{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:27:05Z","timestamp":1787236025751,"version":"build-2736575974"},"reference-count":67,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T00:00:00Z","timestamp":1736208000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council (NHMRC) of Australia Investigator Grant","doi-asserted-by":"publisher","award":["GNT2017229"],"award-info":[{"award-number":["GNT2017229"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["TropicalMed"],"abstract":"<jats:p>Human rabies is preventable but almost always fatal once symptoms appear, causing 59,000 global deaths each year. Limited awareness and inconsistent access to post-exposure prophylaxis hinder prevention efforts. To identify gaps and opportunities for improvement in online rabies information, we assessed the readability, understandability, actionability, and completeness of online public rabies resources from government and health agencies in Australia and similar countries, with the aim of identifying gaps and opportunities for improvement. We identified materials via Google and public health agency websites, assessing readability using the Simple Measure of Gobbledygook (SMOG) index and understandability and actionability with the Patient Education Materials Tool for Print materials (PEMAT-P). Completeness was assessed using a framework focused on general and vaccine-specific rabies information. An analysis of 22 resources found a median readability of grade 13 (range: 10\u201315), with a mean understandability of 66% and mean actionability of 60%; both below recommended thresholds. Mean completeness was 79% for general rabies information and 36% for vaccine-specific information. Visual aids were under-utilised, and critical vaccine-specific information was often lacking. These findings highlight significant barriers in rabies information for the public, with most resources requiring a high literacy level and lacking adequate understandability and actionability. Improving readability, adding visual aids, and enhancing vaccine-related content could improve accessibility and support wider prevention efforts.<\/jats:p>","DOI":"10.3390\/tropicalmed10010016","type":"journal-article","created":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T03:38:41Z","timestamp":1736221121000},"page":"16","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The Deadly Details: How Clear and Complete Are Publicly Available Sources of Human Rabies Information?"],"prefix":"10.3390","volume":"10","author":[{"given":"Natalie","family":"Patane","sequence":"first","affiliation":[{"name":"Infectious Diseases Epidemiology Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Owen","family":"Eades","sequence":"additional","affiliation":[{"name":"Infectious Diseases Epidemiology Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Morris","sequence":"additional","affiliation":[{"name":"Independent Consumer Advisor, Melbourne, VIC 3000, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Mac","sequence":"additional","affiliation":[{"name":"Sydney Health Literacy Lab, School of Public Health, University of Sydney, Sydney, NSW 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten","family":"McCaffery","sequence":"additional","affiliation":[{"name":"Sydney Health Literacy Lab, School of Public Health, University of Sydney, Sydney, NSW 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5725-0102","authenticated-orcid":false,"given":"Sarah L.","family":"McGuinness","sequence":"additional","affiliation":[{"name":"Infectious Diseases Epidemiology Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia"},{"name":"Department of Infectious Diseases, Alfred Hospital, Melbourne, VIC 3004, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/S1473-3099(02)00287-6","article-title":"Rabies re-examined","volume":"2","author":"Rupprecht","year":"2002","journal-title":"Lancet Infect. Dis."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1389","DOI":"10.1016\/S0140-6736(13)62707-5","article-title":"Current status of rabies and prospects for elimination","volume":"384","author":"Fooks","year":"2014","journal-title":"Lancet"},{"key":"ref_3","unstructured":"Fooks, A.R., and Jackson, A.C. (2020). Rabies in terrestrial animals. Rabies, Academic Press. [4th ed.]."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1007\/s11908-016-0540-y","article-title":"Human. Rabies: A 2016 Update","volume":"18","author":"Jackson","year":"2016","journal-title":"Curr. Infect. Dis. Rep."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"629","DOI":"10.20506\/rst.37.2.2829","article-title":"Developments in human rabies prophylaxis","volume":"37","author":"Warrell","year":"2018","journal-title":"Rev. Sci. Tech."},{"key":"ref_6","first-page":"967","article-title":"Post-exposure prophylactic vaccination against rabies: A systematic review","volume":"51","author":"Ahmad","year":"2022","journal-title":"Iran. J. Public Health"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2017","DOI":"10.1016\/j.vaccine.2013.12.031","article-title":"Rabies: Underused vaccines, unnecessary deaths","volume":"32","author":"Dodet","year":"2014","journal-title":"Vaccine"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"taac046","DOI":"10.1093\/jtm\/taac046","article-title":"A country classification system to inform rabies prevention guidelines and regulations","volume":"29","author":"Henry","year":"2022","journal-title":"J. Travel. Med."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Changalucha, J., Hampson, K., Jaswant, G., Lankester, F., and Yoder, J. (2021). Human rabies: Prospects for elimination. CAB Rev., 16.","DOI":"10.1079\/PAVSNNR202116039"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"210","DOI":"10.2471\/BLT.16.173039","article-title":"Pre-exposure rabies prophylaxis: A systematic review","volume":"95","author":"Kessels","year":"2017","journal-title":"Bull. World Health Organ."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.tmaid.2011.12.005","article-title":"Current rabies vaccines and prophylaxis schedules: Preventing rabies before and after exposure","volume":"10","author":"Warrell","year":"2012","journal-title":"Travel. Med. Infect. Dis."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"101766","DOI":"10.1016\/j.tmaid.2020.101766","article-title":"Epidemiology of rabies cases among international travellers, 2013\u20132019: A retrospective analysis of published reports","volume":"36","author":"Gautret","year":"2020","journal-title":"Travel Med. Infect. Dis."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"taad085","DOI":"10.1093\/jtm\/taad085","article-title":"Travel vaccines-priorities determined by incidence and impact","volume":"30","author":"Steffen","year":"2023","journal-title":"J. Travel. Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"102592","DOI":"10.1016\/j.tmaid.2023.102592","article-title":"Decline in rabies cases in international travelers during the COVID-19 pandemic","volume":"54","author":"Gautret","year":"2023","journal-title":"Travel. Med. Infect. Dis."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"World Health Organization (2018). Rabies vaccines: WHO position paper, April 2018\u2014Recommendations. Vaccine, 36, 5500\u20135503.","DOI":"10.1016\/j.vaccine.2018.06.061"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"taw022","DOI":"10.1093\/jtm\/taw022","article-title":"Should travellers to rabies-endemic countries be pre-exposure vaccinated? An assessment of post-exposure prophylaxis and pre-exposure prophylaxis given to Danes travelling to rabies-endemic countries 2000\u20132012","volume":"23","author":"Christiansen","year":"2016","journal-title":"J. Travel Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"102573","DOI":"10.1016\/j.tmaid.2023.102573","article-title":"Rabies post-exposure prophylaxis of international travellers\u2014Results from two major German travel clinics","volume":"53","author":"Saffar","year":"2023","journal-title":"Travel. Med. Infect. Dis."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"taz059","DOI":"10.1093\/jtm\/taz059","article-title":"Factors affecting pre-travel health seeking behaviour and adherence to pre-travel health advice: A systematic review","volume":"26","author":"Kain","year":"2019","journal-title":"J. Travel. Med."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"taz031","DOI":"10.1093\/jtm\/taz031","article-title":"Characteristics and preparation of the last-minute traveler: Analysis of vaccine usage in the Global TravEpiNet Consortium","volume":"26","author":"Yates","year":"2019","journal-title":"J. Travel. Med."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Jia, X., Pang, Y., and Liu, L.S. (2021). Online health information seeking behavior: A systematic review. Healthcare, 9.","DOI":"10.3390\/healthcare9121740"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Bujnowska-Fedak, M.M., and W\u0119gierek, P. (2020). The impact of online health information on patient health behaviours and making decisions concerning health. Int. J. Environ. Res. Public. Health, 17.","DOI":"10.3390\/ijerph17030880"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"3931","DOI":"10.1016\/j.vaccine.2011.03.096","article-title":"Determinants of pre-exposure rabies vaccination among foreign backpackers in Bangkok, Thailand","volume":"29","author":"Gautret","year":"2011","journal-title":"Vaccine"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.1093\/jtm\/tay062","article-title":"Perceptions of rabies risk: A survey of travellers and travel clinics from Canada, Germany, Sweden and the, U.K","volume":"26","author":"Marano","year":"2019","journal-title":"J. Travel. Med."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1093\/heapro\/15.3.259","article-title":"Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century","volume":"15","author":"Nutbeam","year":"2000","journal-title":"Health Promot. Int."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1111\/1753-6405.12341","article-title":"Health literacy and the internet: A study on the readability of Australian online health information","volume":"39","author":"Cheng","year":"2015","journal-title":"Aust. N. Z. J. Public Health"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1177\/1062860617751639","article-title":"Readability of online health information: A meta-narrative systematic review","volume":"33","author":"Daraz","year":"2018","journal-title":"Am. J. Med. Qual."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"373","DOI":"10.5694\/mja2.51282","article-title":"The readability of official public health information on COVID-19","volume":"215","author":"Mac","year":"2021","journal-title":"Med. J. Aust."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1016\/j.pec.2021.05.039","article-title":"Readability assessment of vaccine information: A systematic review for addressing vaccine hesitancy","volume":"105","author":"Okuhara","year":"2022","journal-title":"Patient Educ. Couns."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1093\/ajhp\/zxy021","article-title":"Understandability, actionability, and readability of online patient education materials about diabetes mellitus","volume":"76","author":"Lipari","year":"2019","journal-title":"Am. J. Health Syst. Pharm."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1007\/s11764-022-01240-w","article-title":"An evaluation of readability and understandability of online education materials for breast cancer survivors","volume":"18","author":"Restrepo","year":"2024","journal-title":"J. Cancer Surviv."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"173","DOI":"10.3109\/17538157.2010.542529","article-title":"Readability of online health information: Implications for health literacy","volume":"36","author":"McInnes","year":"2011","journal-title":"Inf. Health Soc. Care"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"e40645","DOI":"10.2196\/40645","article-title":"Multiple automated health literacy assessments of written health information: Development of the SHeLL (Sydney Health Literacy Lab) health literacy editor v1","volume":"7","author":"Ayre","year":"2023","journal-title":"JMIR Form. Res."},{"key":"ref_33","first-page":"639","article-title":"SMOG grading\u2014A new readability Formula","volume":"12","author":"McLaughlin","year":"1969","journal-title":"J. Read."},{"key":"ref_34","unstructured":"South Australia Health (2024, March 03). Engaging with Consumers, Carers and the Community: Guide and Resources: South Australia Health, Available online: https:\/\/www.sahealth.sa.gov.au\/wps\/wcm\/connect\/public+content\/sa+health+internet\/about+us\/about+sa+health\/consumer+carer+and+community+engagement\/consumer+carer+and+community+engagement."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/j.pec.2014.05.027","article-title":"Development of the Patient Education Materials Assessment Tool (PEMAT): A new measure of understandability and actionability for print and audiovisual patient information","volume":"96","author":"Shoemaker","year":"2014","journal-title":"Patient Educ. Couns."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"taad056","DOI":"10.1093\/jtm\/taad056","article-title":"Pre-travel vaccine information needs, attitudes, drivers of uptake and the role for decision aids in travel medicine","volume":"30","author":"McGuinness","year":"2023","journal-title":"J. Travel. Med."},{"key":"ref_37","first-page":"360","article-title":"Understanding interobserver agreement: The kappa statistic","volume":"37","author":"Viera","year":"2005","journal-title":"Fam. Med."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"6410","DOI":"10.1016\/j.vaccine.2020.07.071","article-title":"Evaluating the health literacy demand and cultural appropriateness of online immunisation information available to refugee and migrant communities in Australia","volume":"38","author":"Abdi","year":"2020","journal-title":"Vaccine"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"998","DOI":"10.1016\/j.pec.2020.11.034","article-title":"A scoping review of the use of visual aids in health education materials for persons with low-literacy levels","volume":"104","author":"Mbanda","year":"2021","journal-title":"Patient Educ. Couns."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"S28","DOI":"10.1016\/j.acap.2017.08.004","article-title":"Evaluation of pediatric human papillomavirus vaccination provider counseling written materials: A health literacy perspective","volume":"18","author":"Chhabra","year":"2018","journal-title":"Acad. Pediatr."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1016\/j.tmaid.2014.05.004","article-title":"Risk factors and pre-travel healthcare of international travellers attending a Dutch travel clinic: A cross-sectional analysis","volume":"12","author":"Wieten","year":"2014","journal-title":"Travel. Med. Infect. Dis."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"986","DOI":"10.4269\/ajtmh.20-1604","article-title":"Rabies vaccine disposition: Trends in vaccination among Israeli travelers","volume":"105","author":"Meltzer","year":"2021","journal-title":"Am. J. Trop. Med. Hyg."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/j.vaccine.2011.11.007","article-title":"Rabies vaccination for international travelers","volume":"30","author":"Gautret","year":"2012","journal-title":"Vaccine"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"taaa168","DOI":"10.1093\/jtm\/taaa168","article-title":"A risk scoring system to identify travellers who qualify for pre-exposure rabies vaccination","volume":"27","author":"Croughs","year":"2020","journal-title":"J. Travel. Med."},{"key":"ref_45","first-page":"641","article-title":"Rabies: Prevention in travellers","volume":"39","author":"Neilson","year":"2010","journal-title":"Aust. Fam. Physician"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"102612","DOI":"10.1016\/j.tmaid.2023.102612","article-title":"Single visit rabies pre-exposure prophylaxis: A literature review","volume":"54","author":"Damanet","year":"2023","journal-title":"Travel. Med. Infect. Dis."},{"key":"ref_47","first-page":"219","article-title":"Risk of rabies exposure among travellers","volume":"73","author":"Wieten","year":"2015","journal-title":"Neth. J. Med."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1111\/j.1708-8305.2008.00283.x","article-title":"Knowledge, attitudes, and practices of French travelers from Marseille regarding rabies risk and prevention","volume":"16","author":"Altmann","year":"2009","journal-title":"J. Travel. Med."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1168","DOI":"10.4269\/ajtmh.2010.09-0699","article-title":"Rabies exposure risk among foreign backpackers in Southeast Asia","volume":"82","author":"Piyaphanee","year":"2010","journal-title":"Am. J. Trop. Med. Hyg."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"1900716","DOI":"10.2807\/1560-7917.ES.2020.25.38.1900716","article-title":"Rabies vaccination strategies in the Netherlands in 2018: A cost evaluation","volume":"25","author":"Suijkerbuijk","year":"2020","journal-title":"Eurosurveillance"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.tmaid.2019.03.007","article-title":"Intradermal travel vaccinations-when less means more","volume":"28","author":"Schaumburg","year":"2019","journal-title":"Travel. Med. Infect. Dis."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1016\/S1473-3099(23)00452-8","article-title":"Boostability after single-visit pre-exposure prophylaxis with rabies vaccine: A randomised controlled non-inferiority trial","volume":"24","author":"Overduin","year":"2024","journal-title":"Lancet Infect. Dis."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"tax033","DOI":"10.1093\/jtm\/tax033","article-title":"Single visit rabies pre-exposure priming induces a robust anamnestic antibody response after simulated post-exposure vaccination: Results of a dose-finding study","volume":"24","author":"Jonker","year":"2017","journal-title":"J. Travel. Med."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"taab059","DOI":"10.1093\/jtm\/taab059","article-title":"Efficacy of one-dose intramuscular rabies vaccine as pre-exposure prophylaxis in travellers","volume":"28","author":"Mills","year":"2021","journal-title":"J. Travel. Med."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1111\/jtm.12237","article-title":"Characteristics of travelers to Asia requiring multidose vaccine schedules: Japanese encephalitis and rabies prevention","volume":"22","author":"Walker","year":"2015","journal-title":"J. Travel. Med."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"102739","DOI":"10.1016\/j.tmaid.2024.102739","article-title":"Rabies knowledge gaps and risk behaviour in Dutch travellers: An observational cohort study","volume":"60","author":"Overduin","year":"2024","journal-title":"Travel. Med. Infect. Dis."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"taaa010","DOI":"10.1093\/jtm\/taaa010","article-title":"Traveller exposures to animals: A GeoSentinel analysis","volume":"27","author":"Muehlenbein","year":"2020","journal-title":"J. Travel. Med."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"taaa185","DOI":"10.1093\/jtm\/taaa185","article-title":"Simplified rabies pre-exposure prophylaxis in last-minute travellers","volume":"28","author":"Soentjens","year":"2021","journal-title":"J. Travel. Med."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"taw075","DOI":"10.1093\/jtm\/taw075","article-title":"Refusal of recommended travel-related vaccines among U.S. international travellers in Global TravEpiNet","volume":"24","author":"Lammert","year":"2016","journal-title":"J. Travel. Med."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"3655","DOI":"10.1016\/j.vaccine.2021.05.021","article-title":"A systematic review and meta-analysis of effectiveness of decision aids for vaccination decision-making","volume":"39","author":"Kaufman","year":"2021","journal-title":"Vaccine"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1080\/14760584.2020.1742111","article-title":"Patient decision aid in vaccination: A systematic review of the literature","volume":"19","author":"Bruel","year":"2020","journal-title":"Expert. Rev. Vaccines"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/S1473-3099(23)00499-1","article-title":"Good news for travellers, but what do rabies vaccines say about global health?","volume":"24","author":"Hampson","year":"2024","journal-title":"Lancet Infect. Dis."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"979","DOI":"10.3390\/idr14060097","article-title":"Ecological and socioeconomic factors in the occurrence of rabies: A forgotten scenario","volume":"14","author":"Subedi","year":"2022","journal-title":"Infect. Dis. Rep."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"100258","DOI":"10.1016\/j.lansea.2023.100258","article-title":"Rabies control in high-burden countries: Role of universal pre-exposure immunization","volume":"19","author":"Lodha","year":"2023","journal-title":"Lancet Reg. Health Southeast. Asia"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"2000018","DOI":"10.2807\/1560-7917.ES.2020.25.38.2000018","article-title":"Abandon of intramuscular administration of rabies immunoglobulin for post-exposure prophylaxis in the revised guidelines in the Netherlands in 2018: Cost and volume savings","volume":"25","author":"Schreuder","year":"2020","journal-title":"Eurosurveillance"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1016\/j.sapharm.2012.05.009","article-title":"Assessing readability formula differences with written health information materials: Application, results, and recommendations","volume":"9","author":"Wang","year":"2013","journal-title":"Res. Soc. Adm. Pharm."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"e2246051","DOI":"10.1001\/jamanetworkopen.2022.46051","article-title":"Comparison of Readability Scores for Written Health Information Across Formulas Using Automated vs. Manual Measures","volume":"5","author":"Mac","year":"2022","journal-title":"JAMA Netw. 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