[NIFL-HEALTH:2356] Re: National Health Education Standards Resources

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Dear Derek and Listers, 

After some investigating online, I did come up with a few web-resources about 
National Health Education Standards that might be useful.  The text of an 
ERIC Digest devoted to these standards is pasted at the end of this message.  
I hope this helps!  

Sincerely,
Alisa Povenmire, CoModerator NIFL-Health
System for Adult Basic Education Support
Lawrence, MA


www.nche.org/ghfinalpg/ghnhes.html

This webpage is connected to "Growing Healthy" which bills itself as 
"America's first comprehensive school health education curriculum", and is 
designed to meet or exceed the National Health Education Standards.

www.mcrel.org/standards-benchmarks/docs/chapter16.html

An interesting site which further extrapolates standards from the national 
standards.

www.ericsp.org

This is the ERIC documents website which compiles a lot of national education 
practice and policy information.  I have the website for their Digest Number 
94-5  national Standards for School Health Education:

http://www.ericsp.org/digests/digest.html?XP_PUB=digests&XP_RECORD=19990902-15
2408

I have pasted the Digest below for your convenience:


ERIC Digest

Digest Number: 94-5

National Standards for School Health Education

Liane M. Summerfield

Why Have Health Instruction in the Schools? 
The Centers for Disease Control and Prevention (CDC) finds that most major 
health problems in the U.S. today are caused by six categories of behavior: 
· behaviors that lead to intentional and unintentional injuries; 
· smoking; 
· alcohol and other drug use; 
· sexual behaviors leading to sexually transmitted diseases, HIV infection, 
and unintended pregnancy; 
· poor nutrition; and 
· lack of physical activity (Kolbe, 1993a). 
According to Kolbe (1993a), behaviors and attitudes about health that are 
initiated during childhood are responsible for most of the leading causes of 
death, illness, and disability in the U.S. today. Comprehensive school health 
education programs represent one effective way of providing students with the 
knowledge and skills to prevent health -im pairing behaviors. 
Research on the Ability of Health Instruction to Change Children's Health 
Status 
Health education works. Hundreds of studies have evaluated health education 
and concluded that it is effective in reducing the number of teenage 
pregnancies, decreasing smoking rates among young people, and preventing the 
adoption of many high-risk be haviors. But its effectiveness depends upon 
factors such as teacher training, comprehensiveness of the health program, 
time available for instruction, family involvement, and community support 
(Gold, 1994; Seffrin, 1990). And, sequential school health e ducation 
programs for K-12 students have been found to be more effective in changing 
health behaviors than occasional programs on single health topics (Kolbe, 
1993b). 
The Louis Harris survey of over 4,700 students in grades 3 through 12 who 
were attending 199 public schools found that health knowledge, attitudes, and 
behaviors improved with increasing years of health instruction (Louis Harris, 
1989). The School Hea lth Education Evaluation (Connell, Turner, & Mason, 
1985), which looked at four different health curricula for 30,000 4th through 
7th graders in 20 states, found: 
· Students receiving health instruction had higher knowledge scores than 
students with no health instruction, with the greatest differences seen in 
knowledge of substance use and abuse; 
· Knowledge, attitudes, and skills improved even with minimal instruction, 
but gains were most apparent when students received at least 50 hours of 
health instruction per school year; and 
· More hours were needed to improve attitudes than to enhance health 
knowledge and practices. 
National Standards for Health Education 
To assist schools in developing and evaluating comprehensive health education 
programs, the Joint Committee for National School Health Education Standards 
(1995) has developed guidelines for school health standards. The committee 
was made up of repres entatives from the Association for the Advancement of 
Health Education, the American Public Health Association, the American School 
Health Association, and the Society of State Directors of Health, Physical 
Education and Recreation and was sponsored by th e American Cancer Society. 
The committee's goal was to emphasize the need for school health education 
and create a framework for local school boards to use in determining content 
of the health curriculum in their communities. There are seven broad 
standards that promote health literacy, which is the capacity of individuals 
to obtain, interpret, and understand basic health information and services 
and the competence to use such information and services in ways which enhance 
health (Joint Committee, 1995, p. 5). For each standar d there are 
performance indicators to help educators determine the knowledge and skills 
that students should possess by the end of grades 4, 8, and 11. 
· Standard 1: Students will comprehend concepts related to health promotion 
and disease prevention. Performance indicators for this standard center 
around identifying what good health is, recognizing health problems, and ways 
in which lifestyle, the environment, and public policies can promote health. 
· Standard 2: Students will demonstrate the ability to access valid health 
information and health-promoting products and services. Performance 
indicators focus on identification of valid health information, products, and 
services including advertisem ents, health insurance and treatment options, 
and food labels. 
· Standard 3: Students will demonstrate the ability to practice 
health-enhancing behaviors and reduce health risks. Performance indicators 
include identifying responsible and harmful behaviors, developing 
health-enhancing strategies, and managing st ress. 
· Standard 4: Students will analyze the influence of culture, media, 
technology, and other factors on health. Performance indicators are related 
to describing and analyzing how one's cultural background, messages from the 
media, technology, and one's friends influence health. 
· Standard 5: Students will demonstrate the ability to use interpersonal 
communication skills to enhance health. Performance indicators relate to 
interpersonal communication, refusal and negotiation skills, and conflict 
resolution. 
· Standard 6: Students will demonstrate the ability to use goal-setting and 
decision-making skills to enhance health. Performance indicators focus on 
setting reasonable and attainable goals and developing positive 
decision-making skills. 
· Standard 7: Students will demonstrate the ability to advocate for personal, 
family, and community health. Performance indicators relate to identifying 
community resources, accurately communicating health information and ideas, 
and working cooperati vely to promote health. 
Health Curriculum Content 
The school health education program should be based upon local needsÑ the 
health behaviors and problems within the school populationÑand national data 
suggesting the health status of children and youth. Experts have identified 
10 content areas as neces sary for a comprehensive school health education 
program (American School Health Association, 1994): 
· community health 
· consumer health 
· environmental health 
· personal health and fitness 
· family life education 
· nutrition and healthy eating 
· disease prevention and control 
· safety and injury prevention 
· prevention of substance use and abuse (alcohol, tobacco, drugs) 
· growth and development 
The objective is to offer an ongoing, sequenced, and developmentally 
appropriate program that is consistent with community needs and providing at 
least 50 hours per year of health instruction. Some references for 
identifying curricula are listed at t he end of this Digest. 
Teaching Practices that Develop Health Knowledge, Attitudes, and Skills 
At the elementary and middle school level, the classroom teacher is expected 
to teach health as a curricular area like math, reading, and social studies. 
At the high school level, 39 states require that health be taught by a 
teacher who is certified i n health education (Allensworth, 1993). Many 
teachers avoid health subjects because of inadequate undergraduate training. 
The most effective methods of instruction in health are student-centered 
approaches: hands-on activities, cooperative learning techniques, and 
activities that include problem-solving and peer instruction to help students 
develop skills in decision-maki ng, communication, setting goals, resistance 
to peer pressure, and stress management (Kane, 1993; Seffrin, 1990). As with 
other instructional areas, the teacher should promote parental involvement by 
sending materials home, involving parents in classroom activities, and 
creating assignments that involve parents. 
Because of time limitations in the school day, some teachers find it helpful 
to infuse health topics into other subject areas. For example, a unit on 
smoking might include (Allensworth, 1993): 
· investigating the effects of smoking on body systems (science); 
· developing, administering, and analyzing a survey on student attitudes 
about smoking (math); 
· writing an antismoking advertisement (language arts); 
· examining the economics of smoking in states where tobacco is a significant 
crop (social studies). 
Implications for Teacher Education 
Teacher preparation is critical to successful school health education 
programs. If children and youth are to achieve health literacy, teacher 
preparation programs will need to support preservice health education that 
addresses: 
· health content 
· teaching methods for teacher education 
· including health content across the curriculum 
· cultural diversity of teachers and students 
· assessment of student achievement of National Health Education Standards 

Sources of Additional Information on Health Curricula 
Choosing the tools: A review of selected K-12 health education curricula. 
(1995). Newton, MA: Educational Development Center (1-800-225-4276). 
Lloyd-Kolkin, D., & Hunter, L. (1990). The comprehensive school health 
sourcebook. Menlo Park, CA: Health & Education Communication Consultants. 
Mahoney, B. S., & Olsen, L. K. (Eds.). (1993). Health education teacher 
resource handbook. A practical guide for K-12 health education. Millwood, NY: 
Kraus International Publications. ED365653 
U.S. Public Health Service. (1993). School health: Findings from evaluated 
programs. Rockville, MD: Office of Disease Prevention and Health Promotion. 
ED370938 

References 
References identified with an EJ or ED number have been abstracted and are in 
the ERIC database. Documents (ED) are available in ERIC microfiche 
collections at more than 900 locations. Documents can also be ordered through 
the ERIC Document Reproduction Service: (800) 443-ERIC. Journal articles (EJ) 
should be available at most research libraries. 
Allensworth, D. D. (1993). Health education: State of the art. Journal of 
School Health, 63(1), 14-20. EJ469777 
American School Health Association. (1994). Guidelines for comprehensive 
school health programs, 2nd edition. Kent, OH: Author. 
Connell, D. R., Turner, R. R., & Mason, E. F. (1985). Summary of findings of 
the school health education evaluation: Health promotion effectiveness, 
implementation, and costs. Journal of School Health, 55(8), 316-321. 
Gold, R. S. (1994). The science base for comprehensive school health 
education. In P. Cortese & K. Middleton (Eds.), The comprehensive school 
health challenge: Promoting health through education (Vol. 2) (pp. 545-573). 
Santa Cruz: ETR Associates. 
Joint Committee on National Health Education Standards. (1995). National 
health education standards. Available from the American School Health 
Association (P.O. Box 708, 7263 State Route 43, Kent, OH 44240; the 
Association for the Advancement of Health Education, 1900 Association Drive, 
Reston, VA 22091; or the American Cancer Society at 1-800-ACS-2345). 
Kane, W. M. (1993). Step-by-step to comprehensive school health: The program 
planning guide. Santa Cruz, CA: ETR Associates. ED360304 
Kolbe, L. J. (1993a). An essential strategy to improve the health and 
education of Americans. Preventive Medicine, 22(4) 1-17. 
Kolbe, L. J. (1993b). Developing a plan of action to institutionalize 
comprehensive school health education programs in the United States. Journal 
of School Health, 63(1), 12-13. 
Lavin, A. T. (1993). Comprehensive school health education: Barriers and 
opportunities. Journal of School Health, 63(1), 24-27. 
Louis Harris & Associates. (1989). Health--You've got to be taught: An 
evaluation of comprehensive health education in American public schools. New 
York: Metropolitan Life Foundation. 
Seffrin, J. R. (1990). The comprehensive school health curriculum: Closing 
the gap between state-of-the-art and state-of-the-practice. Journal of School 
Health, 60(4), 151-156. 

ERIC Clearinghouse on Teaching and Teacher Education
1-800-822-9229
Contact ERIC
Mary E. Dilworth, Director
Judy A. Beck, Associate Director
Liane M. Summerfield, Associate Director for HPERD
This Digest is in the public domain and may be reproduced.



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