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84 Philosophical Foundations of Health Education

philosophical inquiry. Average time for completion of the inventory was twenty

minutes.

Participants in the study represented a nationwide selection of health education

practitioners and academicians. Table 10.2 depicts frequencies and percentages for

demographic variables requested in the HEPI, overall and by group. Statistics revealed

that the study was well - balanced and representative of the field. The majority of the

participants were female ( n 55, 56.7 percent) and Caucasian ( n 87, 90.6 percent).

All participants had a minimum of a bachelor ’ s degree, with 45 percent with a master

’ s degree and 54 percent with a doctorate. Primary health education setting included

university/college ( n 56, 57.7 percent), followed by community ( n 28, 28.9 percent).

The number of practitioners ( n 34, 64.2 percent) who were CUES was higher

than the number of academicians ( n 21, 45.7 percent) who were CHES, though the

combined rate averaged 57.3 percent. The mean age of participants was 47.5 years

old, ranging from 21 to 72 years. Mean years of work experience in the health education

profession was reported as 17.9. Data indicated that participants in the study were

well - educated, experienced professionals.

Content analysis procedure divided participants ’ responses to the educational situations

in the vignettes as supportive, eclectic, or alternative of the health education

philosophy, as determined by markings on the continuum. In the HEPI, each philosophy

was addressed twice within the series of vignettes. Thus, from a sample size of 99,

support for each philosophy could reach as high as 198 if all respondents responded to

all vignettes. Philosophical preference in educational settings, as depicted by the series

of vignettes, was behavior change ( n 74, 39.78 percent), followed by freeing/functioning

( n 69, 35.75 percent) (see Table 10.3 ). Variations in philosophical preferences

among health education practitioners and academicians were reported by means

and standard deviations. ANOVAs (see Table 10.4 ) determined significant difference

in freeing/functioning philosophy ( p < .05). Academicians were more likely to make

educational decisions based on the principles consistent with this philosophy.

Significant differences were also discovered in behavior change and social change

( p < .10). Practitioners preferred social change , while academicians demonstrated

stronger agreement with behavior change .

Means were utilized to determine group ranking of philosophical beliefs as stated

in the rank order exercise (see Table 10. 5). Preferred philosophies of health educators

in this exercise were decision - making followed by behavior change . Spearman - rho

correlation coefficient and independent t - tests discovered no significant differences in

rank order of philosophical beliefs among health educators who were practitioners or

academicians.

FINDINGS AND DISCUSSIONS

Two potentially opposing philosophies, behavior change and freeing/functioning , vie

for position of single, dominant preferred health education philosophy as determined

by choices in educational settings. Significant differences ( f 7.93, p < .05) in

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