Medical Dictionary
B) Readability in Health Communication
Readability is a term used to describe how easily target audiences can read and understand an individual or organization’s writing. Factors that impact readability include the complexity of writing (i.e., sentence length, syllable density, etc.), word familiarity, and the legibility of handwriting, typeface, and font. Conducting public health writing and creating health communication messages and materials for high readability is also a key strategy for promoting health literacy.
Resources for Readability in Health Communication
These tools and resources will help you in your efforts to assess and improve the readability of your health communication materials.
- Health Communications - Improving Readability by Design
- Readability Formulas - Flesch Grade Level Readability
- Readability Formulas - Fry Graph Reading Formula
- Readability Formulas - Gunning Fog Index
- Readability Formulas - New Dale-Chall Readability Formula
- Readability Formulas - SMOG – Simple Measure of Gobbledygook
- WebFX - Readability Test Tool
3. Cultural and Linguistic Competence in Health Communication
Cultural and linguistic competence is the ability to respect, understand, and respond to the language preferences and cultural beliefs and practices of target audiences. Public health professionals must tailor health information, advice and guidance to recognize and account for diversity in culture and language within target audiences. This makes health messages, information and data more accessible; improves the quality, efficiency, and effectiveness of health communication; and increases the likelihood of positive behavior change and health outcomes. Additionally, public health organizations must create and integrate attitudes, values, and principles that promote equity, diversity, inclusion, and cultural sensitivity, respect, and knowledge into their organizational standards, policies, and practices.
Resources for Cultural and Linguistic Competence in Health Communication
These tools and resources will help you in your efforts to build cultural and linguistic competence:
- Agency for Healthcare Research and Quality Innovations Exchange - The Provider's Guide to Quality & Culture
- American Hospital Association - Becoming a Culturally Competent Health Care Organization
- Centers for Medicare & Medicaid Services - Implementing the National CLAS Standards: For Racial, Ethnic and Linguistic Minorities, People with Disabilities and Sexual and Gender Minorities
- The Interagency Working Group on Limited English Proficiency (LEP) - LEP.gov: Public Benefits and Health resources
- The Joint Commission - Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals
- Let’s Talk Public Health - Resources for Equity and Inclusion in Health Communication
- National Center for Cultural Competence - Cultural and Linguistic Competence Policy Assessment
- National Center for Cultural Competence - Cultural and Linguistic Competence Health Practitioner Assessment
- Network of the National Library of Medicine - Consumer Health Information in Many Languages Resources
- Office for Civil Rights, U.S. Department of Health & Human Services - Limited English Proficiency (LEP) Resources for Effective Communication
- Office of Minority Health, U.S. Department of Health & Human Services - Evaluation of the National CLAS Standards: Tips and Resources
- Office of Minority Health, U.S. Department of Health & Human Services - The Guide to Providing Effective Communication and Language Assistance Services
- Office of Minority Health, U.S. Department of Health & Human Services - Think Cultural Health: Education
4. Usability and User Experience for Health Communication
User experience (UX) refers to how a user perceives, interacts with, and experiences a company or brand, and its messages, materials, products, systems, or services. Usability measures how well a user can use those messages, materials, products, systems, or services to easily and effectively achieve a goal. Improving usability and UX requires having a deep understanding of the wants, needs, values, and abilities of target audiences, and then using that information to create health communication messages, materials, products, systems, or services that are accessible, desirable, credible, and useful.
Resources for Usability and User Experience for Health Communication
These tools and resources will help you with understanding, assessing, and improving UX and usability:
- Centers for Disease Control and Prevention - Testing Messages and Materials
- Design for Health - What is Design for Health?
- McKinsey & Company - The Value of Design in Global Public Health
- Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services - Health Literacy Online (First Edition): A Guide to Writing and Designing Easy-to-Use Health Web Sites
- Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services - Health Literacy Online (Second Edition): A Guide for Simplifying the User Experience
- Technology Transformation Services, U.S. General Services Administration - Usability.gov
- UXmatters - How to Test the Usability of Documents
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