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[Delineation of the professional role of health education specialists: a technical proposal].

The responsibilities, competencies and subcompetencies of the Health Education Specialists of the State Health Department of S. Paulo are assessed in this study with a view to verifying the agreement, or otherwise, between the proposals for the technical activity of these health professionals in Brazil and in the United States. With this end in view the document entitled "A Framework for the Development of Competency-based Curricula for Entry--level Health Education" was utilized as the basis for the questions included in the questionnaires submitted to health educators. The results describe the degree of importance attributed to the technical responsibilities and the frequency with which these are performed in the service network of the State Health Department of S. Paulo, Brazil.

Brazil↗

[Cognitive level and behaviour in nutritional health education in a group of parents].

In the last years, the education for health developed itself rapidly, due to the close relationship between scientific development and social life dynamics. The relation between the cognitive level, behaviour and nutrition was assessed in a group of parents with children 9 to 12 years of age. The majority of the parents, and also of children, have an adequate cognitive level, knowing very well the basic principles of a sanogenic diet. Many parents give as their information source the mass-media, and especially the television, the education for nutritional health must be reconsidered, in order to have a greater impact in preserving the health status of the individual.

Adult↗

[Breast feeding promotion: is health education effective?].

A program founded on health education, habitually realized in the national health centers to increase the breast-feeding practice, was evaluated. In 1990, in order to know social and economic characteristics and alimentation practices associated to the incidence and duration of breast-feeding, mothers answered a questionnaire at the first week and sixth month of their child's life. Some aspects about breast-feeding promotion in our country are discussed.

Breast Feeding↗

[Health education in occupational safety].

This article develops a theoretical model on Health Education on an interesting subject in the workplace: the labor accidents. It is critical considering the Health Education as a strategy based only on information and directed to the individual, and proposes a new conception of Health Education as an interdisciplinary task of environmental design very closely related with Health Promotion and work organization. This model is very useful to guide the actions of Health Education and shows a practical case: the intoxication with CO some firemen of the Madrid Council.

Accidents, Occupational↗

Impact of health education and screening over all-cause mortality in Japan: evidence from a cohort study during 1984-2002.

BACKGROUND: Health education and screening are two components of preventive health services in Japan since 1983. This study investigated their relationships with all-cause mortality as they are studied insufficiently in Hokkaido, Japan. METHODS: This study enrolled 1,532 men and 1,653 women aged 40-97 years from 1,702 randomly selected households of 60 areas during 1984-1985 and followed them until 2002. At baseline survey, staffs of 45 health centers collected sociodemographic, medical, behavioral, and dietary information including health education and screening from study subjects with informed consent. RESULTS: For men, age-adjusted Cox proportional hazard model indicated lower mortality for those who received health education (RR = 0.76, P < 0.01) and screening (RR = 0.83, P < 0.05) than those who did not. Health education showed lower mortality even after adjusting for many variables. Similarly for women, health education (RR = 0.66, P < 0.01) and screening (RR = 0.64, P < 0.001) revealed lower age-adjusted mortality. Almost similar results were found for both services when models were adjusted for many variables and when the deaths including lost to follow-up cases of the first 4 years of baseline survey are excluded. CONCLUSIONS: This study shows protective effects of health education and screening over all-cause mortality for both sexes. However, further studies are needed to confirm the results.

Adult↗

Health education leadership development: a conceptual model and competency framework.

A National Public Health Education Leadership Institute was developed through collaboration among national health education professional organizations, the Centers for Disease Control and Prevention, and a school of public health. The institute provides health educators in leadership positions throughout the country access to a 15-month integrated and sequential professional leadership development program. This article presents a conceptual model and competency framework for that program. The model contains elements considered critical for design of leadership programs in public health and can be used by both professional development and academic programs to shape their design of leadership curricula.

Centers for Disease Control and Prevention, U.S.↗

[Dentists' opinion on the utility of a dental health education center].

Dentists' opinion on the utility of a dental health education centre was assessed. More than 80% of the dentists hold the opinion that such a centre is in the interest of both patients and dentists. The health education provided by the centre should, according to three quarters of the respondents, be directed to prevention and treatment; one quarter is in favor of health education directed to prevention only. The overall judgement on getting a second opinion is positive. Nevertheless, 22% judges asking for a second opinion as a sign of mistrust in one's own dentist. More than half of the dentists feel that a dental health education centre should be totally or partly financed by the Dutch Association of Dentists.

Attitude of Health Personnel↗

Delivering health education programs: a model.

The OPT/EVALUATE delivery model provides a system for applying principles of organizational management to the problems of administering health education. Whether one is a new health educator, or part of a health education team, solving operational problems calls for expertise in a variety of fields. Most health educators are not prepared for program administration functions. The article includes a diagram of the OPT/EVALUATE model and an Action Step Checklist. The checklist may be for professional self-assessment, for guiding internships and on-the-job training experiences, or for systematically coordinating a health education project. Each section of the checklist is explained in the article with resources for further reading. Individuals can adapt the OPT/EVALUATE model to their own work setting and target populations. The importance of the checklist steps will vary from project to project. Some specific steps may need to be added.

Evaluation Studies as Topic↗

[Improving the effectiveness of health education].

Discussions concentrated on ways of influencing the behavior of healthy individuals. The following was concluded; 1. Health education is an interdisciplinary activity. It should not merely be aimed at the behavior of individuals but also respect and influence values and institutions of society as well as legislation. 2. Family and school are the most important fields of activity. 3. Health education should be based on experiences from communication sciences. 4. In school, health education should be integrated in as many subjects as possible. Of special importance are the example of the teachers and adequate preparation and training. 5. Health education cannot limit itself to giving information, it also must motivate to a healthy way of life. 6. Exchange of experiences and information in health education should be improved. In Switzerland this can be done by a working party of the Swiss Society for Social and Preventive Medicine. 7. The intervention trials of the Swiss National Research Program can provide important stimuli for innovative approaches to health education is Switzerland.

Adult↗

Strategies for health education for adolescent patients: a preliminary investigation.

OBJECTIVE: To determine the effect of unidirectional and bidirectional health education strategies on the amount of patient participation in the discourse between adolescent patients and physicians. METHODS: Videotapes of medical interviews between physician and adolescent patients that had been made in an earlier study of the efficacy of a self-report questionnaire were reviewed. An inductive method of content analysis from a small sample of videotapes was used to develop mutually exclusive categories of health education communication strategies from the variety of strategies employed by physicians. Seven different strategies were identified and grouped into two categories, unidirectional and bidirectional. Thirty videotapes were randomly selected (from the 79 available videotapes) and health education segments were identified, categorized, and coded for the amount of time the patient and physician spent talking. Paired student's t-tests were used to compare the time spent talking by patients and physicians in the two health education strategy categories. RESULTS: The patients consisted of 17 females and 13 males (mean age = 19.3). Two hundred thirty five individual health education strategies were identified, of which 183 (78%) were unidirectional and 52 (22%) were bidirectional. Physicians spent an average of 44.4 seconds talking in the unidirectional strategies, and 11.4 seconds in the bidirectional strategies (p = 0.0001). Patients spent 10.9 seconds and 26.1 seconds talking, respectively, in response to these strategies, (p = 0.07). The ratio of the time spent talking by patients to physicians was 0.14 for the unidirectional strategies and 1.06 for the bidirectional strategies (p = 0.004). CONCLUSIONS: Bidirectional health education communication strategies increase the amount of participation of adolescent patients in physician-patient discourse when compared to unidirectional strategies. The implications of these data for health education with adolescent patients are discussed.

Adolescent↗

Evaluation of an oral health education program for nursing personnel in special housing facilities for the elderly. Part II: Clinical aspects.

In Sweden, efforts are being made to create strategies for evaluating realistic dental treatment needs among the elderly, who are retaining more natural teeth. These strategies focus on the importance of maintaining adequate oral hygiene. Elderly in long-term-care facilities often depend on nursing personnel for carrying out daily oral hygiene procedures. Therefore, the nursing personnel's knowledge about and attitudes toward oral health make oral health education for health care professionals an important concern. The purpose of this study was to evaluate the clinical oral health outcome in residents after their caregivers had undergone a one-session, four-hour oral health education program. The study consisted of an intervention with a pre- and a post-test and was carried out in three municipalities in the southwestern part of Sweden. A newly developed oral health screening protocol was carried out for 170 subjects living in long-term-care facilities both before and 3-4 months after nursing personnel had attended an oral health education program. Following the intervention, a statistically significant improvement was recorded for changes in oral mucosal color, a modified plaque index which measured oral hygiene status, and a mucosal index which recorded mucosal inflammation. This study indicated that a limited, one-session, four-hour oral health education, offered to caregivers within long-term-care facilities, had a positive impact on the oral health status of residents.

Aged↗

[The effect of health education on lung function and quality of life among stabilized patients with chronic pulmonary disease].

OBJECTIVE: To evaluate the effect of health education on lung function and quality of life in stabilized patients with chronic pulmonary disease (COPD). METHODS: 117 stabilized COPD patients were randomly devided into 4 groups with numbers as 31,26, 20 and 40 identified as Groups 1 to 4. Patients in Group 1 did not receive health education, but Groups 2,3 and 4 received one, two, three or more times health education in file. FEV1, FEV1%, FEV1/FVC and SGRQ score were compared pre and 6-month post the health education program. RESULTS: Health education seemed successful in delaying the decline of FEV1, FEV%, FEV1/FVC and groups 2-4 were superior to group 1(P < 0.05) while groups 3 and 4 were superior to groups 1 or 2(P < 0.05). Health education was effective in raising the SGRQ score among the stabilized COPD patients with groups 2-4 superior to group 1 (P < 0.05) while groups 3 and 4 superior to groups 1 or 2 (P < 0.05). CONCLUSION: Health education could effectively delay the decline of both lung function and quality of life in stabilized patients with COPD.

Aged↗

[Dracunculosis, a scourge eradicated from 3 villages of Burkina Faso through health education].

We carried out a dracunculiasis control study through health education in three southwestern hyperendemic villages of Burkina Faso. The villages were organized in the framework of Primary Health Care. Two years after the beginning of health education the sickness was eradicated. Feasibility, low cost and acceptability by populations of health education make it a main part of any dracunculiasis control strategy.

Burkina Faso↗

Health education and sensitivity to cultural, religious, and ethnic beliefs.

Health education at times can conflict with the cultural, religious, and ethnic backgrounds of students. This article examines the dilemma by using the religious teachings of Judaism to illustrate conflicts that can arise. Other cultures, religions, and ethnic origins are discussed, and some dilemmas health educators face with these groups are described. Suggestions for health educators are offered to prevent health instruction from leading to conflict between home and school concerning cultural, religious, and ethnic values.

Asian↗