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Enhancing children's health literacy: a scoping review of resources for ‘Curriculum for Wales’ health and well-being design, implementation, and assessment

Levi Hughes Orcid Logo, Michaela James Orcid Logo, Helen Lewis Orcid Logo, Gisselle Tur Porres Orcid Logo, Helen Yu, Emily Marchant Orcid Logo

Health Promotion International, Volume: 40, Issue: 6, Start page: daaf225

Swansea University Authors: Levi Hughes Orcid Logo, Michaela James Orcid Logo, Helen Lewis Orcid Logo, Gisselle Tur Porres Orcid Logo, Helen Yu, Emily Marchant Orcid Logo

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DOI (Published version): 10.1093/heapro/daaf225

Abstract

Health literacy (HL) plays an important role in developing the skills and capacities to make health-enhancing decisions, impacting health and well-being. Primary schools are key settings for developing HL through the reformed ‘Curriculum for Wales’ (CfW) and its ‘Health and Well-being Area of Learni...

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Published in: Health Promotion International
ISSN: 0957-4824 1460-2245
Published: Oxford University Press (OUP) 2025
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URI: https://cronfa.swan.ac.uk/Record/cronfa71122
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Primary schools are key settings for developing HL through the reformed &#x2018;Curriculum for Wales&#x2019; (CfW) and its &#x2018;Health and Well-being Area of Learning and Experience&#x2019; (H&amp;WB AoLE). With school-level autonomy offered in CfW design, resources are fundamental for curriculum design, implementation, and assessment. As the CfW is in its infancy, the visibility and quality of resources available to schools is unclear. This scoping review aimed to identify resources publicly available to primary schools to enable the design, implementation and assessment of the H&amp;WB AoLE. A search was conducted across academic databases and sources of grey literature. Twelve sources (grey literature: n = 7, peer-reviewed research: n = 5) were selected for inclusion and discussed as a descriptive overview. The identified resources highlight a gap between policy intentions of the CfW framework and how this is implemented in practice. However, there is potential to address these concerns through self-assessment tools, collaborative improvement, planning, and evidence-informed practice. The broad nature of the CfW framework and variation in the availability and quality of health-related resources informing CfW design may result in variability in learning opportunities, influencing how children&#x2019;s HL is developed. 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spelling 2026-01-20T13:42:07.0092270 v2 71122 2025-12-09 Enhancing children's health literacy: a scoping review of resources for ‘Curriculum for Wales’ health and well-being design, implementation, and assessment 1b1207d8f5bbd911df7b20636e630f31 0009-0007-0730-265X Levi Hughes Levi Hughes true false 9a717d184fb8f768e462d95b91e63e23 0000-0001-7047-0049 Michaela James Michaela James true false daebf144a10dc3164bff6ec1800d66d3 0000-0003-4329-913X Helen Lewis Helen Lewis true false 886cae437b38b635811092ecb7adb4b4 0000-0003-1494-0549 Gisselle Tur Porres Gisselle Tur Porres true false 3fa8e58607d4949e7d0d3fa8fa1c2f7d Helen Yu Helen Yu true false d68adb6744707b3bd75e07bd334d0516 0000-0002-9701-5991 Emily Marchant Emily Marchant true false 2025-12-09 MEDS Health literacy (HL) plays an important role in developing the skills and capacities to make health-enhancing decisions, impacting health and well-being. Primary schools are key settings for developing HL through the reformed ‘Curriculum for Wales’ (CfW) and its ‘Health and Well-being Area of Learning and Experience’ (H&WB AoLE). With school-level autonomy offered in CfW design, resources are fundamental for curriculum design, implementation, and assessment. As the CfW is in its infancy, the visibility and quality of resources available to schools is unclear. This scoping review aimed to identify resources publicly available to primary schools to enable the design, implementation and assessment of the H&WB AoLE. A search was conducted across academic databases and sources of grey literature. Twelve sources (grey literature: n = 7, peer-reviewed research: n = 5) were selected for inclusion and discussed as a descriptive overview. The identified resources highlight a gap between policy intentions of the CfW framework and how this is implemented in practice. However, there is potential to address these concerns through self-assessment tools, collaborative improvement, planning, and evidence-informed practice. The broad nature of the CfW framework and variation in the availability and quality of health-related resources informing CfW design may result in variability in learning opportunities, influencing how children’s HL is developed. Prioritizing HL as a core CfW learning outcome could streamline the translation of broad CfW guidance into impactful design, implementation and assessment of the H&WB AoLE. Journal Article Health Promotion International 40 6 daaf225 Oxford University Press (OUP) 0957-4824 1460-2245 health literacy, curriculum, schools, resources, curriculum design, curriculum for wales, health and well-being, area of learning and experience, education 31 12 2025 2025-12-31 10.1093/heapro/daaf225 Review COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University SU Library paid the OA fee (TA Institutional Deal) This study was supported by Swansea University’s Morgan Advanced Studies Institute (MASI) BASECAMP grant 2024/25 (grant number: MID1003-102). 2026-01-20T13:42:07.0092270 2025-12-09T14:58:22.3649981 Faculty of Humanities and Social Sciences School of Social Sciences - Education and Childhood Studies Levi Hughes 0009-0007-0730-265X 1 Michaela James 0000-0001-7047-0049 2 Helen Lewis 0000-0003-4329-913X 3 Gisselle Tur Porres 0000-0003-1494-0549 4 Helen Yu 5 Emily Marchant 0000-0002-9701-5991 6 71122__35953__7bd754d4771f4bcb9c2b0f9868a2f84a.pdf 71122.VOR.pdf 2026-01-09T15:35:40.6884716 Output 468624 application/pdf Version of Record true © The Author(s) 2025. This is an Open Access article distributed under the terms of the Creative Commons Attribution License. true eng https://creativecommons.org/licenses/by/4.0/
title Enhancing children's health literacy: a scoping review of resources for ‘Curriculum for Wales’ health and well-being design, implementation, and assessment
spellingShingle Enhancing children's health literacy: a scoping review of resources for ‘Curriculum for Wales’ health and well-being design, implementation, and assessment
Levi Hughes
Michaela James
Helen Lewis
Gisselle Tur Porres
Helen Yu
Emily Marchant
title_short Enhancing children's health literacy: a scoping review of resources for ‘Curriculum for Wales’ health and well-being design, implementation, and assessment
title_full Enhancing children's health literacy: a scoping review of resources for ‘Curriculum for Wales’ health and well-being design, implementation, and assessment
title_fullStr Enhancing children's health literacy: a scoping review of resources for ‘Curriculum for Wales’ health and well-being design, implementation, and assessment
title_full_unstemmed Enhancing children's health literacy: a scoping review of resources for ‘Curriculum for Wales’ health and well-being design, implementation, and assessment
title_sort Enhancing children's health literacy: a scoping review of resources for ‘Curriculum for Wales’ health and well-being design, implementation, and assessment
author_id_str_mv 1b1207d8f5bbd911df7b20636e630f31
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author_id_fullname_str_mv 1b1207d8f5bbd911df7b20636e630f31_***_Levi Hughes
9a717d184fb8f768e462d95b91e63e23_***_Michaela James
daebf144a10dc3164bff6ec1800d66d3_***_Helen Lewis
886cae437b38b635811092ecb7adb4b4_***_Gisselle Tur Porres
3fa8e58607d4949e7d0d3fa8fa1c2f7d_***_Helen Yu
d68adb6744707b3bd75e07bd334d0516_***_Emily Marchant
author Levi Hughes
Michaela James
Helen Lewis
Gisselle Tur Porres
Helen Yu
Emily Marchant
author2 Levi Hughes
Michaela James
Helen Lewis
Gisselle Tur Porres
Helen Yu
Emily Marchant
format Journal article
container_title Health Promotion International
container_volume 40
container_issue 6
container_start_page daaf225
publishDate 2025
institution Swansea University
issn 0957-4824
1460-2245
doi_str_mv 10.1093/heapro/daaf225
publisher Oxford University Press (OUP)
college_str Faculty of Humanities and Social Sciences
hierarchytype
hierarchy_top_id facultyofhumanitiesandsocialsciences
hierarchy_top_title Faculty of Humanities and Social Sciences
hierarchy_parent_id facultyofhumanitiesandsocialsciences
hierarchy_parent_title Faculty of Humanities and Social Sciences
department_str School of Social Sciences - Education and Childhood Studies{{{_:::_}}}Faculty of Humanities and Social Sciences{{{_:::_}}}School of Social Sciences - Education and Childhood Studies
document_store_str 1
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description Health literacy (HL) plays an important role in developing the skills and capacities to make health-enhancing decisions, impacting health and well-being. Primary schools are key settings for developing HL through the reformed ‘Curriculum for Wales’ (CfW) and its ‘Health and Well-being Area of Learning and Experience’ (H&WB AoLE). With school-level autonomy offered in CfW design, resources are fundamental for curriculum design, implementation, and assessment. As the CfW is in its infancy, the visibility and quality of resources available to schools is unclear. This scoping review aimed to identify resources publicly available to primary schools to enable the design, implementation and assessment of the H&WB AoLE. A search was conducted across academic databases and sources of grey literature. Twelve sources (grey literature: n = 7, peer-reviewed research: n = 5) were selected for inclusion and discussed as a descriptive overview. The identified resources highlight a gap between policy intentions of the CfW framework and how this is implemented in practice. However, there is potential to address these concerns through self-assessment tools, collaborative improvement, planning, and evidence-informed practice. The broad nature of the CfW framework and variation in the availability and quality of health-related resources informing CfW design may result in variability in learning opportunities, influencing how children’s HL is developed. Prioritizing HL as a core CfW learning outcome could streamline the translation of broad CfW guidance into impactful design, implementation and assessment of the H&WB AoLE.
published_date 2025-12-31T05:34:38Z
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