Surveying Student Interest, Priority, and Knowledge for the Purpose of 
Health Lesson Planning

Copyright, 2002, Sandra Owen

Description of the Matrix:

Cells within the Health Topic Identification Matrix represent student ranking as to interest, degree of importance, and how much the student already knows about each of the health topics. Topic areas may be selected from several sources, including the standard ten health content areas (Allensworth, 1994), the six youth risk, and protective behaviors targeted by the Centers for Disease Control adn Prevention (Kann et. al, 1995), or state/local instructional objectives information provided by state or local health departments. The language used to list the health topics can be adapted to be age and stage effectively completed by kindergartners receiving assistance from older students. 

A range of values is assigned for both interest and importance rankings. The value of one is assigned for the highest rating while the value for the lowest rating is determined by the number of health topics listed in the matrix. Therefore, if a particular matrix included ten health topics, the lowest rating would be assigned a valued of ten. Students rate their perceived level of knowledge using a three item response Likert scale including the responses, "a lot", "a little", or "none". Selected health topics are listed alphabetically in the far right hand column. 

The tabulation matrix form (see Table2) can be adapted for use as the student survey instrument (see Table1). For the purpose for providing an example, only three health topics are identified below. When the process is used for the purpose of planning health lessons, a more extensive list of topics is suggested. Prior to completing the matrix, students would need to receive instructions on the interest and degree of importance rating scales as well as the Likert scale. Providing and example case within the matrix is helpful for students. 

Table 1: Health Topic Identification Matrix Adapted for Student Survey Instrument

Health Topic

How interesting?
1 = Highest ranking
3 = Lowest ranking
How important?
1 = Highest ranking
3 = Lowest ranking
How much do you know about it?
(Circle ONLY ONE)

Final Ranking of Health Topics
(To be completed 
by teacher)

Purchasing safe and healthful products Student response:
Example:  
Student response:
Example:  
Example:
, little, or none
 
Refusing to use tobacco, alcohol, or other drugs How interesting?
Student response:
_____________
How important?
Student response:
_____________
You know?
Student response:
Lot, little, or none
 
Understanding my growth and 
development
Student response:
_____________
Student response:
_____________
Student response:
Lot, little, or none
 

 Table 2: Example of Health Topic Tabulation Matrix from Third Graders Attending and Urban
              Private School

Health Topic Interest Ranking Importance Ranking Degree of Knowledge Final Ranking of Health Topics
(To be completed
by teacher)
Getting along with
my friends and
family
(35)  2 (34)  1 Little Getting along with
my friends and
family  (2)
Planning and eating
healthy meals
(59)  5 (48)  3 Lot Planning and eating
healthy meals  (15)
Practicing health
habits to keep all
my body systems healthy
(29)  1 (57)  4 Lot, Little, None
(equally distributed)
Practicing health
habits to keep all
my body systems healthy  (4)
Promoting a safe and healthy environment (40)  3 (47)  2 Little Promoting a safe and healthy environment (6)
Purchasing safe and healthful products (65)  6 (62)  7 Little Purchasing safe and healthful products (42)
Refusing to use tobacco, alcohol, or other drugs (48)  4 (60) 5 Lot, Little, None
(equally distributed)
Refusing to use tobacco, alcohol, or other drugs  (20)
Understanding my growth and development (72)  8 (61)  6 Little Understanding my growth and development  (48)
Using health resources in my community (68)  7 (65)  8 None Using health resources in my community   (56)

Steps for Data Calculation and Analysis:

1. Calculate interest ranking and importance ranking by adding student ratings for each health topic appearing in the matrix. Place the calculation for each ranking, within parentheses, in the appropriate cell (see Table2).
2. Rank each health topic for interest by placing a 1 in the cell within the interest column for the health topic receiving the lowest score. Place a 2 in the cell within the interest column for the next closest score and so on until all health topics are ranked by interest. Follow the same procedure for  ranking importance for each health topic (see Table 2).
3. Multiply the interest ranking by the importance ranking to weight the health topic.
4. Place the product of the calculation from step #3 in parentheses in the cell with the health topic (see Table 2).
5. Calculate a frequency for each of the three Likert responses (lot, little, none) and write the response receiving the highest frequency in the cell within the knowledge column for each health topic. List all three responses if frequencies for each are the same (see Table 2, "Practicing Health Habits to Keep all my Body Systems Healthy" and "Refusing to Use Tobacco, alcohol, or Other Drugs")

Interpreting the Tabulation Matrix for Health Topic Identification:

The first step in interpreting the matrix includes placing health topics within one of three categories as determined by the weighted score for the health topic.

1. Category One includes those topics with the lowest weighted scores and about which students report knowing little or nothing. Health topics assigned to this category represent content and skills of highest priority for inclusion in health lesson planning for the specific student population.
2. Category Two includes those topics with low weighted scores and about which students report knowing a lot. Health topics assigned to this category represent content and skills mastered by the students which may only require a booster inclusion. This decision will require communication among faculty to identify where such booster lessons might best appear in the health education sequence.
3. Category Three includes those topics with the highest weighted scores and about which the students report knowing little or nothing. Health topics assigned to this category typically represent content which is perceived by the students as not relevant for their age and stage of development.

 

Example: Using the third grade data in Table 2, the following category assignments of health topics were made:
Category One: Getting Along With my Friends and Family (2)
Practicing Health Habits to Keep my Body Systems Healthy (4)
Promoting a Safe and Healthy Environment (6)
Refusing to Use Tobacco, Alcohol, or Other Drugs (20)
Category Two: Planning and Eating Healthy Meals (15)
Category Three: Purchasing Safe and Healthful Products (42)
Understanding my Growth and Development (48)
Using Health Resources in my Community (56)

The second step in interpreting the matrix includes reviewing the initial placement of health topics into the three categories to determine if any revision is required. In the example above, a large spread occurs between the weighted score for  "Promoting a Safe and Healthy Environment (6)" and "Refusing to Use Tobacco, Alcohol, and Other Drugs (20)". Since early experimentation with tobacco, alcohol, or other drugs can occur as early as fourth grade, this topic was retained in Category One as prevention education. The first and third topics appearing in Category Three are skills more appropriately placed in fourth or fifth grade while the second topic may lend itself to inclusion within the health education sequence.

Practice Data: Student Interest Survey

Purchasing safe and healthful products:
Student# Interest? Importance? Know?
Student1 2 3 none
Student2 3 2 lot
Student3 3 1 little
Student4 1 3 none
Student5 3 2 lot
Student6 3 3 lot
Student7 2 2 none
Student8 1 3 lot
Student9 3 1 none
Student10 2 3 lot
Raw score:___                ___  Frequent: ___

 

Refusing to use tobacco, alcohol, or other drugs:
Student# Interest? Importance? Know?
Student1 1 1 little
Student2 2 1 little
Student3 1 3 none
Student4 2 2 lot
Student5 1 1 little
Student6 1 1 none
Student7 3 3 lot
Student8 2 1 none
Student9 1 3 little
Student10 3 1 little
Raw score:___                ___  Frequent: ___

 

Understanding my growth and development:
Student# Interest? Importance? Know?
Student1 3 2 lot
Student2 1 3 none
Student3 2 2 lot
Student4 3 1 little
Student5 2 3 none
Student6 2 2 little
Student7 1 1 little
Student8 3 2 little
Student9 2 2 lot
Student10 1 2 none
Raw score:___                ___  Frequent: ___

 

Category Placement from Student Interest Data

Category One Topic(s): _____________________________________________
_____________________________________________
Category Two Topic(s): _____________________________________________
_____________________________________________
Category Three Topic(s): _____________________________________________
_____________________________________________