Publication Date

Spring 2020

Degree Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Ruth Rosenblum

Second Advisor

John Shields

Third Advisor

Lance Tagomori


Adolescents, Health Literacy, Navigating Health Care System


This pilot study explored the effectiveness of a validated curriculum called, “Navigating the Health Care System” (NTHCSÓ) in improving the health literacy of high school-aged adolescents in response to the national call to promote knowledge and skills in all ages, and socio-economic and cultural groups to achieve healthier lives. Low health literacy has been shown to greatly affect the quality of lives, health outcomes, and health spending of individuals with and without health conditions across social demographics. High school-aged adolescents are the population of interest of this study due to their developmental milestones which allows for knowledge and skill building and whose responses to interventions like the NTHCSÓ curriculum would help shape the future health outlook of the nation. A quasi-experimental research method is used to determine if the intervention improves health literacy of the targeted vulnerable population which is reached through convenience sampling after parental consent and minor assent are obtained. Data gathered are from the pre- (N=151) and post-intervention (N= 121) surveys completed by participants which included self-reported age, sex/gender, and grade level. Results of study found the health intervention to be effective in improving the health literacy level of adolescents through increases in mean scores post intervention.


To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.