Undergraduate Public Research Articles

Pedagogical Principles in Implementing a Data Visualization Project in an Undergraduate Public Health Informatics Course.

The Applied Public Health Informatics Competency Model lists "data analysis, visualization, and reporting" as one of the eight competencies when teaching public health informatics. Thus, public health informatics students need to develop knowledge and skills in visualizing public health data. Unfortunately, there is limited work that discusses pedagogical principles that could guide the implementation of pedagogical activities related to data visualization in public health informatics. This study aimed to introduce, discuss, and reflect on pedagogical principles that were implemented for a data visualization project in an undergraduate public health informatics course. A reflective teaching approach was used to guide the discussion and reflection on how pedagogical principles were implemented for a data visualization project in an undergraduate public health informatics course. The generic implementation framework (i.e., preimplementation, implementation, and postimplementation) was used to organize the discussion of the course's implementation. Four pedagogical principles were implemented as part of a data visualization project in an undergraduate public health informatics course: scaffolding (i.e., outputs built on top of each other), constructivism (i.e., students apply knowledge and work in teams to create a dashboard), critical consciousness (i.e., embedding social determinants of health (SDOH) in their dashboard), and equity and inclusion (i.e., using a free data visualization software that is easy to use for beginners and is used by public health institutions). Postimplementation reflection revealed areas of improvement, such as enhancing group advising, adding more SDOH variables in the dashboard, and plans for scalability. A data visualization project in an undergraduate public health informatics course could benefit from implementing multiple pedagogical principles. Overall, creating dashboards can be a learning tool to enhance data visualization skills among undergraduate public health informatics students. Dashboards can also emphasize the impact of health disparities and inequities in public health by incorporating the principles of SDOH.

Examining Dropout Among Graduate and Undergraduate Public Affairs and Political Science Students

Within the domain of public affairs and political science (PAPS), student dropout emerges as a critical concern. This study delves into the factors influencing the decisions of undergraduate and graduate PAPS students to discontinue their programs. Employing a comprehensive mixed-methods approach, we surveyed 384 at-risk undergraduates and conducted in-depth interviews with 18 former graduate students. Thematic analysis of these interviews revealed six pivotal factors influencing graduate student dropout: the financial burden of study (including tuition and limited financial aid), program curricular challenges (such as demanding thesis requirements and inadequate practical components), the delicate balance of multiple responsibilities (work, study, and family), health-related issues (including anxiety and stress), poor academic performance, and personal difficulties (such as lack of family support). At the undergraduate level, descriptive analyses indicated that 38% of PAPS students contemplated dropping out, with 30% considering changing their major. Exploratory Factor Analysis and Multiple Regression highlighted the significance of factors such as family and societal influences, economic considerations, program and curriculum structure, institutional dynamics, academic performance, personal attitudes, and student health in shaping these contemplations. This research not only expands the application of integration and engagement theory and the pull, push, and failing out theory but also validates their effectiveness in predicting dropout within PAPS programs. The study offers valuable insights for both researchers and policymakers, underscoring the imperative for more supportive, flexible, and financially viable educational structures to enhance student retention in the realm of public affairs and political science.

Challenges Concerning the Research Preparation of Undergraduate Public Administration and Management Students

Challenges Concerning the Research Preparation of Undergraduate Public Administration and Management Students

Professional Identity Formation Strategies in Undergraduate Public Health Programs

A strong professional identity (PI), seeing oneself as a member of a professional community of practice, is important for student academic and motivational outcomes during transition from college to the work setting. Many educational strategies have been successfully used in medical and other health professions education to support student PI formation. The purpose of this study was to determine the scope and sequence of pedagogical and extra-curricular strategies used by undergraduate public health programs to support student PI formation. An online survey was created and distributed to public health program chairs/directors from all CEPH-accredited undergraduate United States public health programs. Results generally confirmed that the PI formation strategies of curricular training, work-integrated learning, and role-modeling were being implemented in respondents’ accredited undergraduate programs. However, some areas for improvement in offerings and their sequencing were identified. It is recommended that all PI formation strategies be introduced early in the program and constantly emphasized and reinforced so students continually view themselves as part of a professional community of practice. Analysis of the types and timing of PI formation strategies can provide insight on focus areas for improvements that may impact public health student academic achievement, satisfaction, and retention in the program.

Exploring Learning Outcomes of Wikipedia-Based Assignments in an International Setting: A Case From an Undergraduate Public Administration Course in Taiwan

Wikipedia-based assignments have been adopted successfully in classrooms to improve learning outcomes. However, although this teaching method has been adopted regularly in Western higher education settings, more is needed in an international learning environment. Therefore, this research investigates how employing technology-mediated student-generated Wikipedia content can enhance learning outcomes in an international setting. This study adopted Wikipedia’s online user-generated content platform to create student-generated content in introductory Public Administration classes. We conducted quantitative and qualitative analyses to assess whether a Wikipedia writing assignment increased learning outcomes. Through pre-and post-surveys, students reported increased awareness of their English writing ability, knowledge of Wikipedia content writing, and knowledge of Wikipedia content writing. The study recommends adopting Wikipedia for introductory courses, especially relevant for courses taught in an international environment where English is the language of tuition. Nonetheless, instructors should act as active facilitators in group work, aid students in finding and shaping project topics, and narrow the project scope to ensure that it remains educational within the taught context. Furthermore, it is recommended to have a reasonable project length, design cross-group interactions, and include peer review and technical support in designing the project.

Practices and Challenges of Artificial Intelligence-Assisted Teaching in Vocational Undergraduate Public English Classrooms

Abstract This paper first introduces the architecture of the natural language processing system and then analyzes how natural language processing decomposes the probability distribution function by multi-factor form and Bayesian formula to improve the efficiency of function description. Then, NLM is applied to enhance the statistical coefficients of the N-gram model, which solves the problems of data sparsity and dimensionality disaster. By using natural language understanding in English teaching practice and experimenting with the teaching effect, it was found that the overall English achievement of the experimental group increased by 5.4 points, the average Z-score reached more than 3 points, and 96.6% of the students were interested in the teaching method. The new teaching method is demonstrated to have a significant impact on the improvement of English scores.

Sleep Quality among Undergraduate Public Medical and University Students: A Comparative Study

Background: Sleeping is the body's natural means of recharging, which aids in repair, healing, and learning from all interactions and activities during the day. To maintain their focus, concentration, and academic performance, students need to get enough sleep at night. Objective: To determine and compare the sleep quality of 278 undergraduate medical and university students. Materials and Methods: This online-based cross-sectional study was conducted by using a pre-tested semi-structured questionnaire with Pittsburgh Sleep Quality Index (PSQI) scale. Results: The mean age of medical students were 22.6±1.5 years and university students were 22.0±1.2 years. The mean study hours in a day, spending time on digital media and BMI were almost similar in both settings students. The mean PSQI scores were 7.2±3.3 in medical students and 6.4±3.3 in university students respectively. Majorities of the students (71.2% and 58.3%) had poor sleep quality, but subjective sleep quality was good in both settings of students (60.4% and 51.8%). Educational backgrounds were significantly associated with level of sleep quality, level of subjective sleep quality and mean of PSQI scores (p<0.05). Conclusion: This study demonstrates that sleep quality is poor among public medical college students compared to university students.
 KYAMC Journal Vol. 13, No. 04, January 2023: 223-228

Trends in Degree Conferrals, Degree-Associated Debt, and Employment Outcomes Among Undergraduate Public Health Degree Graduates, 2001‒2020

Objectives. To characterize the trends in degree conferrals, degree-associated debt, and employment outcomes among undergraduate public health degree (UGPHD) graduates. Methods. We reported administrative data on degree conferrals from 2001 to 2020 from the National Center for Education Statistics (NCES). For alumni graduating from 2015 to 2019, we also reported degree-associated debt and earnings 1 year after graduation compiled by NCES. Finally, we utilized a data set on 1-year postgraduation employment outcomes for graduates from 2015 to 2020 from the Association of Schools and Programs of Public Health. Results. As of 2020, more than 18 000 UGPHDs were awarded each year, more than 140 000 in total over the past 20 years. UGPHD graduates are highly diverse, with more than 80% being women and 55% being individuals from communities of color. We find alumni worked mostly in for-profit organizations (34%), health care (28%), nonprofits (11%), academic organizations (10%), government (10%), and other (6%). Degree-associated debt was $24 000, and the median first-year earnings were $34 000. Conclusions. While growth in UGPHD conferrals has slowed, it remains among the fastest-growing degree in the nation. However, the limited pathways into government remains a significant challenge. (Am J Public Health. 2023;113(1):115-123. https://doi.org/10.2105/AJPH.2022.307113).

Biology in Public Health: Course-Based Experiential Learning Strategies to Promote Active Experimentation Among Undergraduate Public Health Students

Experiential learning is a critical aspect of undergraduate public health education. However, there is limited literature on the implementation of experiential learning in undergraduate public health programs. The course “Biology in Public Health” was developed to better link population-level public health concepts with the biological sciences through multiple experiential learning opportunities. The course provides students opportunities to apply concepts of population health and biological sciences to their own lives and the lives of others. The course includes several experiential learning components and over its tenure has been adapted to increase the emphasis on experiential learning. Three core experiential components that have been the basis for the class since its inception are: (1) weekly mindfulness and meditation practice, (2) guest presentations by individuals living with the week’s health condition, and (3) participation in an optional 10-day whole-food plant-based diet intervention. Data from course evaluations and surveys of diet intervention participants show impacts on students’ health behaviors and attitudes. Thirty-eight percent of students self-reported utilizing meditation outside of class to manage stress at the end of the semester, and all participants in the diet intervention stated that they would decrease their animal protein and dairy intake at the end of the intervention. This article provides an overview of the course structure and details the experiential learning strategies utilized to promote students’ active experimentation with health behaviors, improve student comprehension of the impact of stress and diet on health outcomes, and foster the utilization of this knowledge in their future public health careers.

MASCUP! Mask Surveillance & Adherence Project @ Stockton University

Stockton University was one of over 50 Colleges and Universities across the nation to participate in a study sponsored by the Centers for Disease Control to gauge compliance with mask wearing during the Spring 2021 semester. Five undergraduate Public Health students supervised by a Public Health Faculty member, observed mask wearing behaviors of individuals on campus over an 8-week period of time. Observations ranged from 40-90 minutes at various times of day and at 15 different locations on campus. During that time there were a total of 2,548 observations, of which 2,357 people were wearing masks. Of that group, 92.5%, were wearing the mask correctly. Other variables that were observed and recorded were type of mask and how masks were worn incorrectly along with possible explanations for this mistake. Results indicate the most common type of mask was cloth, with more than half (54%), while the most common mistake was not covering the nose. Although observers were unable to determine the exact reason, the following were observed for those not wearing masks from most to least: eating / drinking, then, outdoors / not within 6 ft of anyone, and finally exercise / playing a sport. Lastly, Stockton’s results are compared to all institutions that participated in the study.

The Impacts of the COVID-19 Pandemic on Service-Learning Experiences Among Undergraduate Public Health Students in Hawai'i.

Service-learning is a high-impact educational practice at the core of the undergraduate public health degree at the University of Hawai‘i at Mānoa (UHM). This practice provides an invaluable learning experience and professional opportunity for students to collaborate with community partners and make significant contributions in the field. The COVID-19 pandemic halted or disrupted service-learning experiences as community partners adapted to shifting mandates and emergency orders. Surveying the rapidly evolving landscape of partner organizations to support service-learning is a challenge. Assessing changes to the program mentorship or satisfaction is the first step to developing protocols to ensure standardization of service-learning during times of crisis. This study will address if and how the pandemic impacted students' satisfaction with required service-learning experiences. Furthermore, authors hope to create a comprehensive list of practicum partnering organizations, both focused on pandemic response and, more generally, of the service-learning students at UHM, with the intent to increase students and community partners in local service-learning. Assessments were conducted to assess the impact of COVID-19 on undergraduate students' experiences with service-learning through use of a program exit survey. The authors hypothesized pandemic-related adjustments would not affect student satisfaction or skill development. Despite challenges associated with the pandemic and emergency online transitions, students persisted in personal and professional growth associated with service-learning. This developed resilience supports students as they graduate and enter a workforce adapting to remote work demands and community needs.

The Effectiveness of Mental Health Literacy Curriculum among Undergraduate Public Health Students.

Mental health literacy (MHL) plays an important role in public health. Improving MHL can promote mental health at the individual and public levels. To date, no published studies have assessed the effectiveness of MHL curriculum interventions among undergraduate public health students. The participants in this study were undergraduate public health students (n = 48) who were enrolled in an 18-week MHL curriculum for 100 min per week. MHL was assessed using the Mental Health Literacy Scale for Healthcare Students. A paired sample t-test was performed to examine the immediate and delayed effects of the MHL curriculum. The total MHL score significantly improved, and a moderate effect size was found directly after the intervention and six weeks later. There were significant differences in the recognition of mental illness (p < 0.01), help-seeking efficacy (p < 0.05), and help-seeking attitude (p < 0.05) in the five components of MHL between pre- and post-test. Furthermore, significant improvements were obtained for the maintenance of positive mental health (p < 0.05) and reduction of mental illness stigma (p < 0.001) between the pre-test and follow-up. Our findings provide evidence for the development and implementation of an MHL curriculum for public health education.

Creating an Integrated Undergraduate Public Health Curricula: Inspiring the Next Generation to Solve Complex Public Health Issues.

This article takes a novel approach of highlighting the creation and development of an integrated undergraduate public health curricula geared to students in the health sciences. In our practice, undergraduate and public health pedagogy supports innovative and proven approaches of experiential learning in our classrooms. We show how public health faculty take a team approach to teaching which has allowed them to collaborate in and outside of the classroom resulting in inherent knowledge of course materials, student engagement, and outcomes. This evolved to an overall curricula design that involves scaffolded research skills and/or projects within and between the public health courses. In addition, we highlight examples of upperclassmen utilizing these curriculum schemas outside the classroom to engage in faculty research beyond the public health discipline. This narrative describes lessons learned when teaching undergraduate students across public health curricula, how we integrated research skills within each course using pedagogical practices, and why this approach supports student engaged research within directed study and paid undergraduate research opportunities.

Preparing Students for the Public Health Workforce: The Role of Effective High-Impact Educational Practices in Undergraduate Public Health Program Curricula.

There are several institutions of higher learning in the United States that award degrees in public health to undergraduate students. While these institutions serve as potential pipelines for the public health workforce, it is unclear if the curricula and training students receive from these institutions, really prepare them for the public health workforce or higher education. The questions sometimes asked are whether the programs offered by these institutions exist to provide students with a good understanding of public health issues so they can become good citizens for building a responsible society, or if it is to prepare students for graduate school. Regardless of what the goals are, students in undergraduate public health programs need to be exposed to curricula that adequately prepare them to enter well-defined careers in public health. Thus, institutions of higher learning offering degrees in public health to undergraduate students need to understand the market, assess, and understand the needs of public health agencies, and tailor course curricula to match those needs. Georgia State University established its undergraduate public health program in 2016. Since then, over 200 students have graduated from the program. The purpose of the study was to assess student perception of the role of high impact educational practices such as study abroad, signature experience, and undergraduate research curricula in preparing them for careers in public health.

Baby Steps Program: Telehealth Nursing Simulation for Undergraduate Public Health Nursing Students

BackgroundTelehealth has become a staple form of healthcare delivery, yet training is lacking in nursing curricula. The purpose of this study is to assess undergraduate nursing students’ learning outcomes and experience with a novel telehealth simulation. MethodA descriptive, mixed-methods design was used with 59 undergraduate nursing students. ResultsBased on the quantitative data, all of the students indicated that the simulation experience improved their knowledge about telehealth. Major categories emerging from the qualitative analysis were (a) importance of assessing home environment, (b) importance of therapeutic communication, (c) benefits of telehealth visits, (d) awareness of the challenges associated with telehealth encounters, (e) role of the telehealth nurse, and (f) importance of detailed assessment by asking questions. ConclusionThe telehealth simulation contributed to nursing students’ clinical growth and should be integrated into nursing curricula.

Analysis Bachelor of Public Health Needs and Policy Constraints Aspects in the Health Department Konawe District

Introduction: The initial survey conducted at the Konawe District Health Office shows that the distribution of Public Health Bachelors has not been evenly distributed until now, where there are still health centers in Konawe District which lack public health personnel. In addition, the management of the duties of the Bachelor of Public Health at the Health center is sometimes not in accordance with the main task. So that researchers intend to conduct research on "Analysis of the Needs of Undergraduate Public Health Workers and Constraints on Policy Aspects at the Konawe District Health Office"&#x0D; Methods: This study uses two types of research, namely descriptive quantitative and qualitative to analyze the constraints in the distribution bachelor of public health personnel. The sample was sourced from 137 bachelor of public health personnel from the Head of Public Health Center while the Head of Administration and Ordinary Informants were informants in this study spread from 29 Public health center.&#x0D; Result: The need for public health workers in accordance with the Minister of Health Regulation No. 75 of 2014 at least 2 people per Health center and aspects of policies that have not been running optimally are obstacles in the distribution bachelor of public health personnel.&#x0D; Conclusion: Local governments should carry out data-based Health Human Resources (HR) planning so that planning documents are able to accurately project the calculation of needs in accordance with the current health situation.

Adaptation of an In-Person Internship to a Virtual Format for Public Health Undergraduates

The disruption of traditional, in-person learning due to the COVID-19 pandemic necessitated the rapid development and use of revised and novel learning opportunities using a variety of remote instructional methodologies. This viewpoint describes the process used by an undergraduate Public Health program to transition a traditional, in-person, semester-long, 480-hour internship to a virtual-only learning experience guided by the existing student learning outcomes. Working closely with public health professionals at existing internship agencies, alumni from the program, student interns, and program faculty developed a modified virtual internship composed of 6 components. The development of this modified virtual internship model was guided by previous research on the components of successful internships and the elements of high-impact learning practices.

Attitudes of Undergraduate Public Health and Health Science Students towards Interprofessional Education (IPE) at a California University

Introduction: The study revealed that many healthcare professional students begin their academic studies with positive and high expectations towards interprofessional collaborative studies. Unfortunately, students lose interest if their initial expectations are not met with consistent opportunities to enhance their communication skills and better understand the different healthcare professions. The study aimed to explore health science and public health students’ attitudes toward IPE. The participants’ backgrounds and demographics were used as the variations for the study. Methods: A pre-post semi-quantitative anonymous survey was designed to assess health science and public health undergraduate students’ attitudes toward IPE. The reason for this design was to capture the participants’ attitudes toward IPE at the start of a semester when they had no academic exposure to IPE. Qualtrics was used to collect the research data. A valid and reliable scale was used to measure attitudes toward IPE. A post-survey was included to measure the participants’ change in attitude toward IPE during the semester. The goal was to measure the IPE curriculum effectiveness. There were 21 survey questions. The questions were divided into four validated subscales. The first seven questions (Questions 1 - 7) pertained to the participants’ demographics s, such as gender, age, race, ethnicity, major field of study, and prior education. Questions 8, 9, 16, & 20 were designed to determine how the participants perceived their roles and responsibilities in their future healthcare careers. Each IPE attitude question’s central tendency and demographic variations were measured. The correlation between demographics and IPE attitudes was measured. Results: The pre-survey had 192 participants, and the post-survey had 97 participants. The pre-survey had 87% of participants in the age group 17 - 25 years, while the post-survey had 82.5% in the same age group. Only 5.7% of the participants were 36 years or older in the pre-survey and 9.3% in the post-survey. The participants were 80.70% female in the pre-survey and 85.6% in the post-survey. The largest healthcare career field concentration was nursing, with 42.7% and 45.4% in the pre- and post-surveys. The other three larger career fields were healthcare administration, community health education, and physician assistant. The participants’ attitudes toward learning with different healthcare career students and becoming more effective members of a healthcare team increased from 4.36 (SD = 0.13) to 4.40 (SD = 0.17). Two negative IPE attitude questions showed an increased value: 1) The function of nursing therapists is mainly to provide support for doctors (3.51, SD = 0.19 to 3.12, SD = 0.24, p-value ≤ 0.004) and 2) Clinical and healthcare problem-solving skills could only be learned with students from the same career field (3.73, SD = 0.13 to 3.31, SD = 0.24, p-value ≤ 0.001). Conclusion: Interprofessional Education in an academic setting is essential to help healthcare students prepare and succeed in their future healthcare careers. The study results show that health science and public health students understand IPE and value academic exposure to the IPE process during their studies. Academic healthcare programs should continue integrating the IPE learning model and content throughout the student’s academic journey. The variations in IPE attitude do not significantly vary based on demographics and healthcare career fields. This study only represents a sample size of the many healthcare careers. Interprofessional communication and collaboration are essential to the future healthcare delivery challenges we face. For this reason, IPE should be integrated into healthcare education for all health science and public health students. It is recommended that more research should be done on creative curriculum design to get students more engaged in various healthcare IPE learning activities.

Tobacco Use and Its Associated Factors among Undergraduate Public Health Students in Kathmandu Valley, Nepal.

Background Despite the crucial role of public health students in tobacco control, there is a paucity of information regarding tobacco use among this population in Nepal. This study aims to assess the prevalence of tobacco use among undergraduate public health students in Kathmandu valley, Nepal. Methods A web-based survey was conducted among 386 undergraduate public health students in Kathmandu valley, Nepal, using the Global Health Professions Student Survey (GHPSS) questionnaire. Associated factors were examined using multivariate logistic regression analyses at the level of significance of 0.05. Results A total of 16.8% of students were current cigarette smokers, 39.9% had ever smoked cigarettes, and 62.2% had smoked their first cigarettes during adolescence. Among the participants, 11.7% currently used other tobacco products. Male students (aOR: 15.4; 95% CI: 4.9–47.8), students with higher age (aOR: 2.4; 95% CI: 1.0–5.4), students belonging to non-Brahmin/Chhetri ethnic group (aOR: 2.3; 95% CI: 1.2–4.4), and those staying without family (aOR: 2.0; 95% CI: 1.1–5.0) had higher odds of being current smoker. Similarly, students with a parental history of tobacco use (aOR: 2.4; 95% CI: 1.3–5.0) and friends with smoking habits (aOR: 7.9; 95% CI: 2.3–27.0) were more likely to be a current smoker. Conclusion There is a notable prevalence of tobacco use among public health students in Kathmandu valley, Nepal. Concerned stakeholders should work jointly to implement a cessation program to discourage tobacco use among these populations who have a potential role in educating communities about the hazards of tobacco smoking, tobacco use prevention, and control.

Pedagogy of the CDC Undergraduate Public Health Scholars (CUPS) Program: Cultivating Workforce Diversity to Address Health Disparities and Achieve Health Equity

Pedagogy of the CDC Undergraduate Public Health Scholars (CUPS) Program: Cultivating Workforce Diversity to Address Health Disparities and Achieve Health Equity