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Adhere to Health Literacy and Good Lay Summary Practices
Test Your Source Language’s Readability
Under the EU Clinical Trial Regulation (CTR), the EU Medical Device Regulation (MDR), and the EU In Vitro Diagnostic device Regulation (IVDR), as well as ongoing initiatives of the US FDA, plain writing and plain language materials are either required or encouraged. As part of the CTR, plain language summaries of clinical trial results became required in the EU. In March 2024, the FDA published a draft industry guidance on Consent Information presented in plain language at a target population’s proficiency and educational level. This blog will offer guidance from our life sciences translation services team for plain language communication and tackling the challenges of translating scientific medical content, like clinical summaries, into plain language writing.
The biggest mistake life sciences professionals can make is presuming plain language writing is simple language. Converting a medical scientific document into plain conversational style accessible to a non-scientific audience requires linguistic expertise and a nuanced understanding of plain language principles. Professionals trained and specialized in medical writing may be inadvertently restricted by their specialized knowledge. Their expertise may challenge them in adopting a conversational style suitable for a 6th to 8th-grade reading level. Often, professional writing that’s intended as a plain language summary may be more appropriate for a high school senior or even college reading level. While scientists might adeptly translate medical terms into simpler ones, they may still struggle to abandon the passive, verbose conventions typical of medical writing and objective scientific results communication. In scientific to plain language communication, it’s key to recognize that plain and scientific language conventions are linguistic opposites, serving very different audiences and purposes. Lionbridge prioritizes expertise in both life sciences and linguistics to consult effectively on scientific to plain language translation.
There are no strict regulations on writing for a lay audience. However, following best practices such as Health Literacy and Numeracy Principles significantly improves the accessibility of information. Health Literacy principles emphasize using simple, everyday words, an active voice, and avoiding medical jargon. Health Numeracy principles guide the presentation of quantitative information. They suggest, for example, using whole numbers or visuals to aid understanding and avoid leaving calculations for the reader. Translating scientific or medical language into simple conversational language is a multidisciplinary task requiring subject matter expertise and linguistic skills. For further guidance, refer to the Good Lay Summary Practice guidance, published on EudraLex, Volume 10 - Clinical Trials Guidelines.
There are varying approaches for readability testing, and solutions depend on specific needs, budget, and timelines for plain language communication initiatives. For some specific purposes, a user consultation may be necessary, e.g., for readability testing of Labeling and Package Leaflets submitted for regulatory marketing authorization of a new drug. In many other cases, technology offers readability test tools that are both cost- and time-efficient. Customers still use traditional readability formulas developed in the mid-20th century, such as the Flesch-Kincaid Grade Level score and the Gunning Fog Index. These tools can offer a basic gauge of readability, but should be applied cautiously, as they may not account for context or textual meaningfulness.
Need assistance with your scientific to plain language communication initiatives? Lionbridge offers readability testing by employing Large Language Models (LLMs) and sophisticated prompt engineering. This generative AI and life sciences solution analyzes source text against health literacy principles and instantly generates an improved text proposal. The solution is adaptable for any therapeutic area and document aimed at a lay audience in life sciences and healthcare sectors. Let’s get in touch.