A Social Ecological Conceptual Framework for Understanding Adolescent Health Literacy in the Health Education Classroom. Wharf Higgins, J., Begoray, D., & MacDonald, M. American Journal of Community Psychology, 44(3-4):350–362, December, 2009.
A Social Ecological Conceptual Framework for Understanding Adolescent Health Literacy in the Health Education Classroom [link]Paper  doi  abstract   bibtex   
With the rising concern over chronic health conditions and their prevention and management, health literacy is emerging as an important public health issue. As with the development of other forms of literacy, the ability for students to be able to access, understand, evaluate and communicate health information is a skill best developed during their years of public schooling. Health education curricula offer one approach to develop health literacy, yet little is known about its influence on neither students nor their experiences within an educational context. In this article, we describe our experience applying a social ecological model to investigating the implementation of a health education curriculum in four high schools in British Columbia, Canada. We used the model to guide a conceptual understanding of health literacy, develop research questions, select data collection strategies, and interpret the findings. Reflections and recommendations for using the model are offered.
@article{wharf_higgins_social_2009,
	title = {A {Social} {Ecological} {Conceptual} {Framework} for {Understanding} {Adolescent} {Health} {Literacy} in the {Health} {Education} {Classroom}},
	volume = {44},
	copyright = {© 2009 Society for Community Research and Action},
	issn = {1573-2770},
	url = {http://onlinelibrary.wiley.com/doi/10.1007/s10464-009-9270-8/abstract},
	doi = {10.1007/s10464-009-9270-8},
	abstract = {With the rising concern over chronic health conditions and their prevention and management, health literacy is emerging as an important public health issue. As with the development of other forms of literacy, the ability for students to be able to access, understand, evaluate and communicate health information is a skill best developed during their years of public schooling. Health education curricula offer one approach to develop health literacy, yet little is known about its influence on neither students nor their experiences within an educational context. In this article, we describe our experience applying a social ecological model to investigating the implementation of a health education curriculum in four high schools in British Columbia, Canada. We used the model to guide a conceptual understanding of health literacy, develop research questions, select data collection strategies, and interpret the findings. Reflections and recommendations for using the model are offered.},
	language = {en},
	number = {3-4},
	urldate = {2016-02-10},
	journal = {American Journal of Community Psychology},
	author = {Wharf Higgins, Joan and Begoray, Deborah and MacDonald, Marjorie},
	month = dec,
	year = {2009},
	keywords = {Adolescent, Health education, Health literacy, Social ecological framework},
	pages = {350--362},
}

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