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The AHRQ Health Literacy Universal Precautions Toolkit, 3rd edition, can help primary care practices reduce the complexity of health care, increase patient understanding of health information, and enhance support for patients of all health literacy levels.

Editor of the Third Edition:

Cindy Brach, MPP¹

Authors of the Second Edition:

Angela G. Brega, PhD^2,3
Juliana Barnard, MA⁴
Natabhona M. Mabachi, PhD, MPH⁵
Barry D. Weiss, MD⁶
Darren A. DeWalt, MD, MPH⁷
Cindy Brach, MPP¹
Maribel Cifuentes, RN²
Karen Albright, PhD³
David R. West, PhD^2,3

Authors of the First Edition:

Darren A. DeWalt, MD, MPH⁷
Leigh F. Callahan, PhD⁷
Victoria H. Hawk, MPH, RD, CDE⁷
Kimberly A. Broucksou, MSW, MPA⁷
Ashley Hink, MPH⁷
Cindy Brach, MPP¹
Rima Rudd, ScD⁸

Public Availability Notice. This product is made publicly available by AHRQ and may be used and reprinted without permission in the United States for noncommercial purposes, unless materials are clearly noted as copyrighted in the document. No one may reproduce copyrighted materials without the permission of the copyright holders. Users outside the United States must get permission from AHRQ to reprint or translate this product. Anyone wanting to reproduce this product for sale must contact AHRQ for permission.

Suggested Citation. Brach C, ed. AHRQ Health Literacy Universal Precautions Toolkit, 3rd Edition. Rockville, MD. Agency for Healthcare Research and Quality. AHRQ Publication No. 23-0075. March 1, 2024.

AHRQ acknowledges the primary care practices and clinics that participated in testing of the first and second editions of the Toolkit. AHRQ also acknowledges the thoughtful feedback on revised and new tools for the 3rd edition by:

• Mary Ann Abrams, MD, MPH
• Tom Bauer, MBA RT R
• Cynthia Baur, PhD
• Melissa Bhatnagar, PharmD
• Cliff Coleman, MD, MPH
• Carolyn Cutilli, PhD, RN, NPD-BC
• Terry Davis, PhD
• Darren A. DeWalt, MD, MPH
• Stacie B. Dusetzina, PhD
• Neal Dickert, MD, PhD
• Michele Erikson
• Kim Erwin, MDes
• Caroline Fichtenberg, PhD
• Veronica Fitzpatrick, DrPH, MPH
• Alaina Fourier, PhD, MHCI
• Emily Ganos, PhD
• Ashleigh Henrichs, MA
• Bhumi Khambholja, PharmD, MS
• Lyndee Knox, PhD
• Angela Kumar, MPH
• Lana Moriarty, MPH
• Sunita Mutha, MD, FACP
• Greg O'Neill, MSN, APRN, AGCNS-BC, NPD-BC, NEA-BC
• Ruth Parker, MD, MACP
• Michael Paasche-Orlow, MD, MA, MPH
• Farzana Samad, PharmD, FISMP, CPPS
• Matthew Simpson, MD, MPH
• Jane Sims
• Christopher Trudeau, JD
• Meghan Wagner, PharmD, MBA
• Barry D. Weiss, MD
• Lois Wessel, DNP, FNP-BC
• Mara Youdelman, JD

Author Affiliations:

1. Agency for Healthcare Research and Quality, Rockville, MD
2. Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
3. Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
4. Colorado Health Outcomes Program, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
5. American Academy of Family Physicians, Kansas City, Kansas.
6. Department of Family and Community Medicine, University of Arizona, Tucson, Arizona.
7. The Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC.
8. Harvard School of Public Health, Harvard University, Cambridge, MA.

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