Conner Brandon W, Weller Katherine G, Biondi Matt V, Allen Alexa R, Rescigno Megan K, Resnik Justine L, Laughton Sydney C, Warner Kendal M, Hierholzer Ariel E, Kim Erica Y, Hagen Molly M, McFarland Amy A, Danko Reka P
University of Nevada, Reno School of Medicine, 1664 N Virginia St, Reno, NV 89557, USA.
University of Nevada, Reno School of Community Health Sciences, 1664 N Virginia St, Reno, NV 89557, USA.
Prev Med Rep. 2021 Aug 3;24:101512. doi: 10.1016/j.pmedr.2021.101512. eCollection 2021 Dec.
Health education is an important topic in high school given its lasting effect on learners. Medical students are in a unique position to deliver this curriculum as they can provide information from a relatable standpoint. Ten medical students created a health education program, The Healthier Nevada Project (HNVP), designed for high school students using four modules focused on adolescent public health concerns: substance use and addiction, exercise, personal relationships, and stress and mental health. The curriculum was administered to over 700 health class students at three schools in Reno, Nevada, U.S.A., from August 2019-March 2020. This cross-sectional study measured whether the modules increased students' comfort level, familiarity, and likelihood of discussing each topic with a healthcare provider. The method of evaluation was pre- and post-Likert scale surveys with 7-10 questions regarding students' understanding of each topic, knowledge of related resources, and likelihood of future discussions with healthcare providers. Linear regression analysis showed significant increases in mean scores (in all cases p < 0.0001) for all four modules after the training. The modules were adjusted for the cluster effect of School and showed no significant two-way interaction between pre- and post-survey, although overall differences between schools were present. These findings indicate that HNVP significantly increased students' knowledge, comfort, and likelihood of discussing each topic with a healthcare professional following module administration. Future efforts will aim to evaluate the long-term impact of HNVP on student behavior and evaluate if presenter type influences program success among adolescents.
鉴于健康教育对学习者具有持久影响，它是高中阶段的一个重要主题。医学生在提供这一课程方面具有独特优势，因为他们能够从一个相关的角度提供信息。十名医学生创建了一个健康教育项目——“更健康的内华达项目”（HNVP），该项目针对高中生设计，使用了四个关注青少年公共卫生问题的模块：物质使用与成瘾、锻炼、人际关系以及压力与心理健康。2019年8月至2020年3月期间，该课程在美国内华达州里诺市的三所学校面向700多名健康课学生进行了授课。这项横断面研究测量了这些模块是否提高了学生在讨论每个主题时的舒适度、熟悉程度以及与医疗保健提供者交流的可能性。评估方法是在课程前后进行李克特量表调查，调查包含7 - 10个关于学生对每个主题的理解、相关资源的知识以及未来与医疗保健提供者讨论可能性的问题。线性回归分析显示，培训后所有四个模块的平均得分均有显著提高（在所有情况下p < 0.0001）。对模块进行了学校聚类效应的调整，尽管学校之间存在总体差异，但前后调查之间未显示出显著的双向交互作用。这些发现表明，HNVP显著提高了学生在课程实施后讨论每个主题的知识、舒适度以及与医疗保健专业人员交流的可能性。未来的工作将旨在评估HNVP对学生行为的长期影响，并评估授课者类型是否会影响该项目在青少年中的成功。
