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Qualitative study develops functional health literacy model for Chinese physical education teachers across 11 provinces.

Qualitative study develops functional health literacy model for Chinese physical education teachers …
Photo by Markus Winkler / Unsplash
Key Takeaway
Consider using this grounded theory model to guide health education training for Chinese PE teachers.

This qualitative study employed a grounded theory technical approach to construct a structural model of functional health literacy specifically for Chinese physical education teachers. The research involved a sample of 16 PE teachers recruited from 11 provinces across the mainland of China. The primary objective was to define the dimensions and categories of functional health literacy applicable to this professional group.

The analysis yielded a model consisting of four core dimensions: reading and understanding health knowledge, numerating and calculating health data, communicating and appreciating health performance, and recognizing and valuing health values. Under reading and understanding health knowledge, four categories emerged: health and safety emergency method, health concepts and general knowledge, sports-related health knowledge, and medical health knowledge. The numerating and calculating health data dimension included categories for body mass index and indicators, as well as physical fitness test data.

The communicating and appreciating health performance dimension encompassed health communication, health identification, and health performance. Finally, the recognizing and valuing health values dimension included health responsibility awareness and the significance and value of health. No adverse events or safety data were reported, as this was a qualitative methodology focused on model development rather than intervention testing. The study lacks quantitative effect sizes or statistical significance values.

Key limitations include the small sample size of 16 participants and the qualitative nature of the design, which precludes generalizability to other populations or causal inferences. The practice relevance lies in providing a theoretical framework to support the professional transition of Chinese PE teachers into dual-role educators specializing in both physical education and health instruction. Applying this model within teacher education programs is expected to enhance the quality and effectiveness of health education in Chinese primary and secondary schools.

Study Details

Study typeGuideline
EvidenceLevel 5
PublishedApr 2026
View Original Abstract ↓
BackgroundIn recent years, the frequent occurrence of public health emergencies has posed serious threats to human health, leading to a broad international consensus on the necessity of enhancing national health literacy. In response, the Chinese government has integrated health education into the national education system as a key strategic measure aimed at improving population health. The health literacy level of physical education (PE) teachers, who serve as primary agents in implementing school-based health education, is essential for ensuring the delivery of high-quality health education. Functional health literacy, as the foundational component of overall health literacy, plays a critical role in the development and enhancement of individual health competencies. In this study, we developed a structural model of functional health literacy specific to Chinese PE teachers, aiming to evaluate their own literacy levels and their contributions to school-based health education.MethodsQualitative data were primarily collected through semi-structured interviews. A total of 16 PE teachers from 11 provinces across China mainland were purposively selected as study participants. We employed a grounded theory technical approach to analyze the data using NVIVO 20.0 qualitative analysis software.ResultsThe functional health literacy model for PE teachers comprises four core dimensions: reading and understanding health knowledge, numerating and calculating health data, communicating and appreciating health performance, recognizing and valuing health values. Reading and understanding health knowledge contains four categories: Health and safety emergency method, health concepts and general knowledge, sports-related health knowledge, medical health knowledge. Numerating and calculating health data include two categories: body mass index and indicators, physical fitness test data. Communicating and appreciating health performance contains three categories: health communication, health identification, health performance. Recognizing and valuing health values contains two categories: health responsibility awareness, significance and value of health.ConclusionThe proposed model offers a theoretical framework to support the professional transition of Chinese PE teachers into dual-role educators specializing in both physical education and health instruction. Applying this model with teacher education programs is expected to enhance the quality and effectiveness of health education in Chinese primary and secondary schools.
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