On average ‘very easy’ leaflet had a mean score of 5.4, ‘easy’ leaflets had a mean score of 5.97 ± 0.35, ‘fairly easy’ leaflets had a mean score of 6.86 ± 0.25, ‘standard’ leaflets had a mean score of 8.53 ± 0.53 and ‘fairly difficult’ leaflets had a mean score of 10.69 ± 0.78 (see Table 6). According to FK-GL score 37.21% of leaflets

were assessed to be ‘fairly difficult’ and 27.91% were assessed to be ‘standard’. This shows that companies do not give adequate attention for the importance of readability. This may make the leaflets less comprehensible. This study was well compared with other Selleck INCB024360 studies9 and 10 that fewer leaflets met the criteria of having less than eighth grade level. When ‘difficult’ leaflets were given to 500 consumers (Group 1), 93 consumers felt it was ‘very easy’, 107 consumers rated as ‘easy’, 89 consumers rated as ‘standard’ and 211 consumers rated as ‘difficult’. In this group 129 consumers were post-graduates, 155 consumers were graduates and 216 consumers completed High school education (see Table 7). When ‘standard’ leaflets were given to 500 consumers (Group 2), 142 consumers felt it was ‘very easy’, 123 consumers rated as ‘easy’, 178 consumers rated as ‘standard’ and 57 consumers rated as ‘difficult’.

In this group 164 consumers were Sirolimus in vivo post-graduates, 193 consumers were graduates and 143 consumers completed High school education (see Table 8). When ‘fairly easy’ leaflets were given to 500 consumers (Group 3), 196 patient felt it was ‘very easy’, 204 consumers rated as ‘easy’, 48 consumers rated as ‘standard’ and 52 consumers rated as ‘difficult’. In this group 188 consumers were post graduates, 212 consumers were graduates and 100 consumers completed High school education all (see Table 9). In India, generally CMILs are continued to be prepared in English and with higher proportion of consumers with English illiteracy. CMILs, which are prepared without taking consideration of reading level of consumers and proper layout and design, may not achieve the intended purpose. This is an important aspect that any company has to reckon while preparing leaflets and

at least in some major local languages in which CMILs have to be prepared. For assessing consumers’ perception, consumers were divided into 3 groups. Each group had 500 consumers. The leaflets which were classified by their difficulty according to the formulae were grouped together and given to the consumers. Group 1 was given difficult leaflet. Group 2 was given standard leaflet and group 3 was given ‘fairly easy’ leaflet. Consumers randomly picked a leaflet to read it and then rated it. Consumers who can read English were enrolled into the study. It was found that most of the consumers were graduates or having higher qualification. So, most of them could read the level of 8th standard. Only a few consumers with high school qualification found leaflets difficult.