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Effective teaching to reduce
tobacco use requires skill, knowledge and commitment. The following outline
lists some of the strategies, techniques and elements that need to be in
place for effective teaching in the reduction of tobacco use.
Effective Teaching in Health
Education
Research has identified
several characteristics of effective teaching in health education that
should be applied to tobacco reduction. These characteristics are:
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Before You
Teach
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Before you
begin to teach about tobacco, you should consider these issues: |
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Setting ground
rules. How you ensure that smokers in the class are not
stigmatized and that discussions are respectful?
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Depersonalizing and
normalizing class discussion. How will you frame the discussion
and your questions in ways that prevent students from personalizing
the issue or arguing with each other.
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Dealing with questions
in class. Have you anticipated the tough questions that you may face?
What happens if students ask if you smoke?
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Enabling students to
ask questions anonymously. Have you placed a question box where it can
be accessed easily and discretely? Have you suggested appropriate web
sites and local health services to students?
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Knowing how to respond
to disclosures of possible crisis, abuse or assault: With regard to
tobacco, teachers should make students aware of local and online
smoking cessation services. However, students who smoke may also be
facing other significant health and social risks, so teachers should
be aware of relevant, local emergency services.
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Referrals to health
services, tobacco cessation services or support groups: Teachers
should prepare lists of such local and online services and distribute
them to their class. Also, ensure that these lists are readily
available and publicized within the school on bulletin boards,
guidance offices, classrooms, etc.
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Providing
appropriate take away materials: Student learning in class can be
enhanced with take away reference and self-reflection materials, URL's
of web sites, materials for parents (that need to be signed for
younger students) and local brochures and pamphlets. Your local public
health clinic is a great place to start and the Canadian Health
Network (www.canadian-health-network.ca)
is a great web site for finding links to health agencies and for
excellent FAQs for youth.
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Teaching
Techniques
Here are
several techniques that you should be using in teaching about tobacco.
Read the summary below, read our page on health education, and check out
these excellent resources published by the
Saskatchewan Department of Education,
the US Department of Education, the US Department of Education,
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Using active
and cooperative learning and teaching techniques:
Inquiry-based learning,
problem-based learning
and
project-based learning
learning has become recognized as essential to
construvist learning
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Cooperative learning
, where students work with others in assignments, discussions and
projects is also essential to learning where the students "construct"
meaning from the information. For a great list of student health
project ideas and how to evaluate the student work in those projects,
go to our web page on
Teacher Tools
for webquests.
Games, role plays and simulations
are also excellent tools to promote active and cooperative learning.
Teachers need to know about the evaluation of student work from such
active and cooperative learning. See our page on
Evaluation Rubrics
and learn more about
portfolios as a
basis of student evaluation.
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Effective use of
small group discussions: The fine art of teacher-led and small
group discussions is critcal to health education. Students need time
to explore their feelings, find meaning and relevance in health topics
and to test their ideas with their peers.
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Effective use
of media and technologies: Most of the professional discussion of
the
effective use of technologies in learning
has been focussed on science, math and technology itself. More
recently, there have been concerns about
inappropriate and ineffective uses of technology
in the classroom. As part of this strategy, students should be taught
media literacy skills
as they apply in health education. Webquests have become a tool for
teachers in all subject areas, although they are relatively underused
in health education. Read our pages on
webquests and
the use of
webquests in health education
. Also, go to our
start page for webquests
, where you can
choose from over 100 health webquests
or even
create your own webquest.
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Effective use of
the arts, drama, literature, poetry and music: Vicarious, like
virtual learning, is engaging to the learner and can help in the
formation or development of attitudes and beliefs. Students can
explore the anguish of health problems, personalize risk and can be
led into class/group discussions or self-reflection from the spring
board of music, drama, literature, poetry and music.
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Effective use
of student reflection through journal writing: Health education
journals are highly recommended as a way to encourage students to
record, reflect and write about their health learning. For more about
journaling in health education, go to our
summary . For
an example of a health journal, go to the
Personal Health Journal
we have prepared for use with our webquests.
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Effective use of
direct instruction, drills, lectures, research and writing
assignments: We cannot forget that health knowledge is also an
academic discipline and cab be taught by more traditional methods.
Research has showed us that young people need practical, functional
knowledge about many health issues and that this information needs to
be delivered in a timely way, coordinated with the stages of child and
adolescent development and relevant to the time when young people will
experiment of be confronted with these health issues. |
Equally important is that
you match your selection of these teaching techniques with the specific
outcomes that you are trying to achieve. See the following chart:
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Type of Learning
Outcome
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Teaching/Learning
Method
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Awareness
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Lectures, Group Work,
Video/Media, Displays, Exhibitions, Brochures, Internet Reading
Assignments, Quizzes
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Knowledge
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Lectures, One to One
Teaching, Written Materials, Research Assignments, Group Work,
Reading Assignments, Internet Assignments, Individual Webquests,
CD-ROM Resources
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Self-Awareness, Attitude
Change,
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Group Work,
Clarifying/Discussing Values, Journaling, Ranking, Categorizing,
Role Playing, Individual Webquests, Use of the arts, Music, Theatre,
Films, Celebrities, Survivors/Victims, Class Debates
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Skill Development
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Role playing, Field
Trips, Group Work, Group Webquests
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Seek/Access Social
Support
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Role playing,
Theatre/Drama/Films, Parent-Student Assignments, Group Webquests,
Field Trips
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Acccess Health Services
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Applied Research
Assignments, Field Trips, Project Work, Interviews with Experts,
Individual and Group Webquests
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Behavioural
Intentions/Personal
Health Action Plans
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Group Work, Self
monitoring, Identifying benefits/risks, Setting goals, targets,
Devising Coping Strategies, Accessing social support, Accessing
support services, Overcoming physical, economic, practical barriers,
Group Webquests, Journaling
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Influencing their
Environments
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Advocacy projects,
Community Service Learning, Group Webquests, Parent-Student
Assignments, School and Class Projects,
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Communicating with parents
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Involving
parents in take home learning activities: Research has proved that
parents can be a positive influence on their child's responses to
health issues. Parents need to be informed about the health curricula,
be offered opportunities to learn about health and social problems in
workshops, newsletters and other means, be involved in parent
interviews that include attention to their child's health and
developmental needs, be offered the chance to volunteer within the
school on health related issues, and be supported by respectful,
private and timely referrals to health and social services in their
community. Read more from our web pages on
parental involvement in health promotion.
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Gain support
for effective health/tobacco education
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links with community,
youth groups and tobacco cessation services |
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local media
cooperation |
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supportive,
comprehensive policy and leadership from the school trustees
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supportive
administrative leadership at the school district and school levels
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data to monitor
implementation and evaluation |
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dedicated staff, with
adequate time, training and resources |
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regular parent
information sessions, resources to use at home and effective
communication about the program
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Lesson
plans and learning activities should follow a well-planned and
implemented format. See below for a general outline. For
more on lesson planning
, read the summary prepared by the US Department of Education from their
ASKERIC service.
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Goals
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Objectives
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Prerequisites
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Materials
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Lesson Description
(including clear definition of age, suitability, specific audiences
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Lesson Procedure
1. Closure
2. Follow-up/Enrichment
3. Assessment/Evaluation Criteria
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LessonProcedures/Learning
Process (As summarized by the
ERIC Clearninghouse on Disabled and Gifted
Children )
1. Gain the
learners attention.
2. Review relevant past learning.
3. Communicate the goal of the lesson.
4. Model the skills to be learned.
5. Prompt for correct responses.
6. Check for skill mastery.
7. Close the lesson.
References/Sources
Allensworth DD Health Education: The State of the Art. Journal of
School Health 1993; 63(1): 14-20..
Allensworth DD et al. Schools and Health, Institute of Medicine,
Committee on Comprehensive School Health. Washington, DC: National
Academy Press, 1997.
Brannon BR, Dent CW, Flay BR, Smith G, Sussman S, Pentz CA, and Hansen
WB, “The Television, School and Family Project”, Preventive Medicine, 18
(1989), 492-502
Canadian Association for School Health, Reducing Tobacco Use, Promoting
Health: Health Education Planner for School Districts, Surrey, BC, 1996
Catania JA et al. Towards an Understanding of Risk Behaviour: An AIDS
Risk Reduction Model. Health Education Quarterly 1990; 17(1): 53-72
Centers for Disease Control. A Cost-Benefit Analysis of Exemplary Health
Education. Atlanta, GA: Division of Adolescent and School Health,
Centers for Disease Control, 1995.
Connell DB et al. Summary of Findings of the School Health Education
Evaluation: Health Promotion Effectiveness, Implementation, and Costs.
Journal of School Health 1985; 55(8): 316-321.
Fisher WA. All Together Now: An Integrated Approach to Preventing
Adolescent Pregnancy and STD/HIV Infection. SIECUS Report 1990.
Flynn BS & Worden JK, “Mass Media and School Interventions for Cigarette
Smoking Prevention: Effects Two Years After Completion”, American
Journal of Public Health, 84(7): 1148-1150, 1994
Flynn BS et al, “Prevention of Cigarette Smoking through Mass Media
Intervention and School Programs”, American Journal of Public Health,
82, 827-834, 1992
English J et al, Criteria for Comprehensive Health Education Curricula,
Kent , OH, American School Health Association
Glynn TJ. The Essential Elements of School-based Smoking Prevention
Programs. Journal of School Health 1989; 59(5): 181-188.
Green LW & Kreuter AW. Health Promotion Planning: An Education and
Environment Approach. Mountain View, CA: Mayfield Publishing, 1991.
Janz WK & Becker MH. The Health Belief Model: A Decade Later, Health
Education Quarterly 1984; 11: 1-47
Louis Harris and Associates, Inc. You've Got to be Taught. New York, NY:
Metropolitan Life Foundation, 1988.
Parcel GS, “Theoretical Models for Application in School Health
Research”, Health Education, 15(4), 39-49
Stephens T, Kaiserman MJ, McCall DS, Sutherland-Brown C School-based
Smoking Prevention: Economic Costs Versus Benefits , Canadian Journal of
Public Health 2001; 92: 89
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These pages
have been prepared with funding provided by the
Tobacco Control Program, Health Canada.
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