Additionally, no past study has investigated the effectiveness of such interventions among older adults with low health literacy even though these individuals are considered at risk of developing the chronic conditions that are associated with aging. However, these studies did not aim to promote a healthy lifestyle (e.g., physical activity and diet) by enhancing older adults’ comprehensive health literacy which includes the ability not only to understand but also to appraise and apply health information. The intervention improved their ability to read and understand the information presented on drug labels and make decisions about how to purchase and store the medicines. conducted an educational intervention that relied on the use of comic books among community-dwelling older adults. Health literacy interventions have primarily aimed at improving older adults’ ability to comprehend health information (e.g., medical labels), which they consider to be the basic component of health literacy. Conclusions: The active learning program can promote a healthy lifestyle and prevent functional decline among older adults who lack the confidence to engage in health communication. Results: When compared to the control group, the intervention group demonstrated a significant improvement in communicative health literacy, step count, engagement in moderate-to-vigorous physical activity, dietary variety, life-space mobility, social network size, grip strength, gait speed, and depressive symptoms. We used a linear mixed model to estimate the intervention effects in accordance with the intention-to-treat approach. Lifestyle factors (i.e., physical activity, dietary variety, life-space mobility, and social network size), physical function, and depressive symptoms were measured. Comprehensive health literacy (i.e., primary outcome) was assessed using the Health Literacy Scale-14. The outcome measures were administered at baseline and week 24. For both groups, the programs focused on the role of exercise, diet/nutrition, and cognitive activity for promoting health among older adults. The control group attended a 90-min class, which was taught in accordance with the didactic teaching method. Across 24 weeks, the intervention group attended weekly 90-min active learning program sessions, which involved exploratory learning, group work, and the self-planning of behavior changes that promote a healthy lifestyle. Methods: This single-blind, randomized controlled trial involved 60 participants aged ≥65 years with a low health literacy who were randomly assigned to an intervention ( n = 30) or control ( n = 30) group. Objectives: The aim of this study was to examine the effects of an active learning program on health literacy, lifestyle behaviors, physical function, and mental health among community-dwelling older adults with low health literacy. Therefore, low health literacy bears a special significance for the population of older adults. Background: Older adults often have a greater need for health information and health care services because access to these helps them manage their health and the chronic conditions of aging.
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