Towards an understanding of fidelity within the context of school-based health education

McCuaig, Louise and Hay, Peter J. (2013) Towards an understanding of fidelity within the context of school-based health education. Critical Public Health, 24 2: 143-158. doi:10.1080/09581596.2013.840718

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Author McCuaig, Louise
Hay, Peter J.
Title Towards an understanding of fidelity within the context of school-based health education
Journal name Critical Public Health   Check publisher's open access policy
ISSN 0958-1596
Publication date 2013-10-08
Sub-type Article (original research)
DOI 10.1080/09581596.2013.840718
Open Access Status File (Author Post-print)
Volume 24
Issue 2
Start page 143
End page 158
Total pages 15
Place of publication Abingdon, Oxon, United Kingdom
Publisher Routledge
Collection year 2014
Language eng
Formatted abstract
Schools and schooling have long provided a tempting site for the delivery of public health strategies that address and promote young people’s current and future health. However, an emerging concern regarding the mobilisation of public health interventions within school settings has been the failure of school teachers to deliver such programs with fidelity. For educators, these notions of fidelity stand in stark contrast to the tenets of student-centred teaching. In seeking to explore these tensions further, this paper draws upon a collaborative health education project conducted with schools and teachers from Queensland, Australia. Findings from this project reveal the complexity associated with curriculum implementation in school settings, where diverse resources including timetable allocations and teacher expertise mitigate the achievement of program fidelity. In our efforts to explain the findings emerging from this project, we have drawn on the conceptual reference points of Basil Bernstein’s theory of the pedagogic device to reveal the predictable misalignment of the health and education sectors’ expected outcomes of school-based health initiatives. In conclusion, we argue that our exploration of issues pertaining to fidelity demonstrates the need for health and education sectors alike to conduct their work according to a clear articulation of the realistic, educative role that schools can play in promoting healthy living.
Keyword Health education
Health literacy
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online: 08 Oct 2013

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Human Movement and Nutrition Sciences Publications
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Citation counts: TR Web of Science Citation Count  Cited 4 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 3 times in Scopus Article | Citations
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Created: Mon, 11 Nov 2013, 23:39:32 EST by Dr Louise Mccuaig on behalf of School of Human Movement and Nutrition Sciences