Health Education Behaviour and Health 4.1 Outline what is meant by health education 4.2 Explain what is meant by the following levels of health education Primary Secondary Tertiary

What is health education? How does it work?

Rate the examples of health education shown on the PowerPoint: Health Education Score each example (5 being the highest score and 1 being the lowest) Smoking Explain your scores briefly, in other words what made you think the clips were good/bad/indifferent   Rate the clip Why? Clip 1 1 2 3 4 5 Clip 2 Clip 3 Clip 4

Ysmygu/Smoking Clip 1 https://www.youtube.com/watch?v=HHA0HRjDgc8&index=2&list=PL45C9D0B9AA8869F6 Clip 2 https://www.youtube.com/watch?v=sXAlpHSI-d0&index=5&list=PL45C9D0B9AA8869F6 Clip 3 https://www.youtube.com/watch?v=0hySFt8O11A&index=3&list=PL45C9D0B9AA8869F6 Clip 4 https://www.youtube.com/watch?v=sXAlpHSI-d0&index=2&list=PL45C9D0B9AA8869F6

STD & sexual health Clip 1: STD Advert https://www.youtube.com/watch?v=mk082NNo_U4&index=7&list=PL45C9D0B9AA8869F6 Clip 2: NHS Chlamydia & Gonorrhoea https://www.youtube.com/watch?v=b61L5Yn5Zbs Clip 3: Condom Ad https://www.youtube.com/watch?v=wM2U0zx34WQ&list=PL45C9D0B9AA8869F6&index=11 Clip 4:Sex education video for toddlers from 3 years of age (Sweden) https://www.youtube.com/watch?v=-wUxGaR8LNQ

Exercise Clip 1: Get Active: TV-campaign to get out of your chair https://www.youtube.com/watch?v=AY5AILaXDdA&index=13&list=PL45C9D0B9AA8869F6 Clip 2: Keep healthy with 150 minutes of exercise a week https://www.youtube.com/watch?v=d0pgHKCGqss Clip 3:The truth about exercise and public health: Professor JamesTimmons (Lecture) https://www.youtube.com/watch?v=E42TQNWhW3w Clip 4: Physical Activity and Kids Let's Move It! https://www.youtube.com/watch?v=U4T8kXRVwTM

Anti Drug Clip 1: (NOT for the squeamish) https://www.youtube.com/watch?v=pVRO_a6pQB8&list=PL45C9D0B9AA8869F6&ind ex=10 Clip 2: Drug addiction https://www.youtube.com/watch?v=1RiD1DzcEnY

Mental Health Clip 3: https://www.youtube.com/watch?v=bKXo9ZCW2Vo&list=PL45C9D0B9AA8869F6&ind ex=1 Clip 4: The Truth about Depression BBC Full Documentary 2013 https://www.youtube.com/watch?v=F5YubjEqbZ8

Health Education In groups name as many examples of Health Education as you can What are the best examples you have come across? Can you think of any that you feel have not worked, or have had a limited effect?

http://www.meningitisnow.org/meningitis-info/signs-and-symptoms/

Health Education What is meant by the following levels of health education? Primary Secondary Tertiary

Primary Prevention This comprises activities designed to reduce the instances of illnesses in a population and thus to reduce (as far as possible) the risk of new cases appearing, and to reduce their duration Example Immunisation programmes (In the UK there are 13 routine immunisations for boys 14 for girls) Regular tooth cleaning to prevent decay

Secondary Prevention This comprises activities aimed at detecting and treating pre symptomatic disease Example Smoking cessation services (SCS) Screening Blood sugar testing Cholesterol checks…..

Tertiary prevention These are activities aimed at reducing the incidence of chronic incapacity or recurrences in a population, and thus to reduce the functional consequences of an illness, including therapy, rehabilitation techniques or interventions designed to help the patient to return to educational, family, professional, social and cultural life. Example Cardiac rehabilitation following a myocardial infarction, e.g. helping a cardiac patient loose weight, encouraging/facilitating exercise (link to case study covered in class)

Disease Intervention level Primary Secondary Tertiary Colorectal cancer Individual Counselling on healthy lifestyles: dietary counselling for people at risk of colorectal cancer, etc. Hemoccult stool testing to detect colorectal cancer early Follow-up exams to identify recurrence or metastatic disease: physical examination, liver enzyme tests, chest x-rays, etc. Population Publicity campaigns alerting the public to the benefits of lifestyle changes in preventing colorectal cancers; promotion of high fibre diets; subsidies to help people access exercise programmes; anti-smoking campaigns Organized colonoscopy screening programs Implementation of health services organizational models that improve access to high-quality care Infectious diseases: hepatitis C Counselling on safe drug use to prevent hepatitis C virus (HCV) transmission; counselling on safer sex Screening for HCV infection of patients with a history of injection drug use HCV therapy to cure infection and prevent transmission HCV prevention includes safer sex practices, programmes to discourage needle sharing among intravenous drug users, etc. Establish a universal testing system for HCV in high risk groups (Similar to primary prevention): ensuring close control of high risk sites such as tattoo parlours that have been associated with outbreaks Metabolic syndrome (group of risk factors that raises the risk for heart disease and other problems such as diabetes and stroke) Nutrition and exercise counselling Screening for diabetes Referral to cardiac rehabilitation clinics Built environment favourable for active transport (walking, bicycling rather than using a car) Community level weight loss and exercise programs to control metabolic syndrome Implementation of multidisciplinary clinics

References http://www.meningitisnow.org/meningitis-info/signs-and-symptoms/ http://www.kingsfund.org.uk/sites/files/kf/field/field_document/health-promotion- ill-health-prevention-gp-inquiry-research-paper-mar11.pdf http://phprimer.afmc.ca/Part1- TheoryThinkingAboutHealth/Chapter4BasicConceptsInPreventionSurveillanceAndHea lthPromotion/Thestagesofprevention http://www.nhlbi.nih.gov/health/health-topics/topics/ms/