Readability, Suitability, and Content Evaluation of Initial, Online Masking Guidance from U.S. States during the COVID-19 Pandemic

Abstract

ABSTRACT Background With the introduction of face mask orders to prevent the spread of COVID-19, the general public may have turned to their state government or health department’s website to find information on face coverings. Purpose This study seeks to evaluate the readability, suitability, and content of masking guidance on state government or state health department websites from U.S. states with face mask orders during the beginning of the COVID-19 pandemic. Methods Each state’s education on face coverings (n = 41) was assessed using three readability indices and the Suitability Assessment for Materials tool for suitability. A novel masking guidance- specific score was developed to evaluate the content on face coverings. Results Masking guidance varied in literacy demand, format, and content. The mean readability surpasses the recommended grade level and is too difficult for most Americans to understand. The mean SAM score is considered “adequate” for suitability, and over half of the states’ masking guidance contained all seven points of information related to face coverings. Translation to Health Education Practice During a public health crisis like the COVID-19 pandemic, readable, suitable, and consistent online information is vital in encouraging adherence to public health orders and promoting other preventive health behaviors.