Health Education Content Research Articles

Development, Content Validation and Usability of a Chatbot for Disseminating Scientific Information About Cannabis Among Young Adults

ABSTRACT Despite the high prevalence of cannabis consumption, there is limited information about cannabis based on scientific evidence available and targeted toward young adults, especially considering accessible language and ease of access. The present study aimed to develop the proof of concept of a chatbot for the dissemination of evidence and scientific information about cannabis, focused on a young adult audience. The proof of concept involved stages of literature review, conversation flow development, content evaluation through a panel of experts (n = 10) and usability analysis using a sample of potential users (young adults, n = 10). The chatbot developed presents information on epidemiology, toxicology, acute and chronic effects of cannabis use, information on cannabis use disorder, and the use of cannabinoids for medicinal purposes. The content evaluation through the Health Education Content Validation Instrument concluded that the tool was considered to have a good structure and content (Content Validity Index > 0,78; overall score = 9.0/10.0). The tool also proved to be functional and highly usable according to the analysis with the System Usability Scale (overall usability score = 9.2/10.0). Digital strategies such as chatbots can help in health education and scientific communication within stigmatized areas, such as the consumption of psychoactive substances.

Quality assessment of heatstroke videos on TikTok.

The prevalence of heatstroke is rising due to global warming, making it a serious but preventable condition, highlighting the urgent need for effective dissemination of relevant health education to the general public. Advances in technology have made accessing health information more convenient and rapid. In recent years, short videos have become a primary medium for delivering health education, with TikTok gaining considerable popularity among the general public. However, the quality of heatstroke-related health education content on TikTok deserves closer scrutiny. This study aimed to evaluate the quality and content of heatstroke-related videos available on TikTok. The present study analyzed the top 100 heatstroke-related short videos on TikTok, focusing on their characteristics, quality, and the content they conveyed. The quality of these videos was assessed using the DISCERN instrument. In addition, the completeness of the videos was assessed by examining six key aspects: disease definition, clinical manifestations, risk factors, assessment, management, and outcomes. The study included a total of 90 videos. The results showed that news organizations and healthcare professionals were the primary contributors to these videos, with those from news organizations receiving the most attention. In contrast, those from healthcare professionals received comparatively less engagement. Overall, the quality of the information was found to be moderately low, with the highest quality videos posted by non-profit organizations, followed by those posted by healthcare professionals. The majority of videos uploaded described the disease definition, clinical presentation, risk factors, assessment, management, and outcomes of heatstroke. The quality of information provided in heatstroke-related short videos on TikTok is generally inadequate and requires significant improvement. In addition, such content should be subject to government review to ensure its accuracy and reliability.

Summary of Best Evidence to Address Kinesiophobia Post Percutaneous Coronary Intervention: An Evidence-Based Review.

The objective of this study is to systematically explore and summarize the best evidence on intervention programs for patients with kinesophobia following percutaneous coronary intervention (PCI) to provide a comprehensive reference for clinical practice interventions. Evidence on interventions for kinesophobia post-PCI was retrieved from Chinese and international integrated databases, treatment guidelines, and websites of professional associations, including systematic reviews and expert consensuses. The evidence considered in this study extends up to May 2022, encompassing information available since the inception of the databases. Two researchers independently evaluated the articles included in the review and extracted and summarized the available evidence. By extracting and integrating data from the 14 articles included in this review, we identified six categories: pre-intervention assessment, psychological intervention, health education, rehabilitation training, social support, and quality control. A total of 21 pieces of evidence were summarized, including mental health assessment, physical fitness evaluation, timing and content of health education, development of personalized exercise prescriptions, and risk control. In clinical settings, using evidence-based practices requires developing feasible intervention programs based on comprehensive consideration of hospital resources, allocation of medical personnel, and consideration of patients' preferences to reduce the kinesophobia of patients post-PCI and improve their compliance with exercise rehabilitation.

YouTube Video Clips on Breastfeeding Education and Promotion for Arabic-Speaking Populations: A Social Media Content Analysis.

Background/Objective: Although the benefits of breastfeeding are well-documented and widely recognized, reports indicate that optimal breastfeeding rates are low in Arabic-speaking countries. This is a significant concern given the health benefits associated with breastfeeding for both infants and mothers. Previous research has shown that education interventions can increase breastfeeding knowledge, attitudes, and practices in Arabic-speaking populations. The social media platform YouTube holds significant potential for distributing customized health education for diverse audiences; specifically, this platform has the potential to empower mothers and normalize long-term breastfeeding. The aim of this study was to evaluate the quality of YouTube videos on breastfeeding available in the Arabic language. Methods: We used standard procedures to search YouTube for Arabic breastfeeding videos posted on YouTube in December 2023. Videos were evaluated using the three scales of the DISCERN quality evaluation instrument (reliability, information quality, video quality) and total score. Comparative statistics were generated. Results: In total, 165 videos met the inclusion criteria, with 29.7% in the Education category; 43.6% were in Egyptian Arabic dialect. Almost all (91.75%) of the educational videos had a "medium" quality assessment. Educational videos and those using health professionals had higher quality assessments than those in other categories or done with other speakers. Conclusion: The results of this review suggest that most content on the topic of breastfeeding was of only medium reliability and informational quality. New mothers seeking breastfeeding information or support may be in need of specific problem-solving information at a time when they are living with the often-difficulty reality of caring for a newborn or very young infant. There is a clear need for accurate, culturally congruent information to effectively support breastfeeding in Arabic-speaking countries. Future efforts should focus on improving the quality of online health education content, with implications for public health strategies and policy development.

A review of digital maternal health promotion to optimise access and utilization of care services in sub-Saharan Africa

In sub-Saharan Africa, maternal mortality rates remains high among women as the vulnerable demographics of reproductive age and breastfeeding mothers compared to other parts of the world. The situation is exacerbated by the region’s underperforming healthcare systems. Although digital health interventions have increased since the emergence of COVID-19 pandemic to enhance health promotion in terms of maternal health vulnerability, the access to and utilization of care services, the record of positive impacts remains limited. The objective of this paper was to analyse the status of digital maternal health promotion in supporting female of reproductive age, first-time and nursing mothers to access and utilise maternal healthcare services during their perinatal and postpartum periods in underserved settings of sub-Saharan Africa. A literature review of peer-reviewed publications between 2020 and 2023 was conducted by searching online databases using keywords and filtering the results using a set of inclusion and exclusion criteria. Findings indicate that digital maternal health promotion is increasingly enabling access to hard-to-reach populations, but the utilization of associated care services remains relatively low. Particularly, mHealth and asynchronous audio-visual digital media are critical for delivering maternal health educational content to the targeted populations, including their partners, and are most likely to increase utilization of maternal care services. Digital promotion of maternal health requires multi-stakeholder collaboration to address the limiting socio-economic, cultural and technical factors that determine access to and utilization of care services during the perinatal and postpartum period, if mortality rates are to be reduced towards the sustainable development goal for good health and well-being.

The Influence of Instagram on Medical Education in the age of Artificial Intelligence: A formal assessment of its utility in Health Education

This review article explores the intricate role of Instagram and artificial intelligence (AI) in medical education and health promotion. It scrutinizes the dual-edged nature of these technologies, highlighting their potential benefits in disseminating health information and the challenges they present, particularly regarding information accuracy and misinformation. The analysis underscores Instagram's unique capacity to reach broad audiences with visually engaging health education content, emphasizing its utility in public health campaigns and crisis communication. However, the platform's susceptibility to spreading inaccurate health information necessitates urgent and proactive strategies for mitigation. Integrating AI in content management and moderation on Instagram is a promising solution to address misinformation, with the effectiveness of such technologies hinging on continuous research, development, and ethical implementation. The review advocates for developing evidence-based content and engagement strategies by health professionals and educators to maximize benefits and minimize risks associated with Instagram use. It concludes that a collaborative, multidisciplinary approach involving health professionals, educators, researchers, technology developers, and regulators is essential to leverage Instagram and AI for global health improvement responsibly.

Association between mukbang and cookbang viewing and body image perception and BMI in adolescents

BackgroundAdolescence is a critical period for establishing healthy eating habits and weight management, essential for preventing obesity and promoting overall health. This study investigates the impact of mukbang and cookbang—popular online broadcasts in Korea that feature excessive consumption of food—on the dietary habits and body image perception of Korean adolescents. With digital media, especially platforms like YouTube, becoming an integral part of daily life, these broadcasts have the potential to significantly influence adolescent health behaviors.MethodsEmploying data from the 18th Korea Youth Risk Behavior Web-based Survey (2022), this descriptive survey research explores the relationship between watching mukbang and cookbang and various health-related factors among adolescents. The survey’s comprehensive dataset provided a unique opportunity to examine this association in a population that is increasingly exposed to digital media content. The analysis focused on the frequency of watching mukbang and cookbang, their impact on eating habits, body mass index (BMI), body shape perception, and body image distortion among adolescents.ResultsThe results revealed a significant engagement with mukbang and cookbang among adolescents, with notable gender differences in viewing habits and effects. Increased frequency of viewing was associated with negative impacts on eating habits and body image perception. Furthermore, psychological factors such as stress levels and sleep quality emerged as significant predictors of the frequency of watching these broadcasts.ConclusionsThis study highlights the need for further investigation into the causal relationships between mukbang and cookbang viewership and adolescent health outcomes. The findings suggest the importance of developing targeted interventions to mitigate the negative influences of such content on adolescents’ eating habits and body perceptions. Given the widespread popularity of these broadcasts, it is crucial to address their potential health implications through public health strategies, educational content, and policy development aimed at promoting healthier lifestyles among adolescents.

Konsep Video Konten Edukasi Kesehatan Mental untuk Remaja

Mental health is one of the most highlighted health issues by many people around the world. During this time, many adolescents experience mental health problems. The most common mental health problem in adolescents is depression or anxiety. Deviant behavior to harm oneself, as a result of a lack of understanding in the management of adolescent emotions, is one of the reasons why the phenomenon of suicide itself comes from the individual concerned who is experiencing social problems. The purpose of making this video concept is to educate adolescents in understanding emotional management, how to develop themselves in the environment, and provide information and raise awareness of adolescents about the importance of maintaining mental health. In designing this video concept, primary and secondary data were collected from interviews and observations. In analyzing the data, using fishbone analysis and 5W + 1H. In designing the concept of this content video, it pays attention to aspects of its function to educate teenagers that are not boring and easy to understand. For an emotional attachment by providing a color mood according to the background of the situation. There is an explanation of emotional management and self-development in the environment in teenagers which aims to educate teenagers about the importance of mental health for themselves and others. Self-development is needed to explore and increase the potential that exists within teenagers. It is hopefully that the design of mental health educational content videos can provide new insights for adolescents and the messages conveyed can be well received.

Evaluation of Nutrition Education at Senior High Schools in Mamuju Regency West Sulawesi

Abstract Introduction: The 2018 Basic Health Research showed a high prevalence of anemia (32%), Chronic Energy Deficiency (36.3%), and overweight and obesity (16.0%) among adolescents. Nutrition education is crucial to be taught to adolescents from an early age. However, there is a lack of research on content related to nutrition education in textbooks of school policies on nutrition and health. This study aimed to evaluate the nutrition education on senior high schools in Mamuju Regency.Methods: This qualitative study examined word by word of high school students textbooks’ content of nutrition and health education. The main study material was textbooks used by high school students in Mamuju Regency. The research informants were students and teachers. The analysis was done through content analysis by examining words and pictures in the textbooks. Data was classified into the same categories to answer the research objectives.Results: Only a small proportion of textbooks (0.17%) contain nutrition and health messages. The nutrition and health messages included the nutritional content of food, food labels, and physical activity such as how to do long jump. Informants did not get information on adolescent health and nutrition at school. In addition, there is currently no school policy regarding breakfast or healthy snacks in the school environment.Conclusion: Balanced nutrition messages had not been published in textbooks and delivered regularly in schools. Policy makers should review the school curriculum to include nutrition and health messages for adolescents in the textbooks used.

Prevention of Stunting and TB in Banjarejo Village, Panekan District, Magetan Regency through Preventive Health Education Content

Prevention of Stunting and TB in Banjarejo Village, Panekan District, Magetan Regency through Preventive Health Education Content

Mental health messages on TikTok: Analysing the use of emotional appeals in health-related #EduTok videos

Objective: This study aimed to evaluate how health educators use emotional appeals on the social media site TikTok to promote well-being, engage audiences and reduce mental health stigma. Design/Method: Our research team conducted a quantitative content analysis of 400 TikTok videos centred on health education. We evaluated the frequency of mental health content compared with general health education content and associated views, engagement and use of emotional appeals. Results: Mental health content frequently appeared in #EduTok health videos and earned significantly greater reach than general health content. However, videos discussing mental health earned less engagement and relied less on emotional appeals. Mental health content mainly relied on affiliation, hope and sorrow message appeals, although the presence of these appeals did not significantly affect engagement. General health content utilised personal stories, expert credentials and emotional appeals more frequently than mental health content. Conclusion: Evidence from this research suggests that mental health educational content underperforms general health videos and underutilises emotional appeals on TikTok. Health educators must critically analyse and adjust message strategies to enhance audience reception, taking note of success across health topics. We discuss the implications for how practitioners can use TikTok to reduce stigma and promote positive mental health with emotionally engaging content, especially among young audiences.

Usability and Acceptability of a Conversational Agent Health Education App (Nthabi) for Young Women in Lesotho: Quantitative Study.

Young women in Lesotho face myriad sexual and reproductive health problems. There is little time to provide health education to women in low-resource settings with critical shortages of human resources for health. This study aims to determine the acceptability and usability of a conversational agent system, the Nthabi health promotion app, which was culturally adapted for use in Lesotho. We conducted a descriptive quantitative study, using a 22-item Likert scale survey to assess the perceptions of the usability and acceptability of 172 young women aged 18-28 years in rural districts of Lesotho, who used the system on either smartphones or tablets for up to 6 weeks. Descriptive statistics were used to calculate the averages and frequencies of the variables. χ2 tests were used to determine any associations among variables. A total of 138 participants were enrolled and completed the survey. The mean age was 22 years, most were unmarried, 56 (40.6%) participants had completed high school, 39 (28.3%) participants were unemployed, and 88 (63.8%) participants were students. Respondents believed the app was helpful, with 134 (97.1%) participants strongly agreeing or agreeing that the app was "effective in helping them make decisions" and "could quickly improve health education and counselling." In addition, 136 (98.5%) participants strongly agreed or agreed that the app was "simple to use," 130 (94.2 %) participants reported that Nthabi could "easily repeat words that were not well understood," and 128 (92.7%) participants reported that the app "could quickly load the information on the screen." Respondents were generally satisfied with the app, with 132 (95.6%) participants strongly agreeing or agreeing that the health education content delivered by the app was "well organised and delivered in a timely way," while 133 (96.4%) participants "enjoyed using the interface." They were satisfied with the cultural adaptation, with 133 (96.4%) participants strongly agreeing or agreeing that the app was "culturally appropriate and that it could be easily shared with a family or community members." They also reported that Nthabi was worthwhile, with 127 (92%) participants reporting that they strongly agreed or agreed that they were "satisfied with the application and intended to continue using it," while 135 (97.8%) participants would "encourage others to use it." Participants aged 18-24 years (vs those aged 25-28 years) agreed that the "Nthabi app was simple to use" (106/106, 100% vs 30/32, 98.8%; P=.01), and agreed that "the educational content was well organised and delivered in a timely way" (104/106, 98.1% vs 28/32, 87.5%; P=.01). These results support further study of conversational agent systems as alternatives to traditional face-to-face provision of health education services in Lesotho, where there are critical shortages of human resources for health. ClinicalTrials.gov NCT04354168; https://www.clinicaltrials.gov/study/NCT04354168.

Investigating the Effectiveness of a Virtual Family-centered Support Intervention on the Mental Health of Hemodialysis Patients and their Family Caregivers During the COVID-19 Pandemic

Aim This study aimed to assess the effectiveness of a family-centered support intervention utilizing virtual education on the mental health of hemodialysis patients and their family caregivers amidst the COVID-19 pandemic. Background Patients undergoing hemodialysis and their family caregivers may experience mental health disruptions. Methods In this quasi-experimental study, 30 family caregivers of hemodialysis patients who visited the hemodialysis center of the 22nd-Bahman Hospital of Khaf in 2022 were selected using convenience sampling. All patients and family caregivers completed a demographic characteristics form and a mental health scale over the phone at baseline. The experimental group received targeted mental health education content for four weeks on the Eitaa social media platform. At this time, the mental health questionnaire was completed once more over the phone for all patients and their family caregivers. Independent t-tests and paired t-tests were used to analyze the data in SPSS-22. The significance level was set to p <0.05. Results The mean age values of the patients and family caregivers were 47.63±8.36 and 33.53±4.86 years, respectively. Prior to the intervention, there was no significant difference (p <0.05) in the mean scores of mental health and its components between the experimental and control groups. Following the intervention, statistically significant reductions were observed in the scores of both the patients and caregivers of the experimental group compared to the controls (p <0.001). Conclusion The virtual family-centered support intervention could positively impact the mental health of hemodialysis patients and their family caregivers. Thus, the present intervention is suggested as a viable program to enhance the mental health of this group of patients and their respective caregivers.

A Double-Edged Sword: Quality and Credibility of Colon Cancer Screening Content on YouTube.

Introduction Colorectal cancer (CRC) remains a significant public health challenge globally, with its pathogenesis involving the transformation of benign adenomas into malignant carcinomas. Despite advancements in screening and early detection significantly improving outcomes, the rise of digital platforms like YouTube for disseminating health information presents new challenges. Concerns over the accuracy and reliability of content underline the necessity for rigorous evaluation of these digital health education tools. Methods Our study was conducted at Nassau University Medical Center, East Meadow, New York. We meticulously analyzed YouTube videos on "colon cancer screening awareness," employing strict selection criteria to ensure both relevance and quality, focusing on English-language content with pertinent audio. Videos were evaluated for their quantitative and qualitative attributes-views, subscriber counts, likes/dislikes, comments, and content type, classifying them as scholarly or personal. We assessed video credibility through scientific accuracy using the DISCERN instrument, Global Quality Score (GQS), and Patient Education Materials Assessment Tool (PEMAT), ensuring consistency in quality and reliability evaluation among seven researchers via the intraclass correlation coefficient. These tools - DISCERN for assessing reliability and quality, GQS for evaluating overall quality, and PEMAT for understandability and actionability - facilitated a comprehensive evaluation framework. Our analysis, leveraging descriptive and inferential statistics, scrutinized differences in content quality between academic and private institutions, employing t-tests to identify statistically significant disparities. The study utilized Microsoft Excel (version 16.73, Microsoft Corporation, Redmond, Washington, United States) and IBM SPSS Statistics for Windows, version 29.0 (released 2022; IBM Corp., Armonk, New York, United States). for robust data processing and analysis, confirming the educational value and trustworthiness of the examined YouTube content. Results Our study of 156 YouTube videos on educational content, split between academic (68 videos) and private sources (88 videos), revealed significant quality differences. Using the DISCERN, PEMAT, and GQSmetrics, academic videos consistently outperformed private ones, with significant margins: DISCERN (54.61 vs. 34.76), PEMAT (3.02 vs. 2.11), and GQS (3.90 vs. 2.02), supported by low p-values indicating a statistically significant superiority. These findings suggest that the source of content-academic versus private-plays a crucial role in determining the quality and reliability of educational materials on platforms like YouTube, highlighting the academic sector's commitment to higher educational standards. Conclusion The study emphasizes the critical role of credible sources in enhancing the quality of health education content on YouTube, particularly concerning CRC screening. The superiority of academic institutions in providing high-quality content suggests a need for viewers to critically assess the source of information. It also calls for enhanced regulatory oversight and measures to ensure the accuracy and reliability of health information online.

Construction of the whole-process nursing service system for day surgery patient based on the Kano model: A pilot cluster randomized controlled trial.

The types and number of day surgeries have significantly increased, but the construction of the whole process nursing service system (WPNSS) for preoperative education, intraoperative cooperation, postoperative knowledge, and follow-up for day surgery patients is still in the exploratory stage. The aim of this study is to establish the WPNSS for day surgery patients using the Kano model and to preliminarily assess its efficacy. WPNSS for day surgery was devised leveraging Internet hospital information systems and patient mobile terminals (WeChat), guided by the World Health Organization's conceptual framework for scaling-up strategies. The system was methodically developed, progressing from defining the overall framework to delineating modular functions and developing specific educational materials and tools. A pilot test was conducted in a hospital in China. WPNSS, a patient-centric remote education and monitoring system, seamlessly amalgamates health education, online consultations, and follow-up functionalities; offering semi-automated surgical consultations, inquiry services, and postoperative follow-ups, as well as autonomously disseminating perioperative health education content. Comprising both client and server components, patients utilizing the system are inclined to recommend day surgery at the hospital to others. WPNSS delivers personalized and precise health education, consultation, and postoperative follow-up services for day surgery patients. Current results suggest that the WPNSS may improve patients' experience. Chinese Clinical Trial Register (ChiCTR2200066782).

Participatory Development and Assessment of Audio-Delivered Interventions and Written Material and Their Impact on the Perception, Knowledge, and Attitudes Toward Leprosy in Nigeria: Protocol for a Cluster Randomized Controlled Trial.

In Nigeria, similar to many leprosy-endemic countries, leprosy is highly stigmatized. High levels of stigma among community members as well as internalized stigma among persons affected by leprosy often result in negative psychosocial consequences for those affected. To break this vicious cycle, it is important to conduct context-specific behavioral change activities. Although written material has been successful in improving knowledge and perception, it is not suitable for populations with low educational levels. Audio-delivered interventions are likely to be more suitable for people who are illiterate. This study proposes to assess the impact of an audio-delivered intervention on the perception (knowledge, attitudes, and beliefs) of community members with regard to leprosy in Nigeria. This study aims to assess the impact of audio-delivered and written health education on the perception of leprosy. Specific objectives are to (1) investigate the perception (local beliefs, knowledge, and attitudes) of community members toward leprosy and persons affected by leprosy; (2) investigate whether there is a difference in impact on perception between participants who have received audio-delivered health education and those who have received written health education, with specific reference to gender differences and differences between rural and urban areas; and (3) assess the impact of the participatory development of the audio-delivered and written interventions on empowerment and internalized stigma of persons affected by leprosy who developed the interventions. Additionally, we will translate and cross-culturally validate 4 study instruments measuring outcomes in 2 major Nigerian languages. We will use a mixed methods, cross-sectional study design for the intervention development and a 3-arm cluster randomized controlled trial for its implementation and evaluation, comprising (1) baseline assessments of knowledge, attitudes, perceptions, and fears of community members, to develop the audio-delivered content and written material, and the self-esteem and internalized stigma of persons affected by leprosy; and (2) participatory development of the audio-delivered content and written material by persons affected by leprosy and the pilot and implementation of the interventions. This will be done among different groups (selected using cluster randomization) that will be compared (control group, audio-intervention group, and written material group) to evaluate the intervention and the impact of developing the intervention on the persons affected. This study was funded in June 2022, and community member participant recruitment started in January 2023. Baseline data collection was completed by May 2023 (n=811). Participatory cocreation of the audio and written health education content began in July 2023, and the materials are currently under development. Study results are expected in September 2024. Study findings will contribute to developing evidence-based, context-specific behavioral change interventions, which are critical to addressing stigma in many leprosy-endemic communities where leprosy is highly stigmatized, and contribute toward global triple zero leprosy efforts. Pan African Clinical Trial Registry PACTR202205543939385; https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=23667. DERR1-10.2196/53130.

An Assessment of Educational Content and an Audience Engagement Analysis of Dry Eye Disease Videos on YouTube

This study addresses the growing interest in Dry Eye Disease (DED) by evaluating the quality of DED videos on YouTube, gauging audience engagement, and identifying factors influencing viewership. In this cross-sectional study, we collected videos, during July to September 2023, using the keyword ‘dry eye’. A data collection form, including general characteristics and audience engagement metrics, was employed. Two medical experts rated the videos using Patient Education Materials Assessment Tool-Audio Visual (PEMAT-A/V) and custom clinical scoring tool. Among the total 52 videos assessed, 80.8% of speakers were Medical Doctors. Regarding symptoms, only 21.2% of videos mentioned excessive tearing and 34.6% stated blurry vision. The majority (69.2%) mentioned eye drops as a treatment. Lifestyle modification and limiting screen use were addressed by only 34.6% of videos. Out of the total 20, mean clinical index score was 7.5 (±5.4). The mean understandability (total = 11) and actionability (total = 3) scores were 8.1 (±2.0) and 1.7 (±0.98), respectively. Among PEMAT-A/V individual items, only 13.5% offered content summaries, and 23.5% explained actions explicitly. The number of likes, comments and views were significantly higher for the videos with higher understandability and actionability scores. The videos performed well on understandability items; however, explicit actionable items need to be included in videos. Moreover, the public views more and likes understandable and actionable videos. To maximize benefit to the audience, we recommend healthcare professionals use the PEMAT-A/V guidelines for health education content.

Health education in Vietnamese federal schools: Content and methodology

Vietnamese feudal schools served the purpose of preparing people to manage the country. Educational content and approach were centered on state management attitudes and skills; schools (both state-owned and private - The Master) did not officially offer health education courses. However, the remaining textbooks and learning papers demonstrated that feudal schools prioritized health education, initially incorporating health education content into teaching at all levels. Health education comprised knowledge and skills for maintaining health, as well as creative encounters with Eastern medicine in illness prevention, conservation, and human health improvement. The content and methods of health education demonstrated that medieval schools sought to develop people holistically in terms of knowledge, skills, and attitudes. The knowledge and methodology of health education in ancient feudal schools not only help us understand the history of Vietnamese education, but they also provide many lessons acquired in the development of today's educational system.

Construção e validação de História em Quadrinhos para crianças com leucemia linfoide aguda

Abstract Introduction Cancer has an impact on the lives of children and their families. Comics can be a strategy to strengthen the bond and communication between professional/patient/family. Objective To develop and validate an instructional/educational material, in the format of Comics, aimed at children hospitalized with acute lymphocytic leukemia. Methodology Methodological study developed in nine stages: preparation of the research project; content definition and selection; language adaptation; inclusion of illustrations; construction of a pilot material; validation of the material; layout; final printing and availability. Validation took place with 10 specialists between March and May 2022, using the Health Education Content Validation Instrument. Results 5 Comics were created, with 6 main characters, requiring 63 hours of work. They were divided by themes (gastrointestinal disorders; hemorrhagic cystitis; problems related to self-esteem and self-image; risk of infection and bone pain) that obtained a satisfactory global Content Validity Index between 0.78 and 0.87. Conclusions and implications for practice Comics can be used as an attractive and reliable source of information about the disease, supporting information during hospitalization and preparation for discharge.

Promoting Inclusivity in Physical Education and Health With the Theory of Multiple Intelligences

By integrating Howard Gardner’s theory of multiple intelligences (MI theory) into health and wellness education, we can honor student uniqueness, promote inclusivity in the learning space, and increase the adoption of positive health behaviors. The MI theory proposes that every individual possesses unique strengths and weaknesses for learning that are characterized within eight intelligences: linguistic, logical-mathematical, spatial, musical, bodily-kinesthetic, interpersonal, intrapersonal and naturalistic. Wellness educators can center these intelligences and structure materials in a way that offers opportunities to engage more of the intelligences through student-centered practices. Doing so employs individual student strengths and fosters development in areas of weaknesses. Utilizing this theory in the planning of health and physical education content has an opportunity to increase understanding and enjoyment of lessons by establishing inclusive spaces for all students to engage in learning.