A Meta-Synthesis Study on Current International Health Education Studies on Health Literacy
Abstract
Considering the importance of health literacy in protecting public health, health literacy always maintains its popularity. In this direction, health education programs are carried out to create and develop health literacy in individuals. Within the scope of the study, a search was conducted with keywords related to health literacy and health education in Google Scholar and ERIC databases. In terms of the currency of the study, the focus was on the years 2022-2025 and a total of 463 articles were reached within this scope. 25 articles were included in the study in accordance with the criteria determined before the research. When the studies were examined, it was found that health education programs targeting health literacy were concentrated in the areas of patient education and general health. The health education programs in the studies were generally conducted with middle school students and residents and relatively large groups (200-1000 participants) in traditional ways. Quantitative methods were used in the effects of health education programs on participants in the studies and the survey data collection tool was used. It was found that the majority of health literacy health education programs examined in the study were carried out in America and had positive effects on participants. It is expected that the results of the study will provide a more detailed perspective on health education programs.
Keywords health education, meta-synthesis, health literacy, international studies
References
- Abidogun, M.A., Adeniyi, M.A. (2025). A Survey of Educational Interventions on Mental Health Literacy and Life Adjustment in Lagos State, Nigeria. Journal of Theoretical and Empirical Studies in Education, 9(2) : 441-451.
- Achterbergh, L., Pitman, A., Birken, M., Pearce, E., Sno, H., Johnson, S. (2020). The experience of loneliness among young people with depression: a qualitative meta-synthesis of the literature. BMC psychiatry, 20 : 1-23. DOI: https://doi.org/10.1186/s12888-020-02818-3
- Arasomwan, D.A., Mashiya, N. (2021). Foundation phase pre-service teachers’ experiences of teaching life skills during teaching practice. South African Journal of Childhood Education,11(1) : 1–10. DOI: https://doi.org/10.4102/sajce.v11i1.700
- Bagheri, Z., Hafezian, M., Dehrouyeh, S., Alinia, M. (2025). Evaluating the Effectiveness of Health Education Courses, Workshops and Packages on Promoting Health Literacy of Elementary Students and Providing Quality Solutions: Mixed Approach. Iranian Journal of Health Education and Health Promotion, 13(1) : 369-379.
- Bhattad, P.B., Pacifico, L. (2022). Empowering patients: promoting patient education and health literacy. Cureus, 14(7). DOI: https://doi.org/10.7759/cureus.27336
- Hasanah, U., Sari, Y. (2023). Stimulating Environmental Awareness among Elementary School Children Through Integration of the PJBL Art Model. Eurasian Journal of Educational Research, (105) : 70–83.
- Gibson, C., Smith, D., Morrison, A.K. (2022). Improving health literacy knowledge, behaviors, and confidence with interactive training. HLRP: Health Literacy Research and Practice, 6(2): e113-e120. DOI: https://doi.org/10.3928/24748307-20220420-01
- Gotham, H.J., Lever, N., Gonzalez, J., Macias, M., Canelo, R., McCullough, S., Hoover, S. (2025). Evaluation of an Educator Mental Health Literacy Online Training Package. Psychology in the Schools, (3) : 667-677. DOI: https://doi.org/10.1002/pits.23343
- Hasanah, U., Marini, A. (2025). Revealing the Implementation of the Child-Friendly Healthy School Program and its Effectiveness on Health Literacy and Psychological Well-Being to Achieve the SDGs. Journal of Lifestyle and SDGs Review, 5(2) : e02990-e02990. DOI: https://doi.org/10.47172/2965-730X.SDGsReview.v5.n02.pe02990
- Kahar, P., Negroni, L.K., Farris, C., Dzioba, C. (2025). A community-based health education program: effects and differences in health literacy and self-efficacy across demographic and health variables among Haitians. Health Education. DOI: https://doi.org/10.1108/HE-01-2024-0003
- Kemp, E., Trigg, J., Beatty, L. et al. (2021). Health literacy, digital health literacy and the implementation of digital health technologies in cancer care: the need for a strategic approach. Health Promot J Austr., 32: 104–114. DOI: https://doi.org/10.1002/hpja.387
- Kim, K., Shin, S., Kim, S., Lee, E. (2023). The relation between eHealth literacy and health-related behaviors: systematic review and meta-analysis. Journal of Medical Internet Research, 25 : e40778. DOI: https://doi.org/10.2196/40778
- Lam, K., Lu, A.D., Shi, Y. et al. (2020). Assessing telemedicine unreadiness among older adults in the United States during the COVID-19 pandemic. JAMA Intern Med., 180: 1389–1391. DOI: https://doi.org/10.1001/jamainternmed.2020.2671
- Lewis, J., Pride, L., Hollis, M., Griffith, P. (2025). Building healthier communities: the role of health educational programs in enhancing health literacy in Prairie View, Texas. Journal of Public Health. fdae317. DOI: https://doi.org/10.1093/pubmed/fdae317
- Li, B., Huang, Y., Ling, C., Jiao, F., Fu, H., Deng, R. (2023). The effect of community-based health education programs on health literacy in severely impoverished counties in Southwestern China: results from a quasi-experimental design. Frontiers in Public Health. 023; 10 : 1088934. DOI: https://doi.org/10.3389/fpubh.2022.1088934
- Liu, L., Qian, X., Chen, Z., He, T. (2020). Health literacy and its effect on chronic disease prevention: evidences from China’s data. BMC Public Health, 20:690. doi: 10.1186/s12889-020-08804-4. DOI: https://doi.org/10.1186/s12889-020-08804-4
- Moonsan, S., Phitchayapirath, P., Songserm, N. (2025). Cancer Education-Based Learning Management to Enhance Health Literacy for Cholangiocarcinoma Prevention Among Primary School Students in Endemic Areas of Thailand: The Muk-KAMSComD Model. Journal of Cancer Education, 1-11. DOI: https://doi.org/10.1007/s13187-025-02617-y
- Morgado, T.M.M., Loureiro, L.M.D.J., Rebelo Botelho, M.A. (2022). Acceptability and feasibility of the ProLiSMental psychoeducational intervention to promote adolescents’ mental health literacy on anxiety in a school context. Issues in Mental Health Nursing, 43(6): 532-542. DOI: https://doi.org/10.1080/01612840.2021.1999541
- Movaseghi Ardekani, F., Ghaderi, F., Kaveh, M.H., Nazari, M., Khoramaki, Z. (2022)The Effect of an Educational Intervention on Oral Health Literacy, Knowledge, and Behavior in Iranian Adolescents: A Theory‐Based Randomized Controlled Trial. BioMed research international, (1) : 5421799. DOI: https://doi.org/10.1155/2022/5421799
- Muller, R., Bilich, L., Jones, M. (2024). Impact of an Oral Health Education Program on the Oral Health Literacy of Refugees. Journal of Immigrant and Minority Health, 26(4): 699-710. DOI: https://doi.org/10.1007/s10903-024-01594-6
- Nutbeam, D., Muscat, D.M. (2021). Health Promotion Glossary. Health Promot Int., 36:1811. DOI: https://doi.org/10.1093/heapro/daab067
- Ofori Boateng, M., Asuman, D., Kugbey, N., Amoah, P.A, Agyei-Baffour P, Enemark U. (2025). Health literacy and household financial loss on malaria treatment for children under five in Ghana: a patients’ perspective. International Health, 17(1) : 77-83. DOI: https://doi.org/10.1093/inthealth/ihae022
- Olyani, S., Gholian Aval, M., Tehrani, H., Mahdiadeh, M. (2021). School-based mental health literacy educational interventions in adolescents: a systematic review. J Health Lit., 6(2):69–77.
- Paudel, P., Kovai, V., Burnett, A., Naduvilath, T., Ho, S.M., Fricke, T., Giap, N.V. (2022). Effects of a community-based health education intervention on eye health literacy of adults in Vietnam. International Journal of Health Promotion and Education, 60(3): 149-163. DOI: https://doi.org/10.1080/14635240.2021.1905028
- Pendl, D., Maitz, K.M., Gasteiger-Klicpera, B. (2024). Examining the relationship between health literacy and individual and sociodemographic factors in secondary school students. Journal of Public Health, 32(3) : 531-542. DOI: https://doi.org/10.1007/s10389-023-01836-1
- Rocque, G.B., Henderson, N.L., Hildreth, K., Eltoum, N., Whitlow, O., Herring, L., …Williams CP. (2025). Exploration of digital health literacy among community members and healthcare teams in the deep south: A quasi-experimental study. Digital Health, 11 : 20552076251325581. DOI: https://doi.org/10.1177/20552076251325581
- Roux, F., Burns, S., Hendriks, J., Chih, H. (2024). “What’s going on in my body?”: gaps in menstrual health education and face validation of My Vital Cycles®, an ovulatory menstrual health literacy program. The Australian Educational Researcher, 51(4) : 1141-1160. DOI: https://doi.org/10.1007/s13384-023-00632-w
- Sakai, H., Kawata, R., Adhikari, R., Thapa, Y.O., Bhandari, T.R. (2024). Effectiveness of art-based health education on anemia and health literacy among pregnant women in Western Nepal: A randomized controlled trial. Plos one. 19(9) : e0281789. DOI: https://doi.org/10.1371/journal.pone.0281789
- Selim, A., Newby, C., Almutairy, A., Aldossari, A., Alkabba, F., Arabi, S., ... Ibrahim, N. (2025). Enhancing warning signs of mental health literacy: Evaluating a digital base intervention for health profession students. Archives of Psychiatric Nursing, 54 : 91-101. DOI: https://doi.org/10.1016/j.apnu.2025.01.005
- Shahid, R., Shoker, M., Chu, L.M., Frehlick, R., Ward, H., Pahwa, P. (2022). Impact of low health literacy on patients’ health outcomes: a multicenter cohort study. BMC health services research. 22(1) : 1148. DOI: https://doi.org/10.1186/s12913-022-08527-9
- Sharkiya, S.H. (2023). Quality communication can improve patient-centred health outcomes among older patients: a rapid review. BMC Health Services Research, 23(1) : 886. DOI: https://doi.org/10.1186/s12913-023-09869-8
- Short, H.B., Guare, E.G., Spanos, K., Karakoleva, E.V., Patel, D., Truong, N., ... Mendez-Miller. M. (2024). The Impact of a Student-Led Health Education Clinic on the Health Literacy and Behaviors of a Rural Community in the State of Pennsylvania, USA. Journal of Community Health, 49(3) : 458-465. DOI: https://doi.org/10.1007/s10900-023-01306-5
- Suarez-Balcazar, Y., Allen-Meares, P., Dickens, C., Brazil, E., Garcia-Bedoya, O., Biggers, A. (2025). Enhancing the Education of Community Health Workers on Health Literacy and Cultural Humility in Times of COVID-19. American Journal of Health Education, 1-10. DOI: https://doi.org/10.1080/19325037.2024.2366453
- Tsichla, L., Patelarou, E., Detorakis, E., Tsilimbaris, M.K., Patelarou, A.E., Giakoumidakis, K. (2025). Enhancing Health Literacy and Self-Management in Glaucoma Patients: Evidence from a Nurse-Led Educational Intervention. In Healthcare, 13(8): 861. DOI: https://doi.org/10.3390/healthcare13080861
- Wang, Z., Gao, T., Li, G., Dong, G., Zhan, Y., Wang, B., Sun, X. (2023). 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, 23(1) : 2187. DOI: https://doi.org/10.1186/s12889-023-17108-2
- Wei, Y., Mcweeny, R., Shinkaruk, C., Baxter, A., Greenshaw, A., Kutcher, S. (2025). The Longitudinal Implementation of a Mental Health Literacy Resource Among Grade 8 and 9 Students in a Catholic School Setting. American Journal of Health Education, 56(1) : 61-72. DOI: https://doi.org/10.1080/19325037.2024.2422075
- Yang H.F., Chang, C.C., Tseng, P.L., Lai, H.R., Tasi, J.S., Huang, W.H. … Tung, C.Y. (2022). Effectiveness of innovative instructional module for professional competence in health literacy in medical students. BMC Medical Education, 22(1) : 210. DOI: https://doi.org/10.1186/s12909-022-03252-7
- Yeo, G., Reich, S.M., Liaw, N.A., Chia, E.Y.M. (2024). The effect of digital mental health literacy interventions on mental health: systematic review and meta-analysis. Journal of medical Internet research, 26 : e51268. DOI: https://doi.org/10.2196/51268
- Zhao, Y., Xu, S., Zhang, X., Wang, L., Huang,. Y, Wu, S., Wu, Q. (2023). The Effectiveness of Improving Infectious Disease–Specific Health Literacy Among Residents: WeChat-Based Health Education Intervention Program. JMIR Formative Research, 7 : e46841. DOI: https://doi.org/10.2196/46841