School Health Education Program Health literacy through student service-learning Results A one-group pre test-post test design was used with a mixed analysis.

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School Health Education Program Health literacy through student service-learning Results A one-group pre test-post test design was used with a mixed analysis of variance, including one-nested factor of high school, and two-repeated measure factors of time (pre versus post) on content knowledge and confidence in health decisions. Six high schools participated in the program, with a new cohort in the fall and spring semesters (n = 1,772). All cohorts improved their knowledge (p<.0001) and confidence (p <.0001) in making health decisions after the medical student presentations. Medical students also gained from the experience, believing that they had a positive influence on adolescents’ knowledge and attitudes toward health (p<.05) and were comfortable in providing clear and concise health education (p<.05). Qualitative analysis revealed that 90% of medical student participants felt they improved their knowledge regarding adolescent health issues, teaching skills, research, and social responsibility.

SHEP Pre and Post Scores Knowledge by all years and all schools Pre and post means converted to percentage of correct answers. n = 1,714 (sd) Year pre post Fall 2002 (19.86) (14.22) Spring 2003 (16.51) (13.41) Fall 2003 (14.13) (11.97) Spring 2004 (14.30) (11.92) Fall 2004 (14.13) (12.33) Spring 2005 (12.09) (11.78) p<.0001 p<.0001 p<.0001

SHEP Pre and Post Scores Confidence by all years and all schools Key: 1 = Strongly disagree – 5 = Strongly agree n = 1,714 (sd) Year pre post Fall 2002 (.70) (.62) Spring 2003 (.55) (.52) Fall 2003 (.56) (.47) Spring 2004 (.52) (.45) Fall 2004 (.52) (.46) Spring 2005 (.48) (.44) p<.0001 p<.0001 p<.0001

SHEP Pre-test Knowledge Scores by Class Type Health Education/Health Occupation Pre and post means converted to percentage of correct answers. n = 1,457 Castle and Waipahu High were the two health occupation classes until the Fall of Farrington High was the only Health Occupations class in Spring and Fall 2004.

SHEP Medical Student Evaluation Confidence teaching adolescent health education Pre and post mean for 2004 Likert Scale, 1=Strongly disagree, 5=Strongly agree p<.05 p<.05