title: Readability: an important issue impacting healthcare for women with postpartum depression.
abstract: OBJECTIVE
  To evaluate the reading level of depression-screening instruments commonly used in postpartum depression (PPD) and evaluate the reading level of prevalent consumer pamphlets and books on PPD.
  
  
  METHODS
  Descriptive study evaluating the reading level of four PPD instruments (the Edinburgh Postnatal Depression Scale, The Center for Epidemiologic Symptoms of Depression, the Postpartum Depression Screening Scale, and the Beck Depression Inventory-II), five pamphlets from grassroots organizations, and seven consumer books using the Fry Readability Graph.
  
  
  RESULTS
  The readability of the postpartum screening instruments varied, but all were at or below the recommended 6th grade reading level. CES-D had the lowest reading level (grade 2). The readability of the consumer publications also varied, but all had a higher reading level than the recommended 6th grade level, some at the college reading level.
  
  
  CONCLUSIONS
  Readability is an important consideration in the choice of depression-screening instruments and written materials for consumers. Nurses using any of the four postpartum screening instruments studied can feel confident that women who can read will be able to read them. The readability of a book, pamphlet, or instrument should be of concern to nurses who work with women during the postpartum period.
authors.affiliation: School of Nursing, University of Louisville, KY, USA. mclogs01@gwise.louisville.edu
authors.forename: M Cynthia
authors.initials: MC
authors.lastname: Logsdon
authors.forename: Marianne H
authors.initials: MH
authors.lastname: Hutti
mesh_terms: D001294:Attitude to Health; D032882:Comprehension; D019052:Depression, Postpartum / Q000175:diagnosis* / Q000517:prevention & control / Q000523:psychology; D004522:Educational Status; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D009035:Mothers / Q000193:education / Q000523:psychology; D009730:Nursing Assessment; D015403:Nursing Evaluation Research; D010174:Pamphlets; D010353:Patient Education as Topic / Q000379:methods*; D018579:Patient Selection; D011569:Psychiatric Status Rating Scales / Q000592:standards*; D013664:Teaching Materials / Q000592:standards*