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Profession-specific training in health education.

In 1975, the African Regional Health Education Centre (ARHEC) inaugurated two training programmes in health programmes in health education: a two-year postgraduate course leading to a master's degree, and a one-year course preparing for a non-graduate diploma. The purpose of the latter was to give advanced training and updating to experienced health personnel who had either received a diploma in health education some years before or had been functioning as health educators. This was intended to be a temporary course, to phase out in three years. However, due to its popularity, it was extended in spite of certain negative aspects, mainly the fact that new graduates often return to their former positions with little opportunity to utilize fully their new skills. Those who succeeded best tried to merge health education with their basic professional practice (for example, nursing with patient education). ARHEC decided therefore to modify the programme of its advanced diploma course, which now provides for the teaching of a basic core of health education subjects to all students, and includes three modules to which students are assigned according to their previous training and their future professional activities: community health education and primary health care; hospital-based patient and family health education; and school health education. The practical field work, which is an essential aspect of the course, is tailored to the interests of students in each module. Preliminary evaluation indicates that this programme provides a better response to the needs of students and their employers and eliminates the problem of two categories of health educators (diploma and masters level). It is intended to create other modules dealing with the media, occupational health, and so on.

Clinical Competence↗

HMO innovations. Video-enhanced medical advice; senior zoo walkers; Group Health Resource Line; enhancing health education programs through desktop publishing; home health beat; innovative school health partnership.

The editors of HMO PRACTICE asked clinicians and health educators in HMOs across the country to submit reports on their unique, successful patient education programs. The following HMO Innovations testify to the wide range of new technologies, enterprising partnerships, and creative ideas that are shaping health education in HMOs today.

Creativity↗

[Profile of health professionals from Lleida regarding health education].

OBJECTIVE: To know the health professional profile in the province of Lleida with regard to health education. DESIGN: Observational transversal study. SETTING: All the medicine, nursery and social work colleges in the province of Lleida (3060). PARTICIPANTS: Bachelors in medicine (208), graduates in nursery (252), graduates in social work (64). INTERVENTION: A postal survey was send to the private address. The questions were about personal and job characteristics related to activities in health education. RESULTS: The response percentage was 48.1%. The association between the training in health education (28.2%-39.8%) and the realization of activities in health education (44.6%-57%) is significant. The realization of activities in health education is also associated with the resources disposition (CC = 0.3177, p < 0.01), and the job place (CC = 0.3155, p < 0.01). CONCLUSIONS: The assistance to health education courses and the adequacy of resources suppose better participation in activities related to health education.

Adult↗

Peer education: a strategy for improving health education in disadvantaged areas in Belfast.

The paper reports on the initial phase of an evaluation of a multi-agency project designed to deliver social and health education to 16-18-year-old trainees attending four community workshops in North and West Belfast. A survey of the first year of the project was carried out using quantitative and qualitative methodologies which included a questionnaire survey of those trainees attending the programme and structured interviews with a representative sample of trainees. The first stage of the research involved a baseline measure (time 0) which provided valuable insights into the behaviours, attitudes and values of the trainees regarding a range of health issues, including smoking and alcohol behaviours, and substance abuse. Some changes in behaviour, during the first year of the project, were noted, such as reported reductions in substance abuse and increased awareness of sources of advice relating to health issues.

Adolescent↗

Effects of a randomized health education intervention on aspects of reproductive health knowledge and reported behaviour among adolescents in Zimbabwe.

Unwanted teenage pregnancy and the attendant morbidity and mortality necessitate an understanding of the factors influencing adolescent sexuality and the implementation of programmes designed to improve their knowledge and reproductive behaviour. A randomized controlled study on reproductive health knowledge and behaviour was undertaken among adolescent pupils drawn from a multi-stage random cluster sample. A self-administered questionnaire was used to assess aspects of reproductive health knowledge and behaviour at baseline followed by a health education intervention, except for control schools. Results are based on 1689 responses made up of 1159 intervention and 530 control respondents. There was a significant increase in correct knowledge about aspects of menstruation in intervention as compared with control schools [odds ratio (OR) = 4.5, 95% confidence interval (CI) = 3.4-6.1). Significantly, (OR = 2.0, 95%CI = 1.1-3.9) more pupils from intervention than control schools scored correctly on practice relating to menstruation. Pupils from intervention schools were more likely (P < 0.001) to know that a boy experiencing wet dreams could make a girl pregnant and that a girl could get pregnant at her first sexual intercourse (OR = 1.4, 95%CI = 1.1-1.9). Knowledge of family planning was low in both groups at baseline but was high at five months follow-up in the intervention schools. The findings point to the need for early school-based reproductive health education programmes, incorporating correct information on reproductive biology and the subsequent prevention of reproductive ill health.

Adolescent↗

Impact of health education on mothers' knowledge of preventive health practices.

A prospective community-based intervention study was conducted in a slum area of Karachi, Pakistan, with the objective of evaluating the impact of health education on the knowledge of mothers. One hundred and fifty households were studied in the intervention and the same in the non-intervention group. The post intervention knowledge scores of the mothers showed a significant difference of P < 0.05. Nearly 50.7% mothers in the intervention group knew of at least four diseases against which vaccination is given as compared to the non-intervention group (P < 0.05). Similarly, mothers in the intervention group were more aware about the advantages of breast feeding, signs of dehydration, measures for prevention of measles and tuberculosis as compared to the non-intervention group (P < 0.05). Finally, a comparison was made between the pre- and post-intervention scores between the two groups. The score in the non-intervention group changed from 11.5 to 16.1 (P > 0.05) as compared to the intervention group in which it changed from 10.2 to 32.2 (P < 0.05).

Adult↗

Instrument validity and reliability in three health education journals, 1980-1987.

Investigators examined how often validity and reliability measures were reported for research articles in three health education journals: Health Education, Health Education Quarterly, and the Journal of School Health. Articles published from 1980 to 1987 were considered in the analysis. Of the 611 articles published by Health Education during the period used for analysis, 128 (21%) met the criteria of a research article. Reliability was reported for 22 (17%) articles, and validity was reported for 78 (61%) articles. Health Education Quarterly published 212 articles; 74 (35%) were research articles. Reliability was reported for 16 (21%) articles and validity was reported for 40 (54%) articles. The Journal of School Health published 778 articles, of which 243 (31%) were research articles. Reliability was reported for 62 (25%), and validity was reported for 164 (67%) of the research articles. A chi-square test found a significant difference among the number of research articles published by the journals. Chi-square tests also found significant differences among the journals in the proportion of research articles that reported reliability information and the proportion that reported validity. A significant trend was noted for Health Education Quarterly and the Journal of School Health; the proportion of research articles that reported validity and reliability increased over time for both publications.

Health Education↗

Improving our application of the health education code of ethics.

The Health Education Code of Ethics was designed to provide a framework of shared values within which health education might be practiced. However, an informal survey conducted on a limited sample in November 2004 indicated that ethics and how to apply the code are topics not readily taught formally within all health education programs. There is, however, an expressed interest among health educators in understanding the code and its application. Because of the immense import of ethics, affecting responsible professional conduct at all levels, this article is designed to introduce the topic to health education practitioners who have had little formal exposure to ethics curricula, as well as to faculty who would like to teach this subject. The authors specifically review several resources that might be especially helpful in fostering a better understanding of this essential but often underestimated aspect of health education practice and research, namely, its ethical application.

Codes of Ethics↗

Nursing and health education: victim blaming.

Health education may contribute to creating victims. In this article, the concept of victim blaming, and how the victim role is created, is explored using transactional analysis. Specifically, the Drama Triangle is used as a tool for analysis rather than a model for practice.

Health Education↗

Adolescents' reports of reproductive health education, 1988 and 1995.

CONTEXT: Reproductive health education is a key strategy for promoting safe sexual behavior among teenagers. In the last decade, new initiatives in response to AIDS and growing interest in abstinence education may have changed the prevalence, content or timing of the reproductive health education provided by schools and parents. METHODS: Formal reproductive health education and communication with parents about reproductive health among males aged 15-19 were analyzed using data from the 1988 and 1995 National Surveys of Adolescent Males. Young men's reports of formal instruction were compared with reports by adolescent females from the 1995 National Survey of Family Growth. RESULTS: Between 1988 and 1995, formal reproductive health education became nearly universal among adolescent males: In 1988, 93% of teenage males received some formal instruction, compared with 98% in 1995. The percentage of teenage males who received instruction about AIDS increased from 73% to 97% and the proportion who received instruction about how to say no to sex increased from 58% to 75%. Adolescent males who had dropped out of school received significantly less reproductive health education than those who had stayed in school, however. In addition, the median age at initial instruction decreased from age 14 to 13. Many males did not receive instruction prior to first intercourse, with non-Hispanic blacks being significantly less likely than other males to receive education prior to first intercourse. In 1995, 54% of black males had received reproductive health education before they first had sex, compared with 68% of Hispanic males and 76% of non-Hispanic white males. A smaller share of adolescent males than females received reproductive health education, and males were less likely than females to receive instruction prior to first intercourse. CONCLUSIONS: During the last decade, many types of formal reproductive health education for adolescents expanded. Further efforts should focus on assuring access to timely, comprehensive and high-quality reproductive health education for all teenagers and reducing gaps in access related to race, gender and school attendance.

Acquired Immunodeficiency Syndrome↗

The Islamic movement, development, and health education: recent changes in the health of rural women in central Sudan.

Follow-up research on women's work and health in two rural areas of Sudan in 1989 identified several areas of change since the 1970s. Health improvements due to better access to education and health services were noted. However, interethnic contacts have led to some experimentation with the severe form of female circumcision in one area while health education and the Islamic movement have contributed to a decline in popularity of it in another area. Further, the structure of agricultural development has resulted in changes in women's participation in agriculture and polygyny rates, which have had impacts on birth rates.

Agriculture↗

Oral health education and promotion in maternal and child health: a position paper.

Oral health education and promotion are the connecting mechanisms among prevention, policy development and program implementation, maintenance and evaluation. Given the preventive procedures available today, all focus populations of women and children should have access to accurate information about such procedures as well as access to the procedures themselves. Furthermore, appropriate methodologies need to be utilized for community oral health education and these methods differ from those commonly used for individual education. In the context of maternal and child health there are unprecedented opportunities for new accomplishments in oral health. The health education model most appropriate for these groups is the public health model, an approach designed to empower as well as inform, and one that fosters shared decision making among community members and health professionals. Dental professionals have the responsibility to address this challenge, and to help correct the health information inequities that prevail, especially among the traditionally informationally disenfranchised subfocus populations discussed in this paper.

Child↗