A process for creating data report-back tools to improve equity in environmental health.

Data report-back Environmental health literacy Formative research Health literacy Materials assessment

Journal

Environmental health : a global access science source
ISSN: 1476-069X
Titre abrégé: Environ Health
Pays: England
ID NLM: 101147645

Informations de publication

Date de publication:
12 07 2022
Historique:
received: 20 04 2022
accepted: 27 06 2022
entrez: 12 7 2022
pubmed: 13 7 2022
medline: 15 7 2022
Statut: epublish

Résumé

Although there is increasing interest in reporting results of environmental research efforts back to participants, evidence-based tools have not yet been applied to developed materials to ensure their accessibility in terms of literacy, numeracy, and data visualization demand. Additionally, there is not yet guidance as to how to formally assess the created materials to assure a match with the intended audience. Relying on formative qualitative research with participants of an indoor air quality study in Dorchester, Massachusetts, we identified means of enhancing accessibility of indoor air quality data report-back materials for participants. Participants (n = 20) engaged in semi-structured interviews in which they described challenges they encountered with scientific and medical materials and outlined written and verbal communication techniques that would help facilitate engagement with and accessibility of environmental health report-back materials. We coupled these insights from participants with best practice guidelines for written materials by operationalizing health literacy tools to produce accessible audience-informed data report-back materials. The resulting data report-back materials had a 7th -grade reading level, and between a 4th -8th grade level of overall document complexity. The numeracy skills required to engage with the material were of the lowest demand, and we incorporated best practices for risk communication and facilitating understanding and actionability of the materials. Use of a rigorous assessment tool provides evidence of accessibility and appropriateness of the material for the audience. We outline a process for developing and evaluating environmental health data reports that are tailored to inspire risk-reduction actions, and are demonstrably accessible in terms of their literacy, numeracy, and data visualization demand. Adapting health literacy tools to create and evaluate environmental data report-back materials is a novel and evidence-based means of ensuring their accessibility.

Sections du résumé

BACKGROUND
Although there is increasing interest in reporting results of environmental research efforts back to participants, evidence-based tools have not yet been applied to developed materials to ensure their accessibility in terms of literacy, numeracy, and data visualization demand. Additionally, there is not yet guidance as to how to formally assess the created materials to assure a match with the intended audience.
METHODS
Relying on formative qualitative research with participants of an indoor air quality study in Dorchester, Massachusetts, we identified means of enhancing accessibility of indoor air quality data report-back materials for participants. Participants (n = 20) engaged in semi-structured interviews in which they described challenges they encountered with scientific and medical materials and outlined written and verbal communication techniques that would help facilitate engagement with and accessibility of environmental health report-back materials. We coupled these insights from participants with best practice guidelines for written materials by operationalizing health literacy tools to produce accessible audience-informed data report-back materials.
RESULTS
The resulting data report-back materials had a 7th -grade reading level, and between a 4th -8th grade level of overall document complexity. The numeracy skills required to engage with the material were of the lowest demand, and we incorporated best practices for risk communication and facilitating understanding and actionability of the materials. Use of a rigorous assessment tool provides evidence of accessibility and appropriateness of the material for the audience.
CONCLUSIONS
We outline a process for developing and evaluating environmental health data reports that are tailored to inspire risk-reduction actions, and are demonstrably accessible in terms of their literacy, numeracy, and data visualization demand. Adapting health literacy tools to create and evaluate environmental data report-back materials is a novel and evidence-based means of ensuring their accessibility.

Identifiants

pubmed: 35821055
doi: 10.1186/s12940-022-00880-w
pii: 10.1186/s12940-022-00880-w
pmc: PMC9277935
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, U.S. Gov't, P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

67

Subventions

Organisme : NIMHD NIH HHS
ID : P50 MD010428
Pays : United States

Informations de copyright

© 2022. The Author(s).

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Auteurs

Kathryn S Tomsho (KS)

Department of Environmental Health, Harvard T.H. Chan School of Public Health, 02215, Boston, MA, USA. ktomsho@hsph.harvard.edu.

Erin Polka (E)

Department of Environmental Health, Boston University School of Public Health, 02118, Boston, MA, USA.

Stacey Chacker (S)

Health Resources in Action, 02116, Boston, MA, USA.

David Queeley (D)

Mystic River Watershed Association, 02476, Arlington, MA, USA.

Marty Alvarez (M)

Department of Environmental Health, Harvard T.H. Chan School of Public Health, 02215, Boston, MA, USA.

Madeleine K Scammell (MK)

Department of Environmental Health, Boston University School of Public Health, 02118, Boston, MA, USA.

Karen M Emmons (KM)

Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 02115, Boston, MA, USA.

Rima E Rudd (RE)

Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 02115, Boston, MA, USA.

Gary Adamkiewicz (G)

Department of Environmental Health, Harvard T.H. Chan School of Public Health, 02215, Boston, MA, USA.

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Classifications MeSH