What strategies can I implement to improve communication with patients who have low health literacy?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025Updated: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

To improve communication with patients who have low health literacy, implement clear, simple language avoiding medical jargon, and use short sentences to enhance understanding. Use visual aids and written materials that are easy to read and culturally appropriate to reinforce verbal information. Employ the teach-back method by asking patients to repeat information in their own words to confirm comprehension. Encourage questions and create a supportive environment where patients feel comfortable discussing their concerns. Limit the amount of information given at one time and focus on key messages to avoid overwhelming the patient. Involve family members or carers when appropriate to support understanding and adherence. Use shared decision-making approaches tailored to the patient’s literacy level to engage them actively in their care. These strategies align with NHS guidance on improving patient experience and medicines adherence by fostering clear communication and patient involvement . They are supported by evidence from and the National Academies of Sciences et al. (2020), which emphasize the importance of plain language, teach-back, and culturally sensitive materials to overcome barriers posed by low health literacy .

Educational content only. Always verify information and use clinical judgement.