Author's response to reviews Title: Tackling Health Literacy: Adaptation of Public Hypertension Educational Materials for an Indo-Asian Population in Canada: a qualitative study. Authors:

Content Provider	Semantic Scholar
Author	Jones, Charlotte A. Mawani, Shefina Omar-Allu, Selina Smith, Megan Rootman, Irving Haafkens, Joke A.
Copyright Year	2010
Abstract	The question posed by the authors is well defined and the methods used are appropriate and well-described. Although there are some limitations of the data which are noted by the authors, the data that are presented appear to be sound. The manuscript adheres to relevant standards for reporting. It is not clear from the paper, how the data will be deposed. The data, methodology and educational materials that were developed will be tested in the Indo-Asian community (for knowledge gain). Furthermore, the methodology will be used to adapt and develop future educational materials developed by the Canadian Hypertension Education program [CHEP] and Hypertension Canada. The discussion and conclusions are well-balanced and adequately supported by the existing data as well as the literature and the limitations of the work are clearly stated. The authors reference work that that they are building on. The title and abstract do accurately convey the findings and the writing is clear and acceptable. Moreover, the paper is a worthwhile contributions to the relatively small literature on health literacy among ethno-cultural populations and therefore merits publication. There are however afew typos that should be corrected (e.g. p. 5, l.1 (drop "the" before Canada; p. 6,l.20, "is data" should be "are data". Also, Table 1 is not referred to in the text, andTables 2 and 3 might include percentages. Statistical review: No, the manuscript does not need to be seen by a statistician. 1. Compulsory Revisions General remarks In many Western countries hypertension and hypertension-related complications and mortality are more prevalent among some ethnic minority than among the host population. In order to remove potential barriers to optimal care it is now generally accepted that public health agencies should provide health care messages that fit the level of health literacy and the cultural background of the target group. However, tailoring generic health information to the characteristics and the need of a specific target group is not easy and the literature provides few examples of hypertension pamphlets that are adapted to the level of health literacy of a target group. For that reason this paper addresses a relevant topic: the aim of the study was to develop a culturally tailored hypertension public education pamphlet for Indo-Canadians and to " field test " the acceptability. In my view the most interesting and relevant part of this project for a public health audience is the first part of the study, where …
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