A Possible Mission? An Action-based Teaching-Learning Model in Physical Education and Health (PEH)
Author(s):
Marie Graffman-Sahlberg (presenting / submitting)
Conference:
ECER 2014
Format:
Paper

Session Information

08 SES 09, Perspectives on Health Literacy

Paper Session

Time:
2014-09-04
11:00-12:30
Room:
B101 Sala de Aulas
Chair:
Maria Teresa Machado Vilaça

Contribution

The last decade has seen considerable interest in the concept of health literacy as a way of developing public health and enabling people using skills and capacities to achieve a greater control over factors that shape health.1, 2, 3 Health literacy is a composite term to depict different dimensions of health and a range of health education outcomes.2, 3 Therefore, health literacy has been put forward as a valuable concept to develop and use in education in order to enable a learning that goes beyond the classroom, a learning that improves and supports everyday living, including the ability to make salutary healthy decisions.4

The concept of health literacy is often described as consisting of five components: theoretical knowledge, practical knowledge, critical thinking, self-awareness, and citizenship.1,2,5,6

The concept of health literacy has a lot in common with the assignment of the school subject Physical Education and Health (PEH) in Sweden, as well as in several other Western countries. Swedish steering documents note the building and developing of certain competencies in health, including interpersonal relationships and social responsibilities. According to the knowledge requirements, students should not only attain a physical competence of how to carry out a range of physical activities to ensure and/or promote their physical ability, but also develop their understanding of health. They should be able to describe, discuss, and evaluate different forms of physical activities and training with the help of “established theories” and in relation to various environmental settings.7 According to the Swedish PEH curricula, the overriding aim is to teach students knowledge of physical health and how to maintain a physically active lifestyle in a lifelong perspective.

There is a request for different methods and measures of public health interventions in the school sphere. The purpose of this action-based case study was to examine a teaching-learning model with the aim of developing health literacy among students as an educational learning outcome regarding aerobic conditioning in PEH. The more precise research questions were:

  • In what way can a laboratory interactive compendium      with student tasks develop students’ health literacy?
  • How can students’ educational learning outcomes      be assessed using this teaching-learning model?

Method

This case study’s methodology draws on educational action-based research,(8) whose purpose in a school environment is to provide educational practitioners with new knowledge and a new understanding enabling them to improve educational practice or resolve significant problems.(8) The aim of this action-based research was to improve health literacy among students, and, at the same time, find measurements to assess or evaluate attained components of health literacy. The teaching-learning model had as its theoretical framework the concept of health literacy, concentrating on four of its five core components (theoretical knowledge, practical knowledge, critical thinking, and self-awareness) and implemented through a laboratory interactive compendium. In this action-based case study, one upper secondary school class was chosen for a seven-week implementation of the teaching-learning model. The model was organized around a laboratory interactive compendium based on seven theoretical and practical aerobic-conditioning labs and consisted of six practical aerobic-conditioning labs, one daily physical activity lab, three lab reports, and one pre- and post-questionnaire. The questionnaires included open and closed questions on the students’ perceived aerobic condition, level of physical activity, and leisure-time habits, as well as actual knowledge of certain basic facts about aerobic conditioning. The students’ reflections on their individual results and experiences were documented in student reports. At the start of the seven-week project period, the students received a compendium with a description of the different labs and the pre- and post-questionnaire. The students were also given study material designed for the action-based project and knowledge area in focus (conceptual facts, established theories of the oxidative system, respiratory and circulation process, the physiology of aerobic conditioning as well as specific exercise advice). After reading the study material, the students tested their theoretical knowledge by using a computer-based self-marking knowledge test. The qualitative content analysis of the student reports were used to categorize learning outcomes in relation to aspects of health literacy. The quantitative results were analyzed with descriptive statistics and cross tabulations (chi-2 test) using IBM SPSS Statistics 21. The statistical level of significance was set at p<0.05.

Expected Outcomes

Mission accomplished? This study has attempted to respond to the request for ways to develop and measure health literacy among students as an educational learning outcome. Using this teaching learning model based on a laboratory interactive compendium containing experimental student-oriented tasks, the majority of the students in this class improved their health literacy measured through educational outcomes related to practical and theoretical knowledge of aerobic conditioning as well as aspects of critical thinking and self-awareness. These educational learning outcomes were all in line with the knowledge requirements for PEH in Sweden. This teaching-learning model challenged the students’ construction of knowledge and ways of influencing their personal health. One way of contributing to students’ health literacy is therefore to create a learning context that supports different ways of constructing knowledge and how to engage in critical self-reflection.

References

1.St. Leger L. Schools, health literacy and public health: Possibilities and challenges. Health Promot Int. 2001;16(2):197–205. 2.Nutbeam D. Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int. 2000;15(3):259–267. 3.Nutbeam D. The evolving concept of health literacy. Soc Sci Med. Dec. 2008; 67(12):2072–2078. 4.Abel T. Measuring health literacy: Moving towards a health-promotion perspective. Int J Public Health. 2008;53:169–170. 5.Paakkari L, Paakkari O. Health literacy as a learning outcome in schools. Health Educ. 2012;112(2):133. 6.Paakkari L, Tynjälä P, Kannas L. Student teachers’ ways of experiencing the teaching of health education. Stud High Educ. Dec. 2010;35(8):905–920. 7.The Swedish National Agency for Education. Curriculum for the upper secondary school 2011. Knowledge requirements for physical education 1. Stockholm: Fritzes; 2011. 8.Stringer E. Action Research in Education, 2nd ed. Upper Saddle River, NJ: Pearson Education Inc.; 2008:13,74,158.

Author Information

Marie Graffman-Sahlberg (presenting / submitting)
The Swedish School of Sport and Health Science
Graduate School for Didactics of Physical Education and Health, Stockholm
Stockholm

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