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Improvement of Health Handbook for Vietnamese Working in Japan Using the
Patient Education Materials Assessment Tool

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K. Yamauchi, M. Fujii, K. Sudo, A. Iwamoto, M. Kanda, and M. Fujita 3
Global Nursing, Otemae University, Japan, Research Curriculum Department, National College of
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Nursing, Japan, and Global Health and Medicine, Bureau of International Health Cooperation National
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Center, Japan
Background: The “Health Handbook for Vietnamese Working in Japan” (referred to as the “handbook”)
was developed by the Vietnam Migration and Health Working Group supported by National Center for
Global Health and Medicine, and MINNA (Migrants Neighbor and Network & Action) in 2022. The
handbook was created by Japanese experts in health and medicine and written in both Vietnamese
and Japanese, and is available on hard copy and electronically on the MINNA website.

Objective: To identify improvement points of the handbook in the scope of understandability and
actionability.

Methods: The Japanese Patient Education Materials Assessment Tool for Printed Materials (PEMAT-P)
was used for evaluation. This rating scale consists of 23 items (16 on understandability and 7 on
actionability) which were rated on the basis of “agree = 1,” “disagree = 0,” and “not applicable. We set
the cutoff point at 70% based on prior literature. Four Japanese nurses rated the Japanese notations
and illustration.

Results: The mean scores of understandability and actionability of the handbook was 78% and 68%,
respectively. The handbook was a material easy to understand because of getting higher score than
70% of cutoff point. “The material clearly identifies at least one action the user can take” and “The
material addresses the user directly when describing actions” got the highest score for actionability
and “The material uses visual aids whenever they could make it easier to act on the instructions”
resulted to get the lowest score.

Conclusion: Similar to previous studies, understandability score of handbook was higher than
actionability score. To improve the handbook, it suggests to reinforce specific images with visual
materials tailored to actions that can be practiced.

Keywords: Vietnamese workers, health handbook, health communication

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Correspondence: Kozue Yamauchi, Global Nursing, Otemae University, Japan
Poster Presentation Abstracts
E-mail: ko-yama@otemae.ac.jp

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