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The Diabetes Educator

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Health Promotion Practice
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*Native-American Health
*Quitting Smoking
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Assessing the Scientific Accuracy, Readability, and Cultural Appropriateness of a Culturally Targeted Smoking Cessation Program for American Indians

Christine Makosky Daley, PhD, MA, SM

University of Kansas Medical Center in Kansas City, Kansas

Paul Cowan, BS

University of Kansas Medical Center in Kansas City, Kansas

Nicole L. Nollen, PhD, MA

University of Kansas Medical Center in Kansas City, Kansas

K. Allen Greiner, MD, MPH

University of Kansas Medical Center in Kansas City, Kansas

Won S. Choi, PhD, MPH

Public Health Program at the University of Kansas Medical Center in Kansas City, Kansas

This study assesses educational materials developed for the All Nations Breath of Life smoking cessation program (targeted for American Indians and Alaska Natives) for scientific accuracy, readability and other literacy factors, and cultural appropriateness. The authors used a scientific review panel of experts in smoking cessation representing epidemiology, medicine, and psychology; the suitability assessment of materials (SAM) and the simplified measure of gobbledygook (SMOG) reading grade level formulas; and review by Native program facilitators and pilot participants. Materials were scientifically accurate and culturally appropriate. The mean SAM score was 80% (superior rating), and the average reading grade level was 7.1 using the Fry formula (part of the SAM) and 8.4 using the SMOG formula (difference was not statistically significant). Based on this project, the SAM can be used in combination with scientific review and input from community members during formative research to assess and modify educational materials for a targeted population.

Key Words: assessing educational materials • targeted population • American Indian • Alaska Native • smoking cessation

This version was published on July 1, 2009

Health Promotion Practice, Vol. 10, No. 3, 386-393 (2009)
DOI: 10.1177/1524839907301407
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