title: The importance of building trust and tailoring interactions when meeting older adults' health literacy needs.
abstract: Health literacy is the ability to access, understand and use health information. This study qualitatively explored the views and experiences of older adults with varying health literacy levels who had attended a falls clinic on their overall experience of the falls clinic, access to the service and provider-patient interaction.
  
  
  
  Individual semi-structured interviews were conducted with nine older adults using a falls clinic in England. Health literacy was assessed using the REALM and NVS-UK. Interviews were audio-recorded, transcribed verbatim and interrogated using interpretative phenomenological analysis (IPA).
  
  
  
  Two superordinate themes emerged from the analysis: The importance of trust and relationship building to achieve effective communication with older adults; and the importance of tailoring education and healthcare to older adults' individual health literacy needs and preferences.
  
  
  
  The findings corroborate previous research emphasising the importance of face-to-face communication in responding to older adults' individual health literacy needs. Building trust in the relationship and tailoring communication to older adults' individual attributes and preferred learning styles is essential. Healthcare practitioners and managers should consider how service organisation and communication methods can enhance positive and effective relationships with patients. Improved training could support healthcare providers in meeting patients' personal communication needs. Implications for Rehabilitation Rehabilitation professionals should be aware of their patients' individual health literacy needs and communication/learning preferences. It is important to build relationships and trust with older adults attending rehabilitation services. Further training for rehabilitation professionals could support them in meeting patients' personal communication needs.
authors.affiliation: a Faculty of Health Sciences , University of Southampton , Southampton , UK.
authors.forename: Charlotte
authors.initials: C
authors.lastname: Brooks
authors.affiliation: a Faculty of Health Sciences , University of Southampton , Southampton , UK.
authors.forename: Claire
authors.initials: C
authors.lastname: Ballinger
authors.affiliation: b Sydney School of Public Health , University of Sydney , Sydney , Australia.
authors.forename: Don
authors.initials: D
authors.lastname: Nutbeam
authors.affiliation: a Faculty of Health Sciences , University of Southampton , Southampton , UK.
authors.forename: Jo
authors.initials: J
authors.lastname: Adams
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000368:Aged; D000375:Aging / Q000523:psychology*; D032882:Comprehension; D004739:England; D005260:Female; D057220:Health Literacy; D006297:Health Services Accessibility / Q000592:standards; D006299:Health Services for the Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D010353:Patient Education as Topic / Q000379:methods / Q000592:standards; D057240:Patient Preference; D011369:Professional-Patient Relations; D035502:Trust
keywords: Falls; communication; elderly; provider–patient interactions; relationship building