Health literacy: what we learnt on the NHS website

by | Apr 26, 2019 | Uncategorized | 0 comments

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Health literacy: what we learnt on the NHS website

Health literacy is being talked about more and more in the world of health content. But what does it mean, does it matter, and what can we do about it?

A team from the NHS website were tasked with investigating and making recommendations for the NHS digital service manual. This is what we learnt.

There seems to be a lot of confusion about what health literacy means. Many people we spoke to thought it was simply not being able to understand complex words.

But it’s not just about difficulty reading. People with low health literacy also struggle to understand what they need to do to stay healthy.

In other words, good health content must be easy to read and actionable.

We looked at several definitions for health literacy, but they’re often much too complicated to be useful — the irony wasn’t lost on us!

So we came up with our own definition:

This captures the two key elements — readability and “actionability”.

Low health literacy is a bigger issue than we first thought.

Research shows more than 4 in 10 adults in the UK struggle with health content intended for the public. This goes up to about 6 in 10 adults if the content includes numbers and stats.

Research also links low health literacy with:

It’s clear we need to create content that works for people with low health literacy.

We also looked into whether readability calculators could be a useful tool when creating content.

Readability calculators offer the promise of a simple score that tells you if your content can be understood by people with low health literacy. But is this actually the case?

We tested two versions of NHS website content with users. One had just been simplified with the help of a readability calculator called SMOG. The other had been completely rewritten based on user needs.

It showed readability scores cannot be trusted on their own. The rewritten content performed much better than the version just with simplified language.

The reality is readability scores only tell you if your content uses simple words. They can’t tell you if your content is easy for people to understand and use.

A common concern about simplifying content is that it might alienate more advanced users.

So, we tested content with two groups of users. One group had low health literacy. The other had higher health literacy (we determined this using the HLS-EU questionnaire).

We found all users seemed to benefit from the same things, including:

No users with higher health literacy complained the content was “too simple” or “dumbed down”.

So, when it comes to low health literacy, what are the key things you need to remember?

We recommend you:

Find out more about health literacy and creating better health content in the NHS digital service manual.

Health literacy: what we learnt on the NHS website

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Health literacy: what we learnt on the NHS website

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