Pedagogy in Health Promotion

The institutional spaces of education and health were transformed as a result of COVID-19. The shift to emergency remote education can occur in many contexts, more than once, and with differing degrees of severity. During these periods of disruption, educators are affected and are met with professional challenges. These challenges include maintaining curriculum flexibility in response to rapidly change teaching modalities while maintaining effective delivery of educational programing. Whether in a traditional setting or online classroom, evidence from classical leadership theory can ease this transition allowing the educator to keep the learner engaged, especially in virtual learning environments.

The ongoing COVID-19 pandemic created a shift from traditional face-to-face learning toward remote learning, resulting in students experiencing unforeseen challenges and benefits through participation in a non-traditional mode of education. Little is known regarding the impact that a shift to remote learning may have had on the learning experiences and the career goals of Master of Public Health (MPH) students. A qualitative study was conducted among a convenience sample of MPH students in the US from January to April 2021. The primary aims were (1) to describe salient challenges or benefits of learning that persisted throughout a semester of remote learning and (2) to describe how being in graduate school during the pandemic impacted students’ career goals in public health. A secondary aim was to describe students’ general feelings regarding their public health education, given their lived experience of remote learning during the COVID-19 pandemic. Study findings demonstrated that MPH students had mixed perceptions of how a shift to remote learning during a public health crisis impacted their learning experiences and career goals in public health over one semester. Understanding students’ responses can guide public health instructors to best prepare trainees to join the workforce during ongoing and future unforeseen public health crises that continue or have the potential to disrupt learning modalities.

The online Executive MPH (EMPH) Program at Emory University offers three majors, and prior to 2015, all integrated learning experiences (ILE) required theses. In 2015, the Program adjusted the ILE requirement based on each major’s intended career outcomes: Applied Epidemiology (Epidemiology: research thesis); Applied Public Health Informatics (Informatics: program-focused capstone courses instead of thesis); Prevention Science (Prevention: choice of research or program-focused thesis or program-focused capstone courses). Our goal was to describe major-specific curricular changes of the ILE requirement aimed to reduce time-to-graduation. We compared three cohort years before (2012–2014) and after (2015–2017) the 2015 curricular change using registrar data of time-to-graduation (339 students) and students’ self-reported satisfaction with their thesis experience (152 students). Informatics and Prevention majors had significantly more students (34%–35%) graduate on time in the 2015–2017, compared to the 2012–2015, cohorts. There was no significant difference by cohorts in perceived student thesis satisfaction in Informatics and Prevention majors and a decrease in satisfaction in Epidemiology majors. Before 2015, the main theme reported as a detractor to thesis satisfaction was lack of Program thesis support. After 2015, this detractor theme was not mentioned and instead a motivator theme was continuous thesis support. After 2015, the main detractor theme was difficulty with time management. Consistent motivator themes across 2012–2015 included thesis committee support and students’ self-fulfillment due to their thesis learning experience. The curricular strategies described can inform other online and residential programs that have a thesis requirement for the ILE.

In public health, ethics is a core competency. Accordingly, ethical decision-making should be part of the curriculum for all students seeking to enter the profession. Evidence suggests simulation may positively impact student learning of ethics. Yet, engaging in a traditional simulative or immersive experience is inaccessible to many students. Instead, could participation in virtual immersive experiences serve as a proxy for promoting student outcomes for ethical decision-making in public health? This quasi-experimental mixed methods study examined whether the integration of 360° videos in an undergraduate online health ethics course enhanced intended ethical decision-making. Undergraduate students (n = 26) provided access to two assignments or artifacts. These artifacts were analyzed in accordance with a tailored rubric to explore differences in five constructs of ethical reasoning when writing assignments were completed with (n = 13), or without (n = 13), an integrated 360° video component. The results show the 360° videos enhanced the students’ ability to engage in ethical reasoning, with significant differences in rater scores being noted across multiple constructs. The data were also analyzed qualitatively. Students in the intervention group engaged in a process of “compassionate calculus,” integrating various elements of empathy, compassion, and self-awareness toward a clinical outcome. Together these findings demonstrate the capacity of virtual immersive experience to support students in the enhancement of intended ethical decision-making through the development of greater compassion or empathic concern. This study provides evidence to guide the continued integration of virtual immersive experiences into undergraduate public health education.

Service-learning has many benefits for undergraduate students in health promotion. Research on health promotion service-learning in an online format, however, is limited. This pilot study aims to evaluate a fully online, undergraduate health promotion service-learning course from the perspective of students enrolled in the course, the project recipients, and the partnering organizations. We also provide details about the course development and process as a resource for faculty teaching health promotion programing and evaluation courses with a service-learning component. College students enrolled in the course (n = 44) completed a survey to assess learning outcomes. Service-learning program recipients (high school students; n = 127) completed a survey to assess program satisfaction, and teachers from the partnering schools (n = 4) participated in interviews to explore program perceptions. College students had high confidence in their ability to conduct a needs assessment (91%), develop a program plan (93%), and implement (91%) and evaluate (89%) a health program. The majority of high school students reported that the program was interesting (65%), engaging (86%), and that they learned something new (62%). Teachers reported valuing the program, yet suggested multiple strategies to improve engagement online, including the use of interactive technologies and developing a rapport with students. This study suggests that an online format is appropriate for facilitating health promotion skill development among college students and provides recommendations for future faculty to strengthen course design and partnerships in an online setting.

Student learning interactions and a sense of belonging are imperative to academic success within distance education settings. In March 2020, during the COVID-19 pandemic, students who intended to be educated through in-person learning environments had to shift to remote learning suddenly. In public health, a field that emphasizes experiential and interactive learning, instructors and graduate students enrolled in residential in-person programs transitioned to remote learning with limited knowledge of how this transition would impact student learning interactions and a sense of belonging. To address these gaps, we examined how remote learning impacted Master of Public Health students’ learning interactions with peers, instructors, course content, as well as their sense of belonging in an overall sample and stratified by program year. We found that students perceived challenges interacting with peers, content, and instructors, such as a lack of community and an inability to interact with instructors during course discussions. Students reported not feeling a sense of belonging when engaging with peers and instructors. Findings from this study shed light on the challenges that emerged after students transitioned to remote learning, namely disrupted student learning interactions and a decreased sense of belonging. The study provides recommendations for future remote teaching, which may be of utility to university instructors and administrators tasked with creating and implementing an interactive remote learning curriculum that provides students with a community to foster learning.

Internships for public health education students train the next generation of professionals by exposing them to diverse learning environments and encouraging them to apply classroom knowledge and academic competencies to solve real-world problems in the field. Interns work under a supervisor who provides professional guidance, training, and mentorship as interns create project-based deliverables to meet authentic agency needs. Expected to provide education, although they have not been specifically trained in teaching, supervisors report lack of time and resources for supervision as well as need for assistance in educating and evaluating interns.

The COVID-19 pandemic created mass disruptions throughout the world that continue to reverberate today. Among those are increasing demands for how public health information is delivered and consumed. Interactive dashboards such as the iconic Johns Hopkins University Center for Systems Science and Engineering dashboard have become a staple of the pandemic. Today, public health departments in all 50 states, many universities, school systems, and cities maintain active COVID-19 dashboards driving demand for those with skills and expertise to create new and innovative solutions to communicate critical public health information. This article describes a data visualization curriculum, learning objectives, and course activities using an active learning approach in a fully online, asynchronous undergraduate setting. The activities utilize publicly available data whereby students assemble the requisite data and develop an interactive dashboard in Tableau to analyze the intersection of food accessibility, the social determinants of health, and health outcomes in select South Carolina counties. The lesson resulted in an improved student understanding of the factors associated with dietary-related illness while enhancing data literacy and dashboard design skills.