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Journal of Health Communication: International Perspectives

ABSTRACTS

Volume 4, Number 1
January-March 1999


Vol. 4, Num 1: Contents | Editorial | Up Front | Abstracts


The SOL Formulas for Converting SMOG Readability Scores Between Health Education Materials Written in Spanish, English, and French
       Contreras, A., Garcia-Alonso, R., Echenique, M., & Daye-Contreras, F.

The SMOG formula is widely used to determine how easy written health education materials are to read and comprehend. This study was conducted to assess whether the SMOG formula, originally developed and tested in English, was also valid for texts written in Spanish and French. Readability scores from a sample of passages written in Spanish, English and French were analyzed. Study results showed that the SMOG formula seemed to be consistent in measuring readability in the three languages. However, SMOG scores varied from language to language. Two hypotheses are being laid out to explain these results. First, being that the SMOG equation is systematically biased for texts in Spanish or French. Secondly, that English is more readable than French, and French more readable than Spanish.  Under the assumption of a systematic bias in the SMOG formula, the so-called SOL formulae are presented here to convert SMOG scores between Spanish, English and French. In addition, a new scale for grading reading difficulty is proposed based on SMOG scores obtained from classical literature. This is important to the extent that it will provide Spanish speaking and French speaking health communicators with a readability formula for preparing written materials appropriate to the level of comprehension of specific target audiences.

Advancing the Role of Participatory Communication in the Diffusion of Cancer Screening Among Hispanics
       Ramirez, A.G., Villarreal, R., McAlister, A., Gallion, K.J., Suarez, L., and Gomez, P.

Based on previously demonstrated methods, a cancer prevention program combining media and interpersonal communication was conducted in a Texas border city (Brownsville) in 1995-1996. To evaluate the program a quasi-experimental panel design study followed 107 women in  program site and 105 women in a comparison site from 1994 to 1996.  Women in the program site reported an increase in levels of Pap screening adherence.

A Five-Stage Model for Sustaining a Community Campaign
       Rudd, R.E., Goldberg, J., and Dietz, W.

The Sisters Together Move More Eat Better pilot communication program focuses on young Black women in three inner-city communities to encourage improved nutrition and increased physical activity. The design for Sisters Together is based on an expansion of a public health campaign that combines social-marketing with community building efforts. The pilot program design comprises five phases: design, promotion, demonstration, transfer, and sustained activity. The proposed 5-Stage model holds potential for increasing the life span of a campaign and contributing to community building. Partnerships and coalition development  promise to maintain the campaign beyond the limited budget period. This descriptive article illustrates the elements of a hybrid model for the design of a communication program with examples from Sisters Together, Move More Eat Better, a pilot program currently in the last year of implementation.

Migrant Farm Workers' Access to Pesticide Protection and Information: Cultivando Buenos Habitos Campaign Development
       Parrott, R., Wilson, K., Buttram, B., Jones, K., and Steiner, C.

Formative evaluation of south Georgian migrant farm workers' access to information and products to promote pesticide protection and understanding of cancer risk associated with pesticide exposure was conducted using field observation, in-depth interviews of Georgia's Migrant Health Program's outreach workers, and structured face-to-face surveys of migrant farm workers. The data indicated that fewer than one-third of the pesticide products reviewed contained messages about pesticide use and exposure risk for humans.  Risk information on products appeared in English only.  Few protective devices were available for purchase.  Migrant farm workers were aware in a very general sense of health risks posed by pesticides, but they were specifically unaware of the reach of pesticides sprayed, as illustrated buy their field behaviors. Findings also demonstrated the need to educate outreach workers about migrant farm workers' cancer risk, so that they may act as migrant farm workers' health advocates to reduce the adverse effects associated with pesticide exposure.

FORUM
Unsolicited GP Advice Against Smoking: To Give or Not to Give?
       Stephen A. Buetow

This article discusses whether general practitioners (GPs) should give unsolicited antismoking advice to patients who smoke.  Patient preferences and GP advice-giving are discussed with particular reference to professional roles. It is suggested that giving unsolicited advice against smoking at nearly every encounter is a competitive rather than collaborative behavior. General practitioners should ascertain patients' readiness for change before offering to help produce individualized agreements of joint benefit on change.  three strategies for negotiation--bridging, trading, and logrolling--are discussed.