# Health Literacy‐Focused Communication Training for Primary Healthcare Providers Working With Older Adults: A Co‐Designed Prototype

**Authors:** Lesley O'Brien, Michael Lawless, Louise Townsin, Peter Mills, David Ta, Justin Beilby, Glenn Errington, Rachel Ambagtsheer

PMC · DOI: 10.1111/hex.70590 · Health Expectations : An International Journal of Public Participation in Health Care and Health Policy · 2026-02-08

## TL;DR

This study co-designed a health literacy communication training program for healthcare providers working with older adults, incorporating real-world needs and feedback.

## Contribution

The novel contribution is a co-designed training program focused on health literacy communication for primary healthcare providers working with older adults.

## Key findings

- Seven participants identified and prioritized nine core communication competencies for health literacy.
- The co-designed training program includes three modules combining online and in-person learning methods.
- Positive participant engagement was reported through surveys and qualitative feedback.

## Abstract

Low health literacy among older adults living in the community contributes to poor health outcomes. While communication training exists for specific conditions (e.g., hypertension), there is limited evidence on programs that enhance health literacy competencies among primary healthcare providers working with older adults. This study aims to co‐design a health literacy‐focused communication training program for general practitioners, practice nurses and allied health professionals in primary care.

This study drew on an Experience‐Based Co‐Design approach; three online workshops were conducted over 2 months with a participant group of adults aged 50+ years and primary healthcare professionals, facilitated by a multi‐disciplinary research team. Activities involved a needs assessment informed by a prior scoping review, structured ideation and post‐workshop surveys to prioritise communication competencies, training outcomes and delivery preferences. Competencies were synthesised into draft program modules, and participants reflected on the co‐design experience.

Seven participants identified and prioritised nine core communication competencies spanning knowledge, skills and attitudes. The competencies were grouped into three‐modules, deliverable by a mix of online self‐paced subjects and in‐person simulations. Evaluation surveys and qualitative feedback showed positive participant engagement in the sessions. The co‐design process was refined iteratively to improve clarity and structure.

This structured yet flexible co‐design process resulted in a final training program that integrates real‐world needs with pedagogical frameworks and aligns with evidence from prior training interventions. There is potential for implementation in primary healthcare provider training environments.

Older adult consumers contributed lived experience to the co‐design workshops, interpreting findings and shaping the training prototype. This manuscript was reviewed by a consumer.

## Full-text entities

- **Diseases:** hypertension (MESH:D006973)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

70 references — full list in the complete paper: https://tomesphere.com/paper/PMC12883676/full.md

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Source: https://tomesphere.com/paper/PMC12883676