Hello Ann:
 
My suggestion is you direct your writer to shoot for the 6th- rather  than 
the 8th-grade reading level. If your writer has limited  experience writing at 
this level with design considerations in mind, he or she  will probably end up 
giving you something between the 6th- and 8th-grade  level anyway.  You can 
then edit each item based on the feedback you  receive from diabetes support 
group participants in the areas the programs will  be used in prior to finalizing 
the text and design. 
 
This is a relatively inexpensive way to reach a majority of your  intended 
audience. This said, as you mention, there will be a large number  of people 
with reading skills below the 6th-grade reading level in the  areas you wish to 
serve that will require other learning tools, such  as simple, interactive 
videos and audiotape programs, but few  are available.  
 
For more specific suggestions for this worthwhile project, you may want to  
contact Leonard Doak (aka the "Godfather of Health Literacy") at the above  
address.   
 
Best of luck with your project,  
 
Paul Tracey
Learning About Diabetes, Inc.
_www.learningaboutdiabetes.org_ (http://www.learningaboutdiabetes.org/)  

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