The Dutch government believes that clarity and accessibility of texts are important (for example, the “Direct Duidelijk” initiatives), and many organizations are working hard to improve their communication. Being able to understand and use these texts is essential for citizens to handle their affairs …

We have come to understand our world less and less, despite the countless one-liners (and slogans) that influencers and advertising people are constantly shooting at us via social media, among other things. We can no longer describe our world - it has simply become too complex for that. HBut marketing …

Introduction Correct interpretation of drug labels instructions (DLIs) is needed for safe use and better adherence to prescribed drugs. DLIs are often too difficult for patients, especially for those with limited health literacy. What is yet unknown, is how specific textual elements in DLIs (e.g., the …

Background: Low-educated patients are disadvantaged in using questionnaires within the health care setting because most health-related questionnaires do not take the educational background of patients into account. The Dutch Talking Touch Screen Questionnaire (DTTSQ) was developed in an attempt to meet …

Objective To develop, implement and evaluate a personalized patient discharge letter (PPDL) to improve the quality of handoff communication from hospital to home. Design From the end of 2006–09 we conducted a quality improvement project; consisting of a before–after evaluation design, and a process evaluation. …