Teaching critical thinking about health using digital technology in lower secondary schools in Rwanda: A qualitative context analysis.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2021
Historique:
received: 01 02 2021
accepted: 04 03 2021
entrez: 22 3 2021
pubmed: 23 3 2021
medline: 15 10 2021
Statut: epublish

Résumé

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.

Identifiants

pubmed: 33750971
doi: 10.1371/journal.pone.0248773
pii: PONE-D-21-03473
pmc: PMC7984628
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0248773

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Michael Mugisha (M)

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 (AM)

School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

Faith Chesire (F)

Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.
Tropical Institute of Community Health and Development, Kisumu, Kenya.

Ronald Senyonga (R)

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 (M)

Centre for Informed Health Choices, Norwegian Institute of Public Health, Oslo, Norway.
Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.

Allen Nsangi (A)

Department of Medicine, Makerere University, College of Health Sciences, Kampala, Uganda.

Daniel Semakula (D)

Department of Medicine, Makerere University, College of Health Sciences, Kampala, Uganda.

Margaret Kaseje (M)

Tropical Institute of Community Health and Development, Kisumu, Kenya.

Simon Lewin (S)

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 (N)

Department of Medicine, Makerere University, College of Health Sciences, Kampala, Uganda.

Laetitia Nyirazinyoye (L)

School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

Andrew D Oxman (AD)

Centre for Informed Health Choices, Norwegian Institute of Public Health, Oslo, Norway.

Sarah Rosenbaum (S)

Centre for Informed Health Choices, Norwegian Institute of Public Health, Oslo, Norway.

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