title: [The key parameters of design research and analysis of the Chinese reading visual acuity chart].
abstract: OBJECTIVE
  Reading is a visual function human being used to understand environmental events based on writing materials. This study investigated the feasibility of reading visual acuity chart in assessment of reading ability by analysis of the key factors involved in the design of the visual acuity chart.
  
  
  METHODS
  The reading level was determined as grade 3 primary school with Song as the font and 30 characters included in the sentences. Each of the sentences consisted of 27 commonly-used Chinese characters (9 characters between any two punctuations) and 3 punctuations. There were no contextual clues between the 80 sentences selected. The characters had 13 different sizes with an increment of 0.1 log unit (e.g.1.2589) and 2.5 pt was determined as the critical threshold. Readable test for visual target was followed as (1) 29 candidates with a raw or corrected visual acuity (VA)of at least 1.0 were selected to read 80 selected sentences with the size of characters of 2.5 pt at a distance of 40 cm, (2) the time used for reading with the number of characters wrongly read was recorded, (3) 39 sentences were selected as visual targets based on reading speed, effective reading position and total number of character strokes, (4) The 39 selected sentences were then randomly divided into 3 groups with no significant difference among the groups in the 3 factors listed at (3) with paired t-test.
  
  
  RESULTS
  This reading visual chart was at level of Grade 3 primary school with a total stroke number of 165-210(Mean 185 ± 10), 13 font sizes a 0.1 log unit increment, a song pattern and 2.5 pt as the critical threshold. All candidates achieved 100% correct in reading test under 2.5 pt with an effective reading speed as 120.65-162 wpm (Mean 142.93 ± 11.80) and effective reading position as 36.03-61.48(Mean 48.85 ± 6.81). The reading test for the 3 groups of sentences showed effective reading speed as (142.49 ± 12.14) wpm,(142.86 ± 12.55) wpm and (143.44 ± 11.63) wpm respectively(t1-2 = -0.899, t2-3 = -1.295, t1-3 = -1.435). The reading position was 48.55 ± 6.69, 48.99 ± 7.49 and 49.00 ± 6.76, respectively(t1-2 = -1.019, t2-3 = -0.019, t1-3 = -0.816). The total number of character strokes was 185.54 ± 7.55, 187.69 ± 13.76 and 182.62 ± 8.17, respectively(t1-2 = 0.191, t2-3 = 1.385, t1-3 = 1.686).
  
  
  CONCLUSIONS
  A practical design of the Chinese reading visual chart should consider size, increment, legibility in selection of reading sentences. Reading visual acuity, critical threshold and effective reading speed could be used to express the reading visual function.
authors.affiliation: Eye Hospital, Wenzhou Medical College, Wenzhou 350027, China.
authors.forename: Chen-xiao
authors.initials: CX
authors.lastname: Wang
authors.forename: Zhi-hui
authors.initials: ZH
authors.lastname: Liu
authors.forename: Ji-tuo
authors.initials: JT
authors.lastname: Gao
authors.forename: Ying-xuan
authors.initials: YX
authors.lastname: Guo
authors.forename: Ji-cang
authors.initials: JC
authors.lastname: He
authors.forename: Jia
authors.initials: J
authors.lastname: Qu
authors.forename: Fan
authors.initials: F
authors.lastname: Lü
mesh_terms: D002681:China; D004867:Equipment Design; D006801:Humans; D007802:Language; D011932:Reading; D014787:Vision Tests / Q000295:instrumentation*; D014792:Visual Acuity