San F ernando Va l ley State C o l l e ge Readabi l i ty o f S e l e c ted Pr inted 'l Hea l t h Education Mater ia l s for the Intermediate Grade s A the s i s subm i t ted in partia l sat i s faction of the requirement s f o r the degree of Ma s ter of Sc ience in Health S c i en c e by Corr i ne Johanna B idwe l l June , 1969 The the s i s o f Cor r i ne Johanna Bidwe l l i s approved : San F ernando Val ley State C o l lege June , 1969 ii DEDICATION For l ove , pat i e nc e , encouragement , and unde r s tand ing whi c h have been so meaningfu l to me dur ing the proc e s s of mak ing a dream a real ity , I proudly ded icate thi s the s i s to my husband , VERNON E. BIDWELL iii TABLE OF CONTENTS Page . . . . -vi LIST OF TABLES . . . LIST OF FIGURES. ix ACKNOWLEDGMENTS ABSTRACT xi CHAPTER I. THE PROBLEM. DEFINITIONS OF TEP�S USED 8 HYPOTHESIS" , 8 . . PURPOSE OF THE STUDY LIMITATIONS OF THE STUDY........... . ........ 11 I I. REVIEW OF THE LITERATURE . . 44 III. METHODOLOGY. • . •• . •• . • . •••• . . 44 THE TESTING INSTRUMENT . . 53 THE TECHNIQUE OF APPLI CATION 55 THE SAMPLlNG TECHNIQUE . . . 57 MATERIALS SELECTED. 58 STATISTICAL TREATMENT OF THE DATA IV. ANALYSIS OF THE FINDINGS ANALYSIS OF HEALTH TEXTBOOKS 75 ANALYSIS OF SUPPLEMENTARY HEALTH BOOKS ANALYSIS OF HEALTH PAMPHLETS 1 17 MAJOR FINDINGS OF STUDY. . . V. CONCLUSIONS AND RECOMMENDATIONS . • . . . . � • • • • • • • . _. • . • . . • . . . . . . • . . . . . • • . . • . . . • . . . . • • , . • . . • , . . , • • . • , . . . . . . , • . • • • • • , • • • • • • • " • • • • • • • • • • • • • • • • • • • , • • • , • • , • • . • • • . • • • • , . , • • • . • • • . • • • • • • • • • • • • • • • • • , • • • • • • • • • • • • • • , , • • • . • • • • • . • • , . . . • . . . . • • • ,................ · • , • • • • • • • • • , • • • 1!1 • . • • , • • . • • • • • • . • . . . • . . • • • • . x 1 6 . . 9 . • • . . • . . • . • • . • . . . • • • . • . , • • . • . • . . . . . . . . . • . • . . • • • • • . • • . • . • • . • . . • . , • . . . • . . • . • . . . . . • • • . . . . • . . . . . . • . • . . . . • . . • . • . . . • • . . . . . . . . . . . . . . . . . . . . . • . . • . . • . . . . . . • . . . . • . . . . • • . . . . . . . . . . 60 60 . . • . • . . • . . . . . . . . . . . . . . . . • . • . . • . • • . • . . . • • . . . • . • . . iv 113 . • . . . . . 119 TABLE OF CONTENTS (continued) BIBLIOGRAPHY APPEND I X LIST OF SELECTED HEALTH I. MATERIALS ANALYZEDPRINTED FOR THIS STUDYEDUCATION • • • , J?age . • . • • ' • . If It . II . " • • • • • • • • • • • • • • • • • • • • • • • • • ,. • • • , • • , , • • • , • • • • • • • , • • • • • • • • • • • • • • • • • • • • v 123 130 L I S T OF TABLE S ' TABLE I. II . Page Intercorre lations (rho ) for the f ive f ormu la s appl i ed to twenty-seven t e s t s and corre lation ( rho ) between eac h f o rmu la and mean o f the f ive f ormu l a s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 S i gn i f i cant d i f ference on the F l e sch Hea l th Pas sage Comprehens i on Te s t at the five per c ent leve l S i gn i f i cant d i f ferenc e s on the Da l e Cha l l H ea l t h Pas sage Comprehens i on Te s t a t the f ive per cent l eve l 49 . I I I. VI . VII . IX . . . . . . . . F le s c h Reading Ea s e Scale . . . . . . . . • . • . . . . . . . . . . . . . . . . . . • . . • . . . . . . . . . . . . . . . . . . . . . . . . . • • . . • • • . . • . . . . . . • • . • . Analys i s o f textbook number f our XI. 61 66 .· . . • . . . . . . • • . . . Ana ly s i s o f t extbook number f ive data in ranl<. order , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 Ana ly s i s o f textbook number s ix 70 . . . • • • . . • • • . . . Analy s i s o f t extbook number s ix data in rank orde r . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . 72 Read ing d i f f i c u l ty l eve l s o f a l l o b se rvati o n s f rom hea l th t extbook s f our , f ive , and s ix 74 • XIII . 56 Ana ly s i s o f t ex tbook number f ive . . XII . 51 63 . . X. 50 Ana l y s i s o f textbook number f our data . . . . . . . . . . . . . . . . . . . . .. . i n rank order . . . . . VII I . . Re lat i on s h i p o f formu la s c o r e s to two adu l t r eading te s t s (corre lations, b e twee n f ormula scor e s and s c or e s on adul t r eading t e s t s . V. . Ranked interc orre lat ions of readabi l ity metho d s' ratings and s tudent s ' c ompre. . . . hens i o n on ten books . . . IV . . . • . • • . . . . . . . • • . . Ana l y s i s o f hea l th book s ixty-s even, vi . . . • . . . . . . • . • . • . • . 76 L I S T OF TABLE S (continued ) TABLE XIV. Page Ana ly s i s o f hea lth book s ixtys even data in rank order . • • . . . . . . XV. Ana ly s i s of heal th book s eventeen XVI. Ana ly s i s of health book s eventeen . . data i n rank order. . . . . . . . . . . . . . . • . . . . . . . . • • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XVI I. Ana l y s i s o f hea l th book thirty -one XVI I I . Ana ly s i s o f hea l th book thirty -one data i n rank order . X IX. XX . . • . • • . • . • . . • • • . Ana ly s i s of hea l th book thirty- f our . . X X I I. 80 82 85 86 89 Ana l y s i s o f health book th irty - f ou r data in rank order . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91 Ana ly s i s o f h ea l th book forty - e ight 94 . X X I. 78 . • . . . . . . Ana ly s i s o f hea l th book forty-e i gh t data i n rank order . ,.. . . . . . . . . . . . . . . . . . . . . . . . 95 X X I I I. Ana ly s i s o f hea l t h book th irty�f ive 98 XXIV. Ana ly s i s o f hea l th book thirty - f ive data in rank order . . . . • XXV. XXVI. . • . • . • . • . • Ana l y s i s o f hea lth book three . . . . . . . • • • . . . • . . • • . . . . . . . . . . . . . . . . . • 99 102 Ana ly s i s o f hea lt h book three data in rank order. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 0 3 . XXVI I . XXVI I I. Ana ly s i s o f hea l th book f i f ty -three . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . 106 108 C omputed F le sc h Read ing Ea s e scor e s o f e i gh t supplementary hea lth books in rank ord e r., . , , . . . . . . . . . . , . . . . . . . . .. . . . . . 110 Read ing d i f f i c u l ty leve l s o f al l observat i o n s o f e ight supp l ementary heal t h books . . , . . , . . . . . . . . . , . . . . . . . . . . . . 111 . XXX. . Ana l y s i s o f heal t h book f i f ty - three data . in rank order . X X I X. . . . . v i i_ L I ST OF TABLE S ( c ontinue d ) TABLE XXXI . XXXII . XXXIII . Page . . Range o f var ia ti on in grade leve l s o f d i f f i c u l ty f or e i ght supplementary hea l t h book s . . . . . . . . . . . . . . . . . . . . . . . . . . . , . 112 Data from s e lec ted health pamph lets . . . . . . . . 1 14 Reading d i f f i cu lty leve l s o f f i fteen pamphle t s . . . . . . . . . . . . vii i . . . . . . . . . . . . . . . . . . . . . . 116 ACKNOWLEDGMENT S N o the s i s i s brought t o c omp l e t i on without the wi l l ing a s s i s tance o f many peop l e . • The wr iter wishes to a cknowledge with apprec iation tho s e who a s s i s ted her i n thi s s tudy: Dr. Wi l f red c. Sutton , her the s i s c ha i rman , f or i nval uable c oun s e l and guidanc e ; Dr . Bernard Hane s for a s s i s tance in s tat i s t i ca l treatmen t o f the data ; and D r. John F odor who a l s o s e rved on the c ommittee . Mr s. Margare t Hou s ec h i ld , teacher - l ibrar ian ; ; Mr s. Martha Penton and Mr s. C har i ty Quenon , l i brary c l erks o f Val ley Oaks Uni on School D i s tr i c t , who s e support and c ooperation were vita l i n s ecuring the books for thi s s tudy f rom the l i brar i e s . T o a l l who s howed inte r e s t and gave encouragement from the s tart to the f i n i s h. x. ABSTRACT The Readabi l i ty o f Se l e c ted Printed Hea l th Educa t i on Mat e r ia l s for the I nt ermediate Grade s by Corr ine Johanna B idwe l l Ma s ter o f S c ience i n Heal th Sc ience June , 1 9 6 9 The r eadabi l i ty o f printed mat e r ia l s can be mea sured by u s ing var i ou s me thods. Th i s s tu dy emp loyed the F le sch Reading Ea s e formula a s a mea suring i n s tru: ment to pred i c t the readabi l i ty o f s e l ected printed hea lth e ducat i on mat e r ia l s intended for u s e in the intermed iate grad e s. The printed mat e r ia l s con s i sted of o f hea l th t extbook s , (2 ) ( 1 ) a series suppl ementary hea l th books ava i labl e in e l ementary l ibrar i e s of one schoo l d i strict , and (3 ) hea l th pamphl e t s which have been u s ed or are be i ng c on s idered f o r u s e at the intermediate leve l . The r eader i s r eminded o f the l imitation s o f readabi l i ty formulas . The formula only provides a rough e s t imate o f the readabi l i ty o f a pas sage of printed mat e r ia l . xi The ma j or f i nd i ng s and conc lus ions of the s tudy apply only to the materia l s ana l y z ed in thi s s tudy . The f o llowing conc l u s ions were drawn: 1. The hea l th t extbook s o f one s er i e s from the Cal i f ornia S tate l i s t o f approved t extbook s are too d i f f ic u l t for the grade level intended . 2. A l l but one o f the suppl ementary hea l th books wer e too d i f f i c u l t for students i n the intermediate grade s . 3. A wide var iati on o f read ing d i f f ic u l ty wa s f ound within each textbook and supplementary health book. 4. Only one o f the e l even books provided for r ead i ng growth . 5. S entence l e ngth and vocabulary were c ontributing factors t o read ing d i f f ic u l ty . Neither one was a more predominant fac tor . 6. None of the pamp h l e t s te s ted wou ld be s u i tab l e f or t h e average fourth-or f i f th -grade s tudent . Le s s t han one-third would be suitab l e for u s e by the average s ixth-grade student . x i i: C HAPTE R I THE PROBLEM Hea l th educa to r s have attempted to d e f ine heal th e ducat ion i n terms whi c h are meani ngful i n the direct ion , impl ementat i o n , and evaluation o f i t s goa l s . Nyswander . ha s d e f ined health educat i on as a proc e s s of c hange related to achieving goal s ; a c hanging proce s s o f deve l opment whi c h enab l e s the p e r s on to accept or re j e ct new i n forma t i on , new a t t i tude s , and new prac t i c e s which are concerned w i th the attaining of the obj e c tive s of hea lthful l iving . 1 Recent technical deve l opments have brought demand s f o r a broad s cope o f und e r s tandings o f ba s i c facts and · cond itions in a l l areas of knowledge . The c hanging proc e s s require s a deve l opmen t o f broad perspective s , c lear think· ing , and s ound judgment s . The educa t iona l proc e s s mu s t u t i l i z e tho s e i n s t ru c tional materia l s whi c h mee t the new n e ed s and a l s o give due empha s i s to the pa s t . Through a program o f p lanned i n s truction , organi zed around c entra l ideas or c oncepts , i t i s h oped that c h i ldren .wi l l be a ided in ac.•t i eving the above -menti oned goa l s at 1 o e l be r t Oberteuffer & Mary Beyer , School Health Education . (New York ; Harper & Row , 19 6 6 ) , p. 4 3 . 2 f- : th e i r respec tive l eve l s o f maturat i on . ' Johns c onc l uded : f r om her s tudy that a guide for health ins truc tion i s i impe r ative i n this p l anning and wou ld l i s t materi a l s , . t ruc t1on . f o r 1ns . 2 Gray i nd icated the need for providing mate r i a l s .whi c h enab l e a l l pupi l s to achieve c ommon goa l s , l ead to further depth and bre adth of re spect ive intere s t s , deve lopmental ne eds, l earn i n g c ap a c i ty , and r e ading c ompetenc e . 3 The method s and t echniqu e s u s ed i n health education s hould be var i ed . Prob lem s olving , d i scu s s i on , dramat i z a- t i on , i nd ependent i nve s t i gation , and the u s e o f aud i o- : v i sual a i d s are some o f the technique s u s ed to f o s ter s tu :de nt part i c ipati on i n the learning s i tuation whi c h hopef u l ly l e ad s to und e r s tanding of concept s and princ iple s ; invo lved i n attaining and ma intaining healthful l iv i ng . Ba s ic to mos t m e thod s and techniqu e s i s the u s e o f the : p rinted word . Reading become s an e s s enti a l tool i n e f f ec tive u s e o f the p r i nted word . The bui l ding o f a c oncept i s not the teaching o f fac t s but i s a ttained o n l y by bui ld ing o n facts and 2 Mary E l len John s , " An Evaluat i on o f Hea l th Instruct i on Program o f Whi t t i e r S choo l D i s t r i c t . " (Unpub l i s hed M a s t e r' s the s i s , The Unive r s i ty o f C a l i forn i a , Los Ange l e s , 1 95 7 ) , p . 6 3 . 3 wi l l i am Gray , " Reading Mater i a l s Needed for the Current Curr i c u lum , " Mater i a l s For Read ing , Proceedings o f t h e Annua l C onference on Read1ng He ld a t the Univer s i ty o f C h i c ago , Volume XIX ( C h i c ago : T h e Univers ity o f C h i c ago P re s s , 195 7 ) , pp . 1 2 - 1 8 . 3 r e l at i on s h ip s . Exp e r i ence he l p s in thi s proce s s , but f i r s� Read- hand experience i s , more o f ten than not , impo s s ib l e . . ing of the printed word then become s ind i spensable in the deve l opmental proce s s . Wide re ading of the ava i lab l e mater i a l i n the c ontent a r e a furn i sh e s t h e detai l s , give s various points o f v i ew , and sugge s t s que s tions for further r e s e arch . 4 The printed word h a s become the s chool ' s pr inc ipal means o f sharing experienc e . One need s only to l ook at the incre a s ed emph a s i s on r e ad ing i n s c hool systems to r ea l i z e the importance the educa t i on a l s y s tem p l a c e s on thi s me ans of c ommuni c a t i on . We intraub and Hil l ind i c a ted that reading i n the c o ntent are a s such a s health , s c i en c e , mathematic s , and s o c i a l s tu d i e s mak e s certain d emand s on the r e ader . The s e demand s nec e s s i tate reading f o r informati on whi c h i s o f ten highly conde n s e d , has l e s s appea l , and i nvolve s techn i c a l t erms and symb o l s whic h c r e a t e s more o f a prob l em f o r the s tudent i n c omprehe n s ion , interpre tation , reca l l , and the u s e o f i d e a s pre s e nte d . All of the s e require d i s t inct ive s k i l l s and p r e s ent d i f f i cu lt i e s . To me et the s e 4 Gertrude Whipple , " Sequence i n Re ad ing in Content Are a s , " Sequent i a l Deve lopment o f Read i ng Abi l i t i e s . Proceedi ng s o f the Annua l Conference on Re ading Held at the Unive r s i ty o f Chicago , Vo lume XX I I (Chicago : The U n iver s ity o f C h i c ago P r e s s , 1 9 6 0 ) , p . 1 2 6. 4 r equirement s , i t i s e s s ential to f i t the reading to the maturity l eve l of the pup i l and a l l ow for gradual deve l op ment in a s equential pattern . 5 Johnson h a s indicated i n her s tudy t h a t s tudent s in t h e intermediate grad e s a r e not . a lways equipped to perform the s e s k i l l s . 6 The problem o f prov iding l earning exper ienc e s by u s e o f pr i nted mate r i a l to produc e a s ati s fy ing l e arning experience i n k e ep ing with the intere s t s, purpo s e s, and ab i l i ti e s of the s tudents a l l at one t ime become s an important func tion of the teacher. Thi s requ i r e s a teacher who knows how t o teach with many mater i a l s and pos s e s s e s the me ans o f determini ng what mater i a l s are readable for t he range of abi l i t i e s i n a part icular group . D ive r s i fy- ing instr uc t i on become s of paramount importance i n e f f e c tive c ommunc ation by the printed word . task . Thi s i s not a s impl e Bond and T inker noted the i nc r e a s e in the r ange o f r eading abi l i ty a s t h e c h i ldren progre s s through the e lementary grade s . 7 F a i lure to ad j u s t the mater i a l s to 5samue l We i ntraub , " Re s earch , " Read ing Teacher , 2 1 : 28 3 , December , 1 9 6 7 ; and Wa lter H i l l , " Content T extbook : Help or H i ndranc e ? , " Journ a l -o f Re ad ing , 10: 4 10 , Marc h , 1 9 6 7 . 6 Mary Johns on , "The Voc abul ary D i f f i cu lty o f Content Sub j e c t s i n Grade F ive . " , E l ementary Eng l i s h , 2 9;2 12-21 , May, 1 952 . 7 Gary L . Bond a nd Mi l e s Tinker , Reading D i f f ic u l ti e s, The ir D ia gno s i s and Correc t1on . App leton-C r o f t s Inc . , 1 95 7 ) , p�5 . (New York : 5 thi s increa s e i n range o f ab i l ity would l imit the e f f ect ive u s e of the pr i nted word in c ommunic ation . A teacher o f c h i ldren in the intermediate grade s , who knows the deve l opmental level o f thi s age group , may uti l i z e the printed word to an even gre ater extent . Rus s e l l s aid that chi l dr en between the age s o f e l even and twelve years read mor e than at any other period . He b e l i eved that they are inte re s ted in non- f i ct ion material and are eager to s at i s fy intere s t s through the use o f r e f e rence book s . 8 The b a s i c s ource o f informat ion i s the textbook . In Ca l i forn i a , s e l e c ti o n o f textbook s i s a funct ion o f t h e local s chool d i s t r i c t from a l i s t approved b y a s tate textbook committee . Suppl ementary reading materia l s are furn i s hed by the s chool l ibrary and agenc i e s furni shing f r e e and inexpe ns ive printed mater i al . The cho i c e o f suppl ement ary mate r i a l i s a re spon s i b i l i ty o f the te acher o r l ibrar ian and , more o ften than not , i s purely j ud gmental . S tud i e s show that the j udgments o f teache r s , reading experts , and l ibrarians we re incon s i stent in· e s t imat ing the r e ad ing d i f f i cu lty of pr i nted mater i a l . Among i nd iyidua l s , j ud gments r anged from three to f our g rade. 8 navid Ru s s e l l , Children Le arn to Read . B l a i sd e l l Pub lishing Company , 1 9 6 1 ) , p� 8 4 - 6 . (New York : 6 leve l s for the s ame printed mater i a l . 9 What appears to be needed is s ome ob j ec tive means of me asuring the readab i l ity of ava i lab l e materi a l s thu s providing for more s k i l l and accuracy in mak ing dec i s i on s about read ing mate r i a l s . II . Re a dab i l ity . a s h andwr i t ing , (b) DEF INIT I ONS OF TERMS U SED Web s te r' s d e f i n i t i on is (a) legible , e a s y to read , bec aus e intere s t ing . 10 D aLe and Cha l l indicated that readab i l i ty is the s um total ( inc lud ing intera c t ions ) o f a l l tho s e e l ement s within a given p ie c e o f pr i nted mate r i a l that a f fects the s uc c e s s a g roup o f r e aders have with it . The succe s s i s the extent to wh i c h they unders tand it , read it at an optimum speed , 9 Jeanne Cha l l , " Graded Re ad ing P aragraphs in He alth Educ ation- - Re adab i l i ty by Example . " ( Unpub l i shed Ma ster ' s the s i s , Oh i o S t a t e Unive r s ity , Columbu s , 1 9 4 7 ) , pp . 9 1 - 1 4 6 ; David Rus s e l l and Anne Merri l l , " C h i ldrens' L ibrar i an s Rate the D i f f i culty of We l l -Known Juve n i l e Book s , " E l ementary Engl i s h , 2 8:2 6 3 - 6 8 , �1ay , 1 951; Leroy Wood , " Readab i l i ty of Certain.Textbook s , " E l ementary Engli sh, 3 1:2 1 4 - 1 6, Apr i l, 1 95 4 ; Roma L . Herr ington and George G . Ma l linson , " An Inve s t i ga t i on o f Two Method s o f Mea suring Readab i l i ty , " S c i enc e Educ ation , 4 2:3 85- 9 0 , December , 1 95 8 ; Eme r a l d Dechant , Improving the Teaching of Re ad ing . · (New York : Prent i c e - Ha l l Inc . , -r9 6 4 ) , p . 4 6 4; and Lee S . Cronbock , Text Mater i a l s in Modern Educ at i on . ( Urbana : Univer s i ty o f I l l inoi s Pre s s , 1 955) , p . 7 6 l O web s ter' s C o l l egiate D i c t i onary , F i f th Edition . ( Spr ing f i e ld , Ma s s ac hu setts: G. & C . Merr iam Co . , 1 9 40 ) , p . 827 . 7 and f i nd it intere s ti ng . 11 Smith and De chant c ons ider readab i l i ty as the perceptu a l prob l ems of unders tandab i l 12 i ty , the succ e s s the average individu a l h a s with a book . F le s c h considers the aspects o f reading e a s e wh ich i s an e s t imate of the e a s e with whi ch a reader is going to read and unders tand what i s wr i tten and human intere s t wh ich i s an e s t imate o f t h e human inte r e s t o f the pre sentation for .: 13 the r eader . Re adab i l i ty formu l a . t i o n a l d e f i ni t i on . Klare provide s a good opera- He d e f ined readab i l ity f ormu l a s a s a me thod o f mea surement i ntended a s a pred i c t ive devic e , the d e s i gn of whi c h i s intended to provi de quantitat ive , ob j ec t ive e s timate s o f d i f f i cu l ty for piece s o f wr iting without requ ir ing the reader s to read it or take te s t s on it . Printed mate r i a l s. 14 P r i nted material s in t h i s study i nc luded the currently u s ed C a l i fornia S tate approved textbook , hard-bound book s avai lable in d i s tr i c t s c hool l l Edgar Da l e and Jeanne S . Chal l , " The C oncept o f Re adabi l i ty , " E l ementary Eng l i sh , 25 : 2 3 , January , 1 9 4 9 . 12 Henry P . Smith and Emerald Dechant , P s ychology in (Englewood C l i f f , New Jer sey : Prentice T e a c h i ng Read i ng . Hal l Inc . , 1 9 6 1 ) , p. 2 4 3 . 13 Harper & ( New York : ---- 14 (Ame s : Rud o l f F l e s c h , How to T e s t Re adab i l ity . Brother s , 1 95 1 ) � . r . Geor ge K l are , The Mea surement o f Re adab i l ity . Unive r s i ty o f I owa Pre s s , 1 9 6 3 ) - , -pp . 3 3 - 4 . l i br ary and s e l e c ted. sour c e s o f wide ly- u s e d approved health pamphle t s and bu l le t in s . Quantitat ive me a s urement s . The attr ibute s o f voc ab u l ary , d i f f iculty , and s entence length wh ich are c omb ined i n to the d e s ignated formu l a a s r e l ated to the predetermined c r i ter ion o f d i f f i culty d e s ignated by the rating s c al e . Intermediate grade s . The educational leve l o f groups whi c h inc lude s the fourth , f i f th , and s ixth grade s . Factor . An e l ement o f wr i ting s ty l e whi c h inf lu enc e s the s uc c e s s the r eader w i l l have in comprehending the mater i a l . I I I. HYPOTHE S I S There i s n o r e l ationship between the pred icted grade l eve l of d i f f i cu lty as mea sured by the F l e s c h·Reading E a s e F ormu l a and t h e pub l i sher ' s grade leve l de s i gnation . IV . PURPOSE OF THE S TUDY I t wa s the intent o f t h i s s tudy to mea s ure the read abi l ity o f s e le c ted pr i nted hea lth edu c ation ..mater i a l s in an a ttempt to cl a s s ify the printed mater i a l more accurately into grade l eve l s 0f readab i l i ty for intermediate grade s . The F l e s c h Reading E a s e Formul a was employed to provide obj e c tive mea surements and qua l i tative e st imate s of d i f f iculty . 9 The spec i f ic purpo s e o f this study wa s to ( 1 ) deter- mine the approximate level o f read ing ease o f the se lec ted mater i a l s , (2 ) de termine the r ead ing e a s e range of the s e l e c ted mater i al s , (3) de termine any progre s s i on of read- ing ease or range o f d i ff iculty within each s amp le item , (4 ) de termine the F l e s c h Read i ng E a s e s c o re o f each obs er- vation in the s ample , and ( 5 ) determine the var iance o f e a c h s amp l e . V. L IM I TATIONS OF THE STUDY The l imitat ions of a l l readabi l i ty f ormu l a s apply to the s tudy . The s e l imitations are a s f o l lows : (1) formulas me a sure only the s ty l e o f wri t ing and are not me asure s of good style , or gan i z ation , word order , f ormat , imagery , topic head ings , e f fe c t ivene s s o f topic s entence s , enumera t ion , s ummar i e s , or que s t ions; (2) f ormu l a s mea sure on ly the d i f f iculty of style and do not mea s ure c ontent , dramatic e f fec tivene s s , abi l i ty to create a mood , e f fectivene s s i n sway ing opinions o r s a tiri z ing publ i c l i f e ; (3) formulas do not me a sure f actor s o f conceptua l d i f f i culty , s emantic variations in words , e f fe c t of i l lu s tra tion s on comprehens io n , the purpo s e , matu r i ty and inte l l i gence o f·the reader ; (4 ) formu l a s are not accurate mea surements o f d i f f icu lty , t h e r e f ore the re s u l t s are on 1 y e st1mate s o f d 1. f f.1cu lty . 15 . 15 K lare , ££· c i t . , pp . 2 4 -5 ; and Jeanne S . Cha l l . 10 Thi s s tudy cons idered r e adabi l i ty , (2 ) ( 1 ) only two aspects o f s entence l e ngth and s y l lables o f word s ; the r e s u l t s apply on ly to tho s e mate r i a l s u s ed in the s tudy and no attempt was made to general i z e to a l l he a l th educ ation mat e r i a l s at t h e intermediate leve l ; (3) a l l part s o f books were not mea sured ; summar ie s , que s tions , vocabulary l i s t s , and te s t s were omi tted ; (4 ) the mea s urement wa s only a s r e l iable and v a l id a s t he instrument u s ed , the F l e s c h Read ing E a s e Formula . D isc u s s ion o f the val id i ty and re l iabi l i ty o f the Fle s c h Reading E a s e Formu l a i s found in Chapter I I I . Readabi l i tx : An Appr a i s a l o f Re search and Appl ic ation . (Co lumbu s : ohiO State UnLver s i ty , 1 95 8 y;-pp . 12 , 25 , 35 , 55 - 6 . CHAP TE R I I REVIEW O F THE L ITERATURE The inve s t i gations reviewed wer e tho s e concerned w i th the h i s tor ical deve l opment o f mea sur ing the readabi l� i ty of mo s t wr itEen material and included the measurement of wr i tten material prior to the deve lopme nt of readab i l ity f ormu la s , the dev e lopment and revis ion o f readabi l ity for mula s , and current trend s in mea sur ing readab i l ity . The d i f f i cu lty o f wr i tten material i n the specia l content areas of heal th educa tion material and s c ience wa s c o n s i dered to be r e levant to the top i c of th i s s tudy ; therefor e , a review wa s made o f the r eadab i l ity s tudi e s o f health educat ion mate� i a l s i n the intermediate grade s , . genera l indications of r ead ing d i f f i cu l ty o f hea l th education materia l at the h i gh s c hool leve l and genera l c onc lus i on s drawn from s tu di e s on the readab i l i ty o f educationa l materia l s in s c i ence. I nve s t i gations prior to deve l opment o f f ormula s . T h e c oncern o f match ing the reader to the read ing materia l i s not new . When wr i tten c ommunicati on began with the u s e o f s ymbo l s , t h e wr�ter wa s c oncerned that h i s me s sage b e und e r s tood . Klare indi cated that the f i r s t recorded attempt to examine what man ha s c ome to c a l l readab i l ity wa s made by 12 the r e l igious teachers . 1 S ince the re l igiou s l eaders com- p o s ed the l arge s t group of l i terate people o f the ir d ay , thi s i s not surpr i s ing . Lorge noted that the T almud i s t s in 900 A . D . used word c ounts i n d i s t i ngu i sh ing between usual and unusual . 2 me an1.ng s . Educ ator s bec ame inter e s ted in the f ac tors o f re adab i l i ty about 1 8 40 whe n und e r s t anding of the material was a s s oc i ated wi th vocabu lary in the Mc Guf f ey Readers . 3 A word c ount cons tructed by F . W . Koed ing , a German , i n 1 8 9 8 e s tab l i shed a more s c ient i f ic b a s e f or r e l a t ing vocabu l ary to reading d i f f icu lty . 4 In 1 8 8 9 , a Ru s s i an , N . A . Rubok in , demon strated that two f ac t o r s wer e r e l ated to r e ading d i f f i culty . The s e were an unfami l i ar vocabulary and exce s s ive u s e o f over-l ong s entenc e s . 5 Later , Sherman , Gerwig , Yul e , and l Ge orge K lare, The Mea surement of Re adab i l i ty. (Ame s , Iowa : I owa S tate Un iver s i ty Pre s s , 1 9 6 3 ) , p . 3 0 . 2 I . Lorge , " Word L i s t s A Background for Commun i cat i on , " Teachers C o l lege Record , 4 5 : 5 4 3-52 , May , 1 9 4 4 . 3 w . s. Gr ay , " Progre s s in S tudy o f Readab i l i ty , " Library Trend s (Chic ago: Unive r s i ty of Chicago Pre s s , 1 9 3 7 ) , pp . 3 7-5 4 , ( Lted by George K l are , Me asurement o f Readabi l ity (Ame s , I owa : I owa S t a t e Univer slty P re s s , 1 9 6 3) , p . 3 0 . 4 5 Lorge , Loc . c i t . I . Lorge , " Reading and Readab i l i ty " , Teache r s C ollege Re searc h , 5 1 : 9 1 , Novembe r , 1 9 4 9 . 13 K i t son s tudi ed the e f f e c t s o f s entenc e l ength a s a readab i l i ty f a c tor . 6 The work o f E . L . Thornd ike i s cons idered to be the mo s t important vocabulary study of the per i od prior to the devel opment o f r e ad ab i l i ty f ormu l a s . I n 1 921 , The Teachers Word Book iden t i f i ed the frequency with wh ich words occurred and inf luenced the teaching of voc abu lary in schoo l s . Thi s prov ided an ob j e c tive me ans o f expre s s ing voc abulary Many s ub s equent s tud i e s were b a s ed on the 7 books o f Thornd ike . d i f f i cu lty . C ha l l noted that the search for ob j ec tive technique s c ame with the r ea l i z at i on that j udgments o f teachers , l i brarians , and pub l i shers o ften re sulted i n giving mater i a l whi c h was too d i f f ic ul t to read and c omprehend . 8 S e a rc h began f or f a ctors that woul d va l idly d i s tingu i s h e a s y from hard materi a l s , a means o f mea s ur ing them , and an expr e s s i on o f some c omb ination of the s e factor s in terms of r e ad ing a b i l i ty e s s e nt i a l to comprehen s ion . In 1 92 5 , McCa l l and Crabbs pub l i shed Standard T e s t Le s sons i n Reading which l ater bec ame the mos t u s ed and 6 Klare , �cit . , p . 7 31 . I b i d. 8 Jeanne C h a l l , Re adab i l i ty : An Appr a i s a l o f Re s e arch and App l i c at i on . ( Columbus:- Ohio S ta te- Un�ver s ity;-1 9 5 8) 1 p. 1 0 . 14 adequate ava i lable c r iteria for the construction o f 9 r e ad ab i l i ty formu l a s . The r e ad ab i l i ty f ormu l a s . A review o f the l i tera- ture reve a l s that wha t c o n s t i tut e s a formu l a h a s never been c le a r ly s tated . I nve s tigato r s u s ed var i ou s terms to d e s c r i be the ir work ; one may f ind such terms a s me thod , me a sure , te chnique , and quant i t at ive a s s o c iational s tudie s . Klare give s a range o f twenty-nine to f i f ty- s ix " formu l a s " having been repor ted . Al l o f the s e have emp l oyed a certain methodology i n the i r deve lopment whi c h c on s i sted o f an ana ly s i s of potent i a l e l ements re l ated to reader succe s s , counting and c or r e l a t ion o f e lements with a cr iter ion o f d i f f ic u l ty , a n d c ombinati on i n t o a r e gre s s ion equation f ormu l a . 10 Bertha A. L ive l y and s. L, Pre s s ey pub l i shed a paper on voc abu l ary burden i n 1 9 23 . T h i s i s cons idered the f i r s t quantitative s tudy whi c h approached the concept of readab i l ity . The i r s tudy c o n s i s ted o f tak ing 1000 word s amp l e s s y s t emat i c a l ly s e le c ted f rom textbook s , c a l c u l ating the number of d i f f e rent wor d s and a s s i gn ing an i ndex o f d i f f i �ulty r ang ing from one t o ten , a s b a s ed o n T horndike ' s A value o f z er o was given to word s Teacher's Word Boo}:. not on the l i s t , thus p rovid i ng an index of techn i c a l 9 K l are , op . c i t . , p . 10 . 32 . K l are , ££· c 1 t . , p . 3 5 ; Cha 1 1 , op . c1t . , p . 1 6 . . 15 vocabulary . They a s s i gned leve l s o f d i f f iculty to s ixteen p i e c e s of reading matter and r anked them from e a sy or least techn i c a l to mos t technic a l which s erved a s the i r c r i ter ion o f d i f f i c u l ty . burden . Thi s g ave an e s t imate o f voc abul ary 11 The Winnetka s tud i e s whi c h were c arried out i n the Winnetka , I l l inoi s , s c ho o l s under the direc tion o f C a r l e ton W . Wa s hburne a nd Mabe l Vog e l were pub l i s hed in 1 92 6 . The ir purpo s e w a s to determine the d i f f icu lty o f book s r e ad a n d l iked by chi ldren i n c e r t a i n grade s . The paragraph-mean ing s e c t i on o f the Stan£ord Achievement Test was u s e d a s a c r i te r i on o f d i f f i cu l ty . They s y s tematical ly s ampled p a s s ag e s contained i n books chi ldren read i n grades three through nine . The pa s s age s wer e ana l y z ed for four e l ement s of d i f f i c u l ty : d i f ferent word s , number o f prep- o s i tions , words not on Thornd ike' s l i s t , and number o f s imp l e s entenc e s . equat i on . The s e they app l i ed i n a regre s s i on Their work was important for s ever a l reason s : f ir s t , i t was the in i t i a l va lidation study u s ing a s t andard i z ed r eading a c hievement t e s t a s a criteri on of 11 B . A . Live�y and S . L . P re s sey , " A Me thod o f Mea s uring Voc abu l ary Burden o f Textbooks , " Educat ional Admin i s tra t i on and Supervi s io n , 9 : 3 8 9 - 9 8 , Octobe r , 1 9 2 3 , c1ted by I owa State George K l are , Measurement o f Readab i l i ty ( Ame s : Unive r s i ty P re s s , 1 963) , p- . -37 ; and Jeanne Chal l , Read An Appr a i s a l of Re search and Appl ic ation abi l i ty : (Co lumbu s : --Ohlo State Unive r s 1ty , 1 9 5 8 ) , pp . 1 7- 9 . --- 16 d i f f i cu l ty ; s ec ond , i t provided a b a s e upon wh ich authors could c o n s truct the ir own readab i l i ty formu l a s ; third , its s c o re s c orre l ated . 8 4 5 with r eading score s o f the c h i ldren who had read and l iked the book s ; and f ourth , it wa s the f i r s t f ormu l a to pred i c t d i f f icu lty by grade leve l s . In 1 9 3 8 , the f ormu l a was s impl i f ied and c r i terion revi sed to inc lude grade s one and two . 12 Though Edward D o l c h did not c ombine the i nd i c e s s t a t i s t i c a l ly , h i s s tudie s o f vo cabul a ry burden suggest the u s e o f more than one mea s ur ement a s an index . He d e s i gned his own word l i s t whi c h he c a l led the Dolch C ombined Word S tudy L i s t . Dolch uti l i z ed the mate r i a l s d e s i gned pr ima r i ly for grade s one through four . 13 Several d i f f erent technique s were u s ed by A . s. Lewerenz i n h i s stud i e s c onduc ted i n 1 92 9 , 1 9 30 , 1 9 35 , 1 9 3 8 , and 1 9 3 9 whi c h cons i sted o f u s ing d i f ferent e l ements in each s tudy . I n the f i r s t , he u sed words beginn ing with d i f ferent l e t t e r s in the alphabet whi c h he a s s i gned as be i ng e a s y or hard ; in the s e c ond , Ang l o- S axon words and 12M . Voge l and C . Wa s hburne , " An Obj ective Method o f D etermining Grade P la c ement o f Chi ldren ' s Reading Materia l , " E lementary School :�?urna l , 2 8 : 3 7 3 - 8 1 , January , 1 92 8 , c i ted by George Klare , Meas urement of Readab i l i ty (Ame s : I owa State Unive r s i ty P re s s , 1 963 ) , -pp . 3 8- 9 and Jeanne Cha l l , Readabi l i ty : An Appr a i s a l o f Re search and App l i c ation ( C o lumbus; Ohio S tate Un iver s ity , 1 9 5 8- ) - , -pp . 1 9 -21 . 13 K l ar e , op . ci t . , p . 40 . 17 tho s e with Greek or Roman der iva t i on ; in the th ird and fourth , the e l ement of voc abulary intere s t ; and in the l a s t , measures of pol y s y l l ab l e word s.and voc abu l ary ma s s . Al l o f the s tud i e s were b a s ed on graded material in s tandardized reading t e s t s but only the f i r s t two were val idated . 14 George R . Johnson a l s o u s ed polysyl lable word s a s an e l ement o f d i f f i c u l ty . H i s method was s imp le , quick to admi n i s ter and s howed evidenc e o f r e l iabil i ty . There wa s a r e l a t i o n s h ip b e tween the percentage o f polysyl l abic word s and the c omprehe n s ion by s tudents , a decrea s e in Thornd ike f r equency as polysyl l ab i c wor d s increased , an i ncr e a s e in po l y s y l l a b i c wor d s in the c o n s e cut ive grade leve l s , and a c lo s e re lationship b e tween polysyl labic word s and technical words wa s found i n s even c h i ldrens' books . 15 Another formu l a was deve l oped in 1 9 3 1 by W . W . P atty and W, I . P ainter in a s tudy o f the voc abul ary burden of high school textbook s . The ir s amp l i ng technique wa s d i f - ferent from previ ou s s tud ie s . I t cons i s ted o f l i sting a l l the words located i n the third c omp l e te l ine o f every page . An i ndex number wa s a s s igned to each word b a s e d on Thornd ikel s Word L i s t. A we i ghted va l ue wa s g iven from index number and frequency and the average of the s e wa s d e termined . The se f a c t o r s were app l i ed to a formu l a . value s indicated d i f f i c u l t voc abu l ary and high va lue s 1 4 Klare , ££· c i t . , pp . 4 0 -2 . l Sib id. Low 18 i nd i cated easy vocabu lary . The r e su l t s o f the ir s tudy s howed l i tt l e d i f ferenc e s in the textbook s by grade s with the exception of the s op homore texts whic h had the greate s t vocabu lary burden . 16 E . L . Thornd ike ana l y z ed read ing materia l s i n grad e s four to n ine and conc luded that vocabu lary can be increa s ed by the frequent introduc t i on and repe t i t i on o f new words the approximate d i f f i cu l ty o f whi ch are e s tab l i shed by Thornd ike's Word L i st and the norm f or each grade . 1 7 The s tud i e s f r om 1 9 3 4 t o 1 9 3 8 were ba s ed on the princip l e s of readab i l i ty which inc luded deta i l s of s entence fac tor s , vocabulary fac tor s , qua l i tat ive fac tors of abs trac t i on , a l l o f whi c h ind i cated a broader s c ope to r eadab i l i ty . Prior to this t ime , vocabu lary wa s the only factor u s ed a s ba s i s for pred i c t i ons . The f i r s t s tudy , in 1 9 3 4 , wa s done by Ra lph O j emann who examined s eventeen fac t or s , both quantitative and qua l i tative , t o s e e how c l o s e ly the s e var ied with d i f f i c u l ty o f magazine pa s sage s intended f o r adu l t read ing . H e could not expre s s the qua l i ta tive fac tor s of abstractne s s , obs curi ty , and incoherence i n expr e s s ion i n quantitative terms but 1 5 Klare , ££· c i t . , pp . 16 Klare , op . c i t . , pp . 43 , 207 . 4 4 , 208-9 . 19 he c onc luded that they s hou ld not be ignored . The d i f f i - c u l ty o f t h e pa s s age s was determined b y te s t s c o r e s o f comprehen s ion of the s ub j ec t s u s ed . Of the seventeen quanti- tat ive facto r s , three o f t he s entence f ac tor s and a l l o f the vocabulary factors h ad a corre l at i on o f . 6 w i t h the c r i ter ion , s ixteen magaz i ne p a s s age s arranged in order o f d i f f icu lty a s de termined by t e s ts o f c omprehe n s i on . The corre lation of c r i t e r i on and qua l i tative fac tor s could not be c omputed . He c o n c l uded that the d i f f i cu l t pa s s age s were abs tract whi l e e a s y p a s s age s wer e a d i s c u s s ion o f c oncrete expe r i e nc e s . O j emann did not attempt to put f ac tor s into an equation but arranged them a c cording t o d i f f i cu lty a s a s ampl e whi c h could b e u sed i n c ompar ing other mat e r ia l s . T h i s s tudy wa s s i gni f icant i n that i t u s ed only adul t mater i a l s for a c r i te r i on and adu l t subj e ct s ; i t u s ed comprehen s ion que s t i o n s on the s e l e c t i ons ; and , i t attempted t o iden t i f y qua l i ta tive var i ab le s . 18 Sho r t l y a fter the r e s u l t s o f O j emann ' s s tudy were I publ i s hed , Edgar D a l e and Robert Tyl e r pub l i s hed thei r f i ndings in whi c h they had ana l y z ed s imi lar f ac tor s i n 1 8 Ra l p h O j er:ann , " The Reading Ab i l i ty o f Parents and F a c t o r s As s o c i at ed With Reading D i f f i cu lty o f Parent Educa t i o n Ivla te r ia l s , " Un iver s i ty o f Iowa Stud i e s in Chi ld We l fare , 8:1 1 - 3 2 , 1 9 3 7 , c i tea-by George Kl are; Mea surement An of Readab i l i ty , pp . 44- 5 and Jeanne C h al l , Re adabi l i ty : APp ra i sal of Re s e arch and App l ication , pp . 2 1 - 2 . 20 s e lec tions pertaining to per s onal he a l th . They were attemp t ing to f i nd s u i taple reading mate r i a l for adul t s wi th l imi ted r e ading abi l i ty . A total o f twenty-nine f actors a s so c iated with vocabulary , s entence length , and s tructure wer e c o n s idered. A s e r i e s o f corre l ations were run between the f a c tor s and i ndex o f d i f f i cu l ty . Only ten of the s e f a c tor s had a s i gn i fi c an t c orre l at i on with the c r i te r i on and s ome of the ten were so c l o s e l y r e l ated they d id not a l t e r the pred i c t i on . In the r e gre s sion equation , only three f ac to r s were i n c l uded: techn i c a l word s ; hard , but y e t not techn i c a l word s ; and the numbe r o f indeterminate c l au s e s . The r e s u l t s gave an i ndication of the perce n tage of adu l t s wi th third to f i fth grade reading abi l i ty who wou ld be abl e to c omprehend the mat e r i a l in the p a s s a ge s . 19 A l s o in 1 9 3 4 , Wi l l i am s. Gray and Berni c e E. Le ary pub l i s hed the r e s u l t s of the i r r e adabi l i ty study. They were in s e a r c h of s u i table r e ading mate r i a l s for readers with l imited abi l i ty . T h i s s tudy i s recogn i z ed a s the mo s t exten s ive in the h i s tory of readab i l i ty . 19 The i r f i r s t Edgar D ale and Ral ph Tyle r , " A Study of the Factors I n f luencing the D iffi c u l ty o f Re ad i ng Mater i a l s f or Adu lts o f L imi ted Re ad ing Ab i l i ty , " Library Quarterly , 4:3 8 4 - 4 1 2 , Ju ly , 1 9 3 4 , c i ted by Geor ge Klare , Measu rement of Re ada b i l i t� , pp . 4 6 - 7 and Jeanne Cha l l , Re adabi l ity:--An Appr a 1 s a l o f Re s e ar c h and App l i c at ion , pp . 2 2 - 3 . 21 s tep was an opinion survey among l ibrar ians , pub l i sher s , and l e ader s in adu l t education which a sked for the f actors whi ch inf luence readab i l ity for the s pe c i f i ed group ; l ate r , they a s k ed f o r an evaluat ion o f the given factors by thi s s ame group. The re s u l t s of the prel iminary inqu iry we re u s ed i n s e t t ing up the ob j e c tive s for the rema inder o f the inv e s t igati on. The i r o b j ectiv e s were to a s certain what f a c t o r s of expr e s s ion make read ing mater i a l e a s y o r d i f f i c u l t and then t o u s e the s e factors i n pred i c t ing d i f f iculty o f the mater i a l by g iv ing a nume r i c al expre s s ion. The c r i - t e rion o f d i f f i culty w a s a comprehens ion t e s t de s igned t o t e s t t h e reader' s ab i l ity to get the m a i n idea o f p a s s age s s e l e c ted from wide l y - r e ad mater i a l . Of the forty- four f a c tor s , f iv e gave the h ighe s t mu l t ip l e corre l ation of . 6 4 3 5 with the c r i t e r i on whi c h was the s core on the adu l t reading te s t . E lemen t s o f vo c abu la ry , l e ngth o f s entenc e s , and prepo s it iona l phr a s e s were u s ed in the i r formul a . By emp loying the formul a, mater ial s c ou ld be d iv ided into f ive l ev e l s of d i f f iculty r anging f rom very e a sy to very d i f f icu l t . A gr ade a s s i gnmen t wa s then g ive n t o each l eve l o f d�' f f'�cu 1 ty. 20 2 0 wi l l i am S . Gray and Bernice E. Lea ry , " What Makes A Book Readab l e ? " , Journal of Adul t Educ ation , 6 : 4 0 8 - 1 1 , October , 1 9 34 . 22 E l izab eth C . Mor ri s s and Dorothy Halve r s on s ought s ome way of app r a i s ing the d i f f e rentia l meanings of word s t o provide a mor e val id e�timate o f d i f f i culty . They de- v e lo ped what they termed " idea ana l y s i s technique " by c l a s s i fying word s i nto content o r non-content words . The c ontent words were then further c l a s s i f ied into four ma j or g roups whi c h they cons idered to fo l l ow the pattern o f l e arning . Rul e s were formu lated f or ana lyzing book s by t h i s method . The t e chnique had shortcomings wh ich hinder- ed its u s age , the chief o f wh i c h was lack o f su f f i c ient i n s truct ion i n interpretation and no c r i terion . The i r work wa s never pub l i shed , ye t i n s p i te o f i t s s hortcomings i t did contribute by giving another e l ement for 21 c on s1. d erat1on 1. n r e ad a b'1' 1 1ty . . At the pre sent t ime , r e ad i ng spec i a l i s t s are a ttempting to examine the importanc e of words in c ontext . Becau s e the f ormu l a s wer e de tai l ed and therefore not too pr act i c a l f or c ommon u sage , r e s e archers began to l ook for method s by whi c h to s impl i fy the formu l a s and improve upon the i r e f f ic ienc y . One might cons ider the f i f teen y e a r s f rom 1 9 3 8 t o 1 9 5 3 a per i od o f revi s ion and s imp l i f ic a t i on . 21 s,)me o f the formula s developed during E . C . Morr i s s and Dorothy Halve r s on , " Ide a Ana l y s i s Te chn ique . " Unpub l i s hed ( di ttoed ) , o n f i le Co lumb i a Univer s ity L ibrary , 1 9 3 8 , c i ted by George Klare , Me asure men t of Readabi l i ty , pp . 5 0 - 1 and Je anne Cha l l , Re adab i l i ty: An Ap praiSall o f Re s earch and App l i c at ion , pp . 2 5 - 7 . 23 the per iod have become the mo s t wide ly-u s ed by tho s e inter e s ted i n getting the r i ght mater i a l into the hand s o f the reader . The f i r s t revi s ion was o f the Wa s hburne -Voge l f ormu l a . They redu c ed the number o f factors f rom f our to three , changed the word count to number of word s not in Thornd ike ' s 1 5 0 0 C ommon e s t , and the c r i te r i on wa s expanded to include grade s one and two . The new formu l a had a mul - t i p l e corr e l a t i on o f . 8 6 with i t s c r iter ion and was e a s ie r The auth or s gave a probabl� error o f + 0 . 8 for t o app l y . the i r r ev i s ed formu l a . The r ev i s ed mu l t i p l e corr e l at ional formu l a i s : x 1 = . 0 0 2 5 5X 2 + . 04 58X 3 - . 03 07X 4 + 1 . 294 where: = grade p l a c ement x2 = numb e r o f d i f ferent words x = numb e r o f d i f f erent uncommon words x l 3 ( not in Thorndike ' s 1 5 0 0 C ommone s t ) x4 = numb e r o f s impl e s entenc e s in s eventy-f ive s ampl e s entence s . T h i s rev i s ed formu l a b e c ame known a s the Wa s hburne -Morph e tt formu l a . 22 Later s tudi e s on c omparat ive val id ity showed 2 2 car l e to n Wa s hburne and Mab e l V . Morphett , " Gr ade P l ac ement o f Chi ldr e n ' s Boo k s , " E l ementary Schoo l Journal , 3 8:3 5 5 - 6 4 , January , 1 9 3 8 , c i ted by George Klare , Me a surement of Readab i l i ty , pp . 5 2 , 1 1 6 . 24 t he formu l a t o p l a c e books a t a highe r grade lev e l than do other forrnu l a s . 2 3 Irving Lorge f e l t that too muc h t ime and l abor were i nvo lved in u s i ng de tai led f o rmu l a s . The e f fort s invo lved Hi s d id not incre a s e the pred i c t i on to any great degree . work was d i r e c ted t oward s impl i fying mea surement s . He e s ta b l i s hed h i s c r i ter ion from 3 7 6 s e l e c t ions in the McCa l l-Crabbs S tandard Te s t L e s s ons in Reading . The f ac to r s o f the Gray-Le ary formu l a s e rved as a s tart ing p o int . A s e r i e s o f mul t i p le correlat ions u s ing var i ou s c omb inations o f the f ive factors to whi c h he a s s igned a we i ghted i ndex o f d i f f icu lty wer e c omputed with h i s c riteLater he u s ed s ome e l ements o f the Morr i s s -Ha lverson r ion . c la s s i f ic at ion. The f i n a l ver s i on o f h i s formu l a u s ed three factor s , the number o f d i f f erent hard word s , the average s entence l ength , and the numbe r of prepo s it i onal phra s e s. H i s f ormu l a is a s f o l l ows: whe r e: x x l 2 = gr ade p l acement = average s e ntence le ngth in word s 2 3 navid Ru s s e l l and Henry F e a , " Va l id i ty S tud i e s o f S i x Readab i l i ty Formu l a s a s Me a sure s o f Juven i le F i c t ion , " E l ementary Schoo l Journa l , 5 2:1 3 6 -44 , November , 1 9 5 1 and C yr 1 l la Wal ther , " The Reading D i f f iculty of Maga z ine s , " School Review , 5 1:1 0 0 - 5 , February , 1 9 4 3 , c i ted by Jeanne C h a l l , Readab i l i ty: An Appr a i s a l of Re s e arch and App l ication , pp . 7 2 - 8-.- 25 x3 = number o f prepo s i t i onal phr a s e s per 1 0 0 word s x4 = number o f d ifferent hard words per 1 0 0 words not on the D a l e 7 6 9 Word L i s t . H i s formu l a had a c o r r e lation o f . 7 6 6 9 with the c r i t e r ion . H i s work i s s i gni f i cant not only for s impl ification but a l so for e s tab l i s h ing the be s t c r i te r i on devi s ed up to that t ime . 24 Later , many s tud i e s wer e made o f val idi ty by c omThe re s u l t s o f the s e var ied but indic at ed par i ng formul a s . a c lo s e compar i son , with intercorre lations from . 5 4 to . 9 0 , w i th the Was hburne - Morphe tt formul a and l ater the D a l e C ha l l formu l a . I t gave a better pred i c t i on for primary grade s than for upper grad e s even though Lorge sugge s ted the f ormu l a be u s ed for grade range f rom three to twe lve . 2 5 The f i r s t formu l a u s ing only one factor o f d i f f i cu lty , a we i ghted index o f vocabu l ary , was dev i s ed by G . A . Yoakum at the Univer s ity o f Pit t sburgh in 1 9 3 9 . not pub l i s hed unti l 1 9 4 8 . I t was The we i ghted index was obtained by a s s i gning values of four t o twenty to each 1 0 0 0 words of Thorndike ' s word l i s t s t a r t i ng above 3 0 0 0 and continuing to 2 0 , 0 0 0 . Word coun t s were made by page s , a total o f ten p ag e s wa s c ounted . The grade p lacement r anging f rom two 2 4 Irving Lorge , " Wo rd L i s t s A Background for C ommunicat ion , " Teacher s C o l lege Rec ord , 4 5 : 5 4 3 - 5 2 , May , 1944 . 2 5 Je anne Cha l l , Readab i l i ty : An Appra i s a l o f Re s earch and App l i c a t ion , pp . 8 4 - 7 . 26 t o f ourteen wa s made by consult ing a reading di f f i culty scale b a s ed on the c omputed average page index numbe r . H i s f ormu l a wa s appl i ed to r epre sentative books pub l i shed t e n years apar t . The later publ ications wer e found to be e a s i e r than publ isher ' s grade pla cement . 26 Later , the The formu l a was u s ed i n c omparat ive val idity s tudie s . r e s u l t s of the s e are not con s i s tent , w i th a var i at ion a s much a s two grade leve l s , howeve r the f ormu l a compare s c on s i s tently with the Dale-Cha l l formu l a . 27 The concept o f readabi l i ty bec ame mor e wide ly known and u s ed i n the a r e a s of j ourna l i sm , b u s ine s s , and governmen t through the e f forts of Rudo lph F le s ch . Becau s e F le s ch wrote many art i c l e s and books on readab i l ity , h i s formu l a became wide l y known . had many s hortcomings . He f e l t the e x i s ti ng formu l as The s e he l i s ted a s not b e i ng suit- abl e for adul t materi a l , empha s i s on voc abul ary at the expen s e o f other factor s , and too l it t l e attention to abstract word s . He s e t out t o t e s t h i s hypothe s i s . The r e s u l t s o f h i s s tud i e s were pub l i s hed in h i s books The Art of P l ain T alk and The Art o f Readable Wr i t ing . 2 8 2 6 G . A . Yoakum , B a s a l Reading In stru c t i on . York: Mc -Graw-Hil� , 1 9 5 5 ) , pp . 3 29- 4 3 . The ( New 2 7 Je anne C ha l l , Readabi l i ty : An Appr a i s a l o f Re s e arch and Ap p l ic a t i on , pp . 8 3 - 4 . 2 8 rbid . , pp . 2 9 -3 0 . 27 revi s ed f ormu l a was pub l i shed i n h i s book How To T e s t Readab i l i ty . 2 9 The F lesch formu l a i s cons idered more fu l ly in C hapter I I I . I n 1 9 4 8 , Edgar D a le and Jeanne Cha l l de s i gned a formu l a which was intended to correct the d e f i c ienc i e s o f the original F l e s ch formu l a. They po s tu l a ted that a larger word l i s t wou ld pred i c t better than the Dale l i s t of 7 6 9 word s or c ounts o f a f f ixe s , personal re ferenc e s were unnec e s s ary , and a mor e e f f i c ient f ormu l a c ould be deve loped u s ing the word f actor and sentence factor . They deve l oped the ir formu l a w i th the s e fac tor s and u s ed the McC a l l -Crabbs c r iter ion of d i f f i cu lt y . w i th the c r i te r i on . The formu l a s cores corr e la ted . 7 0 I t w a s i ntended pr imar i ly for adult mater i a l s; however, a fter exper imenting w i th the formula , a t ab l e for corr e c t i ng grade l eve l s g ave i t a range f rom t h i rd grade to twe l ft h . X c 50 = . 1 5 7 9X l 30 The i r f ormu l a i s a s fo l l ow s : + . 0 4 9 6X2 + 3 . 6 3 6 5 where : xc 50 = r e ad in g s core o f pup i l who can answer cor r e c t ly one-ha l f the McC a l l -Crabbs te s t que s t i o n s o n a pa s s age 2 9 Rudo lph F l e s c h , How T o Te s t Readab i l i ty , ( New York : Harper & Brothe r s , 1 9 5 1 ) ; Rud olph F l e s c h , The Art o f P l a in Harper & Brother s , 1 9 5 6 ) ; Rudolp�F le sch , T a lk , (New York : o f App l i ed �ew Re adabi l i ty Yard s t i ck , " Journal -P s ychol ogy , 3 2:2 2 1- 3 3 , June , 1 948 . 30 cha1 1 , op . c i t . , pp . 31-4 . 28 x 1 = percentage o f word s out s ide the D a le l i st o f 3000 x 2 = (Da l e score ) average s entence length i n word s . Evidence o f v a l i d i ty was o f fered by the author s by show i ng evidence o f h igh correlation o f j ud gments o f teache r s , readab i l i ty spec i a l i s t s , and reading grad e s o f c h i ldren and adu lts who were able to answer c orrectly 7 5 percent of the que s tions on the pas sages s e le c ted. 3 1 Many s tudie s o f c ompar ative va l i d i ty w ith other f ormu l a s have been done. In summar i z i ng the s e , one need s to c on s ider that d i f fere nt mater i a l s were u se d by each inve s t i gator ; d i f ferent for� mu la s were c ompared , s ome y i e lded grade leve l s c or e s d i r e c t ly whi le other s requ i red correc t i on s ; d i f ferent cri ter i a of d i f f icu lty have been u s e d ; and d i f ferent me thod s o f corre lation have b e e n emp loyed. In terms o f c orre lational data and grade p l ac ement , the f indings show that the D a l e C h a l l and F l e s ch Reading E a s e f ormu l a s t o be the mo s t 32 c o n s1. s tent . Whi l e the s e ar c h for a means o f me a suring adul t r e ad ing mate r i a l s w a s tak ing place , E . W. D o l c h and Lester and Viola Whe e ler were concentrating the ir e f f orts on mate r i a l s f or c h i ldren. 3 1 I b id . , p . 91 . 3 2 Klare , op . c i t . , pp . 1 1 8-2 0 . 29 Dolch s tudied textbook s . He u s ed s entence length , D o l c h ' s The F i r s t Thous and Words for Chi ldren ' s Re ad ing , and po lysyl labic word s . Each f ac tor.w a s u s ed independ- ently and c ompared with s tandard s given . H i s progr e s s ion in c ounts of s e t s of r e ader s at d i f ferent grade leve l s provided the s tandard s for eacp grade and a l s o evidence of va l i d i ty . The formu l a is intended for use on material s f o r grad e s one through f our . 3 3 Whee ler a nd Whee ler tabu l ated word count s u s ing Thorndike ' s r a t ings for grade placement . The r e s u l t s o f count s in each grade leve l w e r e then ba sed on perc entage s . The Thornd ike word l i s t s were u s ed a s the c r i terion and to e s t ab l i s h v a l i d i ty . 3 4 In 1 9 5 0 , F l e s c h c o n s idered a new f actor o f reada b i l ity , wh i c h he termed leve l o f abs trac ti on . formu l a i s impra c t i c a l for common u s age . The S i xteen c a te- gori e s of w ord s and th irteen l imitations of qua l i f ications a r e needed i n making the word count . A tab le was devi sed t o determine the r e l a t i on s hi p o f d e f inite word s and the 3 3 E . w . D o l c h , " Graded Reading D i f f ic u l ty , " ( Ch . XX I ) Problems i n Reading , ( Ch ampa i gn , I l l inoi s : The Garrard P re s s , 1 948) , pp . 2 2 9- 5 5 , c ited by Klare , The Measurement of Re ad ab i l ity , pp . 6 0- 1 . 3 4 L . R . Whe e ler a nd V . D . Whe e ler , " Se lecting Appropriate Reading Mater i a l s , '' E lementary Eng l i sh , 2 5 : 4 7 8 - 8 9 , D ecember , 1 9 4 8 , c i ted by Klare , The Me asurement of Readab i l i ty , pp . 6 1- 2 . 30 leve l o f ab s tr a c t i on. The McCa l l -Crabbs t e s t l e s sons were again used as a c r i ter ion, 3 5 Jenk i n s and Jone s c r i t i c i zed the formu l a bec au s e of its c omplexity. The correl ation of the syl l a b l e c ount w i th the McC a l l -Crabbs te s t was . 6 9 and w i th the added mea s u r e s of a b s traction and d e f i ni te word s , i t gave a mu ltiple correlation o f s t a t i s t i c a l gain of . 72 . They f e l t that the . 0 3 was not practi c a l ly s igni f i cant. 3 6 Paul G i l l i e f e l t the d e gree o f abs traction w a s o f importance but recogn i z e d it s impra c t ic a l i ty.· He made an ana ly s i s of the cate gor i e s of d e f inite words and arr ived at two factors which he termed d e f in i t e a r t i c l e s and finite verbs . He va l idated h i s f ormu l a w i th the F l e s c h Leve l o f ·Ab s t r ac tion formu l a and a l s o s ta ted t h e r e was no obj e c t ive method for v a l i da t i ng a mea sure o f ab s tr a c t i on. 3 7 Jame s F arr , Jame s Jenkin s , and Donald Pater s on s tudi ed the r e l i a b i lity c oe f f i c i ents of var i ous stud i e s by d i ff erent ana l y s t s a nd attempted to improve the e f f ic iency by s impl i fying the F le sc h Readi ng Ea s e Formu l a. They 3 5 Rud olph F le sc h , " Me a s ur i ng the Leve l o f Ab s tr ac· t i on , " Journ a l o f App l i ed P sycho logy , 3 4 : 3 8 4 - 9 0 , December , 1950 . 3 6 Jame s J . Jenk i n s and Robert L . Jone s , " F le s c h ' s 'Me a s ur i ng the Leve l o f Ab s tract ion ' , " Journ a l of App l i ed P sycho logy , 3 5 : 6 8 , February , 1 9 5 1 . 3 7 P au l J . Gi l l i e , " A S imp l i f i ed Formu l a for Measur i n g Abs traction i n Wr i ti ng , " Journ a l of App l i ed P sychol ogy , 4 1 : 2 1 4 - 1 7 , Augus t , 1 9 5 7 . 31 p o s tu lated that c ount i ng one s y l l ab l e word s wou ld be more rapid and equal l y as prec i s e . One hundred word s amp l e s w e r e s cored us i ng the o ld formul a wh ich u s ed s y l l ab l e c ounts and the ir formu l a w h i c h u s ed the count o f o n e s y l l ab l e word s . The mea n a nd s tandard deviation were c omputed f or the var iable s of one syl lable word c ount s , syl lable coun t s , r e ad i ng e a s e score o f old formu l a , and reading e a s e s c o re of the ir new formula . The var iabi l i ty o f the o ld r e ad ing e a s e score was 1 5 . 7 a s against 1 4 . 2 w i t h the new s c or e . The number o f one s y l l able words and the s yl l abl e count c o r r e lation was found to be - . 9 1 . This provided the regre s s io n needed f o r t h e subs titut ions i n t h e new formula . (1 } The two regre s s ion f ormu l a s are : Old Read ing E a s e Index = 2 0 6 . 8 3 5 - . 8 4 6 wl - 1 . 0 1 5 s l (2 } New Reading E a s e I ndex = 1 . 5 9 9 n o sw - 1 . 0 1 5 s l - 3 1 . 5 1 7 where : wl = number o f syl l ab l e s per one hundred word s sl = aver age s e ntence l ength n o sw = number o f one s y llable words per one hundred words The new f ormu l a gave a corr e lation c o e f f i c i ent o f . 9 3 . They concluded f r om thi s that the s impl i f i ed ver s ion could be s ub s t i tuted for the original f ormu la . In add i t ion , a ..:S L table was c o n s truc t e d wh ich wou l d be used for both f ormu l a s . 3 8 Recent ly , bus ine s s and indu s t r y have become inter e s ted in produc i ng t r a i ning ma ter i a l s and report s for emp loye e s . The work o f Robert Gunning and John McE lroy , r e s e archers in the area o f r e ad ab i l i ty , have brought the importance of read ab i l i ty t o the attention o f tho s e who a r e r e spons i b l e for w r i tten c ommuni c a t i on in indus try . Gunni ng devi s ed a s impl e formu l a wh ich h a s been used by the S tand ard O i l C ompany o f N ew Jer s ey . T h i s f ormu l a has two f a c tor s , numb e r s o f word s in s entenc e s and number o f p o l y s y l lab i c words . By applying the se to a s imp l i f ied f o rmu la , a Fog I ndex is obtained . Thi s index is the grade leve l required for u nd e r s tand ing the mater i a l . C r iter i a wer e based on Ame r i c a n mag a z i ne s o f var ious c l a s s e s and p a s sages in the McCa l l -Crabb s t e s t . 3 9 The McE l roy f ormu l a i s very s im i l a r t o Gunning ' s . He u s e s c ounts o f phonetic s ound s and wor d s i n s entenc e s a s factors and arr ive s at a Fog Index . A r e ad ing l eve l i s obtained by u s i ng a 3 8 Jame s N . F ar r , Jame s J . Jenkins , and Donald G . P ater s on , " S imp l i f i c a t i on o f F l e s c h Read ing E a s e Formula , " Journal o f App l ie d P s ychology , 3 5 : 3 3 3 - 3 7 , Octobe r , 1 9 5 1 . 3 9 Raymond P e t e r s , Commun i c a t i on Within Indus try . (New York : Harper & Brothe r s , 1 9 5 0 ) , pp . 1 4 8 - 5 0 ; Roger Be l low s , P sycho l ogy o f P e r s onne l and Indu stry . (Englewood C l i f f s r New Jer s ey : -prenti c e -Hal l I nc . , 1 9 5 4 ) , pp . 3 3 2 - 4 9 . 33 f ormul a very s imi l ar t o Gunning ' s . He o f f ers no i nf orma t i on on the adequacy of the formula . 4 0 . Re s earch during the years f rom 1 9 5 3 up unt i l the present t ime has bee n direc ted toward the deve lopment of spec i a l i z ed f ormu l a s on read ing te s t s , pr imary read ing ma ter i a l s , and other d imen s ions o f w r i ting . Wr itten te s t i n s t ruments have become a tool for me asuring variou s apt i tude s and c apac i t i e s o f individual s or groups . The u s e fu l ne s s o f the se instruments is d ependent , t o a l arge extent , on the l eve l o f reading d i f f iculty . F r i t z Forb e s and Wi l l i am Cottle s tud i ed the read ing d i f f i culty o f te s t s c ommonly u s e d i n c oun s e l i ng a t var iou s educ a t i on a l l eve l s . F ive of the mo s t popular formulas , tho s e o f D a l e - Cha l l , F l e s c h , Lorge , Yoakum , and Lewerenz , were app l ied to twenty- s even s e lected s t andard i z ed te s t s u s ed in c oun s e l i ng . A me an grade level o f reading was obtained by the app li c a t ion of the f ormu l a s . Becau s e of the t ime f ac tor s i nvolved i n the appl i c ation of the formu l a s to a s ingl e te s t , the author s s e arched for a more s imp le t echnique . T h i s re s u l t ed i n the Forbe s formula which was i n tended t o be u s ed i n mea su r i ng readab i lity o f pr inted matter in s t andard i zed t e st s . voc abulary . Thi s ha s only one factor , A we i ghted i ndex b a s ed on the 1 9 4 2 Thornd ike 4 0 Guide for Air Force Wr i t ing . Air Force Manu a l 11-3 . Maxw e l l �l ab ama ; Department o f Air Force , Maxwe l l A i r Force Ba s e , Air Univer s i ty , June , 1 9 5 3 , c i ted b y Klare , Mea surement o f Readab i l i ty , pp . 65- 6 . 34 Jun ior Century D i c t i onary word s above mos t common 4 0 0 0 was u s ed . words. The w e i ghts were total e d and d ivided by number o f A table was devi sed t o arr iv� a t the corre spond ing grade leve 1 . 41 George Spache ' s inte r e s t in read ing mate r i a l s at the primary l eve l r e su lted in a formu l a to mea sure readab i l ity at thi s leve l . The f ac tors o f sentence l ength and precent- age of hard words b a s ed on words out s ide the Dale Easy Word L i s t were u s ed. The formul a c orre l ated we l l w i th the Dale- C ha l l mul t i p l e c oe f f ic ient o f . 7 0 , the F l e s c h Read ing E a s e mul tiple c oe f f i c ient o f . 7 0 4 7 , and a l s o w i th observed read ing performan c e . 4 2 L e s ter Whee l e r and Edwin Smith d evi s ed another formu l a for pr imary grade ma ter i a l s wh ich emp loys the s ame techn i que which Gunning used . Criterion of d i f f i - c u l t y was the publ i sher ' s grade d e s i gnation. A table w a s d ev i s e d f o r grade placement o f materi a l . 4 3 4 1 F r i t z F orbe s and Wi l l iam Cott l e , " A New Method For De termining Readabi l i ty of S tandardi zed Te s ts , " Journal of App l ied P sycho l ogy , 3 7 : 1 8 5 - 9 0 , June , 1 9 5 3 . 4 2 Ge orge Spache , " A New Re ad ab i l i ty Formu l a for P r imary Grade Reading Mate r i a l s , '' E l ementary Schoo l Journa l , 5 3 : 4 1 0 - 1 3 , March , 1 9 5 3 . 4 3 L e ster Whe e l e r and Edwin Smith , " A Prac t i c a l Readab i l i ty Formu l a f or the C l a s s room Teacher in the P r i mary Grade s , " E lementary Engl i sh , 3 1 : 3 9 7 - 9 9 , November , 1 9 5 4 , c i ted by K l are , The Mea s urement of Re adabil ity , p. 6 8 . 35 In 1 9 5 4 and 1 9 5 8 , Rudo lph F l e sch devi sed two new f ormu l a s d e s i gned pr imar i ly for writer s , The s e are t e rmed exper imenta l f ormu l a and forma l i ty-popularity f o rmu l a and me a sure pre c i s i on i n writing . a r e c omp lex , Both f ormu l a s invo lving coun t s o f w ord s having r e f erence to rea l i sm , c oncretene s s , spec i f i c i ty , force fulne s s in de l ivery , and vividne s s , preting the s c ore . che cking the s c or e s . A tab le was provided f or inter- N o d e f i n i te c r i te r i a was provided for 44 Me a s uring the l eve l o f ab s tract ion was the purpo s e o f a s tudy by Rich ard B l o omer . He hypothe s i z ed that the pr e c i s ion of wr iting i s incre a sed by the u s e of mod i f i er s . S ound and shape c omp l e x i ty and number o f le tter s were c ons idered in de termin i n g the mod i f i e r load. d e s i gnation w a s cr i ter ion leve l . Publ i s her ' s Modi f i er s tend to in- crease and become more d i f f i cult t o d i s c r iminate a s grade 1 eve 1 1nc r e a s e s. . 45 Rec e ntly , Edward Fry , a t Rut ger s Univer s ity , has d ev i sed a f ormu l a whi ch he expr e s s e s in graphic form . Voc abu l ary l oad and gramma ti c a l complexity are the two f a c to r s u s ed. The number o f words in sentence s and syl l a b l e s are p l otted on a graph to de termine readabi l i ty 4 4 K 1 are , ' t · r pp . 6 9 , 7 2 �· � . 4 5 R i chard Bloomer , " Leve l o f Ab s traction as Function Mod i f i e r Load , " Journa l o f Educational Re search , of 5 2 ; 2 6 9 - 7 2 , March , 1 9 5 9. ..:J O Though rather vague a s a c r i ter i on o f d i f f iculty , l evel . i t appears that the pub l i s her ' s de s i gnation wa s used . Grade l eve l s were de termined by plott ing c lu s te r s o f book s . T hough the graph i s only an e s t imate , Fry fee l s that i t s s imp l i c i ty enhanc e s i t s prac t i c a l i ty . The c omparat ive va l i d i ty s tud i e s by K i stulent z , in 1 9 6 7 , c omparing it with f ive f ormu l a s s howed corr e l ations ranging from . 7 8 to . 9 6 and . 9 3 with s tudent compr ehe n s ion o f tenth grader s . Another c omparat ive val idation h a s been done by F ry on pr imary leve l mat e r i a l s u s in g c l o z e proc edure , Spache f ormula , and o r a l r e ading te s t s . C orre lat ion ranged from . 9 0 to . 9 6 . 4 6 Current trend s in read ab i l i ty . Current l i terature ind i c a t e s that s tudie s are c onduc ted u s ing c omprehens ion t e s t s , c l o z e procedur e , d i f f erent word me aning s , and ampl i f i c a t i on of pa s s age s as a me asurement of re adab i l i ty . The s e do not u s e formu l a s and a l l invo lve t e s t ing the reader . A few o f the s e stud i e s are c i ted . Me lvin Howard s tud i ed c ommon me aning words , h i ghf requency of mono syl l ab i c word s , and mu l t iple me aning words a s u nde r s t ood by c h i ldren in i nterme d i ate grad e s . 4 6 Edward Fry , Teaching Re ading F a ster . ( C ambr idge Unive r s i ty Pre s s , 1 9 6 3 ) , pp . 1 2 2 - 3 8 : Edward Fry� E n g l a nd ; '' A Readabi l i ty Formu l a That Save s T ime , " Journal o f Read ing , 1 1 : 5 1 3 - 1 6 , 5 7 5 - 7 8 , Apr i l , 1 9 5 8 ; and Techni c a l Report No . 2 , CAI Laboratory , Harvard Univer s i ty , Augu s t , 1968 . 37 He conc luded that frequency and monosyl lable words are not a guarantee of fami l i a r i ty to the reader and some me ans o f we i gh t i ng var iou s me anings i s ne c e s s ary . 4 7 Taylor , Ander son , Barmuth , Kingston , and We aver have conduc ted s tud i e s on c lo z e procedure wh i c h they f e e l i s a mea sure of comprehens ion . 4 8 The proc edur e involve s de leting word s s y s temati c a l ly f r om written mater i a l and subj e c t s are then a s ked to f i l l in the mi s s i ng word s . Tay l or f ound thi s me thod would y i e ld r e su l t s c lo s ely related t o readab i l i ty f ormu l a s core s . 4 9 The e ffec t o f rewr i ting mater i a l wa s me a sured by McTaggart in s tudying h i gh s chool health texts . D i ffer- enc e s were noted whe n mate r i a l wa s rewr i tten to incre a s e c omp l e x i ty and whe n i t wa s rewr i tten to s imp l i fy . Lower s co r e s were obtained when mater i a l s we re more c omp lex and 4 7 .He lvin Howard , " How E a s y are E a s y Word s , " Journal o f Exper imental Educ a t i on , 3 2 : 3 7 7 - 8 2 , Summer , 1 9 6 4 . 4 8.w . L . Taylor , " A New Tool f o r Measuring Re adab i l i ty , " Journa l i sm Quarterly , 3 0 : 4 1 5 - 3 3 , F a l l , 1 9 5 3 ; Jonathon Ande r s on , " Re s earch i n Readab i l i ty for the C l a s s room Teacher , " Journal o f Read i ng , 8 : 4 0 2 - 3 , 4 0 5 , May , 1 9 6 5 ; Albert Kings ton and Wenda l l Weaver , " Re c ent D eve l opments in Readabi l i ty App r a i s a l , " Journal o f Read ing , 1 1 : 4 4 - 7 , October , 1 9 6 7 ; and Albert K i n g s ton and Wenda l l Weaver , " C omparab le C l o z e a nd Mul t i p le Cho i c e Comprehe n s i on Te s t S c o r e s , " Journa l o f Reading , 1 0 : 2 9 1 - 9 9 , February , 1 9 6 7 . 4 9 w . L . Taylor , " A New Tool for Me asuring Re adab i l i ty , " Journa l i sm Quarterly , 3 0 : 4 1 5 - 3 3 , F a l l , 1 9 5 3 . 38 h i gher s c or e s we re noted on tho s e t e s ted over s impl i f ied materia l . 5 0 Read ab i l i ty s tud i e s o f health e duc at ion mater i a l s in intermediate grade leve l . When D a l e and Ty ler made the ir s tudy of hea l th pamphlets i n 1 9 3 4 , this was the f i r s t pub l i s hed s tudy ind ic ating techn i c a l terms were a contributing f a c tor in the c omprehens i on o f the material . 5 1 A s a r e s u l t o f an educational survey by the National Tubercu l o s i s As s oc iation dur ing 1 9 4 4 - 4 9 , c onducted by Edgar Dale and Jeanne Cha l l , the extent of the c onfus ion whi c h exi s ted among pup i l s about d e f i n i tions o f health terms bec ame evident . A table o f frequency o f f ami l i ar i ty o f hea lth terms was c on s tructed which writers c ou l d refer t o when wri t ing h e a l t h ma ter i a l s . 5 2 Herman Berger was concerned about l o s s o f inte r e s t i n reading wh i c h s e emed t o occur s tarting at the third grade leve l . He hypothe s i z ed that one c au s a l fac tor may be 50 Aubrey McTaggar t , " Me a sur ing the Readabi l i ty o f H i g h School Hea l th Tex t s , '' Journal o f S chool Hea lth , 3 4 : 4 3 4 - 4 3 , November , 1 9 6 4 . 5 1 Edgar Dale and Ra lph Tyler , " A S tudy o f Fac tor s I n f luenc i ng the D i f f i cu l ty o f Read i ng Mater i a l s for Adu l t s o f Limited Re ading Abi l i ty , " L ibrary Quarter ly , 4 : 3 8 4 - 4 1 2 , Ju l y , 1 9 3 4 , c i ted by Jeanne C ha l l and Edgar Dale , '' F ami l i a r ity o f S e l e c ted H e a l t h T erms , " Educ ational Re search Bul letin , 2 9 : 1 9 7 � 2 0 6 , November , 1 9 5 0 . 5 2 Jeanne Cha l l and Edgar D a le , " Fami l i ar i ty of S e l e c ted H e a l t h T e rms , " Educational Re se arch Bu l le t in 2 9 : 1 9 7 -2 0 6 , Novembe r , 1 9 5 0 . 39 i ncrea s ed voc abul ary l oad a t thi s grade leve l . For h i s s tudy , h e c h o s e to compare voc abul ary in nine th ird-grade hea lth r e ader s . He found by actual word count that mo s t o f t h e words were uncommon a s c ompared to Thornd ike ' s c l a s s i f ic at i on and Rins land ' s l i st o f ba s ic vocabulary o f e l e mentary s c h o o l c h i ldren . He concluded the vocabulary burden wa s too d i f f i c u l t t o expec t adequate word mas tery . 5 3 The above-mentioned stud i e s were not nece s s ar i ly on i ntermediate leve l , but they ind i c ate the voc abu lary fac tor of d i f f iculty f ound in a wide range o f printed hea lth mater i a l . A word-me aning te s t wa s devi sed by Mary John s on in an attempt to de termine f a c to r s wh i c h may inf luence f a i l u r e to c omprehend mater i a l i n the f ifth grade . Words ba s ed on content subj e ct s , o f wh ich health was inc luded , wer e s tud i ed . A mul t ip l e c h o i c e te s t was admi n i s tered to f i fth grade pupi l s . By u s ing thi s type o f t e s t , John son could also c on s ider d i f ferential meanings o f word s . In the area o f h e a l th , o n ly 5 6 percent were corre ctly de f ined . From the r e s u l t s , Johnson concluded that a word e nr i c hmen t program was needed i n the c ontent areas . 5 4 5 3 Herman Berge r , " The D i f f i c u l ty o f Third -Grade Hea lth Re aders , '' E l ementary School Journa l , 4 7 : 3 9 1 - 9 5 , Marc h , 1 9 4 7 . 5 4 Mary E . John s on , " The Voc abul ary D i f f i culty o f C ontent Sub j e c t s i n Grade F ive , '' E l ementary Eng l i s h , 2 9 : 2 7 7 - 8 0 , May , 1 9 5 2 . 40 The Yoakum and D a l e -Cha l l formu l a s , teacher j udgment and teacher experience were u s ed to determine the r eadabi l i ty of twe lve intermediate grade textbook s , three o f the s e were heal th books . Teacher s expr e s sed approval o f a l l t he hea l th book s , the f ormu l a s agreed on two out o f the three , and teache r experience had no e f f e c t on cho i c e . Wood conc luded that teacher j ud gment and read- abi l ity f ormu l a s s hould be u s ed in s e lec t ing mater i a l s . Thi s author noted that te acher j udgment may have been inf luenced by other factors o f readabi l i ty a s c ompared to the fac tor s u s ed i n the f ormu l a s . 5 5 The Yoakum f ormu l a wa s a l s o app l ied by Jone s i n d e termining t h e d i f f icu l ty o f thirty-two health textbooks u s e d in gr ade s four through e ight . Jon e s found the mater- i a l var i ed i n d i f f icu l ty throughout the book s , 5 0 �er cent we r e i n the pub l i s her ' s d e s i gn ated grade range . The techn i c a l vocabu l a r i e s f ound i n the books gave them a more d i f f i c u l t rating by the formu l a s than the ind i c at ions of the pub l i s her s . 5 6 5 5 Leroy Wood , " Re ad ab i l ity o f Certain Textbook s , " E l ementary Engl i s h , 3 1 : 2 1 4 - 1 6 , Apr i l , 1 9 5 4 . 5 6 H . Jone s , " Re adab i l i ty and the Re s u l t s o f App lying A Readab i l i ty F ormu l a t o He a l th T extbook s , " The T enth Annual C onf erenc e on Re ad ing (Edi ted by Unive r s i ty o f P i ttsburgh Gerald A . Yoakum ) , (P i t t sburgh : Pre s s , 1 9 5 4 ) , pp . 5 5 - 6 6 , c i ted by Aubrey Mc Taggart , " The Readab i l ity of Hea l th Textbook s , " Synthe s i s of Re s earch in S e l e cted Are a s o f Hea l th I n s truction (C . H . Veenker , Ed . ) , (Wa shington : Nat i o n a l Educ at1on A s s o c i at ion , 1 9 6 3 ) , p . 1 3 L 41 The gre a te s t number o f readab i l i ty s tud i e s on he a l th text s o f var i o u s grade l eve l s have been done at the Univers i ty o f I l l inoi s , und er the directio � of H . s. Hoyman . Tho s e s tud i e s by Wi l l i am Bock and Robert We st cons idered h e a l th text s at the intermediate grade leve l . Wi l l i am Bock mea sured the readab i l i ty o f n ine s ixth grade h e a l t h texts by applying Gunn ing ' s f ormul a and arr ived at the Fog Index . He found s ix texts t o be ninth grad e leve l , two text s to be s eventh grade leve l , and only one t o be s ixth grade l eve l . f ound within individual tex t s . A var i ation o f d i f f iculty was E i ghty- e ight percent of the 1 3 5 s amp l e s were above s ixth grade . The great e s t conc entration o f s cores ( 4 4 percen t ) were at the e i ghth and n inth grade leve l . In every text he f ound an i rregu l ar order o f re ading progre s s io n . From h i s s tudy , he conc luded that the vocabu l ary fac tor contribu ted to the readab i l ity . The Fog Index rated the books too d i f f i cult to be u s ed a s texts f or s ixth grade . 57 Robert We s t app l i ed the F l e s c h Human Inter e s t f ormu l a t o t h e s ame texts whi c h Bock ha s stud ied . He f ound thre e texts to be dramat i c , three h i ghly intere s ting , two intere s t ing , and one mi ldly intere s t ing . None o f the 5 7 wi l l i am Bock , " The Re ading D i f f i c u l ty Leve l s o f S ixth Grade Health Text s , " (unpubl i shed Ma s ter ' s the s i s , Unive r s i ty o f I l l inoi s , Urbana , 1 9 5 9 . 42 book s received a du l l rating score , He then c orre lated h i s f indings with tho s e . o f Bock and f ound a negat ive c orre l at i on o f - . 7 1 wh i c h indica ted low index of d i f f iculty r e su lted i n more intere s ting mate r i a 1 . 5 8 Genera l i nd ic a t i on s o f d i f f icul ty o f health educa tion mater i a l s a t high s chool leve l and i n the are a of s c i en c e . No attempt wa s made to cons ider individual s tud i e s i n the s e area s . However , thi s author wa s inter- e s ted in f inding out if the stud i e s revealed s imi l ar or d i f f e re nt r e s u l t s from tho s e pertainin g to the intermediate l eve l . McTaggart revi ewed the s tud i e s made on j unior h i gh s c hool health text s . The s e s tudie s i nd i c ated the text- books were too d i f f i cu l t for s eventh and e i ghth grade s and s howed n e gat ive c orre lat ion between Human Intere s t and Fog Index . The Fog Index , F l e s ch Read ing E a s e , D a l e -Cha l l , and Human Inter e s t formu l a s when app l i ed to h i gh s chool h e a l th text s i nd i c a ted a wi de range o f d i f f icu l ty and human intere s t . No provi s i on for progre s s ion o f 59 d i f f i c u lty w a s evident i n any o f the s t � d i e s . 5 8 Robert R . We s t , " The Human Intere s t Readabi l i ty o f S ixth Grade Hea l t h Texts , " (unpub l i s hed Master ' s the s i s , Unive r s ity o f I l l inoi s , Urbana , 1 9 5 9 ) . 59 Aubrey McT aggart , " The Readabi l i ty o f He alth Textbooks , " i n Synthe s i s o f Re s earch in Selec ted Are a s o f H e a l t h Ins tru c t i on (C . H . Veenker , Ed -;) , pp . 1 3 3 - 3 8 ; H . S . Hoyrnan , "Are High School Health Text s Too D i ff icul t ? . " Journ a l of School Health , 2 5 : 2 7 4 - 8 2 , Dec ember , 1 9 5 5 ; H . S . Hoyrnan and Aubr ey McTaggar t , " The Readabi l i ty of Modern 43 Textbook s i n s c ience o f ten inc lude concepts of h e a l th , there fore some o f the s ame f ac tor s attr ibuted to d i f f ic u l t r e ading may be evid ent in sc ienc e book s . George Ma l l i n s on has made a number of s tud i e s in the area o f s c ience a t a l l grade s . s tud i e s ind ic ate C onc l u s ions drawn from the se ( 1 ) r e ad ing leve l s are too d i f f i cult f o r grade leve l i ntended , (2) s i gni f i c ant d i f ference b e tween leve l s o f reading d i f f i cu l ty , (3) s ome p a s sages wou ld be d i f f i c u l t for c o l le g e leve l , and ( 4 ) no prov i s ion for r e ad i ng progre s s i on had been made . A great number o f books were con s idered unsui tab l e for s tudents f o r who s e 60 u s e they wer e i ntended . High Scho o l Hea l th Texts , " Ame r ican Journal o f Pub l i c He a l th and Nation t s Health , 5 0 : 1 8 8 2 - 9 , De cember , · 1 9 6 0 ; and Aubrey McTaggar t , " The Human Intere s t Readab i l i ty o f E ighth Grade He a l th Texts , '' (unpub l i s hed Ma ster ' s the s i s , Univer s i ty o f I l l inoi s , Urbana , 1 9 5 6 ) . 60 Roma Herr i ngton and Geor ge Ma l l inson , " An Inve s t i ga t i on o f Two Method s o f Mea suring Readabi l i ty , " S c i ence Educ a t i on , 4 2 : 3 8 5 - 9 0 , December , 1 9 5 8 . C HAPTER I I I METHODOLOGY A review of the l i terature indicated that some f o rmul a s are mor e widely u s e d in pred ic ting readab i l ity than other s . One o f the mo s t widely used , the Fle sch Reading Ease f ormu l a was empl oyed i n thi s study to pre d i c t the r e ad ab i l i ty o f s e lected printed health educ ation mater i a l s i n the intermed i ate grad e s . I. THE TE S T ING ' INSTRUMENT Two regre s s ion readab i l ity formu l a s were devised by Rudo lph F l e s c h , o f Columb i a Univer s i ty , in 1 9 4 3 . F ormu la A was a mea s ur ing device for predi c ting " re ad ing e a s e " and F o rmu la B was a mea sur ing ins trument for pred i c ting " human i ntere s t . " F l e s ch f e l t that too much empha s i s had been p l aced on factors of vocabulary at the expense o f too l i ttle attention b e i ng given to abstract words and s entenc e l ength . The two r egre s s i on formu l a s were b a s ed upon three variabl e s : a f f i xe s , and (1) (3) s e ntence length in wo rd s , ( 2 ) number of number o f re ferenc e s to people . Both regre s s i on f ormu l a s were revi sed in 1 9 5 1· becau s e of short comings in the s tructure o f the or i g inal f ormu l a s and d i f f i culty in app l i c a t i on . In the read i ng e a s e formu l a , the a f f i x count in one hundred word s wa s f ound to have a 45 c orre l ation o f . 8 7 w i th the syl lable count o f one hundred word s , thu s the syl l ab l e c ount wa s sub s ti tuted for the count o f a f f i xe s . The sy l lable c ount was cons idered a s a mea s ur ement o f c omp lexity and a l s o ind irectly a s a mea sure men t o f ab s trac t io n a s the correlation b e twe en a f f ixes and that of ab s tr a c t word s was found t o be . 7 8 . The aver age s entence length in words , as u s ed in the original formula , wa s r e ta ined a s a mea surement o f s entence c omplex i ty . The f in a l formu l a i s : RE = 2 0 6 . 8 3 5 - . 8 4 6 wl - 1 . 015 sl where : RE = predicted reading e a s e wl = number o f s y l l a b l e s p e r one hundred words sl = average s entence l e ngth . S ince the two r egre s s ion f ormu l a s may b e u s ed independent ly t o pred i c t r e ad ing e a s e and human inte r e s t of a given pa s s age , only the reading e a s e formu l a was employed in t h i s s tudy . The s c ore c omputed from the f ormu l a may have a range from z ero to one hundred . A s c or e o f one hundred on read ing ease i nd icate s that a per son who h a s comp le ted the fourth grade c ou l d be pred icted as b e i ng ab le to answer c orrectly thre e - fourths of the te s t que st i ons to be a sked about the pa s s age rated , whi l e a score o f f i fty to s ixty wou ld ind i cate that a person h aving compl eted the n inth through e leventh grade s would be able to an swer correctly 46 three- fourths o f the t e s t que s tions a sked about the pas sage r a te d . The points were s o arranged that one point on the formu l a s c a l e wou l d corre spond to one- tenth o f a grade . F l e sc h indi c a t e s t h i s re lat i on s h i p i s t rue up to about the s eventh grade , beyond th i s the formu l a underrat e s the grade l eve l . The c r i te r ion o f d i f f icu lty u s ed for the original formul a was reta ined i n the rev i s ed f ormula . Thi s c r ite- r ion c on s i sted o f the aver age s chool grade o f per son s a nswer ing c orrectly 7 5 percent o f the que s t ions on pas s ages o f graded d i f f icu lty i n the McC a l l -Crabb ' s S tandard Te s t Le s s ons i n Read ing . A correl ation o f . 7 0 wa s f ound b e tween the pred i c t ed grade leve l by the formu l a and the average s chool grade de s ignated by the McCa l l -Crabb te s t . Va l id i ty o f t e s t ing i n s trumen t . 1 Va l id i ty i s d e f i ned a s the extent to wh i c h the me a suring device actua l l y me a s ur e s what i t i s i ntended t o measure . The v a l id ity o f readab i l i ty formu l a s c an be e s tab l i s hed in three ways . The f i r s t i s i nd i c ated by the ex- tent to whi ch . the f ormu l a s c o r e s are re lated to the original c i iterion s c o re s used in the deve lopme nt o f the formu l a . The s e c ond i s the e xtent to wh ich the s core s l Rudolph F l e s c h , " A New Re adab i l ity Yard s t i c k , " Journa l o f App l ied P sychology , 3 2 : 2 2 1 - 3 3 , June , 1 9 4 8 . 47 d e r ived from two o r mor e formu l a s agree wi th· each other . The third i s concerned with the degree o f relationship b e tween formu la scores and e s t imate s o f readab i l i ty obtained in s ome other way . 2 The McC a l l -C r abb s S tandard T e s t Le s son s in Reading s erved a s the c r i te r ion for e s tabl i s h i ng on e s ource o f v a l i d i ty data . The va l id ity correlation c o e f f i c i ent of the F l e s c h f ormu l a is . 7 0 with this cr iterion . 3 Cha l l e s t imated that pred i c t ions b a s ed o n r e adabi l i ty formu l a s c an b e exp e c t ed to be within approximately one grade leve l o f d i f f i cu lty . 4 The s tudy by Power s , Summer , and Kearl r e c a l c u lated the F le sc h Read i ng Ease formul a with the 1 9 5 0 v e r s ion o f the McC a l l -Crabb s te s t l e s s on s . The recalculat- ed f ormu l a s howed a s l i ght decrease i n val idity c o e f f i c ient f rom . 7 0 to . 6 4 whi c h wa s c l o s e to the orig ina l c o e f f 1. c 1ent . . 5 The F le s c h f ormu l a ha s been i nvo lved in c omparat ive v a l i di ty s tud ie s . I owa : Forb e s and C ot t l e app l ied the D a l e -Cha l l, 2 George Klare , The Mea suremen t of Readab i l i ty . (Ame s, I owa State Universi ty Pre s s , 1 9 63 , pp . 1 0 9 - 1 1 0 . 3 F l e s c h , ££ · c i t . , p . 222 . 4 Jean � e C ha l l , Readab i l i ty : An Appra i s al o f - ( Co lumbu s : Ohio State Re s e arch and App l i c at ion . Univer s i ty , 1 9 5 8 ) , pp . 8 7 - 9 1 , 1 0 3 - 1 2 . 5 R . D . Power s , W . A . Summer , and B . E . Kear l , " A Re c a lculation o f Four Readab i l i ty Formu l a s , " Journal o f Educ ational P sychol ogy , 4 9 : 9 9 - 1 0 5 , February , 1 9 5 8 . 48 F l e s c h , Lorge , Lewerenz , and Yoakum f ormu l a s to twentys even s tandard i zed te s t i . The rank order interc orre lat ions s how a c lo s e re l at i on s h i p b e twee n the D a l e -Cha l l and F le s ch f o rmul a s as shown i n Table I . 6 TABLE I INTERCORRELAT IONS ( RHO ) FOR THE F IVE FORMULAS APPLIED TO TWENTY- SEVEN TESTS AND CORRELAT I ON ( RHO ) BETWEEN EACH FORMULA AND MEAN OF THE F IVE FORMULAS DaleC ha l l F ormu la D a l e-Cha l l Flesch Lorge Lewere n z Flesch Lorge Lewerenz Yoakum Mean of F ive . 91 . 90 . 65 . 75 . 95 . 81 . 66 . 66 . 90 . 60 . 69 . 89 . 59 . 77 . 89 Yoakum Mean o f F ive McTaggart eva luated the F l e s c h and D a l e -Cha l l formul a s a s obj e c t ive a id s in s e lect ing high school health text s. He c ompared s tudent s o f known good and poor health knowl edge wi th the i r c omprehen s i on on s e lected health p a s sages o f reading d i f f i c ulty l eve l s a s e s t imated by the two formu la s . McT aggart conc luded from the r e s u l t s o f h i s 6 F r i t z Forbe s and Wi l l iam C ottle , " A New Me thod o f Deter�ining Readab i l ity o f Standard Te s t s , " Journal o f App l i e d P sycho l ogy , 3 7 : 1 8 5 - 9 0 , June , 1 9 5 3 . 49 s tudy , a s s hown in Tab l e I I , that the F l e s c h and the . . D a l e-Cha l l f ormu l a s had ·e s s en t i a l ly equal va l idity in d e t ermin ing reading d i f f i cul ty o f c omprehn s ion t e s t s . 7 TABLE I I S I GN I F ICANT D IF FERENCES ON T HE FLE SCH HEALTH PAS SAGE COMPREHENS ION TE ST AT THE F IVE PERCENT LEVEL Group Reading D i f f icu lty Leve l s 12 9 7 A B c C o l umn Me ans Hea l th Knowledge r267 .. 1741 Good Poor 28 . 97 1 27 . 44 19 . 68 21 . 26 22 . 55 21 . 11 r233 .. 3294 Row Means 25 . 69 1 S IGN I F I CANT D IFFERENC E S ON THE DALE -CHALL HEALTH PAS SAGE COMPREHENS I ON TEST AT T HE F IVE PER CENT LEVEL Group A B c Reading D i ff i c u l ty Leve l s 12 9 7 Co lumn Me ans Note : Eea lt h Knowledge Good 26 . 00 24 . 97 27 . 18 26 . 05 1 Poor Row Means 15 . 61 20 . 59 18 .69 1 1 21 . 74 21 . 00 24 . 131 18 . 31 Arrows connect group s b e tween whi c h s igni f i cant d i f fe rence s exi s t . 7 Aubrey Mc'raggart , "Mea sur i ng the Readab i l i ty High Schoo l Hea l th Texts , " Journal of School Health , 34 : 513-16 , 575-78 , Apr i l , 1968 . of 50 In 1968 , Kistulentz compared the intercorrelations of readability formulas ·and some of the more recent readability rating methods with the scores on comprehension tests on high school literature books . His findings , as shown in Table III , are comparable to those of Forbes and Cottle when the same formulas were used . 8 TABLE III RANKED AND INTERCORRELATIONS OF READABILITY STUDENTS ' COMPREHENSION ON TENMETHODS BOOKS ' RATINGS Student Fry SRA Botel Chall Flesch Comprehension Score . 98 . 78 . 94 . 96 . 93 Fry . 90 . 98 . 81 � 95 SRA . 82 . 64 Botel . 73 . 90 . 95 Dale-Chall . 94 Flesch Student Comprehension Score Klare summarized the validity studies by generalizing that the highest incorrelations have been 8 Andrew Kistulentz , "Five Readability Ratings Com pared to' (unpublished ComprehensionMaster Score' s inthesis Ten High School Literature Books , , State University , Rutgers , New Jersey, 1967) cited by Edward Fry, " A Reada bility Formula That, April Saves, Time 11 : 513-16 , 575-78 1968 ,. " Journal of Reading, 51 found with the Dale-Chall scores and the grade placements are most comparable with the Flesch Reading Ease formula . 9 The Flesch formula has also been validated in studies of readability using an outside criterion. Klare studied the relationship of formula scores to reading scores on the Ojemann Adult Reading test and the GrayLeary Adult Reading test, as shown in Table IV, and found that none of the differences between the intercorrelations was significant . 10 TABLE IV RELATIONSHIP OF FORMULA SCORES TO TvvO ADULT READING TESTS (CORRELATIONS BETWEEN FORMULA SCORES AND SCORES ON ADULT READING TESTS) Reading Test Ojemann Adult Reading' s Test Gray-Leary Adult Reading Test Dale-Chall Formula Gray-Leary Formula Flesch Formula . 98±. 06 . 82±. 09 . 82±. 08 . 61_ . 09 . 64_ . 09 . 55_ . 10 Margaret Peterson compared the Flesch readability scores with a test of reading comprehension. She found that comprehension s c ores from six of the ten passages having a range of Flesch Reading Ease difficulty levels + + + 9 George Klare , Measurement of Readability, p. 118 . lO ibid . , pp . 126-7 . 52 were significant at the one percent confidence level . One comprehension score was significant at the five percent level of confidence . She concluded that Flesch Reading Ease scores do adequately estimate reading difficulty. 11 The studies reviewed here indicate that the Flesch Formula is a valid measurement as compared to other readability formulas . One must keep in mind that at best these formulas provide only rough estimates of readability. Reliability of testing instrument. Reliability is defined as the consistency or accuracy with which the formula measures whatever it measures when repeated measurements are used on the same material . Analyst reliability studies have been made using the Flesch Reading Ease formula. The studies of Hayes , Jenkins, and Walker showed very close agreement on word length and sentence length . Ten of twelve correlations were in the . 90 ' s between experienced and inexperienced analysts . 12 England, Thomas , and Paterson also indicated that the Flesch Reading Ease formula has a high reliability with 11Margaret Peterson , "Comparison of Flesch Readabil ityApplied Scores with a Test of Comprehension, of Psychology, 40 : Reading 35-6 , February, 1956 . " Journal 12 Patricia Hayes , James Jenkins , and Bradley Walker , "Reliability of Flesch Formulas Applied Psychology , 34 : Readability 22-6 , February, 1950 ,. " Journal of 53 both experienced and inexperienced analysts . The reliability coefficients for an analyst to analyst study of the same material ranged from . 90 to · . 97 . The reliability coefficients on a test-retest study by one analyst ranged from . 95 to . 97 . 13 II . TECHNIQUE OF APPLICATION Two factors of readability involved in the application of the Flesch Reading Ease formula were sentence length and word length . To arrive at a readability score , the average sentence length and syllables per one hundred words were applied to the formula . Each observation in a sample consisted of one hundred words when the formula was applied to an entire book . To obtain the average sentence length , each word in the observation was counted . All letters , numbers , symbols, groups of letters or symbols which were surrounded by a white space equivalent to one printed letter were counted as words . All contractions and hyphenated words were counted as one word . Sentences in each observation were counted . Each unit of thought that was grammatically independent of another sentence or clause was considered 13 George England , Margaret Thomas , and Donald "Reliability of the Original and Simplified Paterson, Flesch Reading Journal of Applied 37 : Ease 111-13Formulas , April ,, ' 1953 . -Psychologx, 54 a sentence if it was marked by a period, colon, question mark , exclamation point, or semicolon . The average word length in sy i lables per one hun dred words was found by the following procedure : ( 1 ) a count was made of all syllables in the observations . The number of syllables in symbols and numerals was counted according to the way they were normally read aloud . ( 2 ) The total number of syllables for each observation was found . ( 3 ) The total number of syllables in the sample was found . ( 4 ) The total number of syllables in the sample was divid ed by the number of words in the sample . This computation gave the average word length in syllables . In the formula , word complexity is expressed as the number of syllables per one hundred words , therefore the average word length was multiplied by one hundred . When one hundred word observations were used, the number of syllables in all observations was divided by the number of samples . After the average sentence length in words and the number of syllables per one hundred words were computed , the Flesch Reading Ease score was obtained by the following procedure : ( 1 ) the average sentence length was multiplied by 1 . 0 1 5 . ( 2 ) The number of syllables per one hundred words was multiplied by . 8 4 6 . ( 3 ) The products found in steps ( 1 } and ( 2 ) were added . ( 4 ) The resulting 55 sum was subtracted from 206 . 835 . Expressed as a formula, this is : Reading Ease Index 206 . 835 - . 846 wl - 1 . 015 sL After the average sentence length and the number of syllables per one hundred words were computed , the Parr Jenkins tables 14 were used to determine the Reading Ease score for each observation . The tables simplified the computation for each observation by providing the Flesch scores directly from the average sentence length and the number of syllables per one hundred words . The reading ease score was then interpreted by using . 1n. Table V . 15 t e Flesch Read1ng Ease Sea 1 e, as outl1ned III . SAMPLING TECHNIQUE Reading ease scores were obtained for books and pamphlets . When the application was made to books , fifteen random one hundred word samples were used . The random numbers identifying the page were obtained from the use of a random table . 1 6 Klare , Burk, and Zaharko = h . 14 James N . Farr and James J. Jenkins , "Tables for Use withPsychology, the Flesch Readability Formulas Applied 33 : 276-77 , April , 1949, " . Journal of 15 Rudolph Flesch, How To Test Readability . (New York : Harper and Brothers;-195lr;-pp . 2-6 . 16 olive Jean Dunn, Basic Statistics : A Primer For The Inc . Biomedical , 1964) , pp Sciences . 163-66 .. (New York : John Wiley Sons;& Reading Ease Score 90 to 100 80 to 90 70 to 80 60 to 70 50 to 60 30 to 50 0 to 30 TABLE V FLESCH READING EASE SCALE Description of S.t yle Very easy Easy Fairly easy Standard Fairly difficult Difficult Very difficult Syllables per 100 words 123 131 139 147 155 167 192 Average Sentence Length 8 11 14 17 21 25 29 Grade 5th 6th 7th 8th and 9th lOth '12th (hightoschool) 13th to 16th (college) College Graduate U1 0'1 indicated from their studies that this procedure would provide an adequate number of samples . 17 The count of words began at the second paragraph of each randomly selected page , except where only one paragraph was contained on the entire page . Topic headings , summaries , questions , vocabulary lists , tables , indexes , appendixes , and tests were omitted from the sampling . When the application was made to pamphlets , the size of the pamphlet determined the size of the sample counted . If the pamphlet contained less than five pages , the entire piece of writing was counted 18 i if the pamphlet contained more than five . paragraph was counted . 19 , pages , every th1rd IV, MATERIALS SELECTED The study was conducted to predict the reading difficulty levels of selected printed health education materials in the intermediate grades . The materials 17 George Klare and Byron Burk , Know Your Reader . (New York "Reading : Hermitage House , of 1945).r-1odern , p. High 192 andSchool D . S Health . Zaharko, Difficulty Texts , Urbana (unpublished Masterby' sAubrey thesisMcTaggart , University of Reada Illi nois , , 1955) cited , "The bility ofAreas Healthof Textbooks , " Synthesis(C-of. -HResearch in, -Ed . ) , . VeenkerSelected Health Instruction (Washington: National Education Association , 1963) , p . 132. 18 George Klare , Measurement of Readability, p. 101 . 19 Rudolph Flesch, "A New Readability Yardstick, " Journal of Applied Psychology, 32 : 228, June , 1948 . 1' 57 58 · included the textbooks and supplementary materials avail able in an elementary school district in Ventura County . One series of textbooks is provided by the school district from the California State-approved text list. This series designated for grades four , five , and six was used in this study. Supplementary health books were available through the libraries in individual schools . The level of diffi culty in an elementary school library is designated as either primary or intermediate . Primary books are given a letter assignment of E . The health books not listed as E books in the card catalogues were considered for the study and given a number assignment. Eight books were randomly selected from this numbered list . Another source of printed health education material is the free and inexpensive pamphlets furnished by various companies or agencies . The selection of these materials was based on (l) the availability for student distribution, ( 2 ) frequency of usage , ( 3 ) grade level intended for or used by, ( 4 ) publisher , and ( 5 ) publication date . Fifteen pamphlets were selected for this study . V . STNi'ISTICAL TREATMENT OF THE DATA The Flesch Reading Ease score was computed for each observation and for the entire sample and translated into grade level of difficulty . The range of scores of each 59 sample was found to provide an indication of the highest to the lowest scores throughout the � ample . The average level of difficulty for the sample was determined by computing the mean . To find the mid-point in the series of fifteen observations in the sample , the median was determined . The standard deviation of the reading ease score of each sample was computed in order to interpret the reading ease score within each sample in respect to the mean or the variability of the distribution . The above-mentioned statistical treatment of the data was followed when books were analyzed. The brevity of printed materials found in pamphlets did not lend itself to the random sampling of the printed pages . Only the reading ease score of the entire pamphlet was computed . Progression of difficulty was determined by the sequential arrangement of the page numbers throughout an entire textbook sample along with the corresponding reading ease scores for the individual observations . CHAPTER IV ANALYSIS OF THE FINDINGS Each textbook, supplementary health book , and pam phlet was analyzed individually to obtain the Flesch Read ing Ease score . The Flesch Reading Ease Scale , Table V on page 5fi[ was used in interpreting the Flesch Reading Ease score to the grade level of difficulty. I . ANALYSIS OF HEALTH TEXTBOOKS The number of syllables , number of sentences , number of words per sentence , Flesch Reading Ease score , and cor responding grade level for each of the fifteen one-hundred word observations of the samples (the textbooks) are found in Tables VI , VII , and X . The rank order of the readabil ity factors , the Flesch Reading Ease scores , and corre sponding grade level are found in Tables VII , IX, and XI . The reading difficulty levels of the fifteen randomly selected observations of the samples have been arranged in sequence in Figures 1 , 2 , and 3 to show the progression of . reading difficulty. Table VI shows the computed Flesch Reading Ease score for textbook number four to be 82 . 177 which has a 61 TABLE V I ANALYS I S O F TEXTBOOK NUMBER FOUR Random P age Number 50 194 44 59 40 71 145 86 139 80 157 135 92 108 87 Number of Syl lab l e s 139 124 125 129 12 2 138 134 130 159 137 144 14 2 136 13 3 119 Number of Sentenc e s 8 9 9 8 9 12 9 14 9 7 6 9 10 8 10 Number of Word s Per S e ntence 14 11 11 12 . 5 11 8 11 7 11 14 17 11 10 12. 5 10 100 11 82. 46, 177 , 133 . 6 . F le s c h Score 76 91 90 85 92 89 82 90 61 77 68 76 82 81 96 Grade Level 7 5 5 6 5 6 6 5 8-9 7 8-9 7 6 6 5 Average s e ntence l e ngth = word s . Aver age word l ength ( s y l l ab l e s per word s ) = C omputed F le s c h Re ading E a s e score = or s ixth grade leve l . (20% ) (13%) (33% ) (33% ) Two ob s ervat ions we re at e i ghth-ninth grade leve l ; thr e e at s eventh grade l eve l ; f ive a t s ixth at f i f th grade l eve l . grade leve l ; and f ive 62 predic ted grade leve l o f s ixth grade . ignation for thi s book i s fourth grade . obs ervation s , The pub l i s her ' s de s O f the f i fteen 13 per c ent were found to have a pred ict- ed grade leve l o f d i f f i cu lty o f e i ghth to ninth grade , 2 0 per cent were f ound to have a predicted grade l eve l o f d i f f icu l ty o f s eventh grade , 2 0 p e r cent were f ound t o have a pred i ct ed grad e l ev e l of d i f f icul ty of s ixth grade , and 3 3 per cent were f ound to have a predic ted grade l evel o f d i f f icu lty o f f i f th g r ade . The ob s ervatio n s , a s found in T ab l e VI I , show text book number four to have a med ian F l e s ch Reading E a s e s core of e i ghty-two , median s y l l ab l e s per one hundred words as 1 3 4 , a nd the med ian s e ntence l e ngth as be ing e l even words . A l l the s e med ian scor e s ind icate a predicted s ixth grade l eve l of d i f f i cu l ty . The pa s s ag e s ob s erved in textbook four s hows the l owe s t F l e s c h Re ading E a s e score to be s ixty one and the h i ghe s t to be n inety- s ix . T h i s g ives a F le sc h Reading E a s e score r a n g e of th irty-f ive and an e s timated s tandard dev i a t i on of ten . Two - thirds o f the f i fteen o b s ervations were pred icted to b e b e tween the f i f th and s eventh grade l ev e l s o f r e ad ing d i f f icu lty . F le s c h Read ing E a s The range o f s c or e s indic a t 0 s a probab l e d i f f erence in readi ng d i f f i cu l ty o f f o�r grade s . F igure 1 shows no provi s ion for read ing growth . Read ing progre s s ion would be indic ated by the h igh e s t s core 63 TABLE VI I ANALYS I S OF TEXTBOOK NUMBE R FOUR DATA IN RANK ORDER 100 119 122 124 125 129 130 133 134 136 137 138 139 142 144 159 S y l l a b l e s Per Words Word s Per S entence 7 8 10 10 11 11 11 11 11 11 12 . 5 12 . 5 14 14 17 5 5 5 5 5 6 6 6 6 6 6 7 7 8-9 8-9 100 11 . 13482. . 10 . 008 . Med ian F l e s c h Read " ng E a s e Score Med ian syl l ab l e s per word s = Med i an word s per s entence = Range = S t andard deviation = 35 . Grade = F le sc h Score 61 68 76 76 77 81 82 82 85 89 90 90 91 92 96 Grade Leve l 8-9 8-9 7 7 6 6 6 6 6 6 5 5 5 5 5 Co l lege Graduate ....:� 13-16 ( Co l lege ) � 0 C) (J) I'Ll (J) r::r: I'Ll 0 10 20 30 <*0 50 � High School 60 8-9 70 7 80 6 � - - L - � - - - � -""-- - - - - �i 90 L / "/ Average Grade Level 5 100 Random Page Number 40 44 50 59 71 80 . 86 87 92 108 135 139 145 157 194 F IGURE 1 � I'Ll ....:! I'Ll Q c.? 10-12 c.? :z; H Q � ;:il - - - - - - - - - - - - p::; ::r: C) (J) I'Ll ....:! Iii -......;- I READ ING D IFF I CULTY LEVELS OF F IFTEEN RANDOM SAMPLES FROM TEXTBOOK FOUR , ARRANGED IN SEQUENCE m ..,. 65 be ing toward the f i r s t portion o f the book and more d i f f i c u l t mater i a l o r l owe s t s c ores near the end o f the book . Thi s data indicate , that a c c ord ing t o the F l e s c h Read ing E a s e S c a l e , every observation in textbook four wou ld be too d i f f ic u l t for the average or b e l ow average read ing abi l i ty o f a s tudent i n the fourth grade . Tab l e V I I I s hows the computed F l e s c h Reading E a s e s c ore f or textbook f ive t o be 7 5 . 6 4 which ha s a predic ted grade l eve l of s eventh grade . Of the f i f teen observation s , 1 3 per cent were found to have a predicted grade l eve l o f d i f f iculty o f t enth through twe l f th grade s , 7 per c ent wer e f ound to have a pred i c ted grade l eve l o f d i f f iculty o f e ighth t o n inth grade , 5 3 p e r cent were found to h ave a pred i c ted grade leve l o f d i f f ic u l ty o f s eventh grad e , 20 p er c ent t o h ave a pred ic ted grade l eve l o f d i f f i cu l ty o f s ixth grade , a n d 7 per cent to have a pred ic ted grade leve l o f d i f f iculty o f f i f th grade . The pub l i s her ' s de s ignation for th i s textbook was f i f th grade . The data f rom the ob s e rvations provided in Tab l e IX s how � textbook f ive to h ave a median F l e s c h Re ad i ng E a s e score o f s eventy- s ix , med i an syl labl e s p e r o n e hundred wor d s to be 1 3 5 , � -; d the med i a n woT 1 s per sentence to be fourte en . The med i a n word c omplexity a s ind icated by syl labication was b e tween s ixth and s eventh grad e s and the median s entence l ength ind ic a t e s s eventh grade l ev e l of d i f f i c u l ty . 66 TABLE VI I I ANALYS I S OF TEXTBOOK NUMBE R F IVE Random P age Number Number of Sy l l ab l e s Number of Senten c e s Number of Wor d s Per Sente nc e F l e sch Grade Sc ore Leve l 175 134 7 14 79 7 2 16 158 8 12 . 5 60 8-9 171 148 8 12 . 5 68 7 50 134 6 17 76 7 118 123 6 17 86 6 2 11 125 7 14 87 6 58 120 8 12 . 5 92 5 131 140 6 17 71 7 111 13 8 8 12 . 5 77 7 135 135 6 17 75 7 36 128 8 12 . 5 85 6 134 140 8 12 . 5 75 7 110 158 6 17 56 1 0-12 28 153 5 20 57 10-12 69 134 7 14 79 7 Average s entence l e ngth = 1 4 . 4 word s . Ave rage word l ength (syl l a b l e s per 1 0 0 words ) = 1 3 7 . 8 . Computed r l e s c h Reading E a s e s core = 7 5 . 6 4 , or s eventh grade l eve l . Two observations (1 3 % ) were at tenth- twe l f th grade l eve l ; one ( 7 % ). at e i ghth-ninth gr0de eve l ; e i �ht ( 5 3 % ) at s eventh grade leve l ; three l 2 0 % at s ixth grade leve l ; and o ne (7 % ) wa s at f i fth grade l eve l . f 67 TABLE IX ANALYS I S OF TEXTBOOK NUMBER F IVE DATA IN RANK ORDER Syl l a b l e s Per 1 0 0 word s Words Per Sentence Grade F l e s ch S core Grade Leve l 120 12 . 5 5 56 10-12 123 12 . 5 6 57 10-12 125 12 . 5 6 60 8-9 128 12 . 5 6 68 8-9 134 12 . 5 7 71 7 134 12 . 5 7 75 7 134 14 7 75 7 135 14 7 76 7 138 14 7 77 7 140 17 7 79 7 140 17 7 79 7 148 17 8-9 85 6 153 17 8-9 86 6 158 17 1 0-12 87 6 158 20 10-12 92 5 Med ian F l e s c h Reaf : ng E a s e s c ore = 7 6 . Med ian s y l l a b l e s p�r 1 0 0 word s = 1 3 5 . Med ian words per s e ntence = 1 4 . Range = 3 6 . S tandard devia t i on = 1 0 . 3 6 9 . 68 The lowe s t F le sc h Reading E a s e s c ore of the observa tions for t extbook f ive was f i f ty - s i � and the h ighe s t wa s n i nety-two whi c h g iv e s a r ange o f thirty - s ix and an e s t i �ated s tandard dev i a tion o f 1 0 . 3 6 9 . Two-th i rd s o f the f i f teen observa tions wer e pre d i c ted t o have a r ead ing d i f f i c u l ty from s ix th t o e ighth or ninth grade , whi c h i s three grade leve l s of d i f f icu l ty . F i gure 2 s hows no prov i s ion for read i ng growth , the f i r st observation h a s o ne of the two mo s t d i f f i cu l t read ing leve l s . The data from th i s measuring ins trument i ndicate that only one of the f i f teen one-hundred -word ob s e rvat ions wou l d be appropr iate for the average f i f th grade s tudent . Tab l e X shows textb ook s ix to h ave a c omputed F le s ch Reading Ease s c ore o f 6 7 . 4 4 which h a s a pred i c ted grade leve l of d i f f iculty of between e i ghth and ni nth grade s . Of the f i fteen observa t i on s , 7 per cent we re found t o have a predicted grade leve l o f d i f f iculty at c o l lege leve l , 1 3 per c ent wer e f ound t o have a predi cted grade l eve l of d i f f iculty o f tenth through twe l fth grade s , 4 0 per c e n t were found to have a pred i c ted grade l evel o f d i f f icu lty of e ighth to n inth grade , 27 per c ent to have a pred i c ted grade l evel of d i f f iculty of s eventh grade , and 1 3 per c ent to have a pred i c ted grade l evel of d i f f iculty of s ixth gr ade . The pub l i sher ' s d e s igna t i on for t h i s textbook i s s ixth grade . 0 10 C o l lege Graduate 20 H � :> � H � Q � 1:..9 13-16 ( C o l lege ) � 0 0 U) � U) � 1 0-12 High Schoo l ------------ 8-9 7 6 5 � 30 40 50 1:..9 :z; H Q � � p::; 60 I 1- ::r: 70 � H Ii-I 80 . 0 U) - , - :;/'\ - - - , 90 ' ' I 1 Average Grade Leve l I 100 ��--� -� ---�-�-�-�� -� -� - --�-�-�-���--���-�-�-�� -= -� ---�-�-�-�� -� -� - --�-� -� ---�-�-��-�-�--� Random Page Number 28 · F IGURE 2 READ ING D IFF I CULTY LEVELS OF F IFTEEN RANDOM SAMPLE S F ROM TEXTBOOK F IVE , ARRANGED IN SEQUENCE m 1.0 70 TABLE X ANALYS I S OF TEXTBOOK S I X Random P age Number Number of Sy l l ab l e s Number of S e n tenc e s 70 147 7 87 155 55 Number o f Word s Per Sentence F l e s ch Score Grade Level 14 68 8-9 7 14 61 8-9 152 7 14 64 8-9 177 126 9 11 89 6 83 181 6 17 37 13-16 47 148 6 17 64 8-9 179 146 9 11 72 7 195 151 10 10 69 8-9 119 16 9 8 12 . 5 51 10-12 190 161 6 17 53 10-12 159 136 8 12 . 5 79 6 32 150 6 17 63 8-9 81 138 9 11 79 7 46 133 6 17 77 7 189 133 5 20 74 7 Average s entence l ength = 1 3 . 9 4 word s . Average word length (syl l ab l e s per 1 0 0 word s } 148 . 4 . Computed F l e s ch Reading Ease score = 6 7 . 4 4 , or e i ghth to n i nth grade . - One observation ( 7 % ) was at thirteenth- s ixteenth grade leve l ; two ( 13 % ) were at tenth-twe l f th grade leve l ; s ix ( 4 0 % ) were at e ighth - n i nth grade leve l ; four ( 2 7 % ) we re at s eventh grade l eve l ; and 2 ( 1 3 % ) were at s ixth grade l e ve l . 71 Tab l e X I s hows the pas s age s in textbook s ix to have a med i a n F le sc h Reading E a s e score of s ixty-eight , median s y l l ab l e s per one hundred word s is 1 4 8 , and med ian word s per s entenc e a s fourtee n . The med i an word c omplexity as i n d i c a te d by the s y l lab i c a t i on is that o f e ighth to n inth gr ade l eve l o f d i f f i c u l ty and med i an s entence l ength i nd i c a t e s s eventh grade l eve l of d i f f i culty . The range o f F le sc h Re ading E a s e scores wa s between thirty- s even and e ighty-n ine , or f i f ty - two , and the e s t i mated standard dev i a t i on wa s 1 4 . 9 7 6 . Two-third s o f the f i f teen observations were pred icted to have a reading d i f f i cu l ty from twe l f th grad e to s ixth grade or s ix grade l eve l s of d i f f iculty . F igur e 3 shows no prov i s ion for reading growth , the e a s i e s t part of the book appe a r s to be between the tenth and e l eventh observation wh i c h is contained in the latter f i f th o f the textbook . indicate. The data from th i s mea surement that only two of the observations would be at a l eve l o f d i f f i c u l ty wh i ch could be c omprehended by the average s ixth grade s tudent . Table X I I shows that the three i ntermed iate he a l th textbook s have pa s s ag e s at the c o l l ege l ev e l o f d i f f i cu l ty (grad e s thirteen through s ixtee n ) down to the f i f th grade l eve l of d i f f i cu lty . There i s a probab l e d i f ference o f 72 TABLE X I ANALYS I S O F TEXTBOOK S IX DATA IN RANK ORDER Syl l ab l e s Per 1 0 0 Wor d s Wor d s Per S entence Grade F l e s ch Score Grade Leve l 126 10 6 37 13-16 133 11 6 51 10-12 133 11 7 53 10-12 136 11 7 61 8-9 138 12 . 5 7 63 8-9 146 12 . 5 8-9 64 8-9 147 14 8-9 64 8-9 148 14 8-9 68 8-9 150 14 8-9 69 8-9 151 17 8-9 72 7 152 17 8-9 74 7 155 17 8-9 77 7 161 17 10-12 79 7 169 17 10-12 79 6 181 20 13-16 89 6 Med i an F le s c h Read i ng E a s e s c ore = 6 8 . Med i an sy l l ab l e s per 1 0 0 word s = 1 4 8 . Med ian wor d s per s entence = 1 4 . Range = 5 2 . S tandard deviation = 1 4 . 9 7 6 . 0 10 C o l lege Graduate 20 ------------ r-:l IJ::t :> IJ::t r-:l -- - - - - - - IJ::t U) . r< IJ::t -- 10-12 0 u 30 U) 1 3- 1 6 ( C o l lege ) IJ::t Cl IJ::t � - t!J z H Cl 40 50 rJ � 60 ::c: u - - - - - - - - - - - - U) IJ::t 70 � ��g� - §��5?5?±_ t!J 8-9 f-:J � 7 - -- - - - - - - - - - 80 6 - - - --5 - -- - -- 90 � 100 Random Page Number 3 2 1 Average Grade Leve l I 46 I 47 I 55 1 70 I 81 -� _ L 83 � I 87 I 119 I 159 __ ___ I _I �-____l _ ___ 177 179 189 I 190 1 195 F IGURE 3 READ ING D IFF ICULTY LEVELS OF F I FTEEN RANDOM SAMPLE S F ROM TEXTBOOK S I X , ARRANGED IN SEQUENCE -.....] w TABLE X I I READ ING D IFF ICULTY LEVELS O F ALL OBSERVAT IONS FROM HEALTH TEXTBOOKS FOUR , F IVE , AND S IX F l e sc h Reading E a s e Sc ore 0 - 29 Number o f Observations Percentage of Total Grade Leve l D e s c r iption o f Style C o l l e ge Graduate Very D i f ficult 0 0 Difficult 1 2 .2 F a i r ly D i f f icult 4 8.8 Standard 10 22 . 22 ( C o l l e ge ) 30 - 49 13 - 1 6 50 - 59 10 - 12 60 - 69 8 - 9 70 - 79 7 Fairly E a s y 13 28 . 22 80 - 89 6 Easy 11 2 4 .' 4 4 90 - 100 5 Very E a s y 6 13 . 55 -- Tot a l s 165 -- 99 . 43 -.....) w:::. 75 r e ad i ng d i f f i c u l ty of about e l even grade s . f �ve obs erva t i on s , 2 2 per c e nt mea sured O f the forty a t e i ghth to ninth grade i n d i f f iculty , 2 8 per c ent me asured at s eventh grade of d i f f ic u l ty , and 2 4 per cent mea sured at s ixth grade of r ead i ng d i f f icu lty . F ourteen per c ent were mea sur ed a t f i fth grade l ev e l of d i f f iculty . The e s t imated reading leve l s o f d i f f icu lty a s pre di cted by this mea surement indicate the textbooks i n thi s s e r ie s t o b e two grade leve l s above the pub l i sher ' s d e s ig nation o f i ntended grade l eve l . A l l owing for the one grade level of error as sugge s ted by Cha l l whe n applying read a b i l ity formul a s , a l l books o f the serie s a r e too d i f f i cult for grade level i ntended . II . ANALYS I S OF SUPPLEMENTARY HEALTH BOOKS Tab l e X I I I s hows the computed F l e sch Reading E a s e s c o r e o f h e a lth book s ixty- s even to be 7 9 . 3 3 8 . The pre d i c ted grade leve l o f d i f f i c u l ty i s s eventh grade . The f i fteen obs ervations s how vary ing degre e s o f d i f f iculty , 13 per c e n t were f ound to have a predic ted grade l ev e l o f d i f f i c u l ty o f tenth t o twe l f th grade , 1 3 per c ent we re found to have a predic ted d i f f i c u l ty l evel o f e i ghth to n inth grade , 3 3 per c e nt to have a predic ted l eve l of d i f f i c u l ty o f s eventh grade , 7 per cent have a predic ted 76 TABLE X I I I ANALYS I S O F HEALTH BOOK S IXTY- SEVEN Random Page Number Number of Syllables Number of Sentence s 31 121 7 61 133 11 Number of Word s Per S entenc e Flesch Score Grade Leve l 14 90 5 5 20 74 7 133 6 17 77 7 17 136 3 33 58 10-12 35 152 6 17 61 8-9 14 137 8 12 . 5 78 7 7 121 9 11 93 5 47 15 4 6 17 59 10-12 27 118 8 12 . 5 94 5 37 144 6 17 68 8-9 10 136 5 20 71 7 22 141 6 17 70 7 12 120 8 12 . 5 92 5 59 117 9 11 97 5 50 125 7 14 87 6 Average s entence l ength = 1 5 . 1 5 1 words . Ave rage word l e ngth ( sy l l a bl e s per 1 0 0 words ) = 1 3 2 . 5 3 . C omputed F l e s c h Read ing E a s e s c ore = 7 9 . 3 3 8 , or seventh grade . Two obs ervations ( 1 3 % ) were at tenth - twe l fth grade leve l ; two ( 1 3 % ) were a t e i ghth-ninth grade l eve l ; f ive ( 3 3 % ) were at s eventh grade leve l ; one ( 7 % ) wa s at s ixth grade l eve l ; and f ive ( 3 3 % ) were at f i f th grade leve l . 77 grade leve l o f d i f f i cu lty o f s ixth grade , and 3 3 per cent have a pred i c ted d i f f i c u lty of f i f th grade . Table X IV shows the med ian F l e s c h s core o f the o b s ervations to book s ixty - s even to be s eventy - seven , med i an s y l l ab l e s per one hundred word s to be 1 3 3 , and the med ian word s per s entence to be seventeen . The med ian s y l l a b i c a t i on ind ic at e s s ixth to s eventh grade leve l o f d i f f i cu l ty whi l e the sentence l ength i nd icates e i ghth to n inth grade leve l of d i f f i c u l ty . The d i f fer enc e betwee n t h e l owe s t F le s c h Read ing E a s e s c ore , wh ich i s f i fty-eight , and the h ighe s t s c ore , whi c h i s ninety- s even , gives a range of thirty-nine a nd an e s timated s t andard devi ation o f 11 . 236 , The proba b l e grade range i s s even grade leve l s o f d i f f i c u l ty . Seventy-three per c en t o f the pas s age s could probab ly be comprehended by an average seventh grade s tudent . F igure 4 s hows no indication o f provi s ion for read ing growth . The data f rom thi s me a s urement ind i c ate that thi s book has a readab i l i ty l eve l which could be compre hended b y a n average s eventh grade student . One - third o f t h e pas s a g e s in the book could b e c omprehended b y the average f i f th grade s tudent . The c omputed F l e sc h Read ing E a s e score for hea lth book s eventeen is s hown in T ab l e XV to be 4 4 . 8 9 7 . The pr edicted grade l eve l of d i f f iculty as i nterpre ted from Tabl e I s hows th i s to be tenth to twe l f th grade . Thirteen 78 TABLE XIV ANALYS I S OF HEALTH BOOK S IXTY- SEVEN DATA IN RANK ORDER S y l l a b l e s Per 1.0 0 Word s Words Per Sentence Grade Flesch Score Grade Leve l 117 11 5 58 10-12 118 11 5 59 10-12 120 12 . 5 5 61 8-9 121 12 . 5 5 68 8-9 121 12 . 5 5 70 7 125 14 6 71 7 133 14 7 74 7 133 17 7 77 7 136 17 7 78 7 136 17 7 87 6 137 17 7 90 5 141 17 8-9 92 5 144 20 8-9 93 5 152 20 10-12 94 5 156 33 10-12 97 5 Med ian F le s ch Re ading E a s e s c ore = 7 7 . Med i an syl l ab l e s per 1 0 0 word s = 1 3 3 . Medi an words per s entence = 1 7 . Range = 3 9 . Standard deviat ion = 1 1 . 2 3 6 . 0 10 Co l lege Gr aduate 20 -----------H ro::l > ro::l H ro::l Q � � 0 30 C) U) 13-16 ( C o l l ege ) ro::l 40 � z H Q ,:c: 50 U) ,:c: ro::l - -- - - - - - - - - - 10-12 H i gh Schoo l ----------8-9 � � 60 ::r: C) - - - - - - - - - - - - U) ro::l 70 ------------ 80 - 7 H li; 6 ------------ 90 5 100 Rand om Page Number 7 I Average Grade Leve l 10 11 12 14 17 22 27 31 35 37 47 50 59 61 F IGURE 4 READ ING D I FF I CULTY LEVELS OF F IFTEEN RANDOM SAMPLE S F ROM HEALTH BOOK S I XTY- SEVEN , ARRANGED IN SEQUENCE -....] 1..0 80 TABLE XV ANALYS I S OF . HEALTH BOOK SEVENTEEN Random Page Number Number of Sy l l ab l e s Number of S e nten c e s Number of Wor d s Per S entence Flesch S core Grade Leve l 186 160 5 20 51 10-12 53 178 6 17 39 13-16 135 185 5 20 30 *C . G . 141 179 5 20 35 13-16 44 174 6 17 43 13-16 38 170 4 25 38 13-16 133 162 7 14 56 1 0-12 103 182 4 25 24 *C . G . 19 0 141 7 14 73 7 13 8 175 4 25 33 13-16 28 168 5 20 44 13-16 175 154 6 17 59 10-12 92 175 5 20 38 13-16 80 149 4 25 55 10-12 100 169 4 25 38 13-16 * C . G . = Col lege Graduate Average s entence l ength = 1 9 . 4 6 7 word s . Aver age word l e ngth ( sy l l a b l e s per 1 0 0 word s ) = 1 6 8 . 0 6 . C omputed F l e s c h Reading E a s e s c ore = 4 4 . 8 9 7 , or tenth-twe l fth grade s . Two obs ervat ions ( 1 3 % ) were at co l lege graduate leve l ; e ight observat ions ( 5 3 % ) were a t thirteenth - s ixteenth grade leve l ; f our ( 2 7 % ) were at tenth-twe l fth grade leve l ; and one observation ( 7 % ) wa s a t s eve nth grade leve l . 81 per c en t o f the o b s e rvations were found to have a pre. d i e ted grade l ev e l of d i f f i c u l ty o f c o l lege graduate leve l . F i fty- thre e per cent o f the observations had a predicted grade l eve l o f d i f f ic u l ty o f th i rteenth to s ixteenth grade or c o l lege leve l . Twenty- s even per cent had a pred i c te d grade l e v e l o f d i f f i c u l ty o f tenth to twe l fth grade . Seven per cent were found to have a pred ic ted grade leve l o f d i ff icu l ty o f s eventh grade , Table XVI s hows the rank order o f readab i l ity factor s and the F l e s c h s c o r e s o f hea l th book s eventeen . · The med ian F l e s c h Read ing E a s e s c ore wa s thirty-nine which ha s a predicted grade l eve l o f d i f fi c u l ty o f c o l l e ge leve l . The med ian s y l l ab l e s per one hundred wor d s wa s 1 7 0 and the . median s entenc e l ength wa s twenty word s . The syl l ab ic ation i nd i c ate s c o l l ege l evel o f d i f f i culty , acc ord i ng to Table I, whi l e the s entence length i nd i c a te s tenth to twe l f th grade l evel of d i f f i cu l ty . The l owe s t F le s ch Reading E a s e s core observed wa s twenty - four a nd the h i gh e s t F l e s c h Read ing E a s e s c ore wa s s eventy- thr ee wh i c h g ive s a range o f forty nine and an approximate s tandard deviation o f 1 4 . 1 1 3 . grade range i s a probably ten grad e s of d i f f ic u l ty . The E i ghty per cent o f the pa s s a ge s i nd i ca te a probab l e grade range from tenth to s ixteenth grade . 82 TABLE XVI ANALYS I S OF HEALTH BOOK S EVENTEEN DATA IN RANK ORDER S y l lab l e s Per 1 0 0 Word s ltlords Per S e ntence Grade Flesch Score Grade Leve l 141 14 7 24 *C . G . 149 14 10-12 30 e.G. 154 17 10-12 33 13-16 160 17 1 0 -12 35 13-16 162 17 10-12 38 13-16 168 20 13-16 38 13-16 169 20 1 3-16 38 13-16 170 20 13-16 39 13-16 174 20 13-16 42 13-16 175 20 13-16 44 13-16 . 17 5 25 13-16 51 1 0 -12 178 25 13-16 55 10-12 17 9 25 13-16 56 1 0-12 182 25 *C . G . 59 10-12 185 25 e.G. 73 7 *C . G . Median F le s c h Read i ng E a s e s c ore = 3 9 . Med ian s y l l a b l e s per 1 0 0 word s = 1 7 0 . Median word s per s entence = 2 0 . Range = 4 9 . Standard deviation = 1 4 . 1 1 3 . = Col lege Graduate Q _ 10 Col lege Graduate - -- - - - - - - - - - ....:! r:x:l :> r£1 H � Q � t? 13-16 ( Co l lege ) 20 � 0 u U) r:x:l U) � r£1 10-12 Hiqh_ School_ 8-9 7 (9 z H Q � � p::; ::r:: u U) � H li.i 6 5 Random Page Number 30 ,_ 40 - - - - - -v - - - - - vr 50 60 - - - - - - · - Average Grade Level 70 - - 80 90 100 I 28 I 175 ___ 38 44 53 80 92 100 103 133 135 138 141 I 186 _j 190 F IGURE 5 READ ING D IFF ICULTY LEVELS OF F IFTEEN RANDOM SAMPLES F ROM HEALTH BOOK SEVENTEEN , ARRANGED IN SEQUENCE co w 84 F i gure 5 shows no provi s ion for reading growth . The mo s t d i f f i c u l t pa s s age wa s loc ated in the center por t i on of the book wh i l e the e a s i e s t pa s s age wa s toward the end o f the book . Betwee n the two pa s s age s , f ound on pages 1 3 3 and 1 3 5 , f our grade l eve l s o f d i f f iculty were found . The data from thi s me a surement i nd ic at e tha t the book h a s a readab i l i ty l eve l whi c h c o u l d probably be c omprehend ed by an average c o l l ege s tudent . Table XVI I shows health book thirty-one t o have a c omputed F l e s c h Re ad i ng E a s e s c ore o f 8 3 . 0 6 1 wh ich i s inter preted a s hav ing a predic ted grade leve l o f d i f f i culty o f s ixth grad e . Varying degr e e s o f d i f f i culty we re f ound in the f i f teen pas s a g e s obs erved . Seven per cent have a pre d icted grade l evel o f d i f f iculty of e i ghth to n inth grade . Twenty - s even per c ent were f ound to have a pred i c ted grad e leve l o f d i f f i c u l ty o f seventh grade . F i f ty-three per c ent have a pred i cted grade l ev e l of d i f f iculty o f s ixth grade . Seven per cent have a predic ted grade level o f d i f£ i cu l ty o f f i fth gr ade and another s even per c ent have a predi c ted grade leve l of d i f f i cu l ty of f ourth grade . Tab l e XVI I I s hows the rank order o f readab i l ity fac tor s and the F le sc h Read i ng Ease s c ore s . The med i an F l e sch Reading Ease s c ore wa s e ighty-three wh ich h a s grade l ev e l of d i f f i c u l ty o f s ixth grade . a pred i c ted The med i an 85 TABLE XVI I ANALYS I S O F HEALTH BOOK T H I RTY-ONE Random P age Numbe r Number of Syl l ab l e s Number of Sentenc e s Number of Wor d s Per Sentence Flesch Score Grade Leve l 17 129 7 14 83 6 26 108 8 12 . 5 103 4 12 122 6 17 86 6 13 129 7 14 83 6 37 13 8 5 20 70 6 36 13 9 7 14 75 7 28 129 5 20 77 7 32 117 7 14 94 5 6 133 6 17 77 7 7 13 4 8 12 . 5 80 6 23 129 5 20 77 7 32 128 9 11 87 6 22 126 6 17 83 6 30 117 5 20 87 6 ·8 142 6 17 69 8-9 Average s e ntence l ength = 1 5 . 2 5 7 word s . Aver a ge word Computed l ength ( sy l lable s p e r 1 0 0 word s ) - 1 2 8 . 0 . F l e s c h Read ing E a s e s core = 8 3 . 0 6 1 , or s ixth grade . One obs ervation ( 7 % ) wa s a t the e i ghth-ninth grade l eve l ; four ( 2 7 % ) we re at the s eventh grade l eve l ; e ight ( 53 % ) wer e at the s ixth grade leve l ; one ( 7 % ) wa s at the f i f th grade l eve l ; and one ( 7 % ) wa s at the four th grade leve l . 86 TABLE XVI I I ANAL Y S I S OF HEALTH BOOK T H I RTY-ONE DATA I N RANK ORDER S y l l a b l e s Per 1 0 0 Words Words P e r Sentence Grade F l e s ch S core Grade Leve l 108 11 4 69 8-9 117 12 . 5 6 70 7 117 12 . 5 6 75 7 122 14 6 66 6 126 14 6 77 7 128 14 6 77 7 129 14 6 80 6 129 17 6 83 6 129 17 6 83 6 129 17 6 83 6 133 17 7 86 6 13 4 20 7 87 6 13 8 20 7 87 6 139 20 7 94 5 142 20 8-9 103 4 Med ian F l e sch Read ing E a s e s c ore = 8 3 . Med i an s y l l a b l e s per 1 0 0 words = 1 2 9 . Med i a n words p e r s entence = 1 7 . Range = 3 4 . S tandard devi a t i o n = 9 . 7 9 2 . 87 syl labl e s per one hundred word s i s 1 2 9 and the med ian s entenc e length is s eventeen word s . The med ian syl l ab i c a t i o n i s that o f be l ow f i f th grade l eve l but the med i an s entence l e ngth i s e i ghth to n inth grade . · F l e s c h Reading Ease s c ore , The l owe st s ix ty-n ine , and the highe s t , 1 0 3 , g ive s a r ange o f thirty - f our and an e s timated s tandard deviation o f 9 . 7 9 2 . A proba b l e grade range o f f ive grad e s i s f ound w i t h i n t h e book . Seventy- thre e per c ent of the p a s s age s i nd i cate a grade leve l o f d i f f i cu l ty o f s ixth and s eventh grad e s . F i gure s ix s hows no evidence o f provi s ion f or read ing growth . The p a s s a g e s on page s twenty-three and twenty s ix s how a grade range o f three grade leve l s . f r om thi s mea s urement i nd icate The data thi s book to have a reada b i l i ty leve l whi c h probably c ould be c omprehended by the average s ixth grade s tud ent and the b e l ow average seventh grade s tudent . Tab l e X IX s hows the c omputed F l e s c h Re ading E a s e s c ore o f h e a l t h book thirty - f our t o be 5 9 . 4 2 1 . The pre dicted grade l eve l o f d i f f i c u l ty is e i ghth to ninth grade . Twenty per c ent o f the p a s s ag e s were f ound to have a pre dic ted grade l eve l o f d i f f icul ty o f thirteenth to s ixte enth grade of c o l l e ge leve l . Thirty - three per cent o f the p a s s ag e s were found to have a pred i c ted grade leve l of d i f f i c u l ty of tenth to twe l f th grade . Forty per c ent o f 0 10 C o l lege Graduate --- ...:I r£1 :> r£1 1-4 r£1 Q � t.'J - - - - - 20 --- - - - -- 8-9 --- - - - - -- - 40 t.'J z H 50 0 � 60 JJ::l p::: :r:: u Cf.l JJ::l 70 ...:I IJ:1 7 - r£1 Cf.l � r£1 --- -- 10-12 H igh School ---------- 30 u Cf.l 13-16 ( C o l lege ) - r£1 p::: 0 - - - - - - - -- - 6 --- --- -- - 5 7 90 -- Average Grade Level 100 Random P age Number L 6 7 8 12 13 17 22 23 26 28 _ L 30 I 32 32 36 37 F I GURE 6 READ ING D IFF ICULTY LEVELS OF F I FTEEN RANDOM SAMPLE S FROM HEALTH BOOK THIRTY-ONE , ARRANGED I N SEQUENCE CX) CX) 89 TABLE XIX ANALYS I S OF HEALTH BOOK T H I RTY-FOUR Random P age Numbe r Number of Syl l ab l e s Number of S entenc e s 13 176 9 30 162 79 Numbe r o f wor d s Per Sentence Fle sch Score Grade Leve l 11 47 13-16 6 17 53 10-12 152 5 20 58 10-12 69 155 6 17 58 10-12 75 164 8 12 . 5 55 10-12 73 164 5 20 48 13-16 103 146 7 14 69 8-9 47 152 6 14 64 8-9 32 15 7 6 17 57 8-9 72 140 5 20 68 8-9 100 137 5 20 71 7 59 157 10 10 64 8-9 28 153 7 14 63 8-9 50 154 6 17 59 10-12 36 166 6 17 49 13-16 Aver ag e s entence l ength = 1 5 . 3 word s . Ave rage word l e ngth ( sy l l ab l e s per 1 0 0 word s ) = 1 5 5 . 6 6 . Computed F l e s c h Reading E a s e s core = 5 9 . 4 2 1 , or e i ghth-ninth grade . Thr ee obs ervations ( 2 0 % ) were at thirteen- s ixteenth grade l eve l ; f ive ( 3 3 % ) were at tenth-twe l fth grade leve l ; s ix ( 4 0 % ) wer e a t e ighth-ninth grad e leve l ; and one ( 7 % ) wa s at s eventh grad e leve l . 90 the p a s sage s were f ound to have a pred i c ted grade level o f d i f f i c u l ty of e i ghth to n inth grade s . Seve n per c ent have a predic ted grade l evel of d i f f i c u l ty of s eventh grade . Table XX provide s the r ank order o f readab i l ity fac tor s and F l e s ch s c ore s f o r heal th book thirty-four . median F l e s c h Read i ng E a s e s c ore i s f i fty - e i ght . an s y l l ab l e s p e r o n e hundred word s i s 1 5 5 . word s per s entence is seventeen . The The med i The median The med i an word complex i ty as ind i c ated by s y l l abication is that of tenth to twe l f th grade leve l o f d i f f icu l ty . The med ian s entence l e ngth is that of e i gh th to ninth grade d i f f i cu l ty leve l . The l owe s t F l e s c h Reading E a s e s c ore wa s forty - s even and the h i ghe s t s c ore wa s seventy-one , whi c h give s a r ange o f twenty - four and an e s timated s t andard deviation o f 6 . 9 1 2 . S ixty- s even per cent o f the pa s s age s were found to have a probable d i f f i cu l ty l eve l from e i ghth to twe l f th grade s . F igure 7 provid e s no ind i c at i on o f provi s i on b e i ng made for r eading growth . The mo s t d i f f i c u l t pas s age was at the beginning of the book and the e a s i e s t pas sages were · near the e nd o f the book . measurement indicate. The data provided from this book th irty- f our to have a reading d i f f i c u l ty l eve l wh ich could be c ompr ehended by the above average e ighth to n inth grader and the below average tenth to twe l fth grade s tudent . 91 TABLE XX ANALYS I S OF HEALTH BOOK T H I RTY-FOUR DATA IN RANK ORDER Syl l ab l e s Per 1 0 0 Words Words Per Sentence Grade Flesch Score Grade Leve l 137 10 7 47 13-16 140 11 8-9 48 13-16 146 12 . 5 8-9 49 13-16 152 14 8-9 53 10-12 152 14 8-9 55 10-12 153 14 8-9 57 1 0-12 154 17 8-9 58 10-12 155 17 1 0- 1 2 58 10-12 157 17 10-12 59 8-9 157 17 10-12 63 8-9 162 17 10-12 64 8-9 164 20 1 0-12 64 8-9 164 20 13--6 68 8-9 166 20 1 3- 1 6 69 8-9 17 6 20 13-16 71 7 Median F le s c h Reading E a se s c ore = 5 8 . Median syl l ab l e s per 1 0 0 word s = 1 5 5 . Med ian words per s entenc e = 1 7 . Range = 2 4 . S tandard devi ation = 6 . 9 1 2 . o _ 10 C o l lege Graduate 20 ;...;. _ _ .... _ _ _ _ _ _ _ _ 13-16 ( C o l lege ) ....::1 ri! :> ri! ....::1 ri! - Q � C!> - - High School -----8-9 -- - - - - - -- - - - 7 - - - - - - - 30 ri! 40 C!> 50 � ri! 60 ::r: u U) ri! 70 0 u U) - :z; H Q 0:: .• . - - - - - -- Grade Leve l ....::1 Ii-i - -- - - 6 - -- -- ri! 0:: U) � ri! - -----10-12 - I - 80 90 5 Random Page Number 100 13 F IGURE 7 READ ING D IFF ICULTY LEVELS OF F I FTEEN RANDOM SAMPLE S F ROM HEALTH BOOK THIRTY-FOUR , ARRANGED IN SEQUENCE 1..0 N 93 The data given in Table XXI shows the F l e s ch Reading E a s e score of he a l th book forty-eight to be 73 . 132 . Accord i ng to the F l e s c h Re ading E a s e S c a l e , th i s s core i nd ic a t e s a reading d i f f iculty l evel o f sev enth grade . Seven per cent o f the pa s s ages have a pr e d icted read ing d i f f iculty l eve l of th irteenth to s ixtee nth gr ade , or c o l lege leve l . Thirteen per cent have a pre d i c ted r ead ing d i f f icu lty l evel o f tenth to twe l fth grade . Thirteen per c e nt have a pred i c ted read ing d i f f iculty l eve l of e i ghth to ninth grade . Twenty- s even per c ent have a pred i c ted r e ading d i f f iculty l evel of s eventh grade . Forty per cent have a pred i c ted reading d i f f iculty l evel o f s ixth grade . T ab l e XX I I shows the rank order o f r eadab i l ity fac tors and F l e s c h s core s for the obs ervations made on health book forty- e i ght . s eventy- f ive . The med i an F l e s c h Re ading E a s e s core was The med ian s y l l ab l e s per one hundred words ' wa s 1 3 5 , and the med ian word s per s entence wa s seventeen o The med ian word c ompl exity , a s ind i cated by the F l e sc h Readi ng E a s e S c a l e , i s e ighth to ninth grade . The lowe st F l e s c h Read i ng E a s e s c or e wa s f orty-nine and the h ighe st wa s e ighty- s ix whi c h g ive s a range o f thirty- s even and an e s timated standard deviation of 1 0 . 6 5 6 . po s s ib l e grade range o f ten grade l eve l s . T h i s ind i c ates a S i xty- s even per cent of the s c ore s r ange rang e s from s ixth to ninth grade l evel of d i f f i cu l ty . 94 TABLE XXI ANALYS I S OF BEALTH BOOK FORTY-E IGHT Random P a ge Number Number of Syl l a b l e s 89 156 6 45 130 15 Number of Sentenc e s Number o f Words Per Sentence Flesch S core Grade Leve l 17 58 10-12 6 17 80 6 134 8 12 . 5 80 6 39 132 5 20 75 7 94 156 4 25 49 13-16 115 143 6 17 69 8-9 71 135 6 17 75 7 1 13 150 5 20 60 10-12 35 126 7 14 86 6 42 134 7 14 79 7 117 128 6 17 81 6 59 13 9 6 17 72 7 50 121 5 20 84 6 65 135 5 20 72 6 110 149 7 14 67 8-9 Aver age s entence l ength = 1 6 . 8 5 word s . Average word l ength ( sy l l a b l e s per 1 0 0 word s ) = 1 3 7 . 8 6 . Computed F l e s c h Re ad ing E a s e S c ore = 7 3 . 1 3 2 , or seventh grade . One o b s e rvat i on ( 7 % ) wa s at the thirte enth- s ixteenth grade leve l ; two ( 1 3 % ) were at the tenth-twe l fth grade l eve l ; two ( 1 3 % ) were at the e ighth-n inth grade leve l ; four ( 2 7 % ) were a t the s eve nth grade l eve l ; and s ix ( 4 0 % ) wer e at the s ixth grade l eve l . 95 TABLE XX I I ANALYS I S OF HEALTH BOOK FORTY-E I GHT DATA IN RANK ORDER Syl l ab l e s Per 1 0 0 Words Words Per Sentence Grade Flesch Score Grade Leve l 121 12 . 5 6 49 13-16 126 14 6 58 10-12 128 14 6 60 8-9 130 14 6 67 8-9 132 17 6 69 8-9 134 17 6 72 7 134 17 7 72 7 135 17 7 75 7 13 5 17 7 75 7 13 9 17 7 79 7 143 20 8-9 80 6 149 20 8-9 80 6 150 20 8-9 81 6 156 20 10-12 84 6 156 25 13-16 86 6 Med i a n F l e sc h Read i ng E a s e s c ore = 7 5 . Median sy l labl e s per 1 0 0 word s = 1 3 5 . Med ian words per s entence = 1 7 . Range = 3 7 . S tandard deviat ion = 1 0 . 6 5 6 . 96 F igure 8 ind i c a t e s prov i s i on f or reading growth . The data provided for t h i s me a s ureme nt indicate that the f ir s t portions of the hea lth book probab ly could be compre hended by the average s eventh grade s tudent and the l atter part of the book could be c omprehended by the average e i ghth to n inth grade s tudent . Table XX I I I ind i c a t e s the c omputed F l e s ch Reading E a s e s c o re of health book thirty-f ive to be 6 8 . 7 5 4 . Thi s score i s interpreted a s having e i ghth t o ninth grade level o f d i f f i cu l ty . O f the f i fteen obs e rva t i on s , s even per cent were f ound to be at tenth to twe l ft h grade l eve l o f d i f f i c u l ty , s ixty per c en t t o b e e ighth t o n inth grade l ev e l of d i f f icu l ty , twe nty- seven per cent to be at s eventh grade leve l of d i f f icul ty , and s even per cent to be at s ixth grade leve l of d i f f icu l ty . Table XXIV provides the r ank order of re adabi l i ty f actors and the F le sc h Reading E a s e s core s o f the f i f teen observa t i on s made on h e a l th book thir ty- f ive . The med ian F l e s c h score was s ixty- s even , the med i an sy l l ab le s per one hundred words wa s 1 4 3 , and the med i an word s per s e ntence wa s s eventeen . The med i an word c omp l e x i ty i s from s eventh to e i ghth grade , whi l e the med ian s entence length is e i ghth to ninth grade . The l owe s t F le s c h score wa s f i f ty - f ive , the h ighe s t was e ighty- seven which give s a range o f C o l lege Graduate � ril :> ril � ril Q � c.;) - - - - - - - - - - - - - ril p:; 0 u 13-16 U) ( Co l lege _ ------------ 1 0-12 _!!���-.§����! 8-9 ------------ 7 - - ril U) r<l:! ril c.;) :z; H Q r<l:! � :r:: u U) ril � (I; ::� '1'" - - - - - - - - - 6 9 5 + 1 o ol Random Page Number 1 5 1 Average Grade Leve l I 35 ! 39 l 42 I 45 I 50 I 59 I 65 I 71 .1 89 I 94 I 110 I 113 I 115 J 117 F IGURE 8 READ ING D IFF ICULTY LEVELS OF F IFTEEN RANDOM SAMPLE S F ROM HEALTH BOOK FORTY-E IGHT , ARRANGED IN SEQUENCE 1.0 -...J 98 TABLE XX I I I ANALYS I S OF HEALTH BOOK T H I RTY-F IVE Random Page Number Number of Syl l ab l e s Number of S entenc e s Number o f Word s Per S entenc e F l e sc h Score Grade Level 23 138 6 17 73 7 53 145 5 20 64 8-9 56 138 5 20 70 7 89 129 9 11 87 6 129 142 6 17 69 8-9 52 150 7 14 66 8-9 90 148 7 14 67 8-9 113 150 7 14 66 8-9 34 143 7 14 72 7 84 150 4 25 55 10-12 94 131 4 25 71 7 102 143 6 17 69 8-9 21 142 5 20 66 8-9 7 146 5 20 63 8-9 1 16 151 6 17 62 8-9 Average s entence l e ngth = 1 6 . 8 5 v-1ord s . Average word l ength ( s y l l ab l e s per 1 0 0 word s ) = 1 4 3 . Computed F l e s c h Read i ng E a s e score = 6 8 . 7 5 4 , or e ighth-ninth grade . One ob servation ( 7 % ) wa s at the tenth- twe l fth grade l eve l ; nine ( 6 0 % ) were at e i ghth-ninth grade leve l ; four ( 2 7 % ) were at s eventh grade l eve l ; and one ( 7 % ) wa s at the s ixth grade leve l . 99 TABLE XXIV ANALYS I S OF HEALTH BOOK T H I RTY-F IVE IN RANK ORDER Syl l ab l e s P e r 1 0 0 Word s Words P e r S e ntenc e Grade F l e s ch Score Grade Leve l 129 11 6 55 10-12 131 14 7 62 8-9 138 14 7 63 8-9 138 14 7 64 8-9 142 14 7 66 8-9 142 17 8-9 66 8-9 1 43 17 8-9 66 8-9 143 17 8-9 67 8-9 145 17 8-9 69 8-9 146 20 8-9 69 8-9 148 20 8 -9 70 7 150 . 20 8-9 71 7 150 20 8-9 72 7 150 25 8-9 73 7 151 25 10-12 87 6 Med ian F l e s c h Reading E a s e score = 6 7 . Median s y l labl e s per 1 0 0 wor d s = 1 4 3 . Med ian word s per s entence = 1 7 . Range = 3 2 . S tand ard deviation = 9 . 2 1 6 . lUU The thir ty- two or s ix grade leve l s o f read i ng d i f f iculty . e s tima ted s tandard deviation was found to be 9 . 2 1 6 . E i ght� s even per cent o f the observations i ndicated s eventh to n inth grade l eve l o f reading d i f f icu lty . F i gure 9 i nd ic a t e s no prov i s ion for reading growth . The h ighe s t and l owe s t F le sc h scores are found within f ive pages of each other . ment i nd i c ate . The data provided by this measure that health book th irty - f ive could probably be c omprehended by the average e i ghth to ninth grade s tudent . Health book three h a s a c omputed F le sch Re ading E a s e s c ore o f 6 9 . 8 0 7 . Acc ording to the F l e sc h Re ad ing E a s e S c a l e , th i s ind ic at e s a r e ad ing d i f f ic u l ty leve l o f e ighth t o n inth grade . Tab l e XXV s hows thirteen per cent of the obs erva t i on s to have a reading d i f f iculty l ev e l of thirte enth to s i xteenth grade , or c o l lege leve l . Thirteen per c e nt have a d i f f iculty l eve l o f tenth to twe l fth grade . Thirteen per c e n t have a d i f f i c u l ty l evel o f e ighth to n inth grade . F o r t v per cent have a reading d i f f ic ul ty l eve l o f s eventh grade and twenty per cent h ave a d i f f i cu lty l eve l o f s ixth grade . The rank order o f r e adab i l i ty factor s and F l e s c h s c ore s f o r he a lth book thr ee a s found in Tab l e XXVI shows the med i an F l e s c h Read i ng E a s e s c ore to be s eventy-three , 0 10 C o l lege Graduate 20 r:r:l H r:r:l 13-16 ( C o l lege ) ::> r:r:l H r:r:l 0. § ------------ 10-12 High School 8-9 7 p:; 0 u U) r:r:l U) r::t: r:r:l l9 � H Q r::t: r:r:l p:; li1 u U) r:r:l H 1'4 30 40 50 60 70 80 6 90 5 r � - �- - - -v - - \ 7� - Average Grade Level � I 100 Random Page Number 7 I 21 l 23 I 34 I 52 I 53 I 56 I 84 l 89 I 90 I 94 I 102 I 113 I 116 I 129 F I GURE 9 READ ING D I F F I CULTY LEVELS OF F I FTEEN RANDOM SAMPLE S FROM HEALTH BOOK THIRTY-F IVE , ARRANGED IN SEQUENCE 1--' 0 1--' 102 TABLE XXV ANALYS I S OF HEALTH BOOK THREE Random P age Number Numbe r of Syl lab l e s Number of S e ntence s 186 152 6 49 127 156 Number o f Words Per Sentence Fle sch Score Grade Level 17 61 8-9 5 20 79 6 134 6 17 76 7 19 151 5 20 59 10-12 246 170 5 20 43 13-16 140 175 7 14 45 13-16 120 142 9 ll 76 7 74 139 7 14 75 7 144 138 6 17 73 7 157 141 13 8 79 7 70 137 5 20 71 7 146 127 7 14 85 6 47 129 9 ll 87 6 135 147 6 17 65 8-9 53 156 6 17 58 10-12 Average s entence l ength = 1 4 . 7 0 5 words . Average word l e ngth ( s y l l ab l e s per 1 0 0 word s ) = 1 4 4 . 3 3 . Computed F le s c h Re ad ing E a s e s core = 6 9 . 8 0 7 , or e i ghth-n inth grade. Two observations ( 1 3 % ) were grade l eve l ; two ( 1 3 % ) we re (1 3 % ) were at e ighth-ninth ; and three ( 2 0 % ) were at the at the th irteenth- s ixteenth at tenth-twe l fth grade ; two s ix ( 4 0 % ) were at s eventh ; s ixth grade leve l . 1 03 TABLE XXVI ANALYS I S OF HEALTH BOOK THREE DATA IN RANK ORDER Syl l a b l e s P e r 1 0 0 Words Word s Per Sentence Grade Fle sch Score Grade Leve l 127 8 6 43 13-16 127 ll 6 45 13-16 129 14 6 58 10-12 134 14 7 59 10-12 137 14 7 61 8-9 138 14 7 65 8-9 139 17 7 71 7 141 17 7 73 7 142 17 7 75 7 147 17 8-9 76 7 151 20 8-9 76 7 152 20 1 0 -1 2 79 7 156 20 1 0-12 79 7 170 20 13-16 85 6 175 20 13-16 87 6 Med ian F le s ch Re ading E a s e s c ore = 7 3 . Med ian syl labl e s per 1 0 0 word s = 1 4 1 . Med ian word s per s entence = 1 7 . Range = 4 4 . Standard dev i a t ion = 1 2 . 7 0 2 . 104 or s eventh grade l eve l o f d i f f iculty . per o n e hundred word s i s 1 4 1 . The mean s y l l a b l e s The med i a n word c omplexity f actor i s s eventh to e i ghth grade whi l e the median s e n tence l e ngth i s e i ghth to n inth grade . The lowe s t F l e sch Read i ng Ease score o f the f i fteen obs ervations wa s f ound to be forty-three and the h i ghe s t was f ound to be e i ghty s even whi c h give s a r ange of f orty-four . Thi s range rep re sents a probabl e grade leve l range of ten grade s . s tandard deviation o f the ob s e rvations i s 1 2 . 7 0 2 . The Seventy three per c ent of the ob s ervations ind i c a te s eventh to twe l fth grade l eve l of read i ng d i f f icu l ty . F i gure 1 0 s hows no indication o f p rovi s ion for r e ad i ng growth . The data f r om th i s mea s urement indicate that heal th book t hree could probab ly be c omprehended by the average seventh grade s tudent and the below average e i ghth grade s tud e nt . Table XXVI I ind i c ates the c omputed F l e sch Read i ng E a s e s c or e o f hea l th book f i fty- three to be 6 2 . 9 7 5 . The i nterpre ted grade l eve l o f r e ad in g d i f f i cu l ty , acc ordi ng to the F le s c h Reading E a s e S c a l e , is e ighth to n inth grade . Of the f i fteen pas s ag e s observed , twenty- seven per cent have a pred i cted r e ad ing d i f f iculty leve l of c o l l ege l evel , th irteen per cent h ave a pre d i c ted grad e l eve l o f read ing d i f f i culty o f tenth to twe l f th grade , th irty-three per c ent 110 ranging from c o l lege graduate leve l to be low f i fth grade One per c ent wa s found at each o f the extreme s were f ound . £ rom l owe st to h i gh e s t l ev e l o f d i f f iculty . F ive per c ent te sted a t f i f th grade leve l o f d i f f i cu l ty and fourteen per c ent te s ted at s ixth grade level o f d i f f iculty . Only twenty per cent of a l l obs erva t i ons could probabl y be c omprehended by the average s ixth grade s tudent or l ower . Only one per cent o f the pa s sa ge s c ould be c omprehended by the average f ourth grade s tudent . E i ghty per c ent o f t h e pa s s ages wou ld be t o o d i f f ic u l t f o r the average i ntermedLate grade leve l s tudent . TABLE XX I X C OMPUTED FLE SCH READ ING EASE SCORE S O F E IGHT SUP P LEMENTARY HEALTH BOOKS IN RANK ORDER Rank Book Number C omputed F l e s ch S c ore Grade Level l 17 44 . 89 13 - 16 2 34 59 . 42 10 - 12 3 53 62 . 97 8 - 9 4 35 68 . 75 8 - 9 5 3 69 . 80 8 - 9 6 48 7 3 . 13 7 7 67 79 . 33 7 8 31 83 . 06 6 Me an C omputed F l e s c h Score = 6 7 . 6 6 9 , or e i ghth-ninth grade 111 The supp leme ntary health books te sted pre sented a range o f var i ation i n grade l eve l s of reading d i f f icu lty f rom a po s s i b l e min imum of s ix grade l eve l s to a max imun of twe lve grade leve l s wi thin each book . Table XXX i nuicate s t h e var iation i n grade l eve l s o f d i f f i cu l ty o f the e i ght suppl ementary books mea sured . TABLE XXX READ I NG DIFF ICULTY LEVELS OF ALL OBSERVAT ION S O F E I GHT SUPPLEMENTARY HEALTH BOOKS F lesc h Read ing E a s e Score Grade Leve l . 83 16 11 9 . 17 - 12 27 22 . 50 - 9 26 21 . 67 7 31 25 . 83 89 6 17 14 . 17 100 5 6 5 . 00 1 . 83 - 29 30 - 49 13 ...,. 50 - 59 10 60 ..... 69 8 70 ...... 79 80 - 100 � - Percentage o f Total 1 0 90 Number o f Observations 110 *C . G . b e l ow 5 * e.G. = c o l lege g raduate Tabl e XXX I i nd i c ate s that only one o f the e ight supp l ementary he a l th book s mea sured by the F le s ch Read ing E a s e formul a c ou ld probably be ut i l i zed at the intermediate l evel for the aver age s ixth grade s tudent . None o f the 112 book s examined te s ted at the f i f th or fourth grade l eve l a o f d i f f icu lty . C on s idering that the formu l a provided only rough e s t imate o f reading d i f f icu lty and has a pos s ib l e error o f o n e grade l ev e l , three o f t h e book s te s ted may p robabl y be u s ed at the intermedi ate l eve l , two for the · $ ixth grade and one for the f i fth grade . TABLE XXX I RANGE OF VARIAT ION I N GRADE LEVELS OF D IFF ICULTY FOR E IGHT SUPPLEMENTARY HEALTH BOOKS Book Number Rand om . Samp l e s F l e s ch Score Range 31 15 . 69-103 34 15 48 Number o f Grade Leve l s Repre s e nted Grade Leve l Range 4 - 9 6 47-71 7 - 16 9 15 49-8 6 6 - 16 11 35 15 55-87 6 - 12 7 17 15 28-73 7 - e.G.* 67 15 58-97 5 - 12 8 53 15 37-91 5 - 16 12 3 15 43-8 7 · 6 -- 1 6 11 e.G.* = 10 c o l l e ge graduate 1 13 III . ANALYS I S OF HEALTH PAMPHLETS F i fteen hea l th pamph l e t s were me a sured for pred i c ted readab� l i ty . pamph l e t s . Tab l e XXX I I s hows the da ta obtained f rom the Computed F l e s c h Re ad i ng E a s e s c ore s r anged from f i fty to e ighty- s even or e l even grade l eve l s o f d i f f i cu lty . O f the f i fteen pamph l e t s , seven per c ent or one pamph l e t w a s predic ted to be c o l l e ge l eve l o f d i f f iculty . Four o f the pamph l e t s , twenty- s even p e r c ent , have e i ghth t o ninth grade leve l of d i f f iculty . S i x pamph l e t s , forty per cent , were f ound to have a r ead i ng d i f f i cu l ty l eve l o f s eventh four pamph l e t s , twen ty - s even per c ent , wer e found grade . to have a s ixth grade l eve l of reading d i f f icu lty . F igure 1 2 s hows the r e adab i l i ty l eve l s o f the f i fteen s e l e c ted he a l th pamph l e t s . Only four of the pam phle t s mea s ur ed could probab ly be c omprehended by the average s ix t h grade s tudent . None of the pamph lets wa s suitable for u s e by the average fourth o r f i fth grade s tudent . Cons idering the rough e s t imate o f reading d i f f i cu l ty provided b y the u s e o f readab i l ity f ormul a s , ther e wou ld be a po s s i b i l ity t h a t t e n o f the pamphl e t s c ould b e u s ed in t h e i ntermediate grade s . O f the s i x pamphl e t s d e s i gn ated a s s eventh grade l eve l o f d i f ficulty , f our had F l e s c h Read i ng E a s e s core s of seventy - f ive to s eventy-n ine which is interpre ted as l ower ha l f of the s eventh grade . TABLE XXX I I DATA FROM SELECTED PAMPHLETS Letter As s i gnment A B c D E F G H I J K L M N ) Total Syllables 1178 3548 1368 2065 643 733 980 1802 581 950 1177 2691 267 2243 992 Syl l a b l e s p e r Hundred Word s Total S entenc e s 159 136 122 155 135 133 156 129 131 13 9 139 146 131 159 14 9 65 181 76 92 32 32 41 11 9 36 41 61 154 19 64 47 Total Word s 739 2609 1075 1035 474 552 628 1402 4 41 676 849 1844 204 1402 664 �vord s per Sentence 11 14 14 14 15 17 15 12 12 16 14 12 10 22 14 Computed F l e s ch Score 61 78 89 61 77 77 60 86 84 73 75 71 86 50 67 Grade Lev e l 8-9 7 6, 8-9 7 7 8-9 6 6 7 7 7 6 10-12 8-9 1-' 1-' .!:>. 0 10 C o l l ege Graduate H. f;r.:l > f;r.:l H. 20 f;r.:l p:; 0 () Cf.l 13-16 ( C o l l ege ) f;r.:l Cf.l !<!! j:L) \.9 z H f;r.:l Cl 1 0-12 � High School \.9 ------------ 8-9 7 30 � 40 50 f;r.:l p:; 60 li: () Cf.l f;r.:l H. � 70 80 6 90 5 ;I?emphl et 100 I A I B I C Dl I E I F I G I H I I I J I K F IGURE 1 2 READ ING D IFF ICULTY LEVELS OF F IFTEEN SELECTED HEALTH PAMPHLETS I L MI I N I 0 1--' 1--' lJ1 116 Three o f the four predi c ted s ixth grade l eve l pamph l e t s h a d F l e s ch Read ing E a s e scores ranging from e i ghty - s ix to e i gh ty-nine wh i c h i s i n terpreted a s being i n the l ower ha l f of the s ixth grade . The reading d i f f icu l ty leve l s o f the f i fteen pamphl e t s are shown i n Table XXXI I I . TABLE XXX I I I READ ING D IFF ICULTY LEVELS OF F IFTEEN PAMPHLETS F le s ch Read ing Ease Score 0 - 29 Grade Leve l *C . G . Number of Pamphl e t s Perc entage o f Total 0 o.o 30 - 49 13 - 16 0 o.o 50 - 59 10 - 12 1 6.6 60 - 69 8 - 9 4 26 . 6 70 - 80 90 - 79 7 6 40 . 0 89 6 4 26 . 6 100 5 0 o.o *C . G . = c o l l e ge graduate 117 IV . MAJOR F IND INGS OF STUDY The f indings o f thi s s tudy may be s ummari zed a s f o l lows : 1. The three he a lth textbook s , from one s e r i e s wh ich i s f ound on the C a l i f ornia S tate -approved l i s t of textbook s , were found to have a pre d icted grade leve l o f d i f ficulty two grades above the pub l i s he r ' s d e s i gnation . 2. Many grade leve l s wer e found wi thin the i nd i vidual textbook s as we l l as the supp l e mentary hea lth book s . 3. E ighty- s ix per cent o f the forty- five ob s e r vations made o n three tex tbooks i ntend ed f o r grades four , f ive , and s ix wer e above the f i f th grade l eve l of reading d i f f icu l ty . 4. S ixty per c en t o f the forty- f ive observa t i on s made on the s ame three textbook s were above the s ix th grade level of r eading d i f f icu l ty . 5. No provi s i on for r e ad ing growth wa s noted i n the three hea l th textbook s . One o f the e i gh t s upp l ementary hea l th book s showed provi s io n s for r e ading growth . 11 8 6. E ighty per cent o f the 1 2 0 observations made on s upplementary books were above a pred i cted s ix th grade leve l of reading d i f f i cu l t i . Only one ob s ervation or l e s s than one per c ent wa s a t f ourth grade l ev e l o f r e ad ing d i f f iculty . F ive p e r c en t o f the ob s ervations were at f i fth grade leve l o f reading d i f f ic u l ty . 7. The e ight supp lementary health books r anged from s ixth grad e leve l of reading d i f f i c u l ty to the s ix teenth grade leve l of reading d i f f i cu l ty . One book wa s found to have a probabl e grade leve l range o f twe lve grade s . 8. F i fteen health pamphle t s ranged from s ixth grade l eve l of reading d i f f i cu l ty to twe lf th grade . Only about 2 7 per cent o f the pamph l e ts could probably be comprehended by the average s ix th grade s tudent . 9. The voc abu l ary was found to be the readab i l i ty factor c ontr ibuting to reading d i f f iculty l eve l i n pamph l e t s . In some o f the books vocabul ary wa s the r e ad ab i l i ty factor c ontributing to r ead ing d i ff icu l ty whi le in other books it wa s the s entence factor wh ich c ontri buted to the r e ad ing d i f f i c u l ty leve l . C HAPTER V C ONCLUS ION S AND RECOMMENDAT I ONS I. C ONCLU S IONS The r e adab i l i ty of pr inted mater i a l s can be mea s ured by u s i ng var iou s me thod s . Thi s s tudy empl oyed the F l e sch Read ing E a s e F ormu l a as a me a sur ing ins trument to pred ict the r eadab i l i ty o f s e le c ted printed health educ ation mate r i a l s intended for use i n the i ntermediate grade s . printed mater i a l s con s i s ted o f book s , (2) The ( 1 ) a serie s o f hea l th text suppl ementary he a l th book s ava i l ab l e in e l emen tary l ibrar i e s of one s chool d i st r i c t , and (3) health pam ph l e t s wh i c h have been u s ed or are be ing cons idered for u s e at the i ntermed iate leve l , The reader i s reminded o f the l imitations o f the u s e o f readabi l i ty formu l a s a s were me ntioned i n Chapter I . ' The f ormu l a only provide s a rough e s t imate o f the readab i l ity of a pa s s a ge of printed mater i a l . The ma j or f ind ings o f the s tudy have been s ummari zed in Chapter IV . drawn . From the s e f indings , conclus ions have been The s e c onc l u s i on s appl y only to the mater i a l s ana l y zed i n th i s s tudy . 1. The hea l th textbooks from one s e r i e s from the C a l i forn i a State l i s t of approved textbooks are too d i f f i c u l t for the grade leve l intended . 120 2. A l l but one o f the supp lementary health book s were too d i f f i c u l t for s tudent s in the intermed iate grad e s . 3. A wide var i a tion o f reading d i f f i cu lty wa s f ound within each textbook and suppl ementary h e a l th book . 4. Only one o f the e l even books provided for read ing growth . 5. S entenc e l ength and vocabu l ary were contr ibuting a mor e f actors to reading d i f f i cu l t y . 6. N e ither one was predominant fac tor . None o f the pamph l e ts t e s ted wou l d be suitable for the ave rage fourth or f i fth grade student . Le s s than one - th ird would be s u i tab l e for u s e b y the average s ix th grade s tudent . II , RECOMMENDAT I ONS I t woul d appear to be worthwh i l e f or a study to be made c ompari . ng the r eadab i l i ty of all textbook s se lected for use i n the sub j e c t area s at each grade l eve l . Th i s would give a n e s t imate o f the d i f f i cu l ty o f health book s i n r e l a t i on t o other book s u s ed . The e f fe c t o f u s ing various i l l u s tration s such a s p i c tu re s , graph s , tab l e s , a n d charts needs to be eva luated . The r e l at i on s h i p o f such i l lu s tr a ti on s to r e ading d i f f i c u l ty need s t o be determined . 121 Further re s e arch i s needed in predict ing the r eading e a s e of the spec i f ic c ontent areas in health books . The f requency with wh ich words o f a spec i f i c c ontent area occur might be c on s idered or inc orporated into the e x i s t i ng formu l a s . Pub l i shers s hould cons ider furn i s h ing s amp l e s o f r andomly s e le c ted pas s ages from heal th books t o s c hool d i str ict s and t e acher s . The s e mate r i a l s c ould then be t e s ted by teacher s and s tudents be f ore s e le c t i on o f a text i s made . The wide r ange i n the r eading abi l i ty o f s tudent s wh ich bec ome s more prominent at the intermediate l eve l would j u s t i f y the need for more than one textbook at each grade leve l . Pub l i s her s should be enc our aged t o c on s i der the printing of textbooks wi th varyi ng degree s o f d i f f ic u l ty , y e t u t i l i z i ng the s ame author for each grade level . � mor e exac t s y s t em o f catal oging the s upplementary mater i a l s wou l d be helpful to the teacher and l ibrarian in a s s i s t ing the s tudent i n f ind i ng appropr iate . supp lemen tary reading mat e r i a l s . Agenc i e s o f fer ing free or inexpens ive mate r ia l s in pamph l e t f orm for c l a s s room u s e s hould c ons ider provid ing more s u itable reading mater i a l for s tudent use at the intermediate and l ower grade leve l s . 122 When teache r s s e l e c t printed health ma teria l s to be u s ed in the c la s s r oom , c ons ideration should be g iven to the ob j ec t ive evidenc e f urni shed by readab i l i ty f ormu l a s . The ob j e ct ive evid ence supplemented with sub j e c t ive j udgment f rom other ob s ervations should better provide the material be s t s u ited f o r the student s who wi l l u s e them . BIBL I OGRAPHY 124 BIBL IOGRAPHY A. BOOKS 1. Be l lows , Roger . P sycho l ogy of Per sonne l in Bu s ine s s and Indu s try . Engl ewood C l i f f s , N . J . : --Prent i c e Ha l l I nc . , 1 9 5 4 . 2. B l ack , Hi l le l . The Amer i c an Schoolbook . Wi l l i am Morrow & Co . , Inc . , 1 9 6 7 . 3. 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