Heart Health: Culturally Sensitive/Low-Health Literacy Handout

Demonstration of creating documents that are both culturally sensitive and for low-health literacy populations 



Healthy Eating for Women over 65

The intended audience for this Healthy Eating handout (see link above) is Women age 65 and older.  This includes women of all races, all education levels, and people with different values and beliefs.  Many strategies were employed to improve readability of this handout for the low-literacy older population while being sensitive to cultural differences.  Suggestions from “Simply Put: A guide for creating easy-to-understand materials” were implemented, such as white space was maximized throughout each page, 14-point font and bigger was used with serif script for headings and sans serif script for the body, and text was written in conversation style with an active voice. Catchy material was included on the first page to attract the target population, such as pictures of senior, multi-ethnic women and a list of chronic health conditions common in older adults.  A limit of four health conditions were listed and separated by bullet points for readability, and medical jargon was avoided.  Only four main ideas were discussed in the handout “Why Healthy Eating?”, “How Much Should I Eat?”, “What Should I Eat?”, and “How Should I Cook?”, and the ideas are clearly separated by sections.
According to Nielsen-Bohlman, Panzer, & Kindig (2004) limited health literacy is greater amongst older adults.  Considering this handout targets the older adult population and years of education were not specified, the reading level was maintained at or below 5th grade, determined by the SMOG formula (“Simply Put”, 2009, p. 31).  Limited health literacy also means limited knowledge of disease management and health-promoting behaviors (Nielsen-Bohlman, et al., 2004).  Therefore, basic ideas for healthy eating were selected instead of focusing on more detailed aspects, like specifying serving sizes and daily recommended allowances.  Visuals were included to assist with interpretation of each recommendation on page two.  My grandmother, a member of the target population, edited the final draft and approved the content and layout, as advised by the authors of “Simply Put” (p. 23).  She also felt it was important to include a healthy cooking section, which was added at the bottom of page two.  Multi-cultural spices were listed in that section for cultural sensitivity.   




References

Center for Disease Control and Prevention, U.S. Department of Health and Human Services (2009). Simply put: 
          A guide for creating easy-to-understand materials. Retrieved from website: 
Executive summary In (2004). L. Nielsen-Bohlman, A. Panzer & D. Kindig (Eds.), Health Literacy: A 
          prescription to end confusion (pp. 7-8). Washington, D.C.: National Academy of Sciences.
U.S. Department of Health and Human Services, National Institute on Aging. (2012). Healthy eating after 50

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