• Danielle M Muscat, Suzanne Morony, Don Nutbeam, Julie Ayre, Heather L Shepherd, Sian K Smith, Haryana M Dhillon, Andrew Hayen, Karen Luxford, Wedyan Meshreky, and Kirsten McCaffery.
• Sydney Health Literacy Lab, School of Public Health, Faculty of Medicine and Health, University of Sydney, NSW, Australia.
• Public Health Res Pract. 2020 Jun 30; 30 (2).

AbstractObjectives and importance of the study: Adult literacy programs aim to empower learners to participate more effectively in everyday life. This includes programs with health content embedded in curricula to target health literacy. Adult learners who attend these programs represent a heterogeneous population, but include a high proportion of hard-to-reach or socially disadvantaged groups in terms of age, ethnicity, educational background, language and prevalence of learning disabilities. In 2014, we conducted a cluster-randomised controlled trial of a health literacy program in adult basic education classes across New South Wales, Australia. This paper reports findings from a qualitative study exploring learners' experience of the course and its perceived impact on their lives, as well as their understanding and confidence about health.

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