School Health Education Study

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The School Health Education Study (SHES) was a crucial event in transforming health education as practiced in American public schools. It has been called, "the most significant school health education initiative of the 1960s" [1] and was largely responsible for establishing the value of comprehensive health education rather than separate disease-specific units and in introducing the concept-based approach to education in general. Most health curricula developed since have followed the model set by the SHES in its School Health Curriculum Project. [2]

Health education is a profession of educating people about health. Areas within this profession encompass environmental health, physical health, social health, emotional health, intellectual health, and spiritual health, as well as sexual and reproductive health education.

Contents

Origins

In 1960 millionaire distiller and philanthropist Samuel Bronfman asked Dr. Granville Larimore, then Deputy Commissioner of the New York State Department of Health and a member of the Joint Committee on Health Problems in Education of the American Medical Association (AMA) and the National Education Association (NEA), to suggest several projects in health or education that should receive funding but were being neglected by governmental and private funders. Dr. Larimore suggested three priorities: (I) graduate medical education, (2) effectiveness of the mass media for health education, and (3) school health education. After hearing presentations on each of these three priorities, the Samuel Bronfman Foundation’s board decided to provide $200,000 for a study of the status of health education in the nation’s schools.

Samuel Bronfman Canadian businessman, philanthropist

Samuel Bronfman, was a Canadian businessman and philanthropist. He founded Distillers Corporation Limited, and is a member of the Canadian Jewish Bronfman family.

American Medical Association professional association for physicians and medical students

The American Medical Association (AMA), founded in 1847 and incorporated in 1897, is the largest association of physicians—both MDs and DOs—and medical students in the United States.

National Education Association US teachers trade union

The National Education Association (NEA) is the largest labor union and professional interest group in the United States.

Initial study

The Study was envisioned as an independent, two-year-long investigation, affiliated with the American Association for Health, Physical Education and Recreation (AAHPER) and the National Education Association. Bronfman sought the advice of Delbert Oberteuffer, professor at the Ohio State University and widely regarded as the leading figure in health education at that time, regarding who could best lead the study. Oberteuffer recommended one of his young OSU colleagues, Elena Sliepcevich. Dr. Sliepcevich accepted the appointment and moved to Washington, DC where the SHES leased office space on Dupont Circle in the building next door to the NEA. [3]

Ohio State University public research university in Columbus, Ohio, United States

The Ohio State University, commonly referred to as Ohio State or OSU, is a large, primarily residential, public research university in Columbus, Ohio. Founded in 1870 as a land-grant university and the ninth university in Ohio with the Morrill Act of 1862, the university was originally known as the Ohio Agricultural and Mechanical College (Mech). The college began with a focus on training students in various agricultural and mechanical disciplines but it developed into a comprehensive university under the direction of then-Governor Rutherford B. Hayes, and in 1878 the Ohio General Assembly passed a law changing the name to "The Ohio State University". It has since grown into the third-largest university campus in the United States. Along with its main campus in Columbus, Ohio State also operates regional campuses in Lima, Mansfield, Marion, Newark, and Wooster.

Elena M. Sliepcevich was one of the leading figures in the development of health education as an academic discipline and profession.

During its first year, the Study assessed the state of health education offerings in a total of 135 school systems covering 38 states and involving some 1101 individual elementary schools and 359 secondary schools. This survey remains the broadest of its type ever completed in the United States. In the second year test instruments were administered to students in grades 6, 9, and 12 of the participating schools. Of 17,634 usable answer sheets re¬turned to the researchers, a weighted sample of 2000 scores for each of the three grade levels representative of the makeup of the school sample was selected for analysis. Analysis of the results required a third year of Bronfman Foundation support and led to the conclusion that the state of health education in the nation’s public schools was "appalling". [4]

Primary education first stage of compulsory education

Primary education and elementary education is typically the first stage of formal education, coming after preschool and before secondary education. Primary education usually takes place in a primary school or elementary school. In some countries, primary education is followed by ecosystem, an educational stage which exists in some countries, and takes place between primary school and high school college. Primary Education in Australia consists of grades foundation to grade 6. In the United States, primary education is Grades 1 - 3 and elementary education usually consists of grades 1-6.

School Health Curriculum Project

The [3M] Corporation funded SHES for a further six years (1963–1969) to develop a model curriculum—the School Health Curriculum Project or SHCP. Ann E. Nolte, of Ohio State University, joined SHES as associate director of the study and a curriculum writing team was assembled, consisting of: William H. Creswell, Jr., professor of health education at the University of Illinois; Gus T. Dalis, of the Los Angeles County Schools; Edward B. Johns, professor of school health education at the University of California, Los Angeles; Marion B. Pollock, assistant professor of health education at California State College, Long Beach; Richard K. Means, professor of health education at Auburn University; and Robert D. Russell, associate professor of health education at Southern Illinois University. [5]

University of California, Los Angeles Public research university in Los Angeles, California

The University of California, Los Angeles (UCLA) is a public research university in Los Angeles. It became the Southern Branch of the University of California in 1919, making it the second-oldest undergraduate campus of the 10-campus University of California system. It offers 337 undergraduate and graduate degree programs in a wide range of disciplines. UCLA enrolls about 31,000 undergraduate and 13,000 graduate students and had 119,000 applicants for Fall 2016, including transfer applicants, the most applicants for any American university.

California State University, Long Beach public university in Long Beach, California, United States

California State University, Long Beach is a public university in Long Beach, California. It is the third largest campus of the 23-school California State University system (CSU) and one of the largest universities in the state of California by enrollment, its student body numbering 37,776 for the Fall 2016 semester. The university continues to receive record numbers of applicants; for Fall 2018, it received 102,000 undergraduate applications—the most of any CSU campus. As of Fall 2014, the school had 2,283 total faculty, with 36.7 percent of those faculty on the tenure track. With 5,286 graduate students, the university enrolls one of the largest graduate student populations across the CSU system and in the state of California. The university is located in the Los Altos neighborhood of Long Beach at the southeastern coastal tip of Los Angeles County, less than one mile from the border with Orange County. The university offers 82 different Bachelor's degrees, 65 types of Master's degrees, and four Doctoral degrees.

Auburn University public university in Auburn, Alabama, United States

Auburn University is a land-grant and public research university in Auburn, Alabama, United States. With more than 23,000 undergraduate students and a total enrollment of more than 30,000 with 1,260 faculty members, Auburn is the second largest university in Alabama. Auburn University is one of the state's two public flagship universities.

Prof. Russell proposed as the initial point of view for the SHCP that health was a unified concept of well-being. This was expressed in the curriculum as follows, "Health is a quality of life involving dynamic interaction and interdependence among the individual's physical well-being, his (or her) mental and emotional reactions, and the social complex in which he (or she) exists". [6] From this starting point, the SHCP writers identified ten key concepts. Sub concepts were then developed in the physical, mental, and social dimen¬sions for each of the ten concepts. The 31 sub concepts were each linked to behavioral objectives written at four progressive levels—grades K-3, 4-6, 7-9, and 10-12—in the cognitive, affective, and behavioral domains.

Concepts

The ten concepts developed by the SHES as the basis for the SHCP were:

  1. Growth and development influences and is influenced by the structure and functioning of the individual.
  2. Growing and developing follows a predictable sequence, yet is unique for each individual.
  3. Protection and promotion of health is an individual, community, and international responsibility.
  4. The potential for hazards and accidents exists, whatever the environment.
  5. There are reciprocal relationships involving man (humanity), disease, and environment.
  6. The family serves to perpetuate man (humanity) and to fulfill certain health needs.
  7. Personal health practices are affected by a complexity of forces, often conflicting.
  8. Utilization of health information, products, and services is guided by values and perceptions.
  9. Use of substances that modify mood and behavior arises from a variety of motivations.
  10. Food selection and eating patterns are determined by physical, social, mental, economic, and cultural factors. [7]

Notes

  1. Allensworth, et al. 1997 p. 45
  2. Allensworth, et al., 1995
  3. Johns, 1962; Means, 1975
  4. Sliepcevich, 1964
  5. Morrow, 1998
  6. Creswell, et al., 1967, p. 10
  7. Creswell, et al., 1967, p. 201

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