Teaching critical thinking about health using digital technology in lower secondary schools in Rwanda: A qualitative context analysis
Adolescents encounter misleading claims about health interventions that can affect their health. Young people need to develop critical thinking skills to enable them to verify health claims and make informed choices. Schools could teach these important life skills, but educators need access to suita...
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Published in | PloS one Vol. 16; no. 3; p. e0248773 |
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Main Authors | , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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United States
Public Library of Science
22.03.2021
PLOS Public Library of Science (PLoS) |
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Abstract | Adolescents encounter misleading claims about health interventions that can affect their health. Young people need to develop critical thinking skills to enable them to verify health claims and make informed choices. Schools could teach these important life skills, but educators need access to suitable learning resources that are aligned with their curriculum. The overall objective of this context analysis was to explore conditions for teaching critical thinking about health interventions using digital technology to lower secondary school students in Rwanda.
We undertook a qualitative descriptive study using four methods: document review, key informant interviews, focus group discussions, and observations. We reviewed 29 documents related to the national curriculum and ICT conditions in secondary schools. We conducted 8 interviews and 5 focus group discussions with students, teachers, and policy makers. We observed ICT conditions and use in five schools. We analysed the data using a framework analysis approach.
Two major themes found. The first was demand for teaching critical thinking about health. The current curriculum explicitly aims to develop critical thinking competences in students. Critical thinking and health topics are taught across subjects. But understanding and teaching of critical thinking varies among teachers, and critical thinking about health is not being taught. The second theme was the current and expected ICT conditions. Most public schools have computers, projectors, and internet connectivity. However, use of ICT in teaching is limited, due in part to low computer to student ratios.
There is a need for learning resources to develop critical thinking skills generally and critical thinking about health specifically. Such skills could be taught within the existing curriculum using available ICT technologies. Digital resources for teaching critical thinking about health should be designed so that they can be used flexibly across subjects and easily by teachers and students. |
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AbstractList | Introduction Adolescents encounter misleading claims about health interventions that can affect their health. Young people need to develop critical thinking skills to enable them to verify health claims and make informed choices. Schools could teach these important life skills, but educators need access to suitable learning resources that are aligned with their curriculum. The overall objective of this context analysis was to explore conditions for teaching critical thinking about health interventions using digital technology to lower secondary school students in Rwanda. Methods We undertook a qualitative descriptive study using four methods: document review, key informant interviews, focus group discussions, and observations. We reviewed 29 documents related to the national curriculum and ICT conditions in secondary schools. We conducted 8 interviews and 5 focus group discussions with students, teachers, and policy makers. We observed ICT conditions and use in five schools. We analysed the data using a framework analysis approach. Results Two major themes found. The first was demand for teaching critical thinking about health. The current curriculum explicitly aims to develop critical thinking competences in students. Critical thinking and health topics are taught across subjects. But understanding and teaching of critical thinking varies among teachers, and critical thinking about health is not being taught. The second theme was the current and expected ICT conditions. Most public schools have computers, projectors, and internet connectivity. However, use of ICT in teaching is limited, due in part to low computer to student ratios. Conclusions There is a need for learning resources to develop critical thinking skills generally and critical thinking about health specifically. Such skills could be taught within the existing curriculum using available ICT technologies. Digital resources for teaching critical thinking about health should be designed so that they can be used flexibly across subjects and easily by teachers and students. Introduction Adolescents encounter misleading claims about health interventions that can affect their health. Young people need to develop critical thinking skills to enable them to verify health claims and make informed choices. Schools could teach these important life skills, but educators need access to suitable learning resources that are aligned with their curriculum. The overall objective of this context analysis was to explore conditions for teaching critical thinking about health interventions using digital technology to lower secondary school students in Rwanda. Methods We undertook a qualitative descriptive study using four methods: document review, key informant interviews, focus group discussions, and observations. We reviewed 29 documents related to the national curriculum and ICT conditions in secondary schools. We conducted 8 interviews and 5 focus group discussions with students, teachers, and policy makers. We observed ICT conditions and use in five schools. We analysed the data using a framework analysis approach. Results Two major themes found. The first was demand for teaching critical thinking about health. The current curriculum explicitly aims to develop critical thinking competences in students. Critical thinking and health topics are taught across subjects. But understanding and teaching of critical thinking varies among teachers, and critical thinking about health is not being taught. The second theme was the current and expected ICT conditions. Most public schools have computers, projectors, and internet connectivity. However, use of ICT in teaching is limited, due in part to low computer to student ratios. Conclusions There is a need for learning resources to develop critical thinking skills generally and critical thinking about health specifically. Such skills could be taught within the existing curriculum using available ICT technologies. Digital resources for teaching critical thinking about health should be designed so that they can be used flexibly across subjects and easily by teachers and students. Adolescents encounter misleading claims about health interventions that can affect their health. Young people need to develop critical thinking skills to enable them to verify health claims and make informed choices. Schools could teach these important life skills, but educators need access to suitable learning resources that are aligned with their curriculum. The overall objective of this context analysis was to explore conditions for teaching critical thinking about health interventions using digital technology to lower secondary school students in Rwanda. We undertook a qualitative descriptive study using four methods: document review, key informant interviews, focus group discussions, and observations. We reviewed 29 documents related to the national curriculum and ICT conditions in secondary schools. We conducted 8 interviews and 5 focus group discussions with students, teachers, and policy makers. We observed ICT conditions and use in five schools. We analysed the data using a framework analysis approach. Two major themes found. The first was demand for teaching critical thinking about health. The current curriculum explicitly aims to develop critical thinking competences in students. Critical thinking and health topics are taught across subjects. But understanding and teaching of critical thinking varies among teachers, and critical thinking about health is not being taught. The second theme was the current and expected ICT conditions. Most public schools have computers, projectors, and internet connectivity. However, use of ICT in teaching is limited, due in part to low computer to student ratios. There is a need for learning resources to develop critical thinking skills generally and critical thinking about health specifically. Such skills could be taught within the existing curriculum using available ICT technologies. Digital resources for teaching critical thinking about health should be designed so that they can be used flexibly across subjects and easily by teachers and students. IntroductionAdolescents encounter misleading claims about health interventions that can affect their health. Young people need to develop critical thinking skills to enable them to verify health claims and make informed choices. Schools could teach these important life skills, but educators need access to suitable learning resources that are aligned with their curriculum. The overall objective of this context analysis was to explore conditions for teaching critical thinking about health interventions using digital technology to lower secondary school students in Rwanda.MethodsWe undertook a qualitative descriptive study using four methods: document review, key informant interviews, focus group discussions, and observations. We reviewed 29 documents related to the national curriculum and ICT conditions in secondary schools. We conducted 8 interviews and 5 focus group discussions with students, teachers, and policy makers. We observed ICT conditions and use in five schools. We analysed the data using a framework analysis approach.ResultsTwo major themes found. The first was demand for teaching critical thinking about health. The current curriculum explicitly aims to develop critical thinking competences in students. Critical thinking and health topics are taught across subjects. But understanding and teaching of critical thinking varies among teachers, and critical thinking about health is not being taught. The second theme was the current and expected ICT conditions. Most public schools have computers, projectors, and internet connectivity. However, use of ICT in teaching is limited, due in part to low computer to student ratios.ConclusionsThere is a need for learning resources to develop critical thinking skills generally and critical thinking about health specifically. Such skills could be taught within the existing curriculum using available ICT technologies. Digital resources for teaching critical thinking about health should be designed so that they can be used flexibly across subjects and easily by teachers and students. About the Authors: Michael Mugisha Roles Conceptualization, Data curation, Formal analysis, Methodology, Project administration, Validation, Writing – original draft, Writing – review & editing Affiliations Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway, School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda Anne Marie Uwitonze Roles Data curation, Formal analysis, Writing – review & editing Affiliation: School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda Faith Chesire Roles Conceptualization, Methodology, Validation, Writing – review & editing Affiliations Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway, Tropical Institute of Community Health and Development, Kisumu, Kenya Ronald Senyonga Roles Conceptualization, Methodology, Writing – review & editing Affiliations Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway, Department of Medicine, Makerere University, College of Health Sciences, Kampala, Uganda Matt Oxman Roles Conceptualization, Methodology, Validation, Writing – review & editing Affiliations Centre for Informed Health Choices, Norwegian Institute of Public Health, Oslo, Norway, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway ORCID logo https://orcid.org/0000-0002-6323-9620 Allen Nsangi Roles Conceptualization, Methodology, Validation, Writing – review & editing Affiliation: Department of Medicine, Makerere University, College of Health Sciences, Kampala, Uganda Daniel Semakula Roles Conceptualization, Methodology, Validation, Writing – review & editing Affiliation: Department of Medicine, Makerere University, College of Health Sciences, Kampala, Uganda Margaret Kaseje Roles Conceptualization, Methodology, Validation, Writing – review & editing Affiliation: Tropical Institute of Community Health and Development, Kisumu, Kenya Simon Lewin Roles Formal analysis, Methodology, Writing – review & editing Affiliations Centre for Informed Health Choices, Norwegian Institute of Public Health, Oslo, Norway, Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa Nelson Sewankambo Roles Conceptualization, Methodology, Writing – review & editing Affiliation: Department of Medicine, Makerere University, College of Health Sciences, Kampala, Uganda Laetitia Nyirazinyoye Roles Conceptualization, Data curation, Methodology, Project administration, Supervision, Validation, Visualization, Writing – review & editing Affiliation: School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda Andrew D. Oxman Roles Conceptualization, Funding acquisition, Methodology, Project administration, Validation, Writing – review & editing Affiliation: Centre for Informed Health Choices, Norwegian Institute of Public Health, Oslo, Norway Sarah Rosenbaum Roles Conceptualization, Formal analysis, Methodology, Supervision, Validation, Writing – review & editing * E-mail: saro@fhi.no Affiliation: Centre for Informed Health Choices, Norwegian Institute of Public Health, Oslo, Norway ORCID logo https://orcid.org/0000-0001-8334-7664 Abstract Introduction Adolescents encounter misleading claims about health interventions that can affect their health. The overall objective of this context analysis was to explore conditions for teaching critical thinking about health interventions using digital technology to lower secondary school students in Rwanda. Methods We undertook a qualitative descriptive study using four methods: document review, key informant interviews, focus group discussions, and observations. The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Adolescents encounter misleading claims about health interventions that can affect their health. Young people need to develop critical thinking skills to enable them to verify health claims and make informed choices. Schools could teach these important life skills, but educators need access to suitable learning resources that are aligned with their curriculum. The overall objective of this context analysis was to explore conditions for teaching critical thinking about health interventions using digital technology to lower secondary school students in Rwanda. We undertook a qualitative descriptive study using four methods: document review, key informant interviews, focus group discussions, and observations. We reviewed 29 documents related to the national curriculum and ICT conditions in secondary schools. We conducted 8 interviews and 5 focus group discussions with students, teachers, and policy makers. We observed ICT conditions and use in five schools. We analysed the data using a framework analysis approach. Two major themes found. The first was demand for teaching critical thinking about health. The current curriculum explicitly aims to develop critical thinking competences in students. Critical thinking and health topics are taught across subjects. But understanding and teaching of critical thinking varies among teachers, and critical thinking about health is not being taught. The second theme was the current and expected ICT conditions. Most public schools have computers, projectors, and internet connectivity. However, use of ICT in teaching is limited, due in part to low computer to student ratios. There is a need for learning resources to develop critical thinking skills generally and critical thinking about health specifically. Such skills could be taught within the existing curriculum using available ICT technologies. Digital resources for teaching critical thinking about health should be designed so that they can be used flexibly across subjects and easily by teachers and students. Adolescents encounter misleading claims about health interventions that can affect their health. Young people need to develop critical thinking skills to enable them to verify health claims and make informed choices. Schools could teach these important life skills, but educators need access to suitable learning resources that are aligned with their curriculum. The overall objective of this context analysis was to explore conditions for teaching critical thinking about health interventions using digital technology to lower secondary school students in Rwanda.INTRODUCTIONAdolescents encounter misleading claims about health interventions that can affect their health. Young people need to develop critical thinking skills to enable them to verify health claims and make informed choices. Schools could teach these important life skills, but educators need access to suitable learning resources that are aligned with their curriculum. The overall objective of this context analysis was to explore conditions for teaching critical thinking about health interventions using digital technology to lower secondary school students in Rwanda.We undertook a qualitative descriptive study using four methods: document review, key informant interviews, focus group discussions, and observations. We reviewed 29 documents related to the national curriculum and ICT conditions in secondary schools. We conducted 8 interviews and 5 focus group discussions with students, teachers, and policy makers. We observed ICT conditions and use in five schools. We analysed the data using a framework analysis approach.METHODSWe undertook a qualitative descriptive study using four methods: document review, key informant interviews, focus group discussions, and observations. We reviewed 29 documents related to the national curriculum and ICT conditions in secondary schools. We conducted 8 interviews and 5 focus group discussions with students, teachers, and policy makers. We observed ICT conditions and use in five schools. We analysed the data using a framework analysis approach.Two major themes found. The first was demand for teaching critical thinking about health. The current curriculum explicitly aims to develop critical thinking competences in students. Critical thinking and health topics are taught across subjects. But understanding and teaching of critical thinking varies among teachers, and critical thinking about health is not being taught. The second theme was the current and expected ICT conditions. Most public schools have computers, projectors, and internet connectivity. However, use of ICT in teaching is limited, due in part to low computer to student ratios.RESULTSTwo major themes found. The first was demand for teaching critical thinking about health. The current curriculum explicitly aims to develop critical thinking competences in students. Critical thinking and health topics are taught across subjects. But understanding and teaching of critical thinking varies among teachers, and critical thinking about health is not being taught. The second theme was the current and expected ICT conditions. Most public schools have computers, projectors, and internet connectivity. However, use of ICT in teaching is limited, due in part to low computer to student ratios.There is a need for learning resources to develop critical thinking skills generally and critical thinking about health specifically. Such skills could be taught within the existing curriculum using available ICT technologies. Digital resources for teaching critical thinking about health should be designed so that they can be used flexibly across subjects and easily by teachers and students.CONCLUSIONSThere is a need for learning resources to develop critical thinking skills generally and critical thinking about health specifically. Such skills could be taught within the existing curriculum using available ICT technologies. Digital resources for teaching critical thinking about health should be designed so that they can be used flexibly across subjects and easily by teachers and students. |
Audience | Academic |
Author | Sewankambo, Nelson Kaseje, Margaret Lewin, Simon Nsangi, Allen Senyonga, Ronald Oxman, Matt Nyirazinyoye, Laetitia Mugisha, Michael Semakula, Daniel Uwitonze, Anne Marie Chesire, Faith Rosenbaum, Sarah Oxman, Andrew D. |
AuthorAffiliation | 1 Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway 5 Centre for Informed Health Choices, Norwegian Institute of Public Health, Oslo, Norway 2 School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda 3 Tropical Institute of Community Health and Development, Kisumu, Kenya 6 Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway 7 Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa National Taiwan University of Science and Technology, TAIWAN 4 Department of Medicine, Makerere University, College of Health Sciences, Kampala, Uganda |
AuthorAffiliation_xml | – name: National Taiwan University of Science and Technology, TAIWAN – name: 3 Tropical Institute of Community Health and Development, Kisumu, Kenya – name: 5 Centre for Informed Health Choices, Norwegian Institute of Public Health, Oslo, Norway – name: 2 School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda – name: 4 Department of Medicine, Makerere University, College of Health Sciences, Kampala, Uganda – name: 1 Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway – name: 6 Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway – name: 7 Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa |
Author_xml | – sequence: 1 givenname: Michael surname: Mugisha fullname: Mugisha, Michael – sequence: 2 givenname: Anne Marie surname: Uwitonze fullname: Uwitonze, Anne Marie – sequence: 3 givenname: Faith surname: Chesire fullname: Chesire, Faith – sequence: 4 givenname: Ronald surname: Senyonga fullname: Senyonga, Ronald – sequence: 5 givenname: Matt orcidid: 0000-0002-6323-9620 surname: Oxman fullname: Oxman, Matt – sequence: 6 givenname: Allen surname: Nsangi fullname: Nsangi, Allen – sequence: 7 givenname: Daniel surname: Semakula fullname: Semakula, Daniel – sequence: 8 givenname: Margaret surname: Kaseje fullname: Kaseje, Margaret – sequence: 9 givenname: Simon surname: Lewin fullname: Lewin, Simon – sequence: 10 givenname: Nelson surname: Sewankambo fullname: Sewankambo, Nelson – sequence: 11 givenname: Laetitia surname: Nyirazinyoye fullname: Nyirazinyoye, Laetitia – sequence: 12 givenname: Andrew D. surname: Oxman fullname: Oxman, Andrew D. – sequence: 13 givenname: Sarah orcidid: 0000-0001-8334-7664 surname: Rosenbaum fullname: Rosenbaum, Sarah |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33750971$$D View this record in MEDLINE/PubMed |
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ContentType | Journal Article |
Copyright | COPYRIGHT 2021 Public Library of Science 2021 Mugisha et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. info:eu-repo/semantics/openAccess 2021 Mugisha et al 2021 Mugisha et al |
Copyright_xml | – notice: COPYRIGHT 2021 Public Library of Science – notice: 2021 Mugisha et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: info:eu-repo/semantics/openAccess – notice: 2021 Mugisha et al 2021 Mugisha et al |
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Snippet | Adolescents encounter misleading claims about health interventions that can affect their health. Young people need to develop critical thinking skills to... Introduction Adolescents encounter misleading claims about health interventions that can affect their health. Young people need to develop critical thinking... Introduction Adolescents encounter misleading claims about health interventions that can affect their health. Young people need to develop critical thinking... IntroductionAdolescents encounter misleading claims about health interventions that can affect their health. Young people need to develop critical thinking... About the Authors: Michael Mugisha Roles Conceptualization, Data curation, Formal analysis, Methodology, Project administration, Validation, Writing – original... |
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Title | Teaching critical thinking about health using digital technology in lower secondary schools in Rwanda: A qualitative context analysis |
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