READABILITY OF COVID-19 INFORMATION BY THE MALAYSIAN MINISTRY OF HEALTH
DOI:
https://doi.org/10.24200/jonus.vol5iss2pp170-191Abstract
Background and Purpose: COVID-19 pandemic has caused catastrophe to global health. To collectively break the chain of infection, the Malaysian Ministry of Health (MMoH) disseminates information about COVID-19 through its official websites. Since they are intended for the general public, this crucial information must be easy to comprehend. A textual analysis was conducted to assess the readability level of COVID-19 information by the MMoH.
Methodology: Out of 661 materials related to COVID-19 from four MMoH’s websites, 14 texts were purposively selected for the analysis. The Formula Kebolehbacaan Khadijah Rohani (FKKR) and Sistem Kebolehbacaan Bahasa Melayu (SPIKE) were then employed to check their reading difficulty.
Findings: It was found that most of the texts were written above the recommended level, 6th grade or year 6. The findings suggest that this information is readable to three-quarters (78.7%) of Malaysian adults aged 15 and above. However, the remaining 21.3% of the same population, which equals 5.3 million Malaysian adults, may not be able to comprehend this information due to their illiteracy or minimal education. SPIKE Dyslexia scores revealed that nine texts are categorised as difficult. This could impede those with reading difficulties to understand the COVID-19 information provided by this ministry.
Contributions: These research findings are hoped to be useful for the improvement of health literacy among the general public by taking into account reading difficulty of health information.
Keywords: COVID-19, health literacy, health seeking information, readability, readability formulae.
Cite as: Ab Hamid, A. R., Hashim, M. F., Abu Hasan, N., & Mhd Azhan, N. (2020). Readability of Covid-19 information by the Malaysian Ministry of Health. Journal of Nusantara Studies, 5(2), 170-191. http://dx.doi.org/10.24200/jonus.vol5iss2pp170-191
References
AFP. (2020, April 18). Covid-19: 4.5 billion people still confined. New Straits Times. Retrieved from https://www.nst.com.my/world/world/2020/04/585372/covid-19-45-billion-people-still-confined
Aling, Y. D. (2020, Mac 14). Palsu – Zahidi. My Metro. Retrieved from https://www.hmetro.com.my/mutakhir/2020/03/554514/palsu-zahidi
Amos, O. (2020, April 3). Coronavirus: Where will be the last place to catch Covid-19? BBC News. Retrieved from https://www.bbc.com/news/world-52120439
Arifin, Z., Halim, Z. A., & Bakar, K. A. (2013). The readability of Balaghah textbook of Malaysian higher certificate of religion (Stam): A pilot study. Advances in Natural and Applied Sciences, 7(2), 192-200.
Azizi, M. A. (2020, March 26). Dakwaan daun semambu penawar Covid-19... pakar penyakit berjangkit pun anggap ia pelik! MStar. Retrieved from https://www.mstar.com.my/lokal/semasa/2020/03/26/daun-semambu-covid-19
Backinger, C. L., & Kingsley, P. A. (1993). Write it right: Recommendations for developing user instruction manuals for medical devices used in home health care. HHS Publication FDA 93-4258, Department of Health and Human Services.
Baker, G. C., Newton, D. E., & Bergstresser, P. R. (1988). Increased readability improves the comprehension of written information for patients with skin disease. Journal of the American Academy of Dermatology, 19(6), 1135–1141.
Begeny, J. C., & Greene, D. J. (2014). Can readability formulas be used to successfully gauge difficulty of reading materials? Psychology in the Schools, 51(2), 198-215.
Byun, J. (2013). Readability levels of patient education materials in professional radiation oncology organizations. International Journal of Radiation Oncology, Biology, Physics, 87(2), S177.
Chen, Y. Y., Li, C. M., Liang, J. C., & Tsai, C. C. (2018). Health information obtained from the internet and changes in medical decision making: Questionnaire development and cross-sectional survey. Journal of Medical Internet Research, 20(2), e47.
Cronin, V. S. (2007). An evaluation of the readability of colon cancer websites. (Unpublished doctoral dissertation). Teachers College, Columbia University.
Daud, N. M., & Ab Hamid, A. R. (2014). Readability level of ‘about-us’ section of Malaysian hospital websites. Middle-East Journal of Scientific Research, 20(20), 106-109.
Davis, T. C., & Wolf, M. S. (2004). Health literacy: Implications for family medicine. Family Medicine, 36(8), 595-598.
Doak, L. G., & Doak, C. C. (1980). Patient comprehension profiles: Recent findings and strategies. Patient Counselling and Health Education, 2(3), 101-106.
Doak, C. C., Doak, L. G., & Root, J. H. (1985). Teaching patients with low literacy skills. Lippincott.
Doctor On Call. (n.d.). About us. Retrieved from https://www.doctoroncall.com.my/about-us.html
Downing, M. A., Omar, A. H., Sabri, E., & McCarthy, A. E. (2011). Information on the Internet for Asplenic patients: A systematic review. Canadian Journal of Surgery, 54(4), 232–236.
Dubay, W. H. (2004). The principles of readability. Impact Information.
Fox, S., & Fallows, D. (2003). Health searches and email have become more commonplace, but there is room for improvement in searches and overall Internet access. Internet Health Resources, Pew Internet & American Life Project.
Friedman, D. B. (2006). Health literacy and the world wide web: Assessing text readability and older adults' comprehension of cancer information on the Internet. (Unpublished doctoral dissertation). ProQuest Dissertations and Theses Database.
Fry, E. (2002). Readability versus leveling. The Reading Teacher, 56(3), 286-291.
Gilliver, S. (2015). Online plain English and readability resources. Medical Writing, 24(1), 20-22.
Gorczynski, P., Patel, H., & Ganguli, R. (2013). Evaluating the accuracy, quality, and readability of online physical activity, exercise, and sport information for people with Schizophrenia. Mental Health and Physical Activity, 6(2), 95–99.
Grabeel, K. L., Russomanno, J., Oelschlegel, S., Tester, E., & Heidel, R. E. (2018). Computerized versus hand-scored health literacy tools: A comparison of Simple Measure of Gobbledygook (SMOG) and Flesch-Kincaid in printed patient education materials. Journal of the Medical Library Association, 106(1), 38-45.
Hashim, J. (1998). Menilai tahap kebolehbacaan buku-buku teks Bahasa Malaysia tingkatan satu KBSM [Evaluating the readability level of Form 1 KBSM Malay text books]. (Unpublished master’s thesis). Universiti Putra Malaysia.
Hazawawi, N. A. M., & Hisham, S. (2014). Online dyslexia screening test for Malaysian young adults in Bahasa Melayu. In The 5th International Conference on Information and Communication Technology for The Muslim World (ICT4M), 17-18 November (pp. 1-5). IEEE.
Hazawawi, N. A. M., Zakaria, M. H., & Hisham, S. (2015). Measuring reading competencies in Malay language among young adults with reading difficulties. Jurnal Teknologi, 77(1), 83-89.
Hazawawi, N. A. M., Zakaria, M. H., & Hisham, S. (2016). SPIKE: Online reading competencies measure for Malay language. Journal of Telecommunication, Electronic and Computer Engineering, 8(2), 123-127.
Health Literacy Innovation. (n.d.). National survey of Medicaid guidelines for health literacy. Retrieved from https://www.healthliteracyinnovations.com/resources/hli_publications/
Henry, S. L. (2006). Understanding web accessibility. In C. Mills (Ed.), Web accessibility: Web standards and regulatory compliance (pp. 1-51). Springer-Verlag.
Ibrahim, M. I., & A. Rosli, F. (2020, April 22). PKP: 865 individu ditahan reman langgar perintah Berita Harian. Retrieved from https://www.bharian.com.my/berita/nasional/2020/04/680274/pkp-865-individu-ditahan-reman-langgar-perintah
Info on Covid-19. (2020, February 19). Free online consultation, info on Covid-19 with MoH, Doctor On Call. News Straits Times. Retrieved from https://www.nst.com.my/news/nation/2020/02/567098/free-online-consultation-info-covid-19-moh-doctoroncall
Institute for Health Behavioural Research. (2018). Technical report for health information seeking behaviour of elderly who use the Internet in Malaysia. Ministry of Health, Malaysia.
Institute for Public Health. (2015). National health and morbidity survey 2015 (NHMS 2015): Vol. II - Non-communicable diseases, risk factors & other health problems. Ministry of Health Malaysia.
Jacobs, W., Amuta, A. O., & Jeon, K. C. (2017). Health information seeking in the digital age: An analysis of health information seeking behavior among US adults. Cogent Social Sciences, 3(1), 1-11.
Janan, D. (2003). Kebolehbacaan dan kesesuaian teks komponen sastera Bahasa Melayu: Kajian menurunkan indeks kebolehbacaan [Readability and suitability of Malay literature texts: Lowering the readability index]. (Unpublished master’s thesis). Universiti Pendidikan Sultan Idris.
Janan, D. (2011). Towards a new model of readability. (Unpublished doctoral dissertation). University of Warwick.
Janan, D., & Wray, D. (2014). Reassessing the accuracy and use of readability formulae. Malaysian Journal of Learning and Instruction, 11(1), 127-145.
Kassim, A. (2012). Apa itu disleksia. Retrieved from http://www.myhealth.gov.my/disleksia/
Kassim, S. S. A. (2020, February 10). Heboh air lemon, air kelapa dan kangkung mampu rawat koronavirus, ini respons Dr Amalina yang perlu diberi perhatian! Mstar. Retrieved from https://www.mstar.com.my/lokal/viral/2020/02/10/dr-amalina-kangkung
Malaysian Communications & Multimedia Commission. (2017). Internet users survey 2017: Statistical brief number twenty-one. Malaysian Communications and Multimedia Commission.
Malaysian Ministry of Education. (2019). Quick facts 2019: Malaysia educational statistics. Educational Data Sector, Educational Planning and Research Division Ministry of Education Malaysia.
Md Yunus, K. R. (1982). An assessment of structural variables in Malay: A readability formula. (Unpublished doctoral dissertations). University of Miami.
Mia, S. (2020, Mac 11). Bawang putih sebagai penawar? Ini mitos tentang COVID-19 yang perlu anda tahu. Astro Awani. Retrieved from http://www.astroawani.com/gaya-hidup/bawang-putih-sebagai-penawar-ini-mitos-tentang-covid-19-yang-perlu-anda-tahu-233233
Mohd Noor, H. (2017, February 18). Disleksia lambatkan proses pembelajaran. Berita Harian. Retrieved from https://www.bharian.com.my/node/249663
Nair, D. G., & Menezes, K. D. (2014). Readability and availability of online treatment options for varicose vein patients. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 2(1), 118.
National Partnership for Women & Families. (2009). Health literacy & plain language overview. Retrieved from http://go.nationalpartnership.org/site/DocServer/Health_Literacy_Overview.pdf?docID=5621
Polishchuk, D. L., Hashem, J., & Sabharwal, S. (2012). Readability of online patient education materials on adult reconstruction web sites. Journal of Arthroplasty, 27(5), 716–719.
Redish, J. (2000). Readability formulas have even more limitations than Klare discusses. ACM Journal of Computer Documentation, 24(3), 132-137.
Schutten, M., & Mcfarland, A. (2009). Readability levels of health-based websites: From content to comprehension. International Electronic Journal of Health Education, 12(1), 99–107.
UNESCO. (2014). Education for all 2015 national review report: Malaysia. Retrieved from https://unesdoc.unesco.org/ark:/48223/pf0000229719
US Department of Health and Human Services. (2010). Using readability formulas: A cautionary note. Toolkit for making written material clear and effective. Centers for Medicare & Medicaid Services.
Virtual Health Advisory. (2020, February 9). Virtual health advisory to help address COVID-19's risk communications needs. BERNAMA. Retrieved from https://www.bernama.com/en/general/news_covid-19.php?id=1815033
Wallace, L. S., & Lennon, E. S. (2004). American academy of family physicians’ patient education materials: Can patients read them? Family Medicine, 36(8), 571-574.
Wong, S. T., Saddki, N., & Tin-Oo, M. M. (2019). Readability and suitability of oral health education pamphlets produced by the Ministry of Health Malaysia. The Medical Journal of Malaysia, 74(4), 312-319.
WHO. (2013). Health literacy: The solid facts. WHO Regional Office for Europe.
WHO. (2015). The health internet. Retrieved from http://www.who.int/ehealth/programmes/governance/en/
WHO. (2020a). Pneumonia of unknown cause – China. Retrieved from https://www.who.int/csr/don/05-january-2020-pneumonia-of-unkown-cause-china/en/
WHO. (2020b). Novel Coronavirus – China. Retrieved from https://www.who.int/csr/don/12-january-2020-novel-coronavirus-china/en/
WHO. (2020c). Report of the WHO - China joint mission on Coronavirus disease 2019 (COVID-19). WHO Department of Communications.
Worldometers. (2020). COVID-19 Coronavirus pandemic. Retrieved from https://www.worldometers.info/coronavirus/?utm_campaign=homeAdvegas1?



