The desired learning outcomes of school-based nutrition/physical activity health education

2016 ◽  
Vol 116 (4) ◽  
pp. 372-394 ◽  
Author(s):  
Michael James Ormshaw ◽  
Sami Petteri Kokko ◽  
Jari Villberg ◽  
Lasse Kannas

Purpose – The purpose of this paper is to utilise the collective opinion of a group of Finnish experts to identify the most important learning outcomes of secondary-level school-based health education, in the specific domains of physical activity and nutrition. Design/methodology/approach – The study uses a Delphi survey technique to collect the opinions of a group (panel) of Finnish experts. A list of learning outcomes was compiled via an extensive literature review of documents from all levels of health education (physical activity and nutrition) policy development and implementation. A general inductive analysis method was conducted, resulting in education themes which were then compiled into health literacy-constructed learning outcomes to present to the panel in the two Delphi rounds. Findings – The study question is answered in the form of a ranked list of the 24 most important learning outcomes of physical activity and nutrition education in Finnish schools. The analysis of variance pair-wise comparisons with Bonferroni indicated that six items were statistically possibly more important than the 18 others. The three most important items being: first, understand the importance of a varied and balanced diet; second, the ability to analyse their own lifestyle; third, understand the link between physical activity and health. The study also identified topics/themes which could be either under-represented or over-represented in the current literature and teaching. Originality/value – This study is the only one of its type, and researches an as yet unknown area of health education. The value of this study lies in its role in the further development of school health education, in terms of identifying the “most important” contemporary issues to teach in the classroom, and may also be used as a topic prioritisation and curriculum planning tool.

2019 ◽  
Vol 119 (5/6) ◽  
pp. 341-349
Author(s):  
Laura Ionescu ◽  
Lacramioara Ursache ◽  
Adelina Nicolae ◽  
Adriana Conea ◽  
Cristian Potora ◽  
...  

Purpose The purpose of this paper is to focus on parents of children with hearing disabilities from Romania and has three objectives. First, it assesses their characteristics regarding use of communication technology. Second, it investigates their opinions regarding the importance of school-based education for healthy lifestyle promotion among their children. Third, it evaluates the availability for their involvement in educational activities using face-to-face approach and communication technology dedicated to helping parents to promote healthy lifestyle among their children, as well as factors which influence this availability. Design/methodology/approach The study was performed in October–November 2015 in two schools deserving children with hearing disabilities from North-West part of Romania. Anonymous questionnaire were filled in by 182 parents. Findings The majority of parents recognize the importance of school-based health education and more than 77 per cent totally agree that it should include issues regarding healthy nutrition, promotion of physical activity and smoking prevention. In total, 80.2 per cent of the parents declared that they are interested to participate in educational activities organized periodically at school and 66.5 per cent declared their interest in educational activities developed through communication technology in order to help them to stimulate the adoption of healthy lifestyle among their children. The availability was influenced by residence, educational level, understanding the importance of parents’ involvement, characteristics regarding the use of communication technology. Originality/value This represents the first study from Romania investigating the opinions and availability for their involvement with regard to school health education among parents of children with hearing deficiencies. The results have several implications for health education among children with hearing deficiencies and their parents.


2017 ◽  
Vol 46 (2) ◽  
pp. 208-223
Author(s):  
Aida Terron ◽  
Josep M. Comelles ◽  
Enrique Perdiguero-Gil

Purpose The purpose of this paper is to analyse the evolution and characteristics of health education in schools in Spain during the dictatorship of General Franco (1939-1975). Design/methodology/approach The analysis of two kinds of sources has been performed. First, the reports from international organizations on health education in schools published in the 1950s and 1960s. Second, journals, books and official documents published by public health and education organizations in Franco’s Spain. Findings Health education in schools evolved in three stages under Franco’s dictatorship. In the first stage (1939-1953), Spanish schools maintained an outdated “school health” approach in the teaching programmes. In the second stage (1953-1965), the agreements with the USA in 1953 ended Spanish isolation, and the regime sought to follow the recommendations of international organizations. Efforts were made to “import” the WHO/UNESCO version of health education in schools but it failed to materialize. A programme that sought to enhance citizen participation and to acknowledge their idiosyncrasies was unlikely to prosper in a dictatorship. However, the less threatening food and nutrition education programme, encouraged by the FAO/UNICEF, did succeed. In the last stage (1965-1975), the Spanish education system entered a period of modernization in which the contents and methods of health education in schools were reformed in order to introduce the less conflictive aspects of the international recommendations. Originality/value The paper highlights the tensions between the aspirations to follow international programmes and the recommendations on health education in schools and the difficulties of implementing such schemes under a dictatorship.


2018 ◽  
Vol 118 (6) ◽  
pp. 513-527 ◽  
Author(s):  
Grace Spencer ◽  
Philip Hood ◽  
Shade Agboola ◽  
Catherine Pritchard

Purpose Children’s health and life chances are affected by many factors, with parents and schools holding influential roles. Yet relatively little is known about parental engagement in school-based health education and specifically, from the perspectives of health and education professionals. The purpose of this paper is to examine professionals’ perspectives on parental engagement in school-based health education. Design/methodology/approach An exploratory qualitative study was conducted with ten health, education and local authority professionals from a socio-economically deprived area in England. Semi-structured interviews explored the role of professionals within the school health curricula, roles that parents played in school health, and barriers and enablers to parental engagement in school health education. Findings Reported barriers to engagement related to assumptions about parents’ own health behaviours, impacts of funding and inspection regimes, and protected time for health within the school curriculum. Enablers included designated parental support workers based in the school, positive role modelling by other parents, consultation and engagement with parents and a whole school approach to embedding health within the wider curriculum. Practical implications Findings from this study suggest the importance of building meaningful partnerships with parents to complement school health education and improve child health outcomes. Originality/value This paper addresses an important gap in the research on parental engagement in school-based health education from the perspectives of health and education professionals. Effective partnerships with parents are crucial to the success of school health education.


2014 ◽  
Vol 114 (6) ◽  
pp. 487-500 ◽  
Author(s):  
Maria Louisa Bruselius-Jensen ◽  
Dina Danielsen ◽  
Ane Kirstine Viller Hansen

Purpose – The purpose of this paper is to explore how pedometers (simple gadgets that count steps) can be used as tools in participatory health education to enhance primary school children's insights into, and abilities to reflect on, physical activity in their daily life. The paper focuses on how using pedometers fosters participation and enhances reflection concerning physical activity. Design/methodology/approach – The paper draws on findings from an exploratory project with sixth-grade classes (12-13 years) in four Danish primary schools. The approach is called Imove. In Imove, pupils use pedometers to study their own patterns of physical activity, transform their data into statistics, and use the statistical representation to reflect on how physical activity is integrated into everyday life patterns, and how different activities constitute an active life. Findings – The paper concludes that pedometers support pupils’ participation in studying their own health practices, and the step data provide new insights into, and encourage pupils to reflect on, the way physical activity is formed into everyday patterns. Research limitations/implications – The study is an exploratory one with four participating school classes. The findings need to be further explored by employing similar methodology in studies with more participants. Nevertheless, there is no doubt that pedometers support pupils’ genuine participation in health educational processes. Practical implications – The findings identify simple measuring technologies, such as pedometers, as potent assets in health education learning processes and call for creative thinking in developing health promotion programmes for young people. Originality/value – Measuring technologies play an increasingly critical role in health research, as well as in individual health regulating practices. This paper contributes with a new perspective by demonstrating the educational possibilities of applying pedometers in participatory school health education.


1991 ◽  
Vol 7 (3) ◽  
pp. 286-295 ◽  
Author(s):  
Terence Dwyer ◽  
Rosalie Viney ◽  
Michael Jones

AbstractThis review focuses on the component of health education directed at achieving changes in health behavior. Much of the work in this field has centered on health behavior that has a role in preventing future disease. Because the evidence is strongest in relation to coronary heart disease (17), considerable effort has been devoted to this area. Walter et ai. (34) indicated that the most relevant forms of health behavior to be considered in school-based programs on heart disease are those relating to diet, physical activity, and smoking. Programs relating to each of these behaviors are addressed here.


Author(s):  
Jayanthi Sureshbabu ◽  
Senthilvel Vasudevan ◽  
Priyanka Raj

Background: School health education programs provide a convenient platform for engaging the students in health promotion activities. Public health problems like mosquito borne diseases cannot be controlled without active participation of the community and students are a resourceful component of the community who can be encouraged to take up activities to control mosquito borne diseases in the community.Methods: School-based cross-sectional study was conducted in December 2010 to March 2011 among 508 school students selected at random from students studying in the eighth to tenth standard. P < 0.05 was considered as statistically significant.Results: Totally 508 students were included in this study. The number of students unaware of the stages in the mosquito life cycle and the mosquito’s resting habits reduced from 420 (82.68%) to 19 (3.74%) and 103 (20.28%) to 13 (2.56%) respectively. The number of students with correct knowledge of the biting habits of the female mosquito and personal protection (PP) measures increased from 31.69% to 97.05% with statistically highly significant (p <0.0001) and 52.95% to 74.21% respectively.Conclusions: The present study suggested that the school health education program is effective in creating awareness and increasing the knowledge regarding mosquito borne diseases among school children and possibilities of successfully engaging the community at large in the fight against mosquito borne diseases. The need would be to sustain this activity and implement it in schools as part of the vector borne disease control programme.


2007 ◽  
Vol 32 (4) ◽  
pp. 635-645 ◽  
Author(s):  
Lynn Roblin

The need has never been greater to support healthy eating and physical activity in children and youth; the numbers of overweight and obese children have doubled and tripled, respectively, over the past 3 decades. Poor eating habits, including inadequate intake of vegetables, fruit, and milk, and eating too many high-calorie snacks, play a role in childhood obesity. Grain products provide the highest percentage (31%) of daily calories, followed by “other foods,” which have limited nutritional value (22% of daily calories). Snacks account for 27% of total daily calories, which is more than the calories consumed at breakfast (18%) and lunch (24%), but not dinner (31%). For Canadians older than 4 years of age, more than 41% of daily snack calories come from other foods, such as chips, chocolate bars, soft drinks, fruit drinks, sugars, syrup, preserves, fats, and oils. Habits that protect against childhood obesity include eating more vegetables and fruit, eating meals with family, and being physically active. Children’s food habits and choices are influenced by family, caregivers, friends, schools, marketing, and the media. Successful interventions for preventing childhood obesity combine family- and school-based programs, nutrition education, dietary change, physical activity, family participation, and counseling.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Haiquan Xu ◽  
Yanping Li ◽  
Songming Du ◽  
Qian Zhang ◽  
Ailing Liu ◽  
...  

Abstract Background Economic evaluation of school-based obesity interventions could provide support for public health decision of obesity prevention. This study is to perform cost–utility and cost–benefit assessment of three school-based childhood obesity interventions including nutrition education intervention (NE), physical activity intervention (PA) and comprehensive intervention (both NE and PA, CNP) with secondary data analysis of one randomized controlled trial. Methods The standard cost-effectiveness analysis methods were employed from a societal perspective to the health outcome and costs that are attributable to the intervention. NE, PA and CNP were carried out separately for 2 semesters for childhood obesity interventions in primary schools. The additional quality-adjusted life years (QALYs) resulting from the interventions were measured as the health outcome. A cost–utility ratio (CUR) and A cost–benefit ratio (CBR) was calculated as the ratio of implementation costs to the total medical and productivity loss costs averted by the interventions. Results The CUR and CBR were ¥11,505.9 ($1646.0) per QALY and ¥1.2 benefit per ¥1 cost respectively, and the net saving was ¥73,659.6 ($10,537.9). The CUR and CBR for nutrition education and physical activity interventions were ¥21,316.4 ($3049.6) per QALY and ¥0.7 benefit per ¥1 cost, ¥28,417.1 ($4065.4) per QALY and ¥0.4 benefit per ¥1 cost, respectively (in 2019 RMB). Compared with PA intervention, the ICERs were ¥10,335.2 ($1478.6) and 4626.3 ($661.8) for CNP and NE respectively. The CBR was ¥1.2, 0.7, and 0.4 benefits per ¥1 cost for CNP, NE, and PA interventions, respectively. Net estimated savings were achieved only through CNP intervention, amounting to ¥73,659.6 ($10,537.9). Conclusions Comprehensive school-based obesity intervention is a beneficial investment that is both cost-effective and cost saving. Compared with PA intervention, both CNP and NE intervention were more cost-effective.


Author(s):  
Chang-Yong Jang ◽  
Nam-Gyeong Gim ◽  
Yoonhee Kim ◽  
TaeEung Kim

This study examined the association between the obesogenic factors and the risk of suffering from weight excess in school-based state programs regarding physical activity, physical education, nutrition standards, and nutrition education in preventing childhood obesity. Data were drawn from the 1999–2011 Youth Risk Behavior Survey in the State of Mississippi (N = 8862; grades 9–12). Logistic regression with year-fixed effects was performed to capture the influence of the legislation on teenage obesity, controlling for demographics and nutrition- and physical activity-related behaviors. The age-, sex-, and ethnicity-adjusted mean of the body mass index had reduced since 2007 (year 1999: 23.52; year 2001: 23.53; year 2003: 23.76; year 2007: 24.26; year 2009: 24.29; and year 2011: 23.91). The legislation was significantly associated with a decreased likelihood of being overweight (year 2007, odds ratio (OR) = 0.686; year 2009, OR = 0.739; and year 2011, OR = 0.760; all p < 0.01). Children who were more sedentary, more frequently fasted to lose weight, and were less physically active and likelier to be overweight (OR = 1.05, 1.37, and 0.97, respectively; all p < 0.05), as were African-American children (OR = 0.64; p < 0.05) and female students (OR = 1.59; p < 0.05). In conclusion, schools are among the most easily modifiable settings for preventing childhood obesity and reducing its prevalence, with the implementation of physical activity and nutritional policies.


Author(s):  
Alice Yuen Loke ◽  
Yim-wah Mak ◽  
Cynthia ST Wu ◽  
Yuen-ting Wong

Abstract Background: Peer-led school-based anti-smoking programs have been shown to affect the smoking behaviors of students. The aim of this study was to examine the effectiveness of a school-based peer-led live theater production advocating a smoke-free life. Methods: This is a cross-section design study. Students from the drama club were recruited as School Health Ambassadors (SHAs). The SHAs were to involve in a theater production in advocating a smoke-free life, and were provided a health education workshop from the project team on facts relating to smoking and smoke-free life. All the students in the school were to watch the theater production as school peer audience members (SPAs). Comparison will be made between the two groups of students in their attitude and decision towards living a smoke-free life after being involved in the theater production or in watching the drama. Results: A total of 409 students, 21 SHAs, and 388 SPAs were included in the project. Both the SHAs and the SPAs reported confidently about their ability to resist offers or temptation to smoke, and were determined to live a smoke-free life and refrain from smoking the first cigarette. Conclusions: A peer-led theater production advocating a smoke-free life shows some effects on students’ attitude and decision to resist offers and the temptation to smoke, and to come to the decision to live a smoke-free life and refrain from smoking the first cigarette.


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