Document Type (Journals)

Educational Innovations


This single site case report examined student-designed client educational materials for integration of health literacy principles in occupational therapy education. Researchers analyzed 16 home programs from first and second year occupational therapy doctorate students using the Health Literacy Advisor (HLA) and the Patient Education Materials Assessment Tool – Printable (PEMAT-P). The HLA provides scores of readability indexes, including Fry, SMOG, Flesch-Kincaid, and Flesch Reading Ease. The PEMAT-P assesses understandability and actionability. Results indicated reading levels near recommended 6th grade reading scores with some improvement from first to second year educational level, though not necessarily useable material. HLA difficult to understand words identified as jargon or jargon like may obstruct client education. Researchers recommend continued inclusion of designing materials in educational curricula. Researchers also recommend face-to-face client contact, including teach back methods and client feedback to support student health literacy practices.


Karen R Flaherty, OTD, OTR/L is a graduate of Pacific University School of Occupational Therapy. She was a student at the time of this study.

Sarah Foidel, OTD, OTR/L is an Assistant Professor in Pacific University School of Occupational Therapy.

Nancy Krusen, PhD, OTR/L is founding program director for a developing clinical doctorate program within the Division of Occupational Therapy at University of Nebraska Medical Center.

Declaration of Interest

The authors report no declarations of interest

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.