that if patients are informed about their health, they could improve it through various lifestyle changes. In the 1980s, patient advocacy groups drew attention to the issue of patients' rights such as the right to be informed about health conditions and the potential options for care. The 1990s fully brought about the shared decision making model present in healthcare settings today, including the emergence of electronic health communication. Lastly, in the 21st century, there has been an emergence of associations designated as platforms for promoting health education and communication. In the United States specifically... The purpose and approach of health education in the United States have evolved over time. From the late nineteenth to the mid-twentieth century, the aim of public health was controlling the harm from infectious diseases, which were largely under control by the 1950s. The major recent trend regarding changing definitions of school health education is the increasing acknowledgement that school education influences adult behavior. In the 1970s, health education was viewed in the U.S. mostly as a means of communicating healthy medical practices to those who should be practicing them. By this time, it was clear that reducing illness, death, and rising health care costs could best be achieved through a focus on health promotion and disease prevention. At the heart of the new approach was the role of a health educator. In the 1980s definitions began to incorporate the belief that education is a means of empowerment for the individual, allowing them to make educated health decisions. Health education in the U.S. became "the process of assisting individuals… to make informed decisions about matters affecting their personal health and the health of others." This definition emerged in the same year as the first national-scale investigation of health education in schools in the United States, which eventually led to a much more aggressive approach to educating young people on matters of health. In the late 1990s the World Health Organization launched a Global Health Initiative which aimed at developing "health-promoting schools", which would enhance school health programs at all levels including: local, regional, national, and global level. Today school health education is seen in the U.S. as a "comprehensive health curricula", combining community, schools, and patient care practice, in which "Health education covers the continuum from disease prevention and promotion of optimal health to the detection of illness to treatment, rehabilitation, and long-term care." This concept