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A multistage research on factors influencing and active learning intervention on health literacy of community-residing elderly adults in Nanjing.
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- Additional Information
- Source:
Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
- Publication Information:
Original Publication: London : BioMed Central, [2001-
- Subject Terms:
- Abstract:
Competing Interests: Declarations. Ethics approval and consent to participate: This study was approved by the Medical Ethics committee at Zhongda Hospital, Affiliated to Southeast University (No. 2023ZDSYLL170-P01) accordance with the Declaration of Helsinki. All participants have signed informed consent forms prior to the study. Consent for publication: Not Applicable. Competing interests: The authors declare no competing interests.
Background: The health literacy among older adults deserves further investigation. This study aimed to conduct a multistage research to investigate the current status and key determinants of health literacy among Chinese older adults and evaluate the effectiveness of an active learning intervention in enhancing their health literacy.
Methods: In the first phase, a cross-sectional study surveyed 608 elderly residents. The second phase was a two-arm parallel randomized controlled trial (RCT) in which 120 older adults were randomly assigned to a three-month intervention (n = 60) or control group (n = 60). The active learning program intervention included health lectures, active discussions, heuristic questioning, and family homework, while the control group only received health literacy pamphlets. Health literacy scores were the primary outcome and were evaluated from five dimensions. The RCT data was collected at baseline and the completion of the intervention.
Results: In the cross-sectional study, the median (IQR) health literacy score was 4.355 (4.030, 4.647) (range: 0-5) Quantile regression showed that sex, education, number of children, self-reported health, chronic disease and insurance significantly affected health literacy. The intervention group showed significant improvement in all dimensions (P < 0.05), with significant group × time interactions in health knowledge, health behaviours, health skills, health intentions and total health literacy. Multiple linear regression indicated that marriage status related to health knowledge, education level related to health behaviours and total health literacy, chronic diseases and insurance factors related to health skills, and sex and insurance factors related to health intentions have significant effects.
Conclusion: The health literacy of older adults is influenced by individuals, families, and societal factors. The active learning program effectively enhances comprehensive health literacy and is a valuable strategy for advancing China's proactive health strategy by mobilizing the roles of the individual, family, and society.
Trial Registration: The trial has been retrospectively registered on April 8, 2025, at the Chinese Clinical Trial Registry (ChiCTR2500100396|| http://www.chictr.org.cn/ ), which is a primary registry of the International Clinical Trial Registry Platform of the World Health Organization.
(© 2025. The Author(s).)
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- Grant Information:
23&ZD188 Major Project of the National Social Science Fund of China
- Contributed Indexing:
Keywords: Active learning program; Elderly adult; Health literacy; Intervention; Proactive health
- Publication Date:
Date Created: 20250610 Date Completed: 20250610 Latest Revision: 20250617
- Publication Date:
20250617
- Accession Number:
PMC12150441
- Accession Number:
10.1186/s12889-025-23394-9
- Accession Number:
40495153
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