Document Type : Original Article

Authors

MS Ramaiah Dental College and Hospital, Bengaluru, India

Abstract

Background: There is general lack of knowledge concerning the sings, symptoms, and risk
factors of oral cancer in the general population, particularly among tobacco users. A challenging
measure for the health care professions is to improve patients’ knowledge about the causes
and signs of oral cancer and, more importantly, to modify their health behaviors. The most
frequent approach used to achieve this is production of leaflet. The aim of this study was to
outline and carry out the steps involved in the production of information leaflet for tobacco
users and its evaluation. Materials and Methods: The existing materials on tobacco and its ill
effects were reviewed. Leaflets were prepared based on the European Commission Guidelines
for patient information leaflet and information packages. Subject experts reviewed the content
of leaflet. Content validity was checked using Lawshe method. Reliability was checked using
Flesch formula. Results: Content Validity Ratio (CVR) value was 0.99, which was acceptable.
The reliability of the final wording of the leaflet was 80, which was classified as “fairly ease.”
Conclusion: The leaflet could be used as a health education aid to motivate tobacco users
to quit tobacco use.

Keywords

1. Petersen PE. Strengthening the prevention of oral cancer: The WHO
perspective. Community Dent Oral Epidemiol 2005;33:397‑9.
2. Rodrigues VC, Moss SM, Tuomainen H. Oral in UK: To screen or
not to screen. Oral Oncol 1998;34:454‑65.
3. Yellowitz JA, Goodman HS, Farooq NS. Knowledge, opinions and
practices related to oral cancer: Result of three elderly racial groups.
Spec Care Dentist 1997;17:100‑4.
4. Warnakulasuriya K, Harris C, Scarrott D, Watt R, Gelbier S, Peters T,
et al. An alarming lack of public awareness towards oral cancer. Br
Dent J 1999;187:319‑22.
5. Johnson NW, Warnakulasuriya KA. Epidemiology of oral
cancer in the United Kingdom. Community Dental Health
1993;10(Suppl 1):13‑29.
6. LeyP. Communicating with patients. London: Chapman and Hall; 1998.
7. Psychological Operations/Warfare Leaflets. Available from URL:
http://www.psywarrior.com/leaflet2.html.
8. Guidance concerning consultations with target patient groups for
the package leaflet. Article 59(3) and 61(1) of Directive 2001/83/
EC as amended by Directive 2004/27/EC, May 2006. Available
from: http://www.ec.europa.eu/health/files/eudralex/vol‑2/c/
user_consultation_200605_en.pdf.[Last accessed on 2013 May 12].
9. Lawshe CH. A quantitative approach to content validity. Personnel
Psychology 1975;28:563‑75. Available from URL: http://www.
bwgriffin.com/gsu/courses/edur9131/content/Lawshe_content_
valdity.pdf.
10. Flesch R. A new readability yardstick. J Appl Psychol 1948;32:221‑33.
11. Park K. Textbook of Preventive and Social Medicine. 20th ed.
M/s Banarasidas Bhanot.Jabalpur, 2011.
12. Stevens W, Thorogood M, Kayikki S. Cost effectiveness of
community antismoking campaign targeted at a high risk group in
London. Health Promot Int 2002:17;43‑50.13. Meillier L, Osler M, Sabroe S, Christensen B, Elsass B, Meyer L.
Health education pamphlets about smoking‑their benefit to smokers
and non‑smokers. Public Health 1999;113:19‑25.
14. Zakrzewska JM, Leeson RM, McClusley M, Vickers M. The
development of patient information leaflets. Care of mouth after
radiotherapy. Gerodontology 1997;14:48‑53.
15. Smith T. Writing simple English is difficult, even for doctors. Br Med
J 1992;305:1266‑8.
16. Secker J, Pollard R. Writing leaflets for patients: Guidelines for writing
information. Edinburgh: Health Education Board for Scotland; 1995.
17. Piddennavar Renuka, Pushpanjali K. leaflet preparation and
Validation procedures. Universal Journal of Public health
2013;1(3):110‑114.
18. O’Hanlon S, Forester DP, Lowry RJ. Oral Cancer in the
North‑East of England: Incidence, mortality trends and the link
with the material deprivation. Community Dent Oral Epidemiol
1997;25:371‑6.