The Inclusion of Health Education Curriculum in Initial Teacher
Education: Exploring the Possibilities
Moynihan, Sharon and Mannix-McNamara, Patricia
Department of Education and Professional Studies, Faculty of Education and Health
Sciences, University of Limerick
Abstract
Teacher education is critical to the successful
implementation of health education in schools. This
paper reports on the implementation of a pilot
module in health education with initial teacher
education students, which was offered on an optional
basis to Physical Education graduate diploma
students, in the University of Limerick, Ireland. Nine
students decided to participate. The module was
experiential and innovative in design. Pre and post
tests were administered to students via questionnaire
examining attitude, knowledge and experiences of
Social Personal and Health Education. In addition a
focus group was held with participants on
completion of the module to gain a deeper
understanding of their perspectives and experiences.
The results indicate that as a result of exposure to
health education, students reported increased
confidence and interest in teaching SPHE in schools.
Therefore, exposure to health education during
initial teacher education has great potential as it can
promote a positive disposition towards the subject.
This paper challenges current provision of Health
Education in initial teacher education and calls for a
paradigm shift in policy, in this regard.
1. Introduction
Schools are recognised as important settings for
health promotion (HP) [1,2]. They provide access to
a wide audience and give the opportunity to provide
health messages early in the lifespan. In so doing it
promotes individual health behaviour gain in a
sustained manner, thereby, increasing the potential
health gain of a nation. Health education has
significant influence on people’s decision making,
and perceptions of health. Behaviours that have a
profound effect on health status, such as physical
activity levels and dietary choices are established
during the schooling years of many young people
[3].
The emphasis of health promotion in schools has
moved beyond the traditional health education class
and into a more comprehensive settings approach.
An effective school health education programme is
one that combines health education with other
health-promoting initiatives in the school, and
involves parents, families and the community [4, 5,
6]. This approach signals a movement away from the
health class per se, as the only place of information
in relation to health. The World Health Organisation
(WHO) have defined a Health Promoting School
(HPS) as a school that is “constantly strengthening
its capacity to be a healthy setting for living, learning
and working by focusing on all the conditions that
effect health” [7]. A whole school approach is multi
faceted in nature and is advocated to be more
effective than classroom only or single intervention
approaches in achieving health and educational
outcomes [8, 9].
The Irish education system has a specific post
primary subject for health education entitled Social
Personal and Health Education (SPHE). This subject
has been a compulsory addition to the post primary
curriculum for over a decade and while teacher in-
service training is provided (40 hours professional
development), it remains that pre-service teacher
training provision is less than optimal. While
implementation of the subject indicates policy
commitment to health education, to do so with
limited teacher education is clearly problematic,
especially if a whole school approach is expected
from schools. The Department of Education and
Skills [10] policy statement clearly articulates that
“all teachers are teachers of SPHE”. Yet in many
schools engagement is limited to only those teachers
who are teaching SPHE. Those who are teacing
SPHE are often the only ones nominated to attend
SPHE in-service professional development.
Therfore, appreciation and knowledge of the subject
is not promoted across the whole staff which is
incongruent with the policy statement that “all
teachers are teachers of SPHE” [10]. Even more
problematic is that many teachers continue to teach
SPHE without any professional development at all
[11].
Given that the majority of teachers have no
exposure to this subject in their initial teacher
education it is not surprising that they feel
inadequately trained [12]. The authors advocate that
more teacher education is required for teachers in
order to deepen their confidence and skills in the
area. In addition Irish teachers’ knowledge of health
promoting schools is also significantly limited. Irish
policy has recommended implementation of SPHE
International Journal for Cross-Disciplinary Subjects in Education (IJCDSE), Volume 5, Issue 1, March 2014
Copyright © 2014, Infonomics Society 1609