‘Health literacy for all’: exploring the feasibility of an intervention to reduce health disparities among rural children

Aghazadeh, Sarah A.; Aldoory, Linda

doi:10.1080/00909882.2020.1789196

Cited by 3 publications

(3 citation statements)

References 50 publications

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“…While improving health literacy may reduce inequities in health and developmental outcomes amongst all children, it may have a more marked impact among some subgroups of children (e.g., low socioeconomic status). Interventions that target disadvantaged children, such as those from low socioeconomic status backgrounds, have shown promising health outcomes, including improved health literacy and health outcomes [ 91 ]. These findings will further inform the design of school-based intervention programs and contribute to their efficiency and effectiveness.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Health Literacy Assessment Tools among Beijing School-Aged Children

Guo

Davis

et al. 2022

Children

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Health literacy is a broad and multidimensional construct, making its measurement and conclusions inconsistent. This study aims to compare the patterning of health literacy using different assessment tools and examine their impact on children’s developmental outcomes. A cross-sectional study was conducted with 650 students in Years 7–9 from four secondary schools in Beijing. Health literacy was measured by the eight-item health literacy assessment tool (HLAT, score range 0–37), the six-item Newest Vital Sign (NVS, score range 0–6), and the 16-item Health Literacy Survey (HLS, score range 0–16). Based on Manganello’s health literacy framework, information on upstream factors (e.g., gender, ethnicity, socioeconomic status) and developmental outcomes (e.g., health-promoting behaviours, health service use, global health status) was collected. Overall, the average scores for health literacy were 26.34 ± 5.89, 3.64 ± 1.64, and 13.72 ± 2.94, respectively, for HLAT, NVS, and HLS. The distribution of health literacy varied by socio-demographics and individual characteristics except for gender, no matter which health literacy assessment tool was used. The magnitude of associations between health literacy, its upstream factors and developmental outcomes was greater when using three-domain instruments (HLAT and HLS) than using single-domain instruments (NVS). The approach to health literacy measurement will influence the conclusion. Using multidimensional assessment tools may better capture a child’s health literacy and contribute to the maximum efficiency and effectiveness of school-based health literacy interventions.

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Section: Discussionmentioning

confidence: 99%

Comparison of Health Literacy Assessment Tools among Beijing School-Aged Children

Guo

Davis

et al. 2022

Children

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“…The use of HEAP (Health Education Assessment Project) assessment by the teachers shows a moderate effect on students´ knowledge about injury prevention and safety, and health skills of accessing valid sources of health information and services. Aghazadeh and Aldoory (2020) [ 20 ] implemented a health literacy intervention program for second and third grade students in two US elementary schools with different socioeconomic levels. The program was designed to improve health knowledge, self-efficacy, health decision-making, listening, and oral communication.…”

Section: Introductionmentioning

confidence: 99%

“…Based on the three-level concept of health literacy of Nutbeam (2000) [18], the program IMOVE by Bruselius-Jensena, Høstgaard Bonde and Hellesøe Christensen (2016) [19], for example, should help Danish primary school students to develop health literacy related to physical activity. Physical activity can also be found as a component of intervention measures, e.g., in the study by Aghazadeh and Aldoory (2020) [20]. However, there are hardly any physical activity programs yet found to improve health literacy.…”

Section: Introductionmentioning

confidence: 99%

Promotion of Elementary School Students’ Health Literacy

Knisel

Rupprich

Wunram

et al. 2020

IJERPH

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Health literacy is an important outcome of the discussion of school-related health education and health promotion in the 21st century. Although the improvement of health literacy at an early age is increasingly recognized and few interventions show the development of children´s health literacy, still there is little research in this area. The purpose of the study was to examine the enhancement of health literacy among children in a physical activity-based program at elementary school. In total, 137 students aged 6–12 years participated in the program, which included health knowledge transfer in child-appropriate games and exercises. Participants´ health literacy was assessed using the HLS-Child-Q15-DE at the beginning and the end of the program. The instrument measures the access, understanding, appraisal and application of health-related information on a four-point Likert-type scale. As expected, the Wilcoxon signed-rank test revealed significant increases in self-reported health literacy over time. The results show that the degree of change in health literacy was not associated with gender or age. The results suggest that the physical activity-based program has the potential to improve elementary school children´s health literacy, even though in a single group pilot study.

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Community based participatory research for public relations: Realizing potential for researcher-participant relationships

Aghazadeh

Aldoory

2023

Public Relations Review

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‘Health literacy for all’: exploring the feasibility of an intervention to reduce health disparities among rural children

Cited by 3 publications

References 50 publications

Comparison of Health Literacy Assessment Tools among Beijing School-Aged Children

Comparison of Health Literacy Assessment Tools among Beijing School-Aged Children

Promotion of Elementary School Students’ Health Literacy

Community based participatory research for public relations: Realizing potential for researcher-participant relationships

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