Health literacy programs for adolescents in the school context: a scoping review
DOI:
https://doi.org/10.36517/2175-6783.20262796477Keywords:
School Nursing; Health Literacy; Adolescent; Program Development; Education.Abstract
Objective: to map health literacy programs targeting adolescents in school settings. Methods: a scoping review was conducted in accordance with JBI guidelines. Full-text studies were included, with no restrictions on date or language. Screening and selection were performed by two independent researchers using the Catchii Systematic Review Screener tool. Data were extracted using a tool developed by the authors and presented descriptively. Results: the search identified 177 studies; 13 were removed due to duplication. During screening, 88 studies were excluded. After full-text review, 41 were excluded, resulting in a final sample of 35 studies. Most of the studies were conducted in Europe (n=11) and North America (n=7). Participants’ ages ranged from 10 to 19 years, with a greater focus on the 12–15 age group. The most frequently assessed dimension of Health Literacy was Mental Health Literacy (n=19). General Health Literacy was the focus of six programs and media literacy in three. Conclusion: a predominance of mental health programs was observed; general dimensions of literacy should be included in the curriculum, with the adoption of co-creation. Contributions to practice: the presented synthesis can support the creation of school programs led by nurses.
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1. Spencer M, Cruickshank V, Kemp N, Nash R. Exploring health literacy development through co-design: understanding the expectations for health literacy mediators. Health Promot Int. 2025;40(1):e004. doi: https://dx.doi.org/10.1093/heapro/daaf003
2. Department of Health and Human Service (EUA). Health literacy. Healthy people 2030 [Internet]. 2025 [cited Mar 3, 2026]. Available from: https://odphp.health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/health-literacy
3. Gomes S, Morgana G, Menezes J, Kérollen J, Galdino J, Farias M. Social determinants of health literacy in children and adolescents: a scoping review. Rev Gaúcha Enferm. 2024;45:e20240002. doi: https://doi.org/10.1590/1983-1447.2024.20240002.en
4. World Health Organization. Global health literacy status report [Internet]. 2022 [cited Mar 3, 2026]. Available from: https://www.who.int/publications/i/item/9789240055391
5. Nobre J, Arco H, Monteiro F, Oliveira AP, Ferré-Grau C, Sequeira C. Development of a proposal for a program to promote positive mental health literacy among adolescents: a focus group study. Int J Environ Res Public Health. 2023;20(6):e4898. doi: https://doi.org/10.3390/ijerph20064898
6. Yüksek BN, Ayaz-Alkaya S. Effectiveness of health literacy education on health literacy in early adolescence: a randomized controlled trial. Public Health. 2024;237:135-40. doi: https://dx.doi.org/10.1016/j.puhe.2024.09.024
7. Kurz M, Rosendahl J, Rodeck J, Muehleck J, Berger U. School-based interventions improve body image and media literacy in youth: a systematic review and meta-analysis. J Prim Prev. 2021;43(1):5-23. doi: https://doi.org/10.1007/s10935-021-00660-1
8. Prata RA, Bastoni J, Pimentel SM, Rubens H, Andréia M. Digital health literacy, behavior and knowledge of adolescents for hand hygiene during the COVID-19 pandemic. Rev Latino-Am Enfermagem. 2024;32:e4308. doi: https://dx.doi.org/10.1590/1518-8345.7228.4308
9. Pimentel SM, Avila MAG, Medeiros VDA, Prata RA, Nunes HRC, Silva JB. Factors related to health literacy among Brazilian adolescents: cross-sectional study. Rev Esc Enferm USP. 2024;e20230310. doi: https://doi.org/10.1590/1980-220X-REEUSP-2023-0310en
10. Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. Scoping reviews. In: Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, editors. JBI Manual for Evidence Synthesis. Adelaide: JBI; 2024. doi:https://doi.org/10.46658/JBIMES-24-09
11. Mattos SM, Cestari VRF, Moreira TMM. Scoping protocol review: PRISMA-ScR guide refinement. Rev Enferm UFPI. 2023;12:e3062. doi: https://doi.org/10.26694/reufpi.v12i1.3062
12. Catchii. Catchii [Internet]. 2026 [cited 2026 Apr 3]. Available from: Available from: https://catchii.org
13. Howick J, Chalmers I, Glasziou P, Greenhalgh T, Heneghan C, Liberati A, et al. The 2011 Oxford CEBM Levels of Evidence [Internet]. 2011 [cited Mar 3, 2026]. Available from: https://www.cebm.net/index.aspx?o=5653
14. Pinfold V, Toulmin H, Thornicroft G, Huxley P, Farmer P, Graham T. Reducing psychiatric stigma and discrimination: evaluation of educational interventions in UK secondary schools. Br J Psychiatry. 2003;182(4):342-6. doi: https://doi.org/10.1192/bjp.182.4.342
15. Tacker KA, Dobie S. MasterMind: empower yourself with mental health. A program for adolescents. J Sch Health. 2007;78(1):54-7. doi: https://doi.org/10.1111/j.1746-1561.2007.00266.x
16. Pinto-Foltz MD, Logsdon MC, Myers JA. Feasibility, acceptability, and initial efficacy of a knowledge-contact program to reduce mental illness stigma and improve mental health literacy in adolescents. Soc Sci Med. 2011;72(12):2011-9. doi: https://doi.org/10.1016/j.socscimed.2011.04.006
17. Skre I, Friborg O, Breivik C, Johnsen LI, Arnesen Y, Wang CEA. A school intervention for mental health literacy in adolescents: effects of a non-randomized cluster controlled trial. BMC Public Health. 2013;13:e873. doi: https://dx.doi.org/10.1186/1471-2458-13-873
18. Perry Y, Petrie K, Buckley H, Cavanagh L, Clarke D, Winslade M, et al. Effects of a classroom-based educational resource on adolescent mental health literacy: a cluster randomised controlled trial. J Adolesc. 2014;37(7):1143-51. doi: https://doi.org/10.1016/j.adolescence.2014.08.001
19. Mcluckie A, Kutcher S, Wei Y, Weaver C. Sustained improvements in students’ mental health literacy with use of a mental health curriculum in Canadian schools. BMC Psychiatry. 2014;14(1):e379. doi: https://doi.org/10.1186/s12888-014-0379-4
20. Milin R, Kutcher S, Lewis SP, Walker S, Wei Y, Ferrill N, et al. Impact of a mental health curriculum on knowledge and stigma among high school students: a randomized controlled trial. J Am Acad Child Adolesc Psychiatry. 2016;55(5):383-91. doi: https://doi.org/10.1016/j.jaac.2016.02.018
21. Chisholm K, Patterson P, Torgerson C, Turner E, Jenkinson D, Birchwood M. Impact of contact on adolescents’ mental health literacy and stigma: the school space cluster randomised controlled trial. BMJ Open. 2016;6(2):e009435. doi: https://doi.org/10.1136/bmjopen-2015-009435
22. Swartz K, Musci RJ, Beaudry MB, Heley K, Miller L, Alfes C, et al. School-based curriculum to improve depression literacy among US secondary school students: a randomized effectiveness trial. Am J Public Health. 2017;107(2):1970-6. doi: https://doi.org/10.2105/ajph.2017.304088
23. Lucidi F, Mallia L, Alivernini F, Chirico A, Manganelli S, Galli F, et al. The effectiveness of a new school-based media literacy intervention on adolescents’ doping attitudes and supplements use. Front Psychol. 2017;8:e749. doi: https://doi.org/10.3389/fpsyg.2017.00749
24. Nash R, Elmer S, Thomas K, Osborne R, MacIntyre K, Shelley B, et al. HealthLit4Kids study protocol; crossing boundaries for positive health literacy outcomes. BMC Public Health. 2018;18(1):e690. doi: http://doi.org/10.1186/s12889-018-5558-7
25. Lane H, Porter KJ, Hecht E, Harris P, Kraak V, Zoellner J. Kids SIPsmartER: a feasibility study to reduce sugar-sweetened beverage consumption among middle school youth in central Appalachia. Am J Health Promot. 2018;32(6):1386-401. doi: https://doi.org/10.1177/0890117117715052
26. Ojio Y, Foo JC, Usami S, Fuyama T, Ashikawa M, Ohnuma K, et al. Effects of a school teacher-led 45-minute educational program for mental health literacy in pre-teens. Early Interv Psychia. 2018;13(4):984-8. doi: https://doi.org/10.1111/eip.12746
27. Campos L, Dias P, Duarte A, Veiga E, Dias C, Palha F. Is it possible to “Find Space for Mental Health” in young people? Effectiveness of a School-Based Mental Health Literacy Promotion Program. Int J Environ Res Public Health. 2018;15(7):e1426. doi: https://doi.org/10.3390/ijerph15071426
28. Guajardo MGU, Kelly C, Bond K, Thomson R, Slewa-Younan S. An evaluation of the teen and youth mental health first aid training with a CALD focus: an uncontrolled pilot study with adolescents and adults in Australia. Int J Ment Health Syst. 2019;13(1):e73. doi: https://doi.org/10.1186/s13033-019-0329-0
29. Karimi N, Saadat-Gharin S, Tol A, Sadeghi R, Yaseri M, Mohebbi B. A problem-based learning health literacy intervention program on improving health-promoting behaviors among girl students. J Educ Health Promot. 2019;251(8):e251. doi: https://doi.org/10.4103/jehp.jehp_476_19
30. Liddle SK, Deane FP, Batterham M, Vella SA. A brief sports-based mental health literacy program for male adolescents: a cluster-randomized controlled trial. J Appl Sport Psychol. 2019;33(1):20-44. doi: https://doi.org/10.1080/10413200.2019.1653404
31. Glazzard J, Szreter B. Developing students’ mental health literacy through the power of sport. Supp Learn. 2020;35(2):222-51. doi: https://doi.org/10.1111/1467-9604.12301
32. Lin LC, Huang CM, Hsu HP, Liao JY, Lin CY, Guo JL. Integrating health literacy into a theory-based drug-use prevention program: a quasi-experimental study among junior high students in Taiwan. BMC Public Health. 2021;21(1):e1768. doi: http://doi.org/10.1186/s12889-021-11830-5
33. Morgado T, Loureiro L, Botelho MAR, Marques MI, Martínez-Riera JR, Melo P. Adolescents’ empowerment for mental health literacy in school: a pilot study on ProLiSMental Psychoeducational Intervention. Int J Environ Res Public Health. 2021;18(15):e8022. doi: http://doi.org/10.3390/ijerph18158022
34. Narkarat P, Taneepanichskul S, Kumar R, Somrongthong R. Effects of mobile health education on sexual and reproductive health information among female school-going adolescents of rural Thailand. F1000Res. 2021;10:e452. doi: https://doi.org/10.12688/f1000research.53007.1
35. Woods-Townsend K, Hardy-Johnson P, Bagust L, Barker M, Davey H, Griffiths J, et al. A cluster-randomised controlled trial of the LifeLab education intervention to improve health literacy in adolescents. PLoS One. 2021;16(5):e0250545. doi: https://doi.org/10.1371/journal.pone.0250545
36. Tuijnman A, Kleinjan M, Olthof M, Hoogendoorn E, Granic I, Engels RCME. A game-based school program for mental health literacy and stigma on depression (moving stories): a cluster randomized controlled trial. JMIR Ment Health. 2022;9(8):e26615. doi: https://dx.doi.org/10.2196/26615
37. Lehner L, Gillé V, Baldofski S, Bauer S, Becker K, Diestelkamp S, et al. Moderators of pre-post changes in school-based mental health promotion: Psychological stress symptom decrease for adolescents with mental health problems, knowledge increase for all. Front Psychiatry. 2022;13:e899185. doi: https://doi.org/10.3389/fpsyt.2022.899185
38. Mori R, Uchino T, Mizuno M, Yamaguchi T, Katagiri N, Nemoto T. Effectiveness of a comprehensive mental health literacy educational programme for junior high school students: a randomised controlled trial examining changes in their knowledge, attitudes, and behaviour. J Pers Med. 2022;12(8):e1281. doi: https://doi.org/10.3390/jpm12081281
39. Ardekani FM, Ghaderi F, Kaveh MH, Nazari M, Khoramaki Z. The effect of an educational intervention on oral health literacy, knowledge, and behavior in Iranian adolescents: a theory-based randomized controlled trial. Biomed Res Int. 2022;2022:e542179. doi: https://dx.doi.org/10.1155/2022/5421799
40. Simkiss NJ, Gray NS, Kemp AH, Dunne C, Snowden RJS. A randomised controlled trial evaluating the Guide Cymru mental health literacy intervention programme in year 9 (age 13–14) school pupils in Wales. BMC Public Health. 2023;23(1):e1062. doi: https://doi.org/10.1186/s12889-023-15922-2
41. Wang Z, Gao T, Li G, Dong G, Zhan Y, Wang B, et al. Effects of health education during public health emergencies on the health literacy, emotion and coping style of Chinese junior middle school students: a randomized controlled trial. BMC Public Health. 2023:23(1):e2187. doi: https://doi.org/10.1186/s12889-023-17108-2
42. Brooks H, Irmansyah I, Syarif AK, Pedley R, Renwick L, Rahayu AP, et al. Evaluating a prototype digital mental health literacy intervention for children and young people aged 11–15 in Java, Indonesia: a mixed methods, multi-site case study evaluation. Child Adolesc Psychiatry Ment Health. 2023;17(1):e79. doi: https://doi.org/10.1186/s13034-023-00608-9
43. Dülger H, Alkaya SA. The effect of health literacy‐grounded web‐based education on nutrition and exercise behaviours in adolescents: a randomized controlled trial. Int J Nurs Pract. 2024;30(5):e13253. doi: http://doi.org/10.1111/ijn.13253
44. Akca A, Ayaz-Alkaya S. Effectiveness of health literacy-based motivational interviewing and health education on adolescents’ nutrition and exercise behaviors in Turkiye: a randomized controlled trial. Public Health. 2024;237(1):316-21. doi: https://doi.org/10.1016/j.puhe.2024.10.040
45. Hosseini MS, Rakhshanderou S, Safari-Moradabadi A, Ghaffari M, Pakkhesal M. Effectiveness of a school-based oral health literacy promotion intervention: a randomized controlled trial (RCT) among adolescents. BMC Public Health. 2025;25(1):e1982. doi: https://doi.org/10.1186/s12889-025-23124-1
46. Dadematthews A, Pangelinan MM, Bowen AE, Simon SL, Chandrasekhar JL, Musci R, et al. A Universal Program to Improve Mental Health among youth from low-income predominantly minority communities: implementation of advocates 4 ALL Youth (ALLY). Community Ment Health J. 2024;60(7):1364-71. doi: https://dx.doi.org/10.1007/s10597-024-01292-5
47. Khanal SP, Budhathoki CB, Okan O. Improving adolescent health literacy through school-based health literacy intervention: a mixed-method study protocol. BMC Public Health. 2023;23(1):e407. doi: https://doi.org/10.1186/s12889-023-15316-4
48. Smith C, Behan S, Belton S, Nicholl C, Murray M, Goss H. An update on health literacy dimensions: an umbrella review. PLoS One. 2025; 20(6):e0321227. doi: http://dx.doi.org/10.1371/journal.pone.0321227
49. Otten C, Nash R, Patterson K. HealthLit4Kids: teacher experiences of health literacy professional development in an Australian primary school setting. Health Promot Int. 2022;38(3):daac053. https://doi.org/10.1093/heapro/daac053
50. Conselho Federal de Enfermagem (COFEN). Resolução Cofen nº 805 de 24 de março de 2026 [Internet]. 2026 [cited Mar 13, 2026]. Available from: https://www.cofen.gov.br/resolucao-cofen-no-805-de-24-de-marco-de-2026/
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