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Health Education and Health Promotion 71

would be required to address this subject. Psychology and behavioral sciences provide

a foundation for many aspects of education. Education in turn provides health education

with much of its founding principles. Thus the lines which separate these two supportive

fields are unclear. A clear delineation of how both of these have contributed

to health education is also an entangled thicket. Yet almost all dynamics that occur in

the health education process — that is, health instruction, community health education,

patient education, health counseling, and various aspects of health promotion — rely

on education theory and underlying educational psychology principles. Health education

historically found that concepts, like activities from the bottom of the “ cone of

learning ” and experiential learning, were much more effective than approaches used in

“ hard science ” subjects which rely on a certain amount of role learning.

BIOMEDICAL SCIENCE ’ S CONTRIBUTION

One of the first areas where preventive medicine and health education have been effective

and moderately well received is in the area of communicable disease prevention.

The marriage of disease prevention and health education was natural. The understanding

of the cause, epidemiology, and communication of disease and how the transmission

of disease can be prevented requires an understanding of the biological and

medical sciences on the health educator ’ s part. The health educator has to be able to

communicate with professionals in the medical and health care community, all of

whom rely on a biomedical educational foundation. Medical terminology and health

care administration skills and knowledge are fundamental to successful community

health education and health promotion (yet are missing from most curriculums).

Credibility in all aspects of health education, from school health instruction to health

counseling to management of community health education programs, relies on some

competency in the biomedical sciences.

MANAGEMENT ’ S AND MARKETING ’ S CONTRIBUTION

Community health education, wellness programs, and health promotion projects do

not rely on a single person to have sole knowledge of health topics and health and

medical content areas. Moreover, employers of persons expected to do health education

activities outside the health instruction setting expect the health educator to have

management and administration skills which minimally include accounting, budgeting,

human relations/management, computer science, organization/program development,

controlling, supervision, and coordinating. Having an extensive amount of

knowledge and understanding about health topics and content areas does not get management

of the program accomplished nor help show the boss, board of directors, or

administrator that the health promotion program is cost effective. This area has been

lacking in many health education programs, and today much resistance has been shown

in acceptance of the need for administration training. The management need is ignored

by the academic community in all of its tradition and pomposity, while graduating

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