Pedagogy in Health Promotion

An eight-member team of the Teaching Working Group of the Association of Schools and Programs of Public Health Scholarship of Teaching and Learning Task Force created a call to action advancing the use of evidence-based strategies for public health education. The goal of this article is threefold, to assess briefly the current status of evidence-based teaching in public health, strengthen the case for using evidence-based teaching practices in public health courses, and propose strategies for educators in public health to engage along a continuum of evidence-based teaching. In this article, we define evidence-based teaching (EBT) proposes that EBT is demonstrated by: student mastery of specific short-term learner outcomes (e.g., enhanced effectiveness such as represented by improved knowledge, skills, and/or attitudes); increases the likelihood of successfully completion of a particular public health degree or program, which represents an intermediate- or long-term outcome; and ultimately posits that effective teaching in public health aims to produce well-prepared graduates who contribute to a ready workforce (Impact 1) who are able to improve the health of the public (Impact 2), highlights effective evidence-based teaching practices that improve student learning outcomes, encourages both seasoned faculty and newcomers to the field to incorporate EBT into existing public health curricula and to begin by making small changes, and concludes with a call to action for EBT that improves student learning.

COVID-19 has altered public health higher education and its impact on pedagogy will be felt long into the future. In response to social distancing measures, teaching academics implemented a number of changes to curricula. It is important to better understand and begin to evaluate these changes, as well as set a course for future changes to public health curricula both during and after the pandemic to best enable transformative learning. Teaching academics have an understanding of academic hierarchies and student perceptions and are well placed to provide insights into current and future changes to pedagogy in response to the pandemic. A survey was developed to examine changes that academics had made to their teaching in response to COVID-19. Responses were received from 63 public health teaching academics from five universities in Australia, the United States, and Canada. Public health teaching academics rapidly implemented a number of changes to their teaching, including alterations that enabled online teaching. The great majority of changes to teaching were related to tools or techniques, such as synchronous tutorials delivered in a video meeting room. There remains further work for the public health pedagogy community in reevaluating teaching aims and teaching philosophies in light of the COVID-19 pandemic. This could include examination of the weighting of different topics, including communicable diseases, in curricula. A series of questions to assist academics reformulating their curricula is provided. Public health teaching evolved rapidly to meet the challenges of COVID-19; however, ongoing adaptation is necessary to further enhance pedagogy.

As technology for remote learning advances, it is critical to understand how public health internship preceptors or faculty can provide engaging virtual experiential learning experiences for pre-professionals. We aimed to examine whether a virtual internship offered through a breastfeeding education company engaged learners to develop public health skills resulting in products beneficial for the internship site and learner. We provided a menu of tools to consider when developing virtual experiential opportunities. Master of Public Health students seeking dual-degrees in dietetics, nursing, and social work participated. Value of the interprofessional team, engagement, knowledge attainment, and translational skills were assessed through diverse modalities including surveys, oral communication, and products relevant to the internship site and interns’ academic program. Interns indicated that they valued the internship team and felt the team valued each intern’s opinion. Interns developed products useful to the internship site, suggesting active engagement in the virtual experience. Interns’ breastfeeding knowledge developed as the internship progressed demonstrated through oral communication as the content conveyed and discussed by interns advanced in cognitive level. The most frequently practiced translational skills reported by interns were research and communication. Virtual experiential learning can be hands-on resulting in professional skill development. This work aides in the understanding of how to feasibly implement an engaging remote internship.

Twitter has gained attention in recent years as a tool to use in higher education to enhance students’ learning, engagement, and reflective writing. This study explored public health students’ perceptions on the usefulness of Twitter as a learning tool, engagement with their peers, staff, and the broader public health community. Participants were Master of Public Health students from a public university based in Sydney, Australia. A mixed methods approach was used combining content analysis of tweets, an online survey and two focus groups. Students were asked to engage with Twitter by reflecting on each week’s teaching content and by liking and replying to their peers’ tweets. Participation and engagement in this task were high initially and declined toward the end of semester. Most student tweets aligned with topics taught during the semester. Survey and focus group data indicated most students had positive views on using Twitter and reported finding engagement with Twitter beneficial in obtaining current information on health promotion news and trends, increasing their professional networks and allowing them to connect with their peers and teaching staff. Results indicate Twitter is a promising interactive approach to enhance public health students’ engagement and overall learning experience, as well as being useful for professional networking. Larger scale empirical studies are needed to investigate the impact of the use of social media platforms such as Twitter to various learning outcomes longitudinally and beyond this course.

Traditional experiential learning techniques have been incorporated into public health curricula in the past; however, research has demonstrated the need for more applied and innovative approaches to experiential learning. We introduced an entrepreneurial pitch project where students had the opportunity to design and present technological and social innovations to an external panel of judges. We then evaluated the impact of such pitches on experiential learning by conducting semistructured, face-to-face interviews with student participants. The interview transcripts were analyzed in light of Kolb’s experiential learning theoretical framework. The results of the study indicated that the process of preparing and delivering entrepreneurial pitches was rewarding for students and enhanced their learning experience. The process provided students with concrete experiences and demonstrated elements of abstract conceptualization and active experimentation. However, the results also illustrated that the entrepreneurial pitch process could be strengthened by the addition of critical self-reflection activities. Through the results of this study, we have created a narrative on how entrepreneurial pitches might foster experiential learning in global health pedagogy and provided recommendations for course designers and instructors to consider in maximizing experiential learning for students.

High-impact, transformative educational practices change the way students see themselves and others, as well as impart knowledge. Practices from the technology industry may offer innovative strategies for fostering transformational learning experiences. We developed and implemented two innovation techniques—Hackathon and Innovation Time Off (ITO)—in a graduate course on social psychology and public health nutrition. The Hackathon occurred in the sixth and seventh weeks of the course; the last 4 weeks provided 10% of class time for ITO projects. All enrolled students participated in the pilot study (n = 6; M age = 27.5 years; 83% female; 67% White) and completed reflection papers during the final exam period. Student learning was assessed from these reflection papers using a rubric for transformative versus nontransformative changes in five areas: confidence, pride, skills, perspective, and identity. Student responses revealed transformative changes in perspective (n = 7). Additionally, nontransformative changes were found in confidence (n = 1), identity (n = 2), perspective (n = 4), and skills (n = 9). This pilot work suggests that the Hackathon and ITO contributed to perceived skill-building in problem-solving and teamwork, and the Hackathon may have led to transformative changes in perspective; ITO may not be appropriate for learners who need structure; high confidence remained unchanged; and these strategies are likely to be feasible and replicable.

Great teachers are continually introducing strategies to engage students, especially those who teach large-lecture classes, whose format can limit active learning and student motivation to engage in learning. Implementation of active teaching strategies must be assessed for effectiveness. Using the simple MUSIC model postcourse assessment survey, student motivation to engage in learning was statistically quantified. A simple short intervention of in-class group work led to significant areas of improvement, which included the students’ perception of the class’ Usefulness towards their future career (p < .01), their perceived ability for Success in the class (p < .01), their Interest in the material (p < .01), and their perception of the instructor Caring about their success (p < .05). No change was seen in eMpowerment. In addition, students rated the ease of the class (p < .01) and the overall satisfaction with the course (p < .01) significantly higher than the previous semester, prior to the in-class group work implementation. The implementation of this short simple intervention of in-class group work was highly successful in increasing student motivation in a large-lecture, in-major required exercise and health class and can be easily adapted to other large-lecture classes.

Writing well is an important skill for graduate students to learn. We contend that viewing the writing process through the lens of storytelling and narrative helps graduate students make clearer, more compelling cases in their academic writing. Mapping the movements of the classic narrative arc onto the Introduction, Methods, Results, and Discussion (IMRAD) format of health promotion writing can help authors engage in the writing process more thoroughly because we are socially trained to organize information in narrative forms. This commentary examines the narrative framework in relation to writing, reading, and synthesizing academic literature. We conclude that graduate students will benefit from seeing themselves as health promotion storytellers.

College students may be particularly stressed as they struggle to balance college life, work, family, and relationships, while engaging in career exploration and attempting to find meaning and purpose in their lives. The current practitioner action research project explored incorporating mindfulness and contemplative practices into the higher education classroom to uncover students’ perceptions of how useful the activities might be for managing their personal stress and anxiety. Thirty-two freshman and sophomore students from a regional campus of a large university consented to participate in the semester-long study, where brief, weekly mindfulness activities were integrated into in-class and out-of-class assignments during an introductory Personal Health course. Study findings indicated that the majority of student participants found mindfulness practices were helpful when it came to decreasing stress and anxiety or relaxing. Making time outside the classroom to practice mindfulness behaviors, however, was a barrier. These findings have both practical and positive implications for future higher education classroom interventions. As such, the authors contend that college-level instructors should incorporate mindfulness and contemplative activities into the curricula of their health education courses to help college students master mindfulness strategies and encourage their use in reducing stress and anxiety.