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Health Education Research, Vol. 18, No. 2, 181-190, April 2003
© 2003 Oxford University Press

Print material content and design: is it relevant to effectiveness?

C. L. Paul, S. Redman1 and R. W. Sanson-Fisher2

The Cancer Council NSW Cancer Education Research Program (CERP), Wallsend, NSW 2287, 1 National Breast Cancer Centre. Kings Cross, NSW 1340 and 2 Faculty of Health, University of Newcastle, Callaghan, NSW 2308, Australia. E-mail: Chris.Paul{at}newcastle.edu.au

Printed materials are widely used in cancer education. There are a considerable number of guidelines in the literature on the content and design characteristics of print materials. However, there is little outcome-based evidence about whether materials containing these characteristics are more effective under real-world conditions. Six pamphlets were designed such that two had most of these characteristics, one had content characteristics only, one had design characteristics only and two had few of the characteristics. The pamphlets encouraged women aged 50–69 years to join a Pap Test Reminder Service (PTRS). The pamphlets were mailed to a randomly selected sample of 7668 women. Registrations with the PTRS were monitored. Receipt, readership, acceptability, knowledge and attitudes were assessed by telephone interview. There were no significant differences between the pamphlet groups in registrations with the PTRS, receipt, readership, acceptability, knowledge or attitudes. It was concluded that the inclusion of content and design characteristics does not result in more effective print materials.


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