Objective: To evaluate whether ACOG's patient education pamphlets comply wi
th the recommended readability level for health education materials intende
d for the general public.
Methods: All 100 English-language pamphlets available during 1997 (created
or revised between 1988 and 1997) were evaluated using four standard readab
ility formulas.
Results; Mean readability levels of ACOG's pamphlets were between grade 7.0
to grade 9.3, depending on the formula used. Analysis of readability over
the 10 years showed a trend toward lower readability levels. Analysis by ca
tegory of pamphlet found that the lowest readability levels were in "Especi
ally for teens" pamphlets.
Conclusion: Our data suggested that most of ACOG's patient education pamphl
ets currently available are written at a higher readability level than reco
mmended for the general public. The readability of those pamphlets improved
in the 10 years since the organization published its first pamphlet, but t
he goal of sixth-grade readability level has not been reached. (C) 1999 by
The American College of Obstetricians and Gynecologists.