It's All in the Delivery! An Analysis of Instructional Strategies From Effective Health Education Curricula
Corresponding Author
Patrick C. Herbert MS
Doctoral Student and Associate Instructor, ( [email protected] ), Department of Applied Health Science, Indiana University, HPER 116, Bloomington, IN 47401.
Patrick C. Herbert, Doctoral Student and Associate Instructor, ([email protected]), Department of Applied Health Science, Indiana University, HPER 116, Bloomington, IN 47401.Search for more papers by this authorDavid K. Lohrmann PhD, CHES, FASHA
Professor of School Health Promotion and Director of Graduate Studies, ( [email protected] ), Department of Applied Health Science, Indiana University, HPER 116, Bloomington, IN 47401.
Search for more papers by this authorCorresponding Author
Patrick C. Herbert MS
Doctoral Student and Associate Instructor, ( [email protected] ), Department of Applied Health Science, Indiana University, HPER 116, Bloomington, IN 47401.
Patrick C. Herbert, Doctoral Student and Associate Instructor, ([email protected]), Department of Applied Health Science, Indiana University, HPER 116, Bloomington, IN 47401.Search for more papers by this authorDavid K. Lohrmann PhD, CHES, FASHA
Professor of School Health Promotion and Director of Graduate Studies, ( [email protected] ), Department of Applied Health Science, Indiana University, HPER 116, Bloomington, IN 47401.
Search for more papers by this authorAbstract
BACKGROUND: This study explores the relationship between instructional strategies and effective health education curricula.
METHODS: A content analysis of 10 health education curricula was conducted to determine if they include common instructional strategies for actively engaging students in acquisition of health skills. To be included, the curricula had to (1) be research-based and proven via empirical testing to positively influence the health behaviors and (2) address 1 of Centers for Disease Control and Prevention's 6 priority health risk behaviors.
RESULTS: Content analysis revealed 5 active learning strategies incorporated to involve students in acquiring health skills. Role play, group cooperation, and small group discussion were found in all 10 curricula. To a lesser extent, interactive technology and team games were also included.
CONCLUSION: When combined with previous research regarding the characteristics of effective teachers, it becomes clear that effective health education is delivered by teachers who employ a wide repertoire of active learning strategies while devoting substantial instructional time to those specific strategies that involve students in skills practice.
REFERENCES
- 1 Kolbe LJ, Iverson DC, Kreuter MW, Hochbaum G, Christensen G. Propositions for an alternate and complementary health education paradigm. Health Educ. 1981; 12: 24–30.
- 2 Lohrmann DK, Gold RS, Jubb WH. School health education: a foundation for school health programs. J Sch Health. 1987; 57: 420–425.
- 3 World Health Organization. Skills for Health: Information Series on School Health. Geneva, Switzerland: World Health Organization; 2003.
- 4 The Joint Committee on National Health Education Standards. National Health Education Standards: Achieving Excellence. 2nd ed. Atlanta, GA: American Cancer Society; 2007.
- 5 Popham WJ. Test Better, Teach Better: The Instructional Role of Assessment. Alexandria, VA: ASCD Publications; 2003.
- 6 Lohrmann DK, Wooley SF. Comprehensive school health education. In: E Marx, D Northrop, SF Wooley, eds. Health Is Academic: A Guide to Coordinated School Health Programs. New York, NY: Teachers College Press; 1998: 43–66.
- 7 Nation M, Crusto C, Wandersman A, et al. What works in prevention. Am Psychol. 2003; 58: 449–456.
- 8 Kirby DB, Laris BA, Rolleri LA. Sex and HIV education programs: their impact on sexual behaviors of young people throughout the world. J Adolesc Health. 2007; 40: 206–217.
- 9 Centers for Disease Control and Prevention. Healthy Youth! Characteristics of an Effective Health Education Curriculum. Available at: http://www.cdc.gov/healthyyouth/SHER/characteristics/index.htm. Accessed March 16, 2009.
- 10 Centers for Disease Control and Prevention. Healthy Youth! Health Education Curriculum Analysis Tool (HECAT). Available at: http://www.cdc.gov/healthyyouth/HECAT/index.htm. Accessed March 21, 2009.
- 11 Parrillo AV, Lehman TC, Blake SM, Lohrmann DK, Ledsky RA. Maine Department of Education HIV/AIDS Prevention Program In-Depth Evaluation: Technical Report. Washington, DC: Academy for Educational Development; 2000.
- 12 Birch DA, Duplaga C, Seabert DM, Wilbur KM. What do master teachers consider important in professional preparation for school health education. J Sch Health. 2001; 71: 56–60.
- 13 Bonwell CC, Eisen JA. Active Learning: Creating Excitement in the Classroom. Washington, DC: The George Washington University; 1991.
- 14
Stronge JH,
Ward TJ,
Tucker PD,
Hindman JL.
What is the relationship between teacher quality and student achievement? An exploratory study.
J Person Eval Educ. 2007; 20: 165–184.
10.1007/s11092-008-9053-z Google Scholar
- 15 Stronge JH. Qualities of Effective Teachers. Alexandria, VA: ASCD Publications; 2002.
- 16 Lohrmann DK. Overview of curriculum design and implementation. In: BS Mahoney, LS Olsen, eds. Health Education Teacher Resource Handbook. Millwood, NY: Kraus International Publications; 1993: 35–58.
- 17 US Department of Education. Office of Special Educational Research and Improvement. Office of Reform Assistance and Dissemination. Safe, Disciplined, and Drug-Free School Programs. Washington, DC: US Department of Education; 2001.
- 18 Coyle KK, Kirby DB, Marin BV, Gomez CA, Gregorich SE. Draw the Line/Respect the Line: a randomized trial of a middle school intervention to reduce sexual health behaviors. Am J Public Health. 2004; 94: 843–851.
- 19 Birbaum AS, Lytle LA, Story M, Perry CL, Murray DM. Are differences in exposure to a multi-component school-based intervention associated with varying dietary outcomes among adolescents? Health Edu Behav. 2002; 29: 427–443.
- 20 Kulis S, Nieri T, Yabiku S, Stromwall LK, Marsiglia FF. Promoting reduced and discontinued substance use among adolescent substance users: effectiveness of a universal prevention program. Prev Sci. 2007; 8: 35–49.
- 21 Dent CW, Sussman S, Stacy AW, Craig S, Burton D, Flay BR. Two-year behavior outcomes of Project Towards No Tobacco Use. J Consult Clin Psychol. 1995; 63: 676–677.
- 22 Coyle K, Basen-Enquist K, Kirby D, et al. Short-term impact of safer-choices: a multicomponent, school-based, HIV, other STD, and pregnancy prevention program. J Sch Health. 1999; 69: 181–188.
- 23 Orpinas P, Parcel GS, McAlister A, Frankowski R. Violence prevention in middle schools: a pilot evaluation. J Adolesc Health. 1995; 17: 360–371.
- 24 Centers for Disease Control and Prevention. Healthy Youth! Six Critical Health Behaviors. Available at: http://www.cdc.gov/HealthyYouth/healthtopics/index.htm. Accessed June 26, 2009.
- 25 Walker RP. Basic Content Analysis. Newbery Park, CA: Sage Publications; 1990.
- 26 Moore KD. Effective Instructional Strategies from Theory to Practice. Thousand Oaks, CA: Sage Publications; 2005.
- 27 Fetro JV. Personal & Social Skills: Level 1. Santa Cruz, CA: ETR Associates; 2000.
- 28 Johnson DW, Johnson RT. Making cooperative learning work. Theor Pract. 1999; 38: 67–73.
- 29 Project Alert. Best Foundation for a Drug Free Tomorrow. 2009.
- 30 Marzano RJ, Pickering DJ, Polack JE. Classroom Instruction that Works. Research-Based Strategies for Increasing Student Achievement. Alexandria, VA: ASCD Publications; 2001.
- 31 Neubecker M. Simulation as an Instructional Tool. Encyclopedia of Educational Technology. San Diego, CA: San Diego State University; 2003.
- 32 Dempsey JV, Rasmussen K, Lucassen B. Instructional Gaming: Implications for Instructional Technology. Annual meeting of the Association for Educational Communications and Technology, Nashville, TN; 1994.
- 33 Dickman MH, Stanford-Blair N, Rosati-Bojar A. Leading with the Brain in Mind: 101 Brain-Compatible Practices for Leaders. Thousand Oaks, CA: Corwin Press; 2004.
- 34 Catalano RF, Haggerty KP, Oesterle S, Fleming CB, Hawkins JD. The importance of bonding to school for healthy development: findings from the Social Development Research Group. J Sch Health. 2004; 74: 252–261.
- 35 American Association for Health Education. Proposed Standards for Teacher Preparation in Health Education. Available at: http://www.aahperd.org/AAHE/pdf_files/Proposed_NCATE_Standards.pdf. Accessed July 27, 2009.