Hybridizing the health education component of healthcare

WCU Author/Contributor (non-WCU co-authors, if there are any, appear on document)
John A. Carzoli (Creator)
Institution
Western Carolina University (WCU )
Web Site: http://library.wcu.edu/
Advisor
Jessica Weiler

Abstract: This disquisition employed a “dissertation in practice” (Carnegie Project on the Education Doctorate, 2021) model, wherein scholar-practitioners in EdD programs lead an organizational improvement initiative that seeks to address an equity-oriented problem of practice. For this disquisition, two interrelated problems were addressed. Problem one (framed as an institutional problem) is related to the suboptimal value offered by the healthcare system in the United States (U.S.). Problem two, (framed as a human problem), explores the lack of access provided to migrant and seasonal agricultural workers (MSAW) to preventative musculoskeletal (MSK) health education. This disquisition suggests that the value of healthcare, defined simply by Porter and Teisberg (2006) as health outcomes per dollar spent, and access to valuable health education could be improved in the U.S. and beyond by systemizing the delivery of health education in a hybridized manner that combines traditional face-to-face (FtF) delivery with digital and electronic mediums. The improvement initiative included the use of a learning management system (LMS) to disseminate the health education/courses intended for MSAW and other stakeholders involved in agricultural health. To explore the effectiveness of the LMS toward increased healthcare access and value, formative and summative data were collected through post course surveys, pretest/posttest assessment of learning, course utilization analytics built into the LMS, and semi-structured interviews with key stakeholders in agricultural health. Implications of the initiative in the global context include the potential to improve the value of healthcare through more effective health education and better health outcomes at lower costs. Implications in the context of MSAW MSK health include the potential to improve (a) knowledge and confidence related to prevention and self-care of musculoskeletal health conditions common in agriculture, (b) access to, awareness of, and utilization of evidence-informed health education that emphasizes prevention and self-care related to musculoskeletal health issues associated with agricultural work, and (c) the value of health education estimated by learning outcomes and learner perceptions.

Additional Information

Publication
Dissertation
Language: English
Date: 2021
Keywords
health education, healthcare, hybrid learning
Subjects
Health education
Medicine, Preventive
Migrant labor
Blended learning
Medical care

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