{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:42:57Z","timestamp":1792089777352,"version":"4.4.0"},"reference-count":24,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Low health literacy is a barrier to positive health behaviors and outcomes among adolescents, especially in marginalized communities. Sustained, youth\u2010centered interventions for high\u2010risk populations are limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Contributions to Practice<\/jats:title>\n                    <jats:p>\n                      We implemented and conducted an exploratory evaluation of a year\u2010long, medical student\u2010led program for ninth\u2010 and tenth\u2010grade students at two Detroit public high schools. The program demonstrated the feasibility of interactive school\u2010based health literacy programming and identified practical considerations for future implementation. Using anonymous pre and postprogram surveys, we examined group\u2010level response patterns in self\u2010reported confidence on health\u2010related knowledge and abilities (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200971 baseline;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200952 follow\u2010up). Survey items reflected domains addressed during program sessions, including healthcare navigation, understanding medical terminology, identifying reliable health information, self\u2010advocacy in healthcare settings, and emergency response skills. Postsurvey responses showed more favorable group\u2010level response patterns across all domains.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for School Health Policy, Practice, and Equity<\/jats:title>\n                    <jats:p>Near\u2010peer, school\u2010based health literacy interventions may represent a practical strategy to support adolescent engagement with healthcare concepts in under\u2010resourced communities. Partnerships between medical schools and secondary schools may provide scalable opportunities for community engagement and health education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This exploratory evaluation supports the potential value of medical student\u2010led health literacy programming as a community\u2010centered model for adolescent health education.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/josh.70220","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T12:30:37Z","timestamp":1787229037000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Exploratory Evaluation of a Medical Student\u2010Led Health Literacy Program Among High School Students"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0421-0056","authenticated-orcid":false,"given":"Noah Lee","family":"Carey","sequence":"first","affiliation":[{"name":"Department of Surgery, Medical School University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-3731-6023","authenticated-orcid":false,"given":"Isabella","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Surgery, Medical School University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1381-755X","authenticated-orcid":false,"given":"Allison","family":"Ruff","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Medical School University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan F.","family":"Finks","sequence":"additional","affiliation":[{"name":"Department of Surgery, Medical School University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2017.11.010"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.281.6.552"},{"key":"e_1_2_10_4_1","unstructured":"odphp.health.gov \u201cHealth Literacy in Healthy People 2030\u2014Healthy People 2030 \u201daccessed December 31 2025 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Count for Wayne Country Regional Educational Service Agency, Detroit Public Schools Community District, Cass Technical High School, the School at Marygrove","author":"Michigan's Center for Educational Performance and Information","year":"2023"},{"key":"e_1_2_10_20_1","unstructured":"Navigating the Health Care System \u201cMoving Health Care Upstream \u201daccessed December 31 2025 https:\/\/www.movinghealthcareupstream.org\/navigating\u2010the\u2010health\u2010care\u2010system\/."},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.32481\/djph.2024.10.16"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468\u20102667(20)30086\u20104"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0302431"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s44411\u2010025\u201000057\u20100"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009\u20101162B"}],"container-title":["Journal of 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