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Dental caries among schoolchildren: report of a health education campaign in Jeddah, Saudi Arabia.

The study describes a dental health education campaign and reports the epidemiology and prevalence rates of dental caries among male and female primary-school children in Jeddah. Over a 2-year period, all 296 public primary schools in Jeddah were visited by dentists conducting a health education campaign. A total of 82,250 children in the first and fourth grades were screened. The rate of detected dental caries was 83%, with significantly higher rates detected among females and first-grade children. Lower social class was significantly associated with higher rates of dental caries. The study emphasizes the importance of health education programmes and the value of school health surveys for targeting this young group.

Age Distribution↗

Reflections: a hierarchy of criteria for evaluating microcomputer-based health education.

A brief background on the status of microcomputer-based health education programs is presented. Within the current context, the authors propose a series of 13 questions arranged in hierarchical fashion to evaluate microcomputer-based health education. The value of this approach is that technically flawed programs can be screened out and important health education concerns can be integrated into an evaluation of software.

Computer-Assisted Instruction↗

Using a site visit to a contaminated location as a focus for environmental health education for academic and public health nurses.

We describe a conference initiative that is distinguished by the use of a "community case study" to increase the knowledge and skills of nursing faculty and public health nurses in environmental health and to provide networking support to facilitate infusion of environmental health into nursing curricula and public health nursing practice. The Institute of Medicine's (1995) general environmental health competencies for nurses provided the conference framework. Woburn, Massachusetts, a Superfund site, served as the community case study to illustrate a complex environmental health problem. Over an extended period of time, Woburn was contaminated with multiple chemicals that eventually contaminated the drinking water supply; a cluster of childhood leukemia cases was linked subsequently to the Superfund site contaminants. A 6-hr interpreted walking and bus tour of the Superfund site enabled us to visit the premises of responsible parties, the vapor extraction fields, the capped Well H in the wooded wetlands, and to tour the affected neighborhood. This intensive, hands-on approach to learning environmental health content and skills that incorporated multiple learning strategies serves as a model for developing future conferences for public health nurses and nursing faculty.

Attitude of Health Personnel↗

Lifestyle evaluation system to support health education.

A computer-based system for evaluation of one's lifestyle was designed so that public health nurses could use it for health education to improve a patient's lifestyle and to prevent lifestyle-related diseases. The Lifestyle Evaluation System (LES) is a computer program that works on a personal computer. The LES is consist of four parts; inputting personal data, answering the questionnaire, showing the result and getting health check up data. The questionnaire includes 40 questions regarding diet, smoking, drinking, physical activity, rest, social activity and health care activities, based on Breslow's seven lifestyles. The result offers participants' lifestyle evaluation in forms of values, graphs, tables and messages. Evaluation values are deviation value, rank, BMI and standard weight. The LES also offers participant's periodic health check data, average data derived from all residents' data, and past results of LES so that public health nurses are able to use these for health education. The health check data is obtained from another database stored on floppy disks. The participants input data by themselves and get result immediately. The interactive style is effective in raising interest in health education.

Computer Systems↗

The best of health education materials.

The editors of HMO PRACTICE are pleased to present the Best of Health Education Materials. We asked The HMO Group member plans to submit their best health education materials in three categories: Cancer/Heart Disease; Prevention/Health Maintenance/Nutrition; and Pregnancy/Infant Care. Peer reviewers from plans across the country judged the entries. The selections are model health education materials. They are scientifically up-to-date, their target audience and purpose are clear, the reading level is appropriate for the audience, and their format enhances their message. The editors would like to thank everyone who submitted materials. All entries were of high caliber, and choosing the winners was difficult.

Awards and Prizes↗

Health education programs in U.S. medical schools.

To examine the status of teaching programs on health education in undergraduate medical education, the author in 1990-91 surveyed representatives of all 126 U.S. medical schools. Of the 97 institutions that responded, 63 (65%) offered instruction in patient education and 72 (74%) offered instruction in community health promotion. The responses indicated that a number of departments participated in instruction and that diverse methods of instruction and evaluation were used. Opinions of the representatives regarding the importance and adequacy of instruction in health education were quite favorable. The author concludes that more information is needed to determine the effectiveness of the instructional programs and their impact on the quality of medical care.

Community Medicine↗

Health education: a tool for preventive care in allied health.

The public recognition that health care can be preventive as well as treatment oriented provides new opportunities for allied health professionals to expand their traditional patient education roles. Primary prevention requires a broad understanding and application of health education approaches. This article describes health education, the competencies it requires, and the conditions that facilitate successful learning outcomes.

Allied Health Personnel↗

Peer-led and adult-led school health education: a critical review of available comparative research.

Peer-led health education in school is widely used. Advocates suggest it is an effective method based on the belief that information, particularly sensitive information, is more easily shared between people of a similar age. Critics suggest that this is a method not based on sound theory or evidence of effectiveness. This review evaluates school-based health education programmes which have set out to compare the effects of peers or adults delivering the same material. The identified studies indicated that peer leaders were at least as, or more, effective than adults. Although this suggests that peer-led programmes can be effective, methodological difficulties and analytical problems indicate that this is not an easy area to investigate, and research so far has not provided a definitive answer.

Adolescent↗

The scope for health education in the accident and emergency department.

This paper addresses the relevance and implementation of health education in the Accident & Emergency (A & E) department. The functions of an A & E department and the changing role of A & E nursing are introduced and the scope for health education in A & E is critically discussed. Factors which influence effective and realistic health education, such as inequalities of health, locus of control and the environment within a busy A & E department, are briefly explored. Finally, some recommendations for the implementation of realistic, meaningful health education are offered.

Emergency Nursing↗

Project Towards No Drug Abuse: two-year outcomes of a trial that compares health educator delivery to self-instruction.

OBJECTIVES: This paper describes the 2-year follow-up of a 12-session version of an indicated drug abuse prevention program, Project Towards No Drug Abuse (TND). Self-instruction programming often is used to help youth that are at high risk for dropout and drug abuse to complete their high school education. However, a health educator-led program is much more interactive. METHODS: The effects of self-instruction versus health educator-led versions of this curriculum were examined. Eighteen schools were randomly assigned by block to one of three conditions--standard care (control), health educator-led classroom program, and self-instruction classroom program. Subjects were followed up 1 and 2 years later. Two-year results are reported here. RESULTS: The self-instruction program produced no behavioral effects relative to the standard care control condition. The 2-year follow-up results indicated maintenance of program effects on cigarette smoking and hard drug use in the health educator-led version. CONCLUSIONS: Project TND shows maintenance of effects on some drugs 2 years after program implementation, when most youth were young adults. More work is needed to learn how to maintain effects across substances. Continued exploration of modalities of implementation may be helpful.

Adolescent↗

Health education in Nigerian secondary schools.

A survey of 600 secondary school teachers and 120 secondary school administrators was conducted in Oyo State, Nigeria, to identify their attitudes and practices regarding school health education. Nearly all teachers and administrators felt that health education is important and should be an integral part of the curriculum. Nonetheless, there were few resources and little curriculum time devoted to health education. Since many of the health problems of developing countries can be addressed by enhancing the health knowledge of the populace, health education in the schools of such countries deserves more emphasis.

Administrative Personnel↗

Popular health education and venereal diseases in Croatia between two World Wars.

The article presents the research of popular health education on venereal diseases in Croatia between the World Wars. In the inter-war period, the traditional plain approach to popular health education was replaced with new, complex meth-ods, which became the basis for the modem work in this field. New social medicine ideas and new health politics, as well as the new founded institutions such as the School of Public Health in Zagreb and different anti-venereal outpatient facilities, were crucial for changing popular health education after World War I. Based mostly on archival documents, this article explores popular health education as a vehicle for identification of attitudes and concepts within the medical community. Ambivalence in the perception of essential approaches towards popular heath education is elaborated on the ground of controversies within prominent medical representatives. With the support of new technologies, public health methods in the inter-war period matured in form and complexity. Despite various new methods, which made their way into different parts of everyday life, the subject matter of venereal diseases was treated through a limited number of methods due to the conservative attitudes of society, as well as resistance of many physicians.

Attitude of Health Personnel↗

Theoretical models for application in school health education research.

Theoretical models that may be useful to research studies in school health education are reviewed. Selected, well-defined theories include social learning theory, problem-behavior theory, theory of reasoned action, communications theory, coping theory, social competence, and social and family theories. Also reviewed are multiple theory models including models of health related-behavior, the PRECEDE Framework, social-psychological approaches and the Activated Health Education Model. Two major reviews of teaching models are also discussed. The paper concludes with a brief outline of the general applications of theory to the field of school health education including applications to basic research, development and design of interventions, program evaluation, and program utilization.

Adolescent↗

A health education model for ambulatory care.

Nurses in this ambulatory care center recognized a need for a systematic, planned approach to health education, and developed a health education model. The nurses on the committee serve as inhouse consultants to help other nurses develop, implement, and evaluate health education programs.

Ambulatory Care↗

HMOs and health education.

HMOs, by their stated purpose and nature, have a necessary and central involvement with health education. The specific characteristics of any HMO determine the extent and quality of health education. An HMO has the responsibility to identify its educational objectives, as well as the educational components of any of its other objectives. The more professional the educational guidance, the better it is integrated into the organization, and the greater its financial and administrative support, the more likely will be the success in achieving objectives. In brief, every HMO has the need and potential for a health education effort. The extent and quality of that effort will reflect the mix of administrative philosophy, organizational characteristics, the degree to which professional educators are involved, and the amount and stability of financial support.

California↗