The National Health Educator Job Analysis 2010: process and outcomes

A Competency-Based Framework for Health Education Specialists—2015

A Competency-Based Framework for Health Education Specialists—2015 is a new publication by the National Commission for Health Education Credentialing Inc., and the Society for Public Health Education, Inc. This new publication is a vital resource to identify and describe the latest Responsibilities, Competencies, and Subcompetencies that are important to contemporary health education/promotion practice. The book describes the methods and results of the updated psychometric study of the Health Education Specialist Practice Analysis project. The study results have implications for professional preparation, credentialing, and professional development of health education specialists. The Seven Areas of Responsibility contain a comprehensive set of Competencies and Subcompetencies defining the role of the health education specialist and serve as the basis of the Certified Health Education Specialist and Master Certified Health Education Specialist exams.

Health Education Specialist Practice Analysis 2015 (HESPA 2015)

The Health Education Specialist Practice Analysis 2015 (HESPA 2015) was conducted to update and validate the Areas of Responsibilities, Competencies, and Sub-competencies for Entry- and Advanced-Level Health Education Specialists. Two data collection instruments were developed—one was focused on Sub-competencies and the other on knowledge items related to the practice of health education. Instruments were administered to health education specialists ( N = 3,152) using online survey methods. A total of 2,508 survey participants used 4-point ordinal scales to rank Sub-competencies by frequency of use and importance. The other 644 participants used the same 4-point frequency scale to rank related knowledge items. Composite scores for Sub-competencies were calculated and subgroup comparisons were conducted that resulted in the validation of 7 Areas of Responsibilities, 36 Competencies, and 258 Sub-competencies. Of the Sub-competencies, 141 were identified as Entry-level, 76 Advanced 1–level, and 41 Advanced 2–level. In addition, 131 knowledge items were verified. The HESPA 2015 findings are compared with the results of the Health Education Job Analysis 2010 and will be useful to those involved in professional preparation, continuing education, and employment of health education specialists.

A Qualitative Analysis of Health Education Practice in Applied Work Settings

Job analysis projects play a critical role in the health education profession by validating what is constant in the profession and identifying emerging patterns of effective practice. In this regard, the Role Delineation Project, Competencies Update Project (CUP), and Health Educator Job Analysis Project (HEJA) have provided frameworks for the accreditation of professional preparation programs, credentialing, and continuing education of health education specialists. To date, projects (CUP, HEJA, and Health Education Specialist Practice Analysis) have revalidated the framework to help describe the contemporary practice of health education specialists. Evidence is lacking regarding exactly how the frameworks have been integrated into applied practice and what guides the practice of health educators. In context of the Areas of Responsibility for health education specialists, the purpose of this qualitative study was to examine the gap between the "state of the art" and the "state of the practice" among health education practitioners in a range of workplace settings. Data were collected through structured interviews and analyzed for emergent themes. Major themes included the use of formal and informal assessment methods, program-specific planning materials and implementation strategies, supplemental materials for planning and conveying information, and the influence and work with organizations. Based on the emergent themes, the gaps between the "state of the art" and the "state of the practice" were described, with suggestions for advancing the profession.

Teacher Competencies in Health Education: Results of a Delphi Study

OBJECTIVE

The aim of this research study was to identify the core competencies for health education teachers in supporting the development of health literacy among their students.

METHOD/RESULTS

A three round Delphi method was employed. Experts in health education were asked to identify core competencies for school health educators. Twenty six participants from the academic field were invited to participate in the study. Twenty participants completed the first round of the Delphi, while eighteen took part in round two and fifteen participated in the final round. Data were collected using an electronic questionnaire. The first round contained an open ended question in which participants were asked to name and define all the competencies they perceived were important. Thematic analysis was undertaken on these data. A list of 36 competencies was created from this round. This list was then returned to the same participants and they were asked to rate each competency on a 7 point semantic differential scale in terms of importance. The resulting data were then analysed. For the final round, participants were presented with a list of 33 competencies and were asked to rank them again, in order of importance.

CONCLUSION

Twelve core competencies emerged from the analysis and these competencies comprised of a mixture of knowledge, attitude and skills. The authors suggest that how these competencies are achieved and operationalised in the school context can be quite complex and multi-faceted. While the authors do not seek to generalise from the study they suggest that these competencies are an important input for all stakeholders, in order to question national and international teacher guidelines. In addition the competencies identified may provide a useful starting point for others to undertake deeper analysis of what it means to be an effective health educator in schools.

Health Education Specialists' Knowledge, Attitudes, and Perceptions of the Patient Protection and Affordable Care Act

The changing landscape of health care as a result of the Patient Protection and Affordable Care Act (ACA) may provide new opportunities for health education specialists (HES). The purpose of this study was to survey HES in the United States on their knowledge and attitudes of the ACA and assess their perceptions of job growth under the law. A random sample of 220 (36% response rate) certified HES completed a 53-item cross sectional survey administered online through Qualtrics. Findings were compared to public opinion on health care reform. HES are highly favorable of the law (70%) compared to the general public (23%). A total of 85% of respondents were able to list a provision of the ACA, and most (81%) thought the ACA would be successful at increasing insured Americans. Over half (64.6%) believe job opportunities will increase. Those who viewed the law favorably were significantly more likely to score better on a knowledge scale related to the ACA. HES understand publicized provisions but are uncertain about common myths and specific provisions related to Title IV, "Prevention of Chronic Disease and Improving Public Health." Directed and continuing education to HES regarding the ACA is warranted.

Accreditation of Professional Preparation Programs for School Health Educators: The Changing Landscape

The health education profession is committed to maintaining the highest standards of quality assurance, including accreditation of professional preparation programs in both school and community/public health education. Since 2001, the Society for Public Health Education (SOPHE) has increased attention to strengthening accreditation processes for preservice programs. This article focuses on the preparation of school health educators and the evolving philosophies and approaches concerning quality assurance, with particular attention to recent changes in teacher education and national professional accreditation entities. The unification of the National Council for Accreditation of Teacher Education (NCATE) and the Teacher Education Accreditation Council (TEAC) to form the Council for the Accreditation of Educator Preparation (CAEP) as the single voice for teacher accreditation presents an opportunity to create a model unified accreditation system. Such a system can improve and enhance the stature of the teaching profession, raise expectations and the performance standards for teacher education candidates, and strengthen the standards for the evidence used to support claims of quality. During this transition period from NCATE and TEAC to CAEP, a School Health Education Accreditation Working Group convened by SOPHE recommended to the SOPHE Board of Trustees that SOPHE urge health education professionals to monitor and provide input into the emerging standards and processes for school health educator program accreditation. The Working Group also recommended that both health education professionals and the stakeholder professional organizations advocate for strong quality assurance standards for school health educator professional preparation programs. The Working Group anticipates future changes in quality assurance processes and curricula to keep pace with new accreditation requirements and the results from the latest role delineation research for health education specialists.

Progress and Directions in Professional Credentialing for Health Education in the United States

This article provides an update on initiatives in individual certification and accreditation of academic programs in public/community health education and school health education in the United States. Although we provide some historical context, the focus primarily addresses credentialing efforts that have evolved since the Galway Consensus Conference was convened in 2008 and publication of the Galway Consensus and related manuscripts in 2009. Significant progress has been achieved in updating the health education competencies for entry and advanced levels of practice, as well as in establishing a Master Certified Health Education Specialist designation. Also discussed are contemporary initiatives to expand and improve the accreditation process of academic programs and the evolving higher education contexts in which such systems operate. We conclude by presenting lessons learned from the U.S. experience with credentialing efforts and by offering recommendations that may be applicable to future quality assurance efforts, both in the United States and abroad.

Using an experience documentation opportunity to certify advanced-level health education specialists

The worldwide burden of diseases, environmental threats, and injuries help establish the global context and need for credentialing in health education and promotion. To ensure effective practice by certified or credentialed individuals, it is critical that the global health education and promotion workforce identify, agree on, and establish core competencies grounded in knowledge, skills, and abilities to strengthen the global capacity to improve the practice of health education at the entry and advanced levels. Dialog regarding the development of Domains of Core Competency for global capacity in health promotion has occurred. One unique process for granting certification was how a U.S. certifying organization used an Experience Documentation Opportunity to validate advanced-level professional competency. In this article, a one-time, 6-month opportunity in certifying advanced-level health education specialists is documented, and the implications of these results on the Domains of Core Competency are discussed. The authors provide valuable insight for health education professionals worldwide on establishing a process for quality assurance and accountability and alignment with the current global competency discussion. The Experience Documentation Opportunity process also may be useful in international efforts to establish certification based on core competencies.