Nutritional education in medical curricula and clinical practice: A scoping review on the knowledge deficit amongst medical students and doctors

Journal article

Khiri, Nasr and Howells, Kristy 2025. Nutritional education in medical curricula and clinical practice: A scoping review on the knowledge deficit amongst medical students and doctors. Journal of Human Nutrition and Dietetics : The Official Journal of the British Dietetic Association. 38 (2), p. e70031. https://doi.org/10.1111/jhn.70031
AuthorsKhiri, Nasr and Howells, Kristy
Abstract

Introduction
Non-communicable diseases (NCDs), accounting for 74% of deaths worldwide (World Health Organization 2024), are a major health concern and are often the result of poor dietary habits. To reduce the prevalence of chronic diseases healthcare professionals must encourage healthy eating, and therefore require the appropriate nutritional knowledge and skills. This scoping review critically synthesises the literature on nutrition education to understand why there is a gap in nutrition knowledge and skills among medical students and doctors (MSAD) in English-speaking countries, and the solutions which have been proposed in the literature to close this gap.

Methods
This scoping review adhered to PRISMA Scr guidelines outlined by Tricco et al. (2018) and used four online databases: PubMed; WebOfScience; Embase and ERIC as well as grey literature sources: Google; Bing and Perplexity AI, published within the last 10 years, from 2014 to 2024. Studies investigating medical students/doctors nutrition education/knowledge were included. Data analysis was guided by Braun and Clarke's (2012) six-step thematic analysis approach and the Delve qualitative coding software analysis tool was used to identify the two principal themes and the 20 sub-themes. The PICO tool was also used for question analysis.

Results
From the 674 records identified, 28 papers met the inclusion criteria for full data extraction, analysis and synthesis. The results identified four reasons for the gap in nutrition knowledge, including insufficient curriculum time dedicated to nutrition education, perceptions and confidence, stigmas and health habits, and challenges in clinical practice. The review also identified four potential solutions to minimise this gap, including curriculum changes, enforcement of standardised nutrition education guidelines, integration of nutrition in clinical practice and promotion of a multidisciplinary approach to nutrition education.

Conclusion
This scoping review shows that there are multiple complex reasons for the gap in nutrition knowledge and understanding. This is due to education institutional reasons; perceptions and confidence on nutrition; stigmas related to nutrition and being able to talk about nutrition; personal health habits; and challenges in clinical practice. Solutions to reduce the gap were identified and it is recommended that there are curricular innovations to incorporate nutrition education throughout medical training; standardisation and implementation of national competency standards; integration of nutrition into clinical practice; enhancement of postgraduate education pathways in nutrition; and the development of a multidisciplinary approach in medical education involving dietitians and other healthcare professionals. By enacting and supporting the recommendations and solutions would then improve patient care and likely contribute to better eating habits worldwide, thereby reducing the burden of NCDs to both patients and healthcare professionals.

KeywordsNutrition education; Knowledge deficit; Medical curricula; Medical students and doctors; Health knowledge, attitudes, practice; Clinical competence; Physicians; Nutritional sciences
Year2025
JournalJournal of Human Nutrition and Dietetics : The Official Journal of the British Dietetic Association
Journal citation38 (2), p. e70031
PublisherWiley
ISSN0952-3871
1365-277X
Digital Object Identifier (DOI)https://doi.org/10.1111/jhn.70031
Official URLhttps://onlinelibrary.wiley.com/doi/full/10.1111/jhn.70031
FunderThe authors received no specific funding for this work.
Publication dates
Print01 Apr 2025
Publication process dates
Deposited09 Apr 2025
Publisher's version
License
File Access Level
Open
Output statusPublished
Additional information

Publications router.

Permalink -

https://repository.canterbury.ac.uk/item/9qqy4/nutritional-education-in-medical-curricula-and-clinical-practice-a-scoping-review-on-the-knowledge-deficit-amongst-medical-students-and-doctors

Download files

Publisher's version
J Human Nutrition Diet - 2025 - Khiri - Nutritional Education in Medical Curricula and Clinical Practice A Scoping Review.pdf
License: CC BY 4.0
File access level: Open

  • 254
    total views
  • 48
    total downloads
  • 8
    views this month
  • 6
    downloads this month

Export as

Related outputs

IoT-enabled headband for real-time concussion monitoring in amateur rugby
Manna, S., Azhar, H., Browne, T. C., O'Sullivan, E and Howells, K. 2025. IoT-enabled headband for real-time concussion monitoring in amateur rugby.
Early years nutrition: Setting the standards for change
Clark, H., Royal, P., Robillard Webb, L., Graham, C., Richardson, A., De Maeijer H., Godfrey, K., Taylor, C., Emmett, P., Avery, A., Ruxton C., Halnan, B., Aaronricks, M., Harris, M., Hodgson, C., Stirling-Reed, C., Lippe, C., Smith, S., Crowther, B., Titman, D., Hashem, K., Davies, Z., Mackay, B., Aiyetigobo, A., Box, F., Cowden Leyf, S., Porter, A., Eddy, J., Player, J., Baker, C., King, V., Howells, K., Perkins, K., Bhatia, S., Lang Henry, B., Devalia, U., Murray, A., Murray, P., Gorvett, G., Carnell, J. and Fallon, E. 2025. Early years nutrition: Setting the standards for change. London Nursery Kitchen.
The embodiment of equitable ways to develop agentic wellbeing through movement maximising personal and general spaces: Re-tooling affordances as drivers of social justice
Murray, Alison Morag, Murray, Pamela Fiona, Howells, K., Uthmani, Nuzhat and McMillan, Natasha 2025. The embodiment of equitable ways to develop agentic wellbeing through movement maximising personal and general spaces: Re-tooling affordances as drivers of social justice. Equity in Education and Society. https://doi.org/10.1177/27526461251324217
Early years physical development position paper
King, V. and Howells, K. 2025. Early years physical development position paper . Worcester Association of Physical Education.
Early years physical development research paper
King, V and Howells, K. 2025. Early years physical development research paper . Worcester Association of Physical Education.
The interruption and deconstruction of lure through ‘play fake’ behaviours using the en vivo time-phased intervention methodology to affirm children’s agency when under online predatorial duress.
Murray, P., Murray, A. and Howells, K. 2025. The interruption and deconstruction of lure through ‘play fake’ behaviours using the en vivo time-phased intervention methodology to affirm children’s agency when under online predatorial duress.
Supporting young children's physical development through tailored motor competency interventions within a school setting
Howells, K. and Huggett, E. 2025. Supporting young children's physical development through tailored motor competency interventions within a school setting.
An Evaluation of the Reliability of the Pictorial Scale of Perceived Water Competence and Its Relationship With Actual Water Competence
Jidovtseff, B., Morgado, Liliane De Sousa, Sääkslahti, A., Howells, K., Barnett, Lisa M., D’Hondt, E., Costa, A. and Martelaer, K. 2024. An Evaluation of the Reliability of the Pictorial Scale of Perceived Water Competence and Its Relationship With Actual Water Competence. Perceptual and Motor Skills. 131 (4), pp. 1063-1079. https://doi.org/10.1177/00315125241248552
Physical Education is for Life (PEL) 2: Reframing the school physical education (PE) curriculum as the connective catalyst
Jess, M., Keay, J., Cooke, D., Howells, K., Carse, N. and McMillan, P. 2024. Physical Education is for Life (PEL) 2: Reframing the school physical education (PE) curriculum as the connective catalyst. Physical Education Matters. Spring, pp. 76-80.
CCCU student wellbeing / distress
Howells, K. and Stroud, D. 2024. CCCU student wellbeing / distress .
What do children think they learn in outdoor and adventurous activities?
Howells, K. 2024. What do children think they learn in outdoor and adventurous activities? Physical Education Matters. 19 (3), pp. 11-12.
Children's Wellbeing Bill
Howells, K. 2024. Children's Wellbeing Bill.
Supporting young children’s physical development through tailored motor competency interventions within a school setting
Huggett, E. and Howells, K. 2024. Supporting young children’s physical development through tailored motor competency interventions within a school setting. Children (Basel, Switzerland). 11 (9), p. 1122. https://doi.org/10.3390/children11091122
Young people, physical education and physical activity: The ontological shift to complexity
Jess, M., Howells, K., McMillian, P., Carse, N. and Keay, J. 2024. Young people, physical education and physical activity: The ontological shift to complexity. Routledge. https://doi.org/10.4324/9780367766924-RESS140-1
ADAPT model: Positioning inclusion at the heart of physical education, sport and physical activity
Howells, K. and Tsangarides, T. 2024. ADAPT model: Positioning inclusion at the heart of physical education, sport and physical activity. Physical Education Matters. Summer 2024, pp. 36-38.
The power of play: Building a creative Britain
Norman, A, Jones, C., Wright, P., Murray, A., Murray, P., Charman, H., Kaur, K., Hunter Blair, M., Stockdale, J., Wilson-Thomas, J., Veale, V., Peckham, K., Pascal, C., Bolden, J., Josephidou, J., Fitzgerald, D., Shippen, S., Brewis, T. and Howells, K. 2024. The power of play: Building a creative Britain . Children's Alliance.
A model for effective learning in competition: A pedagogical tool to enhance enjoyment and perceptions of competency in physical education lessons for young children
Castle, N. and Howells, K. 2024. A model for effective learning in competition: A pedagogical tool to enhance enjoyment and perceptions of competency in physical education lessons for young children. Children (Basel, Switzerland). 11 (1), p. 111. https://doi.org/10.3390/children11010111
Becoming physical education: the ontological shift to complexity
Jess, M., Howells, K. and McMillan, P. 2023. Becoming physical education: the ontological shift to complexity. Sport, Education and Society. https://doi.org/10.1080/13573322.2023.2177984
Connecting through movement: Children’s Mental Health Week
Howells, K. 2023. Connecting through movement: Children’s Mental Health Week. CCCU expert comment
Physical education is for life (part 1) redefining school physical education for the 21st century
Jess, M., Keay, P., McMillan, P., Howells, K. and Cooke, D. 2023. Physical education is for life (part 1) redefining school physical education for the 21st century. Physical Education Matters. 18 (3), pp. 80-83.
A plan for play - An Eye View Series report
Clark, H., Royal, P., Robillard Webb, L., Wright, P., Murray, A., Murray, P., Lubrano, M, Veale, V., Silberfield, C., Griggs, G., Cooke, K., Brown, F., Woolley, H., Coleman, N., Follett, M., Hodgson, A., Hill, B., Warrington, D., Voce, A., Pearson, J., Wragg, M., O'Neill, S., Coates, J., Long, A., Everett, N., Booth, E., Andres, L., Brewis, T., Baker, C., Bunn, L., Howells, K. and Bayou, E. 2023. A plan for play - An Eye View Series report. London Children's Alliance.
Accessible resistance movement experiences for elementary students and educators
Murray, A. M., Murray, P. and Howells, K. 2023. Accessible resistance movement experiences for elementary students and educators. in: Marinho, D.A., Forte, P., Cirilo-Sousa, M. and Neiva, H.P. (ed.) Bridgin Science and Practical Appliance in Resistance Training London Intech Open. pp. 11-53
Being true to our ‘why’: positioning healthy active lifestyles at the core of physical education
Howells, K. and Sammon, P. 2023. Being true to our ‘why’: positioning healthy active lifestyles at the core of physical education. Physical Education Matters.
Physical play - How do we inspire and motivate young children to be physically active through play? An international analysis of twelve countries’ national early years curriculum policies and practices for physical activity and physical play
Howells, K., Jerebine A., Cools W., D’Hondt E., De Martelaer K., Coppens E., Sienaert H., Hall N., Dong J., Soini A., O’Keeffe C., Coulter M., McNally S., McCaffrey P., Tortella P., Costa A.M., Hernández-Martinez A., Sollerhed A-C, Urtel M., Vinci D., Wirth C., Vidoni C. and Sääkslahti A. 2023. Physical play - How do we inspire and motivate young children to be physically active through play? An international analysis of twelve countries’ national early years curriculum policies and practices for physical activity and physical play. Journal of Early Childhood Research. 12 (1), pp. 253-276.
Early childhood educator training: The value of educating educators on movement, play and physical literacy development - A three country case study.
Vinci, D., Howells, K., Hall, N., Wirth, C. and Gregg, M. 2023. Early childhood educator training: The value of educating educators on movement, play and physical literacy development - A three country case study. Journal of Early Childhood Research. 12 (1), pp. 79-101.
Wheels up: Spiral progression pedagogy towards creative movers using wheels
Murray, A.M. and Howells, K. 2023. Wheels up: Spiral progression pedagogy towards creative movers using wheels. Journal of Early Childhood Education Research. 12 (1), pp. 54-78.
Physical education in early childhood education: Gueseditorial
Sääkslahti, A. and Howells, K. 2023. Physical education in early childhood education: Gueseditorial. Journal of Early Childhood Education Research. 12 (1), p. 15.
Encouraging children and women into sport, discussion section in 'The Wake Up Call' BBC Radio Kent
Howells, K. 2022. Encouraging children and women into sport, discussion section in 'The Wake Up Call' BBC Radio Kent.
The visions and voices of physical education teachers - part 4
Jess, M., McMillan, P., Howells, K. and Runciman, B. 2022. The visions and voices of physical education teachers - part 4. Physical Education Matters. 17 (3), pp. 35-39.
The impact of COVID-19 on the physical development of reception aged children
Huggett, E. and Howells, K. 2022. The impact of COVID-19 on the physical development of reception aged children. Physical Education Matters. 17 (3), pp. 60-64.
Face and content validity of the pictorial scale of perceived water competence in young children
Morgado, Liliane De Sousa, Martelaer, K., Sääkslahti, A., Howells, K., Barnett, L., D’Hondt, E., Costa, A. and Jidovtseff, B. 2022. Face and content validity of the pictorial scale of perceived water competence in young children. Children (Basel, Switzerland). 10 (1), p. 2. https://doi.org/10.3390/children10010002
Student experiences of learning how to teach primary physical education during the Covid-19 pandemic
van Rossum, T., Pearson, J., Howells, K. and Randall, V. 2022. Student experiences of learning how to teach primary physical education during the Covid-19 pandemic. Journal of Education for Teaching. 49 (3), pp. 534-536. https://doi.org/10.1080/02607476.2022.2150537
Young children's actual and perceived physical activity levels within the primary school setting
Howells, K. and Coppinger, T. 2022. Young children's actual and perceived physical activity levels within the primary school setting . in: Adamakis, M. and Scheuer, C. (ed.) Education and Physical Activity in Childhood: Current Challenges and Perspectives Proceedings of the 4th CIAPSE Congress CIAPSE.
Making a wave of difference in water awareness and competence through primary physical education teacher education
Murray, A. and Howells, K. 2022. Making a wave of difference in water awareness and competence through primary physical education teacher education. in: Adamakis, M. and Scheurer, C. (ed.) Education and Physical Activity in Childhood: Current Challenges and Perspectives Proceedings of the 4th CIAPSE Congress CIAPSE.
The forgotten age phase of healthy lifestyle promotion? The call for targeted physical activity and nutrition education for older adolescents
Howells, K. 2022. The forgotten age phase of healthy lifestyle promotion? The call for targeted physical activity and nutrition education for older adolescents.
Early years assessment - English perspective
Howells, K. 2022. Early years assessment - English perspective.
The forgotten age phase of healthy lifestyle promotion
Howells, K. and Coppinger, T. 2022. The forgotten age phase of healthy lifestyle promotion.
'Seeing clearly now.' Teacher preparation and continuing professional development for including children with visual impairment in physical education
Ablett, J. and Howells, K. 2022. 'Seeing clearly now.' Teacher preparation and continuing professional development for including children with visual impairment in physical education.
A physical education content analysis of the university primary education course offering
Jones, D. and Howells, K. 2022. A physical education content analysis of the university primary education course offering.
'Wheelie Good'! A novel approach to implementing wheels related activity AIESEP into elementary education through spiral curriculum progression
Murray, A. and Howells, K. 2022. 'Wheelie Good'! A novel approach to implementing wheels related activity AIESEP into elementary education through spiral curriculum progression.
Making a wave of difference in water awareness and competence through primary physical education teacher education
Murray, A. and Howells, K. 2022. Making a wave of difference in water awareness and competence through primary physical education teacher education.
Young children's actual and perceived physical activity levels within the primary school setting
Howells, K. and Coppinger, T. 2022. Young children's actual and perceived physical activity levels within the primary school setting.
The forgotten age group: The need for targeted physical activity and healthy lifestyle promotion for older adolescents
Howells, K. and Coppinger, T. 2022. The forgotten age group: The need for targeted physical activity and healthy lifestyle promotion for older adolescents. Universite du Luxembourg.
It’s come home, but will it stay home?
Howells, K. 2022. It’s come home, but will it stay home? Canterbury Christ Church University.
Making the impossible, possible. Lessons learnt to ensure embodied physical education teacher education within COVID-19 times and beyond, regardless of the learning medium
Howells, K., Murray, A., Pearson, J. and Whewell, E. 2022. Making the impossible, possible. Lessons learnt to ensure embodied physical education teacher education within COVID-19 times and beyond, regardless of the learning medium. Practice: Contemporary Issues in Practitioner Education. 4 (2), pp. 125-135. https://doi.org/10.1080/25783858.2022.2108332
The forgotten age phase of healthy lifestyle promotion? A preliminary study to examine the potential call for targeted physical activity and nutrition education for older adolescents
Howells, K. and Coppinger, T. 2022. The forgotten age phase of healthy lifestyle promotion? A preliminary study to examine the potential call for targeted physical activity and nutrition education for older adolescents. International Journal of Environmental Research and Public Health. 19 (10), p. 5970. https://doi.org/10.3390/ijerph19105970
Primary pre-service teachers back in the physical education bubble
Randall, V., Pearson, J., Van Rossum, T., Howells, K. and Doe, V. 2022. Primary pre-service teachers back in the physical education bubble. British Educational Research Association (BERA).
The call to make PE core within Initial Teacher Education. A response to the House of Lords Committee report
Howells, K. 2022. The call to make PE core within Initial Teacher Education. A response to the House of Lords Committee report. Primary Physical Education Matters. 17 (1), pp. 12-13.
Chapter 13 - Placing an importance on health and physical activity
Howells, K. 2022. Chapter 13 - Placing an importance on health and physical activity . in: Griggs, G. and Randall, V. (ed.) An Introduction to Physical Education London Routledge. pp. 221-237
The perceptions of general practice among Central and Eastern Europeans in the United Kingdom: A systematic scoping review
Poppleton, A., Howells, K., Adeyemi, I., Chew‐Graham, C., Dikomitis, L. and Sanders, C. 2022. The perceptions of general practice among Central and Eastern Europeans in the United Kingdom: A systematic scoping review. Health Expectations. https://doi.org/10.1111/hex.13433
Aqualusa Revista Lusofona de Desportos Aquaticos
Morgado, L, De Martelaer, K., D'Hondt, E., Barnett, L., Costa, A., Howells, K., Sääkslahti, A. and Jidovtseff, B. Aqualusa Revista Lusofona de Desportos Aquaticos. Aqualusa Revista Lusofona de Desportos Aquaticos.
The water song
Amanda's Action Club, Wheeler, Alison, Mama G and Howells, K. The water song. Spotify and itunes.
The complexities of emergent leadership using a whole school autonomy development physical education approach
Murray, A., Woods, G., Murray, P. and Howells, K. 2021. The complexities of emergent leadership using a whole school autonomy development physical education approach. NAKHE Virtual Conference (National Association for Kinesiology in Higher Education)
Developing student autonomy through and beyond developmentally appropriate resistance, an international comparison
Murray, A., Murray, P., Woods, G., Howells, K. and McKenna, J. Developing student autonomy through and beyond developmentally appropriate resistance, an international comparison. South Carolina, Virtual Conference
A real thirst?
Howells, Kristy and Musgrave, Jackie 2021. A real thirst? Nursery World. 2021 (3), pp. 34-34. https://doi.org/10.12968/nuwa.2021.3.34
‘Eyes wide open’ – Sharing ways in which to include visually impaired children within PE
Ablett, J. and Howells, K. 2021. ‘Eyes wide open’ – Sharing ways in which to include visually impaired children within PE.
The impact of the pandemic on children with disabilities
Howells, K. 2021. The impact of the pandemic on children with disabilities.
Seeing how to include visually impaired children. An exploration into Key Stage 2 teachers' confidence levels
Ablett, J. and Howells, K. 2021. Seeing how to include visually impaired children. An exploration into Key Stage 2 teachers' confidence levels. Physical Education Matters. 16 (3), pp. 28-30.
The COVID generation: a Mental health pandemic in the making. The impact on mental health of children and young people during and after the COVID-19 pandemic
Clark, H., Royal, P., West, H., Cortina, M., Lubrano, M., Devalia, U., Howells, K., McManus, S., Hodgson, A., Foster, S., Musgrave, J., Salt, K., Rubenstein, B., Javor, A., Sigman, A., Bui, M., Lowther, J., Fisher, H.L., Danese, A., McGlone, F., Simpson, F., Abel, K., Milligan, L., Shenow, S., Day, K., Curtis, A., Coleman, N., Ardelean, A., Smith, K., Russell, W., Hunter, L., John, A., Brinton, H., Ford, T., Whewell, E., Smith, S., Creswell, C., Murray, A., Murray, P. and Hutchinson, C. 2021. The COVID generation: a Mental health pandemic in the making. The impact on mental health of children and young people during and after the COVID-19 pandemic. London All Party Parliamentary Group on a Fit and Healthy Childhood.
The health and wellbeing of children in the early years
Clark, H., Revel, E., Royal, P., Wright, P., Teakle, A., Mcilwrath, B., Bradshaw, B., Purvey C.,, Mcleod, C., Williams, C., Norman, A., Murray, A., Fitzgerald, D., Mackay, E., Musgrave, J., Peckham, K, Howells, K., Pagden L., Murray, P., Blandford, S., Veck, W., Garnett, H., Harland, J., Barlow, J., Wharton, J., James, K., Hunter Blair, M., Greally, M., Calder, N., McGlone, F., Godfrey, K., Beswick, T. and Veal, V. 2021. The health and wellbeing of children in the early years. London All Party Parliamentary Group and Children's Alliance.
Differences between young children's actual, self-perceived and parent-perceived aquatic skills
D'Hondt, E., Bulens, L., Barnett, L., Howells, K., Saakslahti, A., Costa, A.M., Jidovtseff, B., Mertens, L. and De Martelaer, K. 2021. Differences between young children's actual, self-perceived and parent-perceived aquatic skills. Perceptual and Motor Skills. 128 (5), pp. 1905-1931. https://doi.org/10.1177/00315125211017864
The things we think and do not say - the future of physical education and sport
Howells, K. 2021. The things we think and do not say - the future of physical education and sport. Scottish Assocation of Teachers of Physical Education Journal. 10, p. 7.
Sport and physical activity during the first 10 years of life in Ireland and the UK
Howells, K. and Coppinger, T. 2021. Sport and physical activity during the first 10 years of life in Ireland and the UK. in: Bailey, R., Agans, J.P., Côté, J., Daly-Smith, A. and Tomporowski, P.D. (ed.) Physical activity and sport during the first ten years of life. Multidisplinary Perspectives Oxen Routledge. pp. 235-246
Children's perceived and actual physical activity levels within the elementary school setting
Howells, K. and Coppinger, T. 2021. Children's perceived and actual physical activity levels within the elementary school setting. International Journal of Environmental Research and Public Health. 18 (7). https://doi.org/10.3390/ijerph18073485
Preliminary face validation of the pictorial scale of perceived aquatic competence
Morgado, L, Jidovtseff, B, Sääkslahti, A, Howells, K., Barnett, L, de Martelaer, K, D'Hondt and Costa, A. M 2021. Preliminary face validation of the pictorial scale of perceived aquatic competence. Vol. 17 No. S1 (2021): Proceedings of the XLIII Technical and Scientific Congress of the Portuguese Association of Swimming Technicians. https://doi.org/10.6063/motricidade.23716
Health education, what does it mean?
Howells, K. 2021. Health education, what does it mean? in: Peters, M. A. (ed.) Encyclopedia of Teacher Education: Living Edition Singapore Springer.
An international comparison and analysis of sport and physical activity during first 10 years of life in UK and Ireland
Howells, K. and Coppinger, T. 2020. An international comparison and analysis of sport and physical activity during first 10 years of life in UK and Ireland. South Carolina USA Virtual Conference
AIESEP connect 3 early years
Howells, K. and Sääkslahti, A. 2020. AIESEP connect 3 early years .
The influence of siblings on young children's understanding of fluid intake
Williamson, J. and Howells, K. 2020. The influence of siblings on young children's understanding of fluid intake . International Journal of Nutrition. 6 (3), pp. 13-20. https://doi.org/10.14302/issn.2379-7835.ijn-21-3709
Pictorial scale of perceived water competence (PSPWC) testing manual Version 1.2
Morgado, L. D. S, De Martelaer, K., D’Hondt, E., Barnett, L. M., Costa, A. M., Howells, K., Sääkslahti, A. and Jidovtseff, B. 2020. Pictorial scale of perceived water competence (PSPWC) testing manual Version 1.2. https://doi.org/10.13140/RG.2.2.36152.57601/1
'In the wake of a pandemic': dietary patterns and impact on child health after COVID-19
Clark, H., Royal, P., West, H., Kelly, T., Roper, H., Howells, K., Devalia, U., Mackay, E., Holt, A., Bradshaw, B., Driscoll, M., Williamson, D., Tricks, T., Newnham, P., Noonan-Gunning, S., Giordani, P., Lewis, K., Swann, J., Mist, P. and Bowyer, S. 2020. 'In the wake of a pandemic': dietary patterns and impact on child health after COVID-19. All Party Parliamentary Group on a Fit and Healthy Childhood: London
Emerging dietary patterns: impact on child health
Clark, H., Royal, P., West, H., Kelly, T., Derbyshire, E., Albon, D., Howells, K., Smith, S., Devalia, U., Wilkinson, S., Harris, J., Holt, A., Bradshaw, B and Cripps, L. 2020. Emerging dietary patterns: impact on child health. All Party Parliamentary Group on a Fit and Healthy Childhood: London
Mentoring for physical education
Howells, K. 2020. Mentoring for physical education. in: Mentoring Teachers in the Primary School. A Practical Guide Abingdon Routledge, Taylor and Francis. pp. 171-189
Continuing to provide the education in physical education - experiences of the Physical Education Teacher Education Network
Howells, K. 2020. Continuing to provide the education in physical education - experiences of the Physical Education Teacher Education Network. Physical Education Matters. AUT20, pp. 89-93.
Teachers' perceptions and understanding of children's fluid intake
Howells, K. and Coppinger, T. 2020. Teachers' perceptions and understanding of children's fluid intake. International Journal of Environmental Research and Public Health. 17 (11), p. 4050. https://doi.org/10.3390/ijerph17114050
UK Perspectives: physical education teacher education
Howells, K. 2020. UK Perspectives: physical education teacher education . in: Bobrik, M, Antala, B. and Pelucha, R. (ed.) Physical education in universities: researches - best practices - situation Bratislava Federation Internationale D'Education Physique. pp. 379-390
Pictorial scale of perceived water competence (PSPWC) testing manual
Morgado, L.D.S., De Martelaer, K., D'Hondt, E., Barnett, L.M., Costa, A.M., Howells, K., Sääkslahti, A. and Jidovtseff, B. 2020. Pictorial scale of perceived water competence (PSPWC) testing manual. Belgium University of Liege.
Healthy families: the present and future role of the supermarket
All Party Parliamentary Group on a Fit and Healthy Childhood, Clark, H., Royal, P., West, H., Clothier, S., Smith, S., Chui, B., Howells, K., Hodgson, C., Porter, L., Albon, D., Bagnall, P., Mackay, E., Aagaard, P., Nguyen, A., Bradshaw, B. and Holt, A. 2020. Healthy families: the present and future role of the supermarket. Royal Public Affairs.
Helping children find their inner brave!
Howells, K. 2020. Helping children find their inner brave! Canterbury Christ Church University.
Young children's understanding of fluid intake
Williamson, J. and Howells, K. 2019. Young children's understanding of fluid intake. International Journal of Nutrition. 4 (4), pp. 1-8. https://doi.org/10.14302/issn.2379-7835.ijn-19-3006
Physical activity recommendations for early childhood: an international analysis of ten different countries’ current national physical activity policies and practices for those under the age of 5
Howells, K. and Sääkslahti, A. 2019. Physical activity recommendations for early childhood: an international analysis of ten different countries’ current national physical activity policies and practices for those under the age of 5. in: Physical Education in Early Childhood Education and Care. Researches - Best Practices - Situation Bratislava Federation Internationale D'Education Physique.
Understanding and perceived fluid intake of children in England and Ireland
Coppinger, T. and Howells, K. 2019. Understanding and perceived fluid intake of children in England and Ireland.
A case study of how daily physical activity initiatives of occupational therapy were used to help physical movements for a child with dyspraxia
Power, L. and Howells, K. 2019. A case study of how daily physical activity initiatives of occupational therapy were used to help physical movements for a child with dyspraxia.
The complexity of young children's physical education
Howells, K. and Jess, M. 2019. The complexity of young children's physical education.
4 and 5 year olds' understanding of fluid intake within England
Williamson, J. and Howells, K. 2019. 4 and 5 year olds' understanding of fluid intake within England.
The A, B, Cs of physical activity, play and motor learning
Howells, K., Sääkslahti, A., Jidovtseff, B. and Fjørtoft, I. 2019. The A, B, Cs of physical activity, play and motor learning. Early Years Special Interest Group Symposium within AIESEP (International Association of Physical Education in Higher Education) International Conference Building Bridges for Physical Activity and Sport. New York 19 - 22 Jun 2019
#Greatcoaching within sport
Howells, K., Gubby, L., Dray, K. and Mills, H. 2019. #Greatcoaching within sport. Expert Comments
International comparison of children’s knowledge, barriers and reported fluid intake across the school day.
Coppinger, T. and Howells, K. 2019. International comparison of children’s knowledge, barriers and reported fluid intake across the school day. International Journal of Nutrition. 4 (1), pp. 1-9. https://doi.org/10.14302/issn.2379-7835.ijn-19-904
#BalanceforBetter within sport
Howells, K., Gubby, L., Dray, K. and Mills, H. 2019. #BalanceforBetter within sport. CCCU website Media Department.
Iron girl – patronising or inclusive?
Howells, K. and Gubby, L. 2019. Iron girl – patronising or inclusive? CCCU website Canterbury Christ Church University.
Mental health through movement
Clark, H., Royal, P., West, H., Randall, V., Silk, M., Patnaik, A., Shahid, S., Yelling, M., Coleman, N., Wright, C., Kay, S., Bagnall, P., Sigman, A., Adams, S., Albon, D., Murray, A., Murray, P., Hodgson, A., Hill, R., Whewell, E., Palmer, G., Lee, D., Javor, A., Lubrano, M., Salt, K., Lochrie, P., Thomas, J., Jephcott, M., Norman, A., Manners, L., Pearson, J., Murray, J. and Howells, K. 2019. Mental health through movement . London All Party Parliamentary Group.
OECD future of education 2030: making physical education dynamic and inclusive for 2030 international curriculum analysis
Howells, K. 2019. OECD future of education 2030: making physical education dynamic and inclusive for 2030 international curriculum analysis. Paris OECD.
The adoption of daily mile as an active mile initiative: the children’s and teachers’ voices
Howells, K., Bowen, J., Mannion, K. and McMartin, C. 2019. The adoption of daily mile as an active mile initiative: the children’s and teachers’ voices. Physical Education Matters. Autumn 2019, pp. 37-39.
Exploring the use of e-portfolios in higher education coaching programs
Dray, K. and Howells, K. 2019. Exploring the use of e-portfolios in higher education coaching programs. International Sport Coaching Journal. 6 (3), pp. 359-365. https://doi.org/https://doi.org/10.1123/iscj.2018-0082
Supporting children inside and out with physical activity
Howells, K. 2019. Supporting children inside and out with physical activity. CCCU Media Pages Canterbury Christ Church University.
Beyond Jonny’s story: a whole class physical activity intervention
Howells, K. 2018. Beyond Jonny’s story: a whole class physical activity intervention.
How physically active are boys and girls are during playtimes in primary school?
Howells, K. 2018. How physically active are boys and girls are during playtimes in primary school?
Castle’s competition model for building confidence and competence in action
Castle, N., Howells, K. and Gubby, L. 2018. Castle’s competition model for building confidence and competence in action.
‘Elite athlete to disabled athlete to adaptive athlete. ’how coaches and teachers can help support the road to recovery
Howells, K. 2018. ‘Elite athlete to disabled athlete to adaptive athlete. ’how coaches and teachers can help support the road to recovery.
'Drive to drink!'
Coppinger, T. and Howells, K. 2018. 'Drive to drink!'.
The impact of wellbeing on the physical activities of occupational therapy (OT) for a child with dyspraxia
Power, L., Howells, K. and Gubby, L. 2018. The impact of wellbeing on the physical activities of occupational therapy (OT) for a child with dyspraxia.
Are you ready? physical readiness is there a mismatch in understanding and knowledge?
Howells, K. 2018. Are you ready? physical readiness is there a mismatch in understanding and knowledge?
Early years symposium: physical readiness and physical curiosity
Howells, K. 2018. Early years symposium: physical readiness and physical curiosity. AIESEP (International Association of Colleges of Physical Education) World Congress. Edinburgh Jul 2018
The future of education and skills: education 2030: the future we want
Howells, K. 2018. The future of education and skills: education 2030: the future we want. Paris OECD.
In search of the feeling of ‘belonging’ in Higher Education: undergraduate students transition into Higher Education
Meehan, C. and Howells, K. 2018. In search of the feeling of ‘belonging’ in Higher Education: undergraduate students transition into Higher Education. Journal of Further and Higher Education. https://doi.org/10.1080/0309877X.2018.1490702
What is the impact of wellbeing on the physical activities of occupational therapy for a child with dyspraxia?
Power, L., Howells, K. and Gubby, L. 2017. What is the impact of wellbeing on the physical activities of occupational therapy for a child with dyspraxia?
What’s even possible? how physical active are our 21st century children?
Howells, K. 2016. What’s even possible? how physical active are our 21st century children?
What’s even possible? how physical active are our 21st century children? (AIESEP)
Howells, K. 2016. What’s even possible? how physical active are our 21st century children? (AIESEP).
Physical activity and self-esteem. Jonny's story (AIESEP)
Howells, K. and Bowen, J. 2016. Physical activity and self-esteem. Jonny's story (AIESEP).
Physical development, health and well-being. AIESEP
Howells, K. 2016. Physical development, health and well-being. AIESEP.
Physical development, health and well-being.
Howells, K. 2016. Physical development, health and well-being.
Physical activity and self esteem, Jonny's story
Howells, K. and Bowen, J. 2016. Physical activity and self esteem, Jonny's story.
Walk it, like you talk it.
Howells, K. and Meehan, C. 2016. Walk it, like you talk it.
Can break times (recess) help children's physical activity levels?
Howells, K. 2017. Can break times (recess) help children's physical activity levels?
What is being healthy within UK primary school setting?
Howells, K. 2017. What is being healthy within UK primary school setting?
Using basic biomechanics to support observation, assessment and progression of learning
Howells, K. 2017. Using basic biomechanics to support observation, assessment and progression of learning. CIAPSE2 – Children’s Physical Activity and Sport. University of Jyväskylä, Jyväskylä 26 - 28 Jan 2017
Beyond Jonny's story
Howells, K. and Bowen, J. 2017. Beyond Jonny's story.
The opportunities and challenges for teachers to consider how physically active boys and girls are during recess in elementary school
Howells, K. 2017. The opportunities and challenges for teachers to consider how physically active boys and girls are during recess in elementary school.
'Becoming' a disabled athlete
Howells, K. 2017. 'Becoming' a disabled athlete.
Young children’s physical activity levels in primary (elementary) schools: what impact does physical education lessons have for young children?
Howells, K., Wellard, I. and Woolf-May, K. 2018. Young children’s physical activity levels in primary (elementary) schools: what impact does physical education lessons have for young children? Early Child Development and Care. https://doi.org/10.1080/03004430.2018.1490899
We need more female role models in sport to inspire the next generation
Howells, K., Gubby, L., Dray, K. and Mills, H. 2018. We need more female role models in sport to inspire the next generation. Canterbury Christ Church University.
Chapter 14 - planning physical education in the national curriculum
Howells, K. 2018. Chapter 14 - planning physical education in the national curriculum. in: Sewell, K. (ed.) Planning the Primary National Curriculum A complete guide for trainees and teachers,Second Edition (Revised and Updated Edition) London SAGE. pp. 266-280
Physical activity and mental health of school-aged children andadolescents: A rapid review
Bailey, R., Howells, K. and Glibo, I. 2018. Physical activity and mental health of school-aged children andadolescents: A rapid review. International Journal of Physical Education. LV (1), pp. 1-14.
Mastering primary physical education
Howells, K., Carney, A., Castle, N. and Little, R. 2017. Mastering primary physical education. London Bloomsbury.
Supporting physical development, health and well-being through the use of outdoor environments
Howells, K. 2016. Supporting physical development, health and well-being through the use of outdoor environments. in: Ritchie, C. (ed.) Exploring Children's Learning 3 - 11 Routledge.
Benefits of swimming for young children
Howells, K. and Jarman, D. 2016. Benefits of swimming for young children. Physical Education Matters. 11 (3), pp. 20-21.
Walking the talk? Teachers’ and early years’ practitioners’ perceptions and confidence in delivering the UK Physical Activity Guidelines within the curriculum for young children
Howells, K. and Meehan, C. 2017. Walking the talk? Teachers’ and early years’ practitioners’ perceptions and confidence in delivering the UK Physical Activity Guidelines within the curriculum for young children. Early Child Development and Care. https://doi.org/10.1080/03004430.2017.1299146
What really matters to freshers? An evaluation of first year student experience of transition into university
Meehan, C. and Howells, K. 2017. What really matters to freshers? An evaluation of first year student experience of transition into university. Journal of Further and Higher Education. https://doi.org/10.1080/0309877X.2017.1323194
How learning in sport and sporting communities can be applied to online and blended learning and teaching in H.E.
Howells, K. 2016. How learning in sport and sporting communities can be applied to online and blended learning and teaching in H.E.
Walking the talk? Thinking and acting - teachers’ and practitioners’ perceptions about physical activity, health and well-being, Do they ‘walk the talk’
Howells, K. and Meehan, C. 2015. Walking the talk? Thinking and acting - teachers’ and practitioners’ perceptions about physical activity, health and well-being, Do they ‘walk the talk’.
Walking the talk? Thinking and acting – teachers' and practitioners' perceptions about physical activity, health and well-being, Do they 'walk the talk'?
Howells, K. and Meehan, C. 2015. Walking the talk? Thinking and acting – teachers' and practitioners' perceptions about physical activity, health and well-being, Do they 'walk the talk'? International Journal of Sport and Exercise Sciences. 2 (5), pp. 125-125.
Chapter 7 – An introduction to physical education
Howells, K. 2015. Chapter 7 – An introduction to physical education. in: Driscoll, P., Lambirth, A. and Roden, J. (ed.) The Primary Curriculum: A Creative Approach London SAGE. pp. 137-155
Physical education planning
Howells, K. 2015. Physical education planning. in: Sewell, K. (ed.) Planning the Primary National Curriculum: A complete guide for trainees and teachers London SAGE. pp. 262-276
Physical activity and self-esteem: ‘Jonny’s story’
Howells, K. and Bowen, J. 2016. Physical activity and self-esteem: ‘Jonny’s story’. Education 3-13: International Journal of Primary, Elementary and Early Years Education. https://doi.org/10.1080/03004279.2016.1171572
Can break times help children's physical activity?
Howells, K. 2015. Can break times help children's physical activity? in: Sangster, M. (ed.) Challenging Perceptions in Primary Education: Exploring Issues in Practice Bloomsbury.
Experiences of blended learning and support mechanisms
Howells, K. 2014. Experiences of blended learning and support mechanisms. Blended Learning: The Thoughtful Fusion of Face to Face and Online Learning Experiences. Faculty of Health and Social Care
Experiences of blended learning
Howells, K. 2014. Experiences of blended learning. Approaches to Feedback and Blended Learning.
Responsible citizens who make a positive contribution to society
Howells, K. 2007. Responsible citizens who make a positive contribution to society.
The use of technology in recording physical activity levels of primary aged children
Howells, K. 2012. The use of technology in recording physical activity levels of primary aged children.
The effect of hemparesis on sitting to standing
Howells, K. 2004. The effect of hemparesis on sitting to standing. Masters Thesis University of Birmingham Health Sciences
The contribution of the primary school setting and physical education lessons to children's physical activity levels
Howells, K. 2014. The contribution of the primary school setting and physical education lessons to children's physical activity levels. PhD Thesis Canterbury Christ Church University Faculty of Education
Science in physical education or physical education in science
Howells, K. 2010. Science in physical education or physical education in science. We're Going on a Bear Hunt. East Sussex May 2010
Initial teacher education in the South East. Opportunities and challenges for enhancing public health content
Howells, K. 2008. Initial teacher education in the South East. Opportunities and challenges for enhancing public health content.
Primary school pilot case study on physical education’s contribution to physical activity levels
Howells, K. 2009. Primary school pilot case study on physical education’s contribution to physical activity levels.
The contribution of physical education lessons to physical activity levels of primary aged children
Howells, K. 2011. The contribution of physical education lessons to physical activity levels of primary aged children.
Using technologies to support in physical education lessons: primary education trainee teachers' views
Howells, K. 2011. Using technologies to support in physical education lessons: primary education trainee teachers' views.
Physical activity levels of infant and junior school children. Do physical education lessons contribute to physical activity levels?
Howells, K. 2011. Physical activity levels of infant and junior school children. Do physical education lessons contribute to physical activity levels?
What happens in physical education of primary aged children?
Howells, K. 2012. What happens in physical education of primary aged children?
What happens in physical education of primary aged children?
Howells, K. 2012. What happens in physical education of primary aged children?
Beyond the fridge freezer
Howells, K. 2013. Beyond the fridge freezer.
Do physical education lessons increase physical activity levels of primary aged children? - Preliminary findings
Howells, K., Wellard, I. and Woolf-May, K. 2009. Do physical education lessons increase physical activity levels of primary aged children? - Preliminary findings. in: MacPhail, A. and Young, A. (ed.) Promoting Physical Education Across Schools and Communities. Proceedings of the Fourth Physical Education, Physical Activity and Youth Sport Forum Limerick University of Limerick. pp. 23-31
Do physical education lessons contribute to children's physical activity levels?
Howells, K., Wellard, I. and Woolf-May, K. 2010. Do physical education lessons contribute to children's physical activity levels? in: Enright, E. and Tindall, D. (ed.) A Shared Vision for Physical Education, Physical Activity and Youth Sport. Proceedings of the Fifth Physical Education, Physical Activity and Youth Sport Forum Limerick University of Limerick. pp. 46-53
A critical reflection of the opportunities and challenges of integrating the every child Matters (ECM) agenda into teaching physical education (PE)
Howells, K. 2007. A critical reflection of the opportunities and challenges of integrating the every child Matters (ECM) agenda into teaching physical education (PE). Primary Physical Education Matters. 2 (1), pp. ii-iii.
CPOW! The superhero method for inspiring learning in literacy
Howells, K. and Sweatman, D. 2010. CPOW! The superhero method for inspiring learning in literacy. Literacy Today.
Are boys more physically active than girls during a primary school day?
Howells, K., Caple, A. and Jones, M. 2010. Are boys more physically active than girls during a primary school day? Primary Physical Education Matters. 5 (3), pp. xvii-xix.
An introduction to physical education
Howells, K. 2012. An introduction to physical education. in: Driscoll, P., Roden, J. and Lambirth, A. (ed.) The Primary Curriculum: A Creative Approach London SAGE. pp. 118-136
Placing an importance on health and physical activity
Howells, K. 2012. Placing an importance on health and physical activity. in: Griggs, G. (ed.) An Introducation to Primary Physical Education London Routledge. pp. 207-220
The use of technology in promoting physical activity of primary aged children
Howells, K. 2012. The use of technology in promoting physical activity of primary aged children.
Using accelerometers and Qwizdom to measure the physical activity levels of primary aged children
Howells, K. 2012. Using accelerometers and Qwizdom to measure the physical activity levels of primary aged children.
Is physical education more than just being physically active?
Howells, K. 2012. Is physical education more than just being physically active? in: Sangster, M. (ed.) Developing Teacher Expertise: Exploring Key Issues in Primary Practice London Bloomsbury Academic. pp. 78-82
Ensuring all children - including a child with ADHD - can access physical education
Howells, K. and Barton, K. 2012. Ensuring all children - including a child with ADHD - can access physical education. Primary Physical Education Matters. 7 (3), pp. 57-59.
Primary school case study on physical education's contribution to physical activity levels
Howells, K., Wellard, I. and Woolf-May, K. 2009. Primary school case study on physical education's contribution to physical activity levels.
Primary school case study on physical education's contribution to physical activity levels
Howells, K., Wellard, I. and Woolf-May, K. 2009. Primary school case study on physical education's contribution to physical activity levels.
Defining the specialist teacher of primary physical education
Carney, P. and Howells, K. 2008. Defining the specialist teacher of primary physical education. Primary Physical Education Matters. 3 (3), pp. iii-iv.