Obesity in school children - a curriculum development - E

Obesity in school children
- a curriculum development using
Kern’s approach
By sandalwoods
STEP:1 PROBLEM IDENTIFICATION
Rising trend in obesity
among school children.
1.
2.
Overweight and Obesity Among Early Adolescent School Girls in Urban Area of West Bengal, India:
Prevalence Assessment Using Different Reference Standards. Maiti S, De D, Ali KM, Bera TK, Ghosh D, Paul
S. International Journal of Preventive Medicine. 2013;4(9):1070-1074
Study of Childhood Obesity Among School Children Aged 6 to 12 Years in Union Territory of Puducherry.
Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social
Medicine. 2011;36(1):45-50.
A RISING TREND….
Obesity in Indian children: time trends and relationship with hypertension.
M Raj et al The National medical journal of India 20(6):288-93.
GENERAL NEEDS ASSESSMENT
Current approach: Routine school health check up
with height, weight measurement without
identification of obesity or early intervention
Ideal approach: BMI measurement, early
identification of obesity , life style management
and early intervention
• General need: I-C= early identification,
intervention and health education
• Information : From literature review, school
health surveys
2. TARGETED NEEDS ASSESSMENT
• Need to include awareness and knowledge of
obesity prevention and management in
Undergraduate medical students’ curriculum
• Learners: undergraduate medical students
3. GOAL
To reduce the
prevalence of obesity
among school children in
India
COMPETENCE
At the end of MBBS course the student should
have achieved proficiency in identifying causes
of obesity and bringing effective change in
behaviour of school children with regard to
dietary habits and physical activity.
SPECIFIC LEARNING OBJECTIVES
• COGNITIVE - At the end of the course the medical
students should know the causes and
complications of obesity.
• PSYCHOMOTOR –To compute BMI
–To compute Waist-Hip ratio
–To measure skin fold thickness
• AFFECTIVE - At the end of course, the U.G.
student should be motivated to influence the
school children to increase physical activity and to
make healthy dietary choices
4.EDUCATIONAL STRATEGIES
• Content: Knowledge about obesity, proficiency in
measuring obesity indices and counselling about
physical activity and diet modification
• Content experts: Faculty in physiology, biochemistry,
pathology, community medicine and general medicine
• Time table:
I YEAR- Physiology and biochemistry- 6hrs
II YEAR- Pathology- 3hrs
III YEAR- Community medicine- 6hrs
IV YEAR- General medicine- 3hrs
T/L METHODS and ASSESSMENT
DOMAIN
T/L METHODS
ASSESSMNET TOOLS
Cognitive
lectures/tutorials/
handouts
Written test, viva
Psychomotor
practical
demonstration
classes
OSPE
Affective
role plays, video
shows
Questionnaire
5.IMPLEMENTATION
A. RESOURCES:
Faculty&Students: Of concerned departments and staff
Time:
15 hours
Facilities : lecture halls, venue for practicals and tutorials
Library with internet facility,
Vehicle for transport of medical students to schools
Equipments: weighing scales, stadiometer, measuring tape,
Harpenden caliper
5.IMPLEMENTATION
B. SUPPORT:
From Dean, colleagues, staffs, school educational
department, parents and teachers
C. FUNDING
school visits and equipments
D. BARRIERS
Permission from administration, DD-health,
educational officers & parents
Cooperation from school children and colleagues
PILOT PROJECT
• School visit by III Yr medical students during
their community medicine postings –
Assessment of obesity, health education and
motivation to school children and teachers
6.EVALUATION AND FEEDBACK
SHORT TERM-- REACTION
EVALUATION
QUESTION
INDICATOR
Have the
medical
students
understood
the impact of
obesity among
school children
At least 80%
of students
should
indicate that
they have
understood
by a 5point
Likert scale
DATA
SOURCE
DATA
COLLECTIO
N METHOD
Undergradu Feedback
ate medical questionnai
students
re
EVALUATION AND FEEDBACK
SHORT TERM-- LEARNING
EVALUATION
INDICATOR
DATA SOURCE
•
SHORT
TERM–
REACTION
QUESTION
Have the
students learnt
about the causes,
measurements
and
complications of
obesity in school
children
95% students
should get
pass marks
(50%)
Undergraduate
medical
students
DATA
COLLECTION
METHOD
Written
examsessays, short
answers
EVALUATION AND FEEDBACK
INTERMEDIATE TERM--TRANSFER
EVALUATION
INDICATOR
DATA
•
SHORT
TERM–
REACTION
QUESTION
SOURCE
Are the students
able to motivate
the school
children for
increasing the
physical activity
and change to
healthy dietary
habits
At least 80% of School
obese children children
get motivated using Likert
5point scale
DATA
COLLECTION
METHOD
questionnaire
EVALUATION AND FEEDBACK
LONGTERM--RESULT
EVALUATIO INDICATOR
DATA
N
SOURCE
QUESTION
Have we
been able to
reduce the
prevalence
of obesity
among
school
children
School
At least
children
80%
reduction
in
prevalence
of obesity
compared
to previous
years
DATA
COLLECTI
ON
METHOD
School
surveyobesity
indices
PROCESS EVALUATION
• Have we successfully implemented the curriculum
regarding knowledge and skills related to obesity
in U.G. Medical students
• Have the medical students been motivated to
induce changes regarding obesity in school
children
• Have we induced awareness, motivation and
behavioural changes among school children
regarding obesity
V Vasuki
S Vasuki
S Rajaram
T Padmavathi
N Neelambikai
George Koshy
THANK YOU