Health-centered lifestyle management education in high schools

Document Type : Qualitative Research Paper

Authors

1 PhD Student in Curriculum Planning, Department of Educational Sciences and Psychology, Azad Shahr Branch, Islamic Azad University, Azadshahr, Iran

2 Assistant Professor, Department of Psychology and Educational Sciences, Azadshahr Branch, Islamic Azad University, Azadshahr, Iran

3 Assistant Professor, Department of Educational Sciences and Psychology, Azad Shahr Branch, Islamic Azad University, Azadshahr, Iran

4 Associate Professor, Department of Educational Sciences and Psychology, Azad Shahr Branch, Islamic Azad University, Azadshahr, Iran

https://doi.org/10.34785/J010.2021.016

Abstract

Adolescence is a period of fundamental changes such as changes in hormones, body, social relationships, brain and mental health. This period is a critical time for growth and development, and health during this period can be affected by physical, mental and learning problems. In terms of physical health, adolescence is a time of rapid physical, sexual, neurological, and behavioral changes, and in terms of psychosocial vulnerability, half of all mental illnesses begin at age fourteen. Also, neuropsychological disorders lead to disability in adolescence. The present study was conducted with a qualitative research approach and with qualitative content analysis tools. Therefore, improving the health of adolescents in order to improve the health of society is essential and important. The most common definition of health is in the World Health Organization charter. In this system, health is the complete biological, psychological and social well-being or well-being, and not merely the absence of disease or disability.One way to help improve your health is to create a curriculum. Since the purpose of the course is to educate students and apply what they have learned in real life, it is desirable to design and develop a course for a health-oriented lifestyle to help improve adolescents' health. In recent years, efforts have been made to pay special attention to health education in schools and to make health education a curriculum.One of the solutions of this document is to design and compile an education tailored to the needs and plans of girls and boys. In addition, adequate attention to the mental condition of students in adulthood and providing appropriate religious and moral counseling and education for them is one of the more detailed solutions of this document.Therefore, it is very important in the document of fundamental change in the field of health and requires curriculum design for it. Therefore, in a health-oriented lifestyle lesson, it is necessary to prepare and implement various lesson elements such as goals, content, teaching-learning method and evaluation for teaching a health-oriented lifestyle.
One of the types of lifestyle related to health is health-oriented lifestyle. Health-centered lifestyle is considered as all behaviors that are under the control of a person and affect a person's health. This type of lifestyle as a multidimensional phenomenon can guarantee a person's health. Given that Iran is a country in transition in the areas of health care, education, economics and mass communication, a careful assessment of lifestyle and health care behaviors is necessary to formulate and promote health promotion and prevention.On the other hand, one of the goals of the document on the fundamental transformation of education for secondary education is biological goals, which emphasizes the familiarity with personal, social and mental health and their impact on community health. The document on the fundamental transformation of education mentions physical health and vitality and strengthening the will as one of the propositions of the formal education system. Also, one of the major goals of this document is health and environmental promotion. One of the operational goals of this document is to understand the concepts of health, natural and urban ecological issues as environmental safeguards.For this purpose, through semi-structured interviews, categories, subcategories and concepts of health-centered lifestyle curriculum model were designed for junior high school students. In this research, a sequential mixed exploratory research design was used. Participants in the interview were 6 pediatricians, 5 psychologists and 5 educational scientists in Golestan province in 1398 who were selected by purposive sampling. Thus, those who had the most information about the physical and mental health of children and adolescents as well as education were selected. The sample size was considered with respect to theoretical saturation, ie when sampling felt that the data was saturated and the data merely repeated the previous results of the previous data, the sampling was stopped. In this study, interviews have been used as data collection tools. At the time of the interview, the interviewer did not interfere in the interviews and did not enter his / her opinions into the interview. In the interviews, the voucher method was used and note-taking vouchers were used to note the content of the interviews.
As a result, the interviews were valid and reliable. Four key questions were considered in the interview: Question 1: What are the goals of designing a health-centered lifestyle model for junior high school students?
After the interviews, these items were coded to extract objectives, content, teaching-learning methods, and evaluation methods. Data analysis was performed using content analysis method and data were analyzed using coding technique of foundation data approach. According to research findings, educating and promoting these factors in students can to some extent affect their lifestyle. Also, conducting research to investigate the role of teaching these factors to students in changing their health-centered lifestyle will be useful.In the present study, the study factors of health-centered lifestyle for the first year of high school were examined. It is suggested that in future research, social and spiritual factors affecting the health-centered lifestyle should also be considered. As mentioned, academic factors play a role in health-centered lifestyles, so it is suggested that the findings be considered in the field of education of community members and health professionals. One of the applications of this research is to help prioritize educational materials for intensive and short-term courses in the field of health-oriented lifestyle. The results of this study are consistent with the results of other studies, including: Trilk et al. (2019), in a study on lifestyle in medical education found that by changing the course and creating new policies to focus on medical lifestyle education in medical education , A continuum of new health care paradigms in chronic uncommon diseases can be successful and the health of US citizens achieved; The results of a study by Hill et al. (2015) in a study on promoting health-oriented lifestyle behaviors through a life-centered curriculum in South Africa found that time pressure, overwork, and reluctance to engage in compulsory activities were the main reasons for underutilization. Teacher preparation did not play an important role. In addition, the findings showed that with proper introduction, continuous interaction and support, and integration of health-specific lifestyle outcomes into the curriculum, this type of curriculum becomes tolerable if teachers are knowledgeable and motivated.

Keywords


Adib, Y.O. (2013). Designing an optimal life skills planning model for middle school. Unpublished doctoral dissertation.Tarbiat Modares University: Faculty of Humanities. (in Persian).
Azimi, M. A., & Yusuf Subject, H. (2017). Compliance of health education curriculum and health promotion in the sixth grade textbooks based on the assumptions of the health system. Journal of the School of Health and the Institute of Health Research, 15 (1): 96-83. (in Persian).
Ahmadi, Y. A., Mohammadzadeh, H. A., &  Ramai, S. (1395). The relationship between capital types and health-oriented lifestyle in women in Sanandaj. Social Welfare, 16 (61): 159-123. (in Persian).
Alpar, S. E., Senturan, L., Karabacak, U., & Sabuncu, N. (2008). Change in the health promoting lifestyle behaviour of Turkish University nursing students from beginning to end of nurse training. Nurse Education in Practice, 8(6): 382-388.
Aarts, J. W., Abbema, D. L., Akker, M., & Buntinx, F. (2015). The relation between depression, coping and health locus of control: differences between older and younger patients, with and without cancer. Psycho‐Oncology, 24(8), 950-957.
Bayog, M. L., & Waters, C. M. (2017). Cardiometabolic risks, lifestyle health behaviors and heart disease in Filipino Americans. European Journal of Cardiovascular Nursing, 1474515117697886.
Carver, C. S. (2017). Optimism, Coping, and Well-Being. The Handbook of Stress and Health: A Guide to Research and Practice, 400.
Cockerham, W. C. (2005). Health lifestyle theory and the convergence of agency and structure. Journal of health and social behavior, 46(1), 51-67.
Hill, J., Draper, C. E., Villiers, A. D., Fourie, J. M., Mohamed, S., Parker, W., & Steyn, N. (2019). Promoting healthy lifestyle behaviour through the Life-Orientation curriculum: Teachers’ perceptions of the HealthKick intervention. South African Journal of Education, 35(1): 1-9.
Kim, K., Yun, S.H., Choi, BY., Kim, MK. (2008). Cross sectional relationship between dietary carbohydrate and glycaemic index. Br J Nutr, 100(3):576-84.
Driver, S., Juengst, S., McShanab, E. E., Bennett, M., Bellac, K., & Dubiel, R. (2019). A randomized controlled trial protocol for people with traumatic brain injury enrolled in a healthy lifestyle program (GLB-TBI). Contemporary Clinical Trials Communications, 14: 1-9.
Fathabadi, J., Sadeghi, S., Jamhari, F., & Talanshan, A. (2017). The role of health-centered lifestyle and place of health control in predicting overweight. Iran Health Education and Health Promotion, 5 (4): 287-280. (in Persian).
Kochani Isfahani, M., & Mahmoudian, H. (2017). Investigating the Impact of Cultural Capital on Public Health Mediated by Health-Based Lifestyle (Case Study: Secondary High School Students in Shiraz). Applied Sociology, (2, consecutive, 70): 1-16. (in Persian).
McGovern, C. M., Militello, L. K., Arcoleo, K. J., & Melnyk, B. M. (2018). Factors associated with Healthy Lifestyle Behaviors among adolescents. Journal of Pediatric Health Care, 32(5): 473-480.
Neymotin, F., & Nemzer, L. R. (2014). Locus of control and obesity. Frontiers in Endocrinol, 159: 1-4. Schwarzer, R. (2014). Self-efficacy: Thought control of action. Taylor & Francis.
Saint, J. M., & Krueger, P. M. (2017). Health lifestyle behaviors among US adults. SSM-Population Health, 3, 89-98.
Sharma, M. (2016). Theoretical foundations of health education and health promotion. Jones & Bartlett Publishers.
Sin, N. L., Moskowitz, J. T., & Whooley, M. A. (2015). Positive affect and health behaviors across 5 years in patients with coronary heart disease: the heart and soul study. Psychosomatic medicine, 77(9), 1058-1066.
The Supreme Council of the Cultural Revolution (2011). Document of fundamental change in education. Tehran: Ministry of Education Publications. (in Persian).