1. 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

2. What is health education? How does it work?

3. 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
Clip 2
Clip 3
Clip 4

4. Ysmygu/Smoking
Clip 1
Clip 2
Clip 3
Clip 4

5. STD & sexual health
Clip 1: STD Advert
Clip 2: NHS Chlamydia & Gonorrhoea
Clip 3: Condom Ad
Clip 4:Sex education video for toddlers from 3 years of age (Sweden)

6. Exercise Clip 1: Get Active: TV-campaign to get out of your chair
Clip 2: Keep healthy with 150 minutes of exercise a week
Clip 3:The truth about exercise and public health: Professor JamesTimmons (Lecture)
Clip 4: Physical Activity and Kids Let's Move It!

7. Anti Drug Clip 1: (NOT for the squeamish)
ex=10
Clip 2: Drug addiction

8. Mental Health
Clip 3:
ex=1
Clip 4: The Truth about Depression BBC Full Documentary 2013

9. 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?

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

12. 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

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

14. 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)

15. 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

16. References
ill-health-prevention-gp-inquiry-research-paper-mar11.pdf
TheoryThinkingAboutHealth/Chapter4BasicConceptsInPreventionSurveillanceAndHea lthPromotion/Thestagesofprevention