LAUSR

ABSTRACT Roughly one in five U.S. children live in rural areas and they are more likely than nonrural children to experience chronic illnesses, unfulfilled medical needs, and poverty – yet health literacy intervention research for rural children is lacking. Thus, this study explores a health literacy intervention in two rural public elementary schools that have very different socioeconomic levels, educational achievement rates, and initial health literacy scores. Findings show significant improvement in health literacy in the low-income school, such that the initial differences in health literacy between the two schools were no longer present at posttest (p < .001). There was a slight improvement in School 1 students' perceived confidence to communicate with healthcare providers, but School 2 students' communication confidence did not change from pre to post intervention. The hopeful outcomes suggest implications for future school-based interventions that teach young children about health communication, self-efficacy, and critical decision-making.