Exploratory Evaluation of a Medical Student‐Led Health Literacy Program Among High School Students

BACKGROUND: Low health literacy is a barrier to positive health behaviors and outcomes among adolescents, especially in marginalized communities. Sustained, youth-centered interventions for high-risk populations are limited. CONTRIBUTIONS TO PRACTICE: We implemented and conducted an exploratory evaluation of a year-long, medical student-led program for ninth- and tenth-grade students at two Detroit public high schools. The program demonstrated the feasibility of interactive school-based health literacy programming and identified practical considerations for future implementation. Using anonymous pre and postprogram surveys, we examined group-level response patterns in self-reported confidence on health-related knowledge and abilities (n = 71 baseline; n = 52 follow-up). Survey items reflected domains addressed during program sessions, including healthcare navigation, understanding medical terminology, identifying reliable health information, self-advocacy in healthcare settings, and emergency response skills. Postsurvey responses showed more favorable group-level response patterns across all domains. IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: Near-peer, school-based health literacy interventions may represent a practical strategy to support adolescent engagement with healthcare concepts in under-resourced communities. Partnerships between medical schools and secondary schools may provide scalable opportunities for community engagement and health education. CONCLUSIONS: This exploratory evaluation supports the potential value of medical student-led health literacy programming as a community-centered model for adolescent health education.

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Publication Details

Journal
Journal of School Health
Published
2026-08-20
DOI
https://doi.org/10.1111/josh.70220
Primary Topic
Health Literacy and Information Accessibility
Type
article
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article

Exploratory Evaluation of a Medical Student‐Led Health Literacy Program Among High School Students

Allison Ruff, Jonathan F. Finks, Noah Lee Carey, Isabella Johnson
Journal of School Health
Health Literacy and Information Accessibility
article

Exploratory Evaluation of a Medical Student‐Led Health Literacy Program Among High School Students

Allison Ruff, Jonathan F. Finks, Noah Lee Carey, Isabella Johnson
article en

Abstract

BACKGROUND: Low health literacy is a barrier to positive health behaviors and outcomes among adolescents, especially in marginalized communities. Sustained, youth-centered interventions for high-risk populations are limited. CONTRIBUTIONS TO PRACTICE: We implemented and conducted an exploratory evaluation of a year-long, medical student-led program for ninth- and tenth-grade students at two Detroit public high schools. The program demonstrated the feasibility of interactive school-based health literacy programming and identified practical considerations for future implementation. Using anonymous pre and postprogram surveys, we examined group-level response patterns in self-reported confidence on health-related knowledge and abilities (n = 71 baseline; n = 52 follow-up). Survey items reflected domains addressed during program sessions, including healthcare navigation, understanding medical terminology, identifying reliable health information, self-advocacy in healthcare settings, and emergency response skills. Postsurvey responses showed more favorable group-level response patterns across all domains. IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: Near-peer, school-based health literacy interventions may represent a practical strategy to support adolescent engagement with healthcare concepts in under-resourced communities. Partnerships between medical schools and secondary schools may provide scalable opportunities for community engagement and health education. CONCLUSIONS: This exploratory evaluation supports the potential value of medical student-led health literacy programming as a community-centered model for adolescent health education.

Journal of School HealthVol. 96(9)
University of Michigan (US)
Quality Education
Openalex Percentile: Top 6%
Health Literacy and Information Accessibility
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