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healthy people 2020 - Society for Public Health Education

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✯ Conference Abstracts ✯<br />

friday | november 5<br />

Outcomes of the National <strong>Health</strong> Educator Job Analysis:<br />

Implications <strong>for</strong> <strong>Health</strong>y People.<br />

Eva Doyle, PhD, MSEd, CHES, Baylor University; Linda Lysoby, MS, CHES,<br />

CAE, National Commission <strong>for</strong> <strong>Health</strong> <strong>Education</strong> Credentialing, Inc; Melissa<br />

Rehrig, MPH, CHES, National Commission <strong>for</strong> <strong>Health</strong> <strong>Education</strong><br />

Credentialing, Inc<br />

background: Since the initial role delineation of health educators in<br />

1988, the health education profession has continued to evolve. Over the<br />

course of the years in addition to the development of the responsibilities<br />

and competencies <strong>for</strong> the entry-level health education specialist, a<br />

certification process has been put in place, advanced-level responsibilities<br />

and competencies have been developed, and two competency update<br />

projects has been completed.<br />

theoretical basis: The theory-based competencies that frame the<br />

preparation, professional development, and work of health education<br />

specialists can contribute to the achievement of the <strong>Health</strong>y People 2010<br />

objectives 1-7, 23-8, and 23-9 through health professional training.<br />

Competencies are an essential component of outcomes-based education<br />

<strong>for</strong> many health-related professions and are critical in credentialing.<br />

<strong>Health</strong> education was the first population-based profession to develop<br />

competencies, which have been used in measuring quality assurance<br />

systems <strong>for</strong> more than 20 years. Yet, competencies <strong>for</strong> any profession<br />

must not be fixed, but rather re-verified in contemporary practice and<br />

updated over time.<br />

methods: To meet recommendations from the National Organization <strong>for</strong><br />

Competency Assurance (NOCA), the <strong>Health</strong> Educator Job Analysis Study<br />

(HEJA) was completed to validate the contemporary practice of entry- and<br />

advanced-level health education specialist. A systematic model of practice<br />

was utilized to develop and empirically validate the knowledge base<br />

required of health education specialists. A stratified random sample of<br />

approximately 4500 health education specialist from various professional<br />

work settings were surveyed online in the spring of 2009.<br />

interventions/partnerships: Experts from the Professional Examination<br />

Services (PES) conducted the analysis, with input from the<br />

American Association <strong>for</strong> <strong>Health</strong> <strong>Education</strong> (AAHE), National Commission<br />

<strong>for</strong> <strong>Health</strong> <strong>Education</strong> Credentialing (NCHEC), and <strong>Society</strong><br />

<strong>for</strong> <strong>Public</strong> <strong>Health</strong> <strong>Education</strong> (SOPHE). Sixty-two (62) volunteer health<br />

educators were selected by a steering committee to serve in various<br />

capacities throughout the project. The volunteers represented an array of<br />

work-settings, educational and demographic backgrounds, and varying<br />

levels of experience. Implications of research results <strong>for</strong> enhanced practice<br />

– This presentation will highlight findings and recommendations<br />

from the HEJA related to the updated competencies and sub-competencies<br />

of both the entry – and advanced-level health education specialists.<br />

Also, presenters will discuss the implications to professional preparation<br />

programs that prepare the future health profession work<strong>for</strong>ce and details<br />

of the advance-level certification, MCHES. The relevance and application<br />

of HEJA outcomes to <strong>Health</strong>y People initiatives and goal achievement<br />

will be discussed.<br />

Exam Item Writing <strong>for</strong> the <strong>Health</strong> <strong>Education</strong> Specialist:<br />

“Yes This Will be on the Test.”<br />

Jacquie Rainey, DrPH, Professor and Associate Dean, College of <strong>Health</strong> and<br />

Behavioral Sciences University of Central Arkansas; Sharon Thompson,<br />

MPH, PhD, CHES, University of Texas at El Paso; David Brown, EdD,<br />

CHES, Jackson State University; Linda Lysoby, MS, CHES, CAE,<br />

National Commission <strong>for</strong> <strong>Health</strong> <strong>Education</strong> Credentialing, Inc.<br />

Learning to write valid and reliable exam questions is a vital skill <strong>for</strong> the<br />

health education specialist practicing in any setting (academic, community,<br />

worksite, school, and medical). Test items assist the health educator<br />

to evaluate and research health-related knowledge. The National Commission<br />

<strong>for</strong> <strong>Health</strong> <strong>Education</strong> Credentialing (NCHEC) was established<br />

to administer a credentialing system, including certification of health<br />

education specialists as a mechanism <strong>for</strong> individual quality assurance.<br />

The completion of the National <strong>Health</strong> Educator Job Analysis (HEJA)<br />

has necessitated the development of a new Certified <strong>Health</strong> <strong>Education</strong><br />

Specialist (CHES) examination based on the resultant responsibilities,<br />

competencies, and sub-competencies. Directors on NCHEC’s Division<br />

Board <strong>for</strong> Certification of <strong>Health</strong> <strong>Education</strong> Specialists (DBCHES) who<br />

are currently developing exam items <strong>for</strong> the revised CHES and newly<br />

created MCHES examinations will provide an intensive test item writing<br />

session to assist participants develop these important skills. The purpose<br />

of this presentation it to increase the skills of the participants in test item<br />

development, construction, and evaluation grounded in sound learning<br />

theory. Participants will learn the guidelines used to write exam questions<br />

and what constitutes a “good” question. Specific in<strong>for</strong>mation will<br />

be provided concerning the process by which test items are validated and<br />

placed into the appropriate responsibility and competency <strong>for</strong> the CHES<br />

and MCHES. The exam blueprint containing the new rubric and percentage<br />

of each responsibility and competency will be explained. These<br />

newly acquired skills can be generalized to a variety of health education<br />

programming to enhance the rigor of research and evaluation.<br />

Parallels between the Professionalization of <strong>Health</strong> <strong>Education</strong><br />

and the Medical Profession’s Historic Quest <strong>for</strong> Licensure.<br />

Kathy DeBarr, MS, PhD, Associate Professor, Department of <strong>Public</strong> <strong>Health</strong>,<br />

University of Illinois at Springfield<br />

This presentation chronicles the history of physicians’ struggles to<br />

professionalize the field of medicine and draws parallels between this<br />

history and ef<strong>for</strong>ts put <strong>for</strong>th by health educators to gain the populace’s<br />

recognition of health education as a profession. <strong>Health</strong> education is in<br />

many ways a nascent profession, much like the practice of medicine<br />

prior to medical licensure. From the Colonial period through the 1850’s<br />

medicine in the United States was practiced by lay persons, planters,<br />

clergy persons, apprentice trained physicians, barber surgeons, apothecaries,<br />

and “regular” or university trained physicians (Starr, 1982). In<br />

other words, almost anyone could practice medicine. Similarly, today<br />

virtually anyone can proclaim himself/herself to be a health educator.<br />

This phenomenon occurs despite establishment of the Certified <strong>Health</strong><br />

<strong>Education</strong> Specialist (CHES) credential and the <strong>for</strong>thcoming 2011<br />

advanced level credential Master Certified <strong>Health</strong> <strong>Education</strong> Specialist<br />

(MCHES). Twenty years after establishing the CHES, Arkansas (Arkansas<br />

<strong>Health</strong> Educator Practice Act) and New Jersey (N.J. Dept. <strong>Health</strong> and<br />

Senior Services) require the credential to practice as a health educator.<br />

Perhaps the time has come, as it did <strong>for</strong> the medical profession, to<br />

consider licensure as a viable alternative. What better way can there be<br />

to achieve the Mile High Expectations and educational goals of <strong>Health</strong>y<br />

People <strong>2020</strong> and beyond?<br />

sophe conference ✯ november 4-6, 2010 23

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