7.0 Determining the Effectiveness of Printed Cancer Education Materials 
for African Americans

Once you have developed a printed cancer education material you should test it. Even with information obtained directly from the audience, there will still be some parts of the printed cancer education material that will not be understood by or culturally sensitive to your audience. It is necessary to pretest the materials and to review them for readability levels to insure that the cancer prevention message reaches your audience.

Pretesting Materials

After developing a preliminary draft, the printed cancer education material should be presented to the audience. Pretesting provides you information on how well the audience comprehends and accepts the material. Focus group meetings and key informant interviews are methods to help determine the potential of the material.

Readability Tests

Several tests are available to assess readability. These include SMOG, FOG, Fry, and many others. Computerized tests include those located on P-C Style and Grammatic. These tests should be directly matched to the audience. Surrogate measures like education attainment are often used for readability testing, but the best assessment is obtained when readability is directly tested in the audience.

Responses of the audience during pretesting should be reviewed in light of the results of the readability test. Doing so can give clues as to why the audience may not approve of certain parts of the printed material. Readability can be improved by use of information oriented towards the audience's culture; short, simple words; and concrete concepts that maximize understanding. Avoiding use of multiple clauses, double negatives, and contractions not acceptable to the audience can also help to increase understanding.

Printed cancer education materials should be continually tested through out the development process. Ongoing reviews will help facilitate the development of culturally sensitive health materials.
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