Creating opportunities for community voices to be heard

Abstract This presentation will showcase the importance of community based participatory research in developing health literacy in Ireland. Purposeful sampling (n = 105: 71% female) in two contrasting Sláintecare Healthy Community areas in Ireland (Finglas & Cabra and Mayo), recruited participants to take part in semi-structured focus groups, or individual interviews. Using reflective thematic analysis, and a critical friend approach, five key themes were identified that demonstrated the strengths, needs and challenges in health literacy in urban and rural communities in Ireland. This included: i) Accessing and understanding health information; ii) Health literacy changing over time; iii) Perceiving health literacy as an individual responsibility; iv) Interpersonal and community influences on health literacy; and v) Health access through a rural or urban infrastructure. There were many similarities between rural and urban, young and old. Equally, there were unique challenges that required local solutions. As such, the next phase of this project utilised a co-design process to check, challenge, collaborate and create recommendations for health literacy solutions in each case study area. A specific method of experience-based co-design, the Double Diamond Design Approach (DDDA) was used. With DDDA, stakeholders progress through a four-stage reflective process to discover, define, develop, and deliver an innovative solution to a problem. Two Co-design Workshops took place in March 2024 aiming to revise the strengths, barriers, needs, and propose potential recommendations for health literacy in each Sláintecare Healthy Community, using an adapted DDDA. Within the rural setting, solutions to promote health literacy spanned across transport, health access, and community based needs. Within an urban context specific suggestions around community engagement, information sharing, and earlier educational intervention were called for.