Lessons learned from multisite implementation and evaluation of Project SHARE, a teen health information literacy, empowerment, and leadership program

Alla Keselman, Rachel Anne Chase, Jennifer Rewolinski, Yulia Chentsova Dutton, Janice E Kelly


Background: This case study describes the implementation and evaluation of a multisite teen health information outreach program. The objectives of the program were to increase health knowledge, health information literacy, interest in health careers, community engagement, and leadership skills of teens in disadvantaged communities.

Case Presentation: Teens at six sites across the country participated in a multi-week curriculum that focused on various aspects of health literacy, information literacy, and leadership. Lesson topics addressed personal health, social determinants of health, information quality, and communication and advocacy skills. Program evaluation included both quantitative and qualitative components and focused on multiple knowledge and skills outcome variables. Results suggested that while teens at all sites showed improvement, particularly with respect to engagement and interest in the topics, the degree of gains in knowledge and information literacy measures varied significantly from site to site.

Conclusion: On-site implementation planning, cohesive integration of added activities, and emphasis on retention can contribute to implementation and evaluation effectiveness. This work also underscores the limitation of a purely quantitative approach to capturing the impact of health information and stresses the importance of supplementing numerical scores and statistics with qualitative data.

 This article has been approved for the Medical Library Association’s Independent Reading Program.


Adolescents; Community Outreach; Health Disparities; Health Information; Health Literacy; Program Evaluation; Special Populations

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Sanders LM, Federico S, Klass P, Abrams MA, Dreyer B. Literacy and child health: a systematic review. Arch Pediatr Adolesc Med. 2009 Feb;163(2):131–40.

Huotari PR, Mikkelsson L, Kujala UM, Aakso LL, Nupponen H. Physical activity and fitness in adolescence as predictors of self-estimated fitness in adulthood. J Sports Med Phys Fitness. 2013 Apr;53(2):177–84.

Warner DG, Olney CA, Wood FB, Hansen L, Bowden VM. High school peer tutors teach MedlinePlus: a model for Hispanic outreach. J Med Libr Assoc. 2005 Apr;93(2):243–52.

Olney CA, Hansen L, Vickman A, Reibman S, Wood FB, Siegel E. Long-term outcomes of the ¡VIVA! Peer Tutor Project: use of MedlinePlus by former peer tutors and the adults they taught. J Med Libr Assoc. 2011 Oct;99(4):317–20. DOI: http://dx.doi.org/10.3163/1536-5050.99.4.012.

Keselman A, Ahmed EA, Williamson DC, Kelly JE, Dutcher GA. Harnessing health information to foster disadvantaged teens’ community engagement, leadership skills, and career plans: a qualitative evaluation of the Teen Health Leadership Program. J Med Libr Assoc. 2015 Apr;103(2):82–6. DOI: http://dx.doi.org/10.3163/1536-5050.103.2.005.

Whitney W, Dutcher GA, Keselman A. Evaluation of health information outreach: theory, practice, and future direction. J Med Libr Assoc. 2013 Apr;101(2):138–46. DOI: http://dx.doi.org/10.3163/1536-5050.101.2.009.

Burroughs CM. Measuring the difference: guide to planning and evaluating health information outreach. National Network of Libraries of Medicine, Pacific Northwest Region; Bethesda, MD: National Library of Medicine; 2000.

Olney CA, Barnes SJ. Collecting and analyzing evaluation data. Bethesda, MD: National Network of Libraries of Medicine Outreach Evaluation Resource Center, National Library of Medicine; 2013.

Nichols TR, Wisner PM, Cripe G, Gulabchand L. Putting the kappa statistic to use. Qual Assurance J. 2010 Jul–Dec;13(3–4):13:57–61.

DOI: https://doi.org/10.5195/jmla.2019.351


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