Improving adolescent health literacy through school-based health literacy intervention: a mixed-method study protocol

Area of Science:

• Public Health
• Health Education
• Adolescent Health

Background:

• Limited research exists on adolescent health literacy (AHL) in Nepal.
• Health-promoting actions may be enhanced by improved AHL.
• Understanding AHL needs is crucial for targeted interventions.

Purpose of the Study:

• To identify the health literacy needs of adolescent students in Nepal.
• To design and trial an intervention to improve adolescent health literacy.
• To assess the intervention's impact on health literacy and health-promoting actions.

Main Methods:

• A pre- and post-test mixed-method intervention study was conducted in four community schools.
• Quantitative data collected via standardized scales (HLS-Child-Q15, self-efficacy, social support, health-promoting actions).
• Qualitative data from focus group discussions and key informant interviews analyzed using framework analysis; difference-in-difference used for outcome analysis.

Main Results:

• The study will provide initial insights into the level of AHL among adolescents in Nepal.
• It will identify potential determinants of AHL in this population.
• The relationship between AHL and the intention for health-promoting activities will be explored.

Conclusions:

• This research offers foundational data on adolescent health literacy in Nepal.
• Findings can guide the development of effective health promotion and literacy programs for adolescents.
• The study highlights the importance of tailored interventions to improve health behaviors.