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The Readability Study: A randomised trial to examine the effect of health information written at different grade reading levels.

The Readability Study: A randomised trial to examine the effect of health information written at different grade reading levels on knowledge, perceived reading ease and acceptability in healthy adults.

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12623000224628
Enrollment
2235
Registered
2023-03-02
Start date
2023-04-18
Completion date
2023-09-13
Last updated
2024-04-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The aim of this study is to investigate the impact of health information written at different grade reading levels on knowledge, perceived reading ease and acceptability. We will also explore whether there are differences in scores across health literacy and education. We hypothesize that information written at higher grade reading levels will result in lower knowledge scores, perceived reading ease and acceptability.

Interventions

Participants will be randomised to read two pieces of health information about sciatica and knee osteoarthritis written at one of four grade reading levels: 8, 10, 12 and 14. The texts are approximately 350 words each. We expect the entire questionnaire to take 15 minutes, with 2 minutes to be spent on each text. To reduce the chance of participants skipping through the questions without reading the intervention text, participants will not be able to move onto the next questions until 1 minute h

Participants will be randomised to read two pieces of health information about sciatica and knee osteoarthritis written at one of four grade reading levels: 8, 10, 12 and 14. The texts are approximately 350 words each. We expect the entire questionnaire to take 15 minutes, with 2 minutes to be spent on each text. To reduce the chance of participants skipping through the questions without reading the intervention text, participants will not be able to move onto the next questions until 1 minute has passed (to be confirmed through piloting). The original text was sourced from UpToDate Patient Education Materials (Beyond the Basics). The text was adapted slightly to meet a grade reading level of 14, and to ensure it clearly covered all items in the knowledge measure. The text was then simplified and revised down iteratively to grade 12, 10 and 8.

Sponsors

School of Public Health, University of Sydney
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

Aged 18 years and older Living in Australia Adequate understanding of English to be able to complete the questionnaire and give informed consent

Exclusion criteria

None

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 5, 2026