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HealthLit4Kids study protocol; Crossing boundaries for positive health literacy outcomes


Nash, R and Elmer, S and Thomas, K and Osborne, R and Macintyre, K and Shelley, B and Murray, L and Harpur, S and Webb, D, HealthLit4Kids study protocol; Crossing boundaries for positive health literacy outcomes, BMC Public Health, 18, (1) Article 690. ISSN 1471-2458 (2018) [Contribution to Refereed Journal]


Copyright Statement

© The Author(s). 2018. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0)

DOI: doi:10.1186/s12889-018-5558-7


Background: Health attitudes and behaviours formed during childhood greatly influence adult health patterns. This paper describes the research and development protocol for a school-based health literacy program. The program, entitled HealthLit4Kids, provides teachers with the resources and supports them to explore the concept of health literacy within their school community, through classroom activities and family and community engagement.

Methods: HealthLit4Kids is a sequential mixed methods design involving convenience sampling and pre and post intervention measures from multiple sources. Data sources include individual teacher health literacy knowledge, skills and experience; health literacy responsiveness of the school environment (HeLLO Tas); focus groups (parents and teachers); teacher reflections; workshop data and evaluations; and children’s health literacy artefacts and descriptions. The HealthLit4Kids protocol draws explicitly on the eight Ophelia principles: outcomes focused, equity driven, co-designed, needs-diagnostic, driven by local wisdom, sustainable, responsive, systematically applied. By influencing on two levels: (1) whole school community; and (2) individual classroom, the HealthLit4Kids program ensures a holistic approach to health literacy, raised awareness of its importance and provides a deeper exploration of health literacy in the school environment. The school-wide health literacy assessment and resultant action plan generates the annual health literacy targets for each participating school.

Discussion: Health promotion cannot be meaningfully achieved in isolation from health literacy. Whilst health promotion activities are common in the school environment, health literacy is not a familiar concept. HealthLit4Kids recognizes that a one-size fits all approach seldom works to address health literacy. Long-term health outcomes are reliant on embedded, locally owned and co-designed programs which respond to local health and health literacy needs.

Item Details

Item Type:Contribution to Refereed Journal
Keywords:health literacy, health promotion, school, children, teacher, community, equity, co-design
Research Division:Health Sciences
Research Group:Public health
Research Field:Community child health
Objective Division:Health
Objective Group:Specific population health (excl. Indigenous health)
Objective Field:Neonatal and child health
UTAS Author:Nash, R (Dr Rosie Nash)
UTAS Author:Elmer, S (Associate Professor Shandell Elmer)
UTAS Author:Thomas, K (Mrs Katy Thomas)
UTAS Author:Macintyre, K (Dr Kate Macintyre)
UTAS Author:Shelley, B (Dr Becky Shelley)
UTAS Author:Murray, L (Dr Linda Murray)
UTAS Author:Harpur, S (Ms Siobhan Harpur)
ID Code:126776
Year Published:2018
Web of Science® Times Cited:20
Deposited By:Medicine
Deposited On:2018-06-25
Last Modified:2023-01-11
Downloads:84 View Download Statistics

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