title: Amplifying diffusion of health information in low-literate populations through adult education health literacy classes.
abstract: Over the next decade, as literacy rates are predicted to decline, the health care sector faces increasing challenges to effective communication with low-literate groups. Considering the rising costs of health care and the forthcoming changes in the American health care system, it is imperative to find nontraditional avenues through which to impart health knowledge and functional skills. This article draws on classroom observations and qualitative interviews with 21 students and 3 teachers in an adult education health literacy class to explore the efficacy of using adult education courses to teach functional health literacy skills to low-literate populations. Data were analyzed using a combination of thematic and content analyses. Results describe the motivation of students to share information within the classroom and with friends and family outside the classroom. This article also provides several recommendations to help ensure accuracy of diffused information both within and outside of the classroom. Ultimately, this study suggests that the adult education system is in a prime position to impart functional health literacy skills to low-literate populations in the classroom. Significantly, this study demonstrates that adult education students themselves may be a powerful vehicle for health communication beyond the walls of the classroom.
authors.affiliation: Department of Behavioral Sciences and Health Education , Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA. ariela.freedman@emory.edu
authors.forename: Ariela M
authors.initials: AM
authors.lastname: Freedman
authors.forename: Kathleen R
authors.initials: KR
authors.lastname: Miner
authors.forename: Katharina V
authors.initials: KV
authors.lastname: Echt
authors.forename: Ruth
authors.initials: R
authors.lastname: Parker
authors.forename: Hannah L F
authors.initials: HL
authors.lastname: Cooper
mesh_terms: D000328:Adult; D004522:Educational Status; D005260:Female; D058015:Health Communication; D006266:Health Education; D057220:Health Literacy; D006801:Humans; D033181:Information Dissemination / Q000379:methods*; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation; D036301:Qualitative Research; D055815:Young Adult