Which is a PMR design principle?

• A. Use highly technical terminology to ensure accuracy
• B. Write at the caregiver's literacy level
• C. Include extensive clinician notes
• D. Limit to one page

Answer: (B)

The main idea being tested is making information in PMR materials understandable for caregivers by using language that matches their reading level. Writing at the caregiver’s literacy level means using plain language—everyday terms, short sentences, and clear instructions—and, when needed, brief explanations of medical terms. This approach helps caregivers accurately grasp what to do, from understanding a treatment plan to recognizing warning signs and knowing when to seek help. When materials are easy to read and follow, families are more likely to implement recommendations correctly, which supports safer, more effective care for children.

Using highly technical terminology, even if precise, can create barriers to understanding and adherence. Including extensive clinician notes focuses on clinicians’ perspectives rather than caregiver action and comprehension. Limiting to one page can aid brevity but doesn’t by itself address whether the content is truly accessible and actionable for someone with limited health literacy.