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Tips for Developing
Brochures
(and Other Information)
for Seniors on Alcohol or Other Health Related Matters
There are many brochures
for seniors and others on alcohol or aging related matters. Some are
very, very good. Others are less than optimal.
Starting Points
If
you are developing an alcohol-health pamphlet for seniors, here are some
starting points to consider:
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Simple ideas: Recognize
the fact that many older adults may not have a high level of "health literacy".
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Keep the brochure interesting.
Offer some little known facts.
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Present a positive message of
what will happen if the person decreases drinking or stops. Be factual.
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Recognize/ acknowledge that
reducing or stopping drinking is not easy, but can be done.
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Be clear but non-threatening about
what may happen if not a person continues to drink at unsafe levels. However,
don't exaggerate; don't overstate "facts".
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Respect the fact that you are
talking to adults. A "Just say 'No'" type of message is not going to
work.
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Tailor the message to make it relevant to
issues affecting older adults in your community. Identify local resources.
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Use bullets to convey the ideas
instead of long sentences.
For anyone developing
materials in this area, here are two general sources of information on
communicating better with seniors:
1. Communicating in Print With/
About Seniors, by Health
Canada, is available on the Internet at:
www.hc-sc.gc.ca/seniors-aines/pubs/communicating/pdf/comsen_e.pdf
It
provides helpful suggestions on design and layout, content, and use of
language.
See also:
www.hc-sc.gc.ca/seniors-aines/pubs/communicating/toc_e.htm
Information on design:
www.hc-sc.gc.ca/seniors-aines/pubs/communicating/formulate_e.htm#design
www.hc-sc.gc.ca/seniors-aines/pubs/communicating/formulate_e.htm#com
Here are a few of the
suggestions offered, with some of my own added in green :
Language:
Use terms such as "seniors" and
"older adults". Avoid the word "elderly" unless you mean "frail
elderly" (usually this means people age 85+ in poor health).
Avoid language that suggests older
persons with disabilities are victims or afflicted. For example, avoid
words like "someone suffering from MS" or a "wheelchair-bound person", "handicapped".
Instead use words that emphasize the person first, such as "disabled
older person" or "older person with a disability", or "older person with MS".
Appropriate language use is particularly important when developing education materials for older
adults around alcohol issues:
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Use positive language that
normalizes alcohol use, and does not inadvertently sound as if you are
judging the person.
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Do not use the word "alcoholic". The term is too vague, inaccurate and very stigmatizing to many seniors.
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Aim for eighth-grade reading level
(as with any publication for the general public).
Design and Layout:
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Use plain, clear typeface.
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Avoid script and ornamental print
(Time Roman and italics are hard to read).
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Don't combine many different
typefaces on the same page.
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Use dark print on light
backgrounds.
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Best is black type on white paper.
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Avoid jargon and acronyms.
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Avoid long paragraphs. Avoid long sentences (anything over
10 words).
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Aim for eighth-grade reading level
(as with any publication for the general public).
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Provide good spacing between the
lines. Often it makes reading easier even if the print size is small,
because the words don't run into each other.
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Avoid jargon and technical terms
or phrases (in the context of seniors and alcohol, that includes things
like "cognitive- behavioural therapy"; "psycho-social-biological";
"withdrawal"; "detoxification"; "rehabilitation")
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Avoid abbreviations and acronyms (that includes things like local acronyms that health providers might
commonly use, such as CAMH, CCAC or CLSC). Even if there are local
abbreviations that you think everyone know, write it out the first
time.
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Use graphics (clipart or photos)
to illustrate key ideas and to break up heavy text. Don't combine
photos and clipart.
For Content:
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Depict senior men and women
involved in all aspects of life, including non-traditional roles.
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Include positive representation of: seniors who are women, from
visible minority groups, frail, as well as those with disabilities.
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Be realistic. Include positive images of seniors in wheelchairs, using
walkers, canes, etc.
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Show diversity. Avoid stereotyping that depicts
seniors as being all alike.
When working on the content for
alcohol education materials:
- Use positive wording that
offers people hope and reason to change their behaviour (whether the
target audience is seniors,
families, or service providers).
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2) Making Health
Communication Programs Work: A Planner's Guide
(an
American publication) is a second source that can be helpful when developing
brochures. It is more generic,
as opposed to being geared specifically to seniors or issues affecting seniors.
The document provides "Tips
for Developing TV Public Service Announcements" and how to "Make Print
Materials Easier to Read".
The publication notes: "Writing about health often requires
the use of some technical language. However, the way your message is
presented-- the writing style, vocabulary, typography, layout, graphics, and
color can favourably affect whether it is read and understood." The Guide suggests:
- introduce the topic, stating the purpose to
orient the reader
- summarize your message at the end to review
major points
- present the message in short sentences within
short paragraphs
- break up the message with visuals placed to
emphasize key points and text
- use "bullets" and titles or subtitles to
reinforce important points
- write in the active, not passive,
voice
- underline, boldface, or "box"
for reinforcement
- clarify with the use of examples
- test for readability
- test with audience
- explain, if necessary, in a
glossary (with key words defined within the sentence)
Clear writing is
necessary. So is text that is easy to read and graphics that help the reader
understand and remember your message.
Plus, when using any graphics, make
sure they are:
- immediately identifiable
- relevant to the subject matter and
reader
- simple, uncluttered
- used to reinforce, not compete with
the text
They also suggest try to avoid:
- small type (less than 10-point) (For
people aged 55 and over, I would strongly suggest at least 12 point font)
- lines of type that are too long or
too short
- large blocks of print
- "justified" right margins
- photographs that won't reproduce
well
- less than professional-quality
drawings (they may make your text appear less credible)
- technical diagrams
They go also stress the need to pretest your materials.
"Pre-testing is not a substitute for
experienced judgment; rather, it can provide additional information from
which you can make sound decisions ... If 5 of the 10 respondents in a focus
group interview do not understand portions of a pamphlet, it does not
necessarily mean that 50 percent of the total target population will be
confused. The lack of understanding among those pretest respondents
suggests, however, that the pamphlet may need to be revised to improve
comprehension. In sum, pre-testing is indicative, not predictive. "
"Another problem that arises in health
communication pre-testing concerns interpretation of respondent reactions to
a sensitive or emotional subject such as breast cancer or AIDS. Respondents
may become unusually rational when reacting to such pretest materials and
cover up their true concerns, feelings, and behavior. As a result, the
pre-tester must examine and interpret responses carefully."
[emphasis added]
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