Expanding the concept of ‘threshold concepts’: threshold concepts for life

Authors

  • Kosha Mehta King's College London

DOI:

https://doi.org/10.47408/jldhe.vi31.1312

Keywords:

threshold concepts, resilience, moral education, equality, inclusion, sustainability, art

Abstract

News and media reports indicate that the perceived value of university education is declining amongst students – one of the indicators being an increase in apprenticeships. As educators, we need to identify the reasons for this and ask ourselves whether we provide holistic education to students. Based on this rationale, this forward-looking and solution-focussed opinion article invites the educators to think beyond the subject-specific threshold concepts and teach students the ‘threshold concepts for life’. This proposed term implies, includes, and collates teaching-learning of multiple concepts that are often outside the discipline/subject-specific boundaries of several curricula, but can help develop life-skills and thought-processes that promote mental, physical, and societal well-being. To enable such teachings, six domains of education can be embedded within the curricula of ALL disciplines. These domains include education on sustainability, equality, diversity and inclusion, arts, resilience, moral science/personal integrity, and physical activity. To support the inclusion of these domains, this article discusses the significance of each domain and provides evidence of the positive impact of its application on students. Logistics of embedding these within the curricula of ALL students have been suggested and the core benefits of including these domains in university education are mentioned.

Author Biography

Kosha Mehta, King's College London

Kosha Mehta is a Senior Lecturer in Bioscience Education at King’s College London. In addition to teaching the students of Bioscience and Medicine, she conducts and publishes educational research. Profile page: https://www.kcl.ac.uk/people/kosha-mehta.

References

Baran, L. and Jonason, P. K. (2020) ‘Academic dishonesty among university students: the roles of the psychopathy, motivation, and self-efficacy’, PLoS ONE, 15(8), e0238141.

Basheti, I. A., Assaraira, T. Y., Obeidat, N. M., Al-haq, F. A. and Refai, M. (2023) ‘Assessing anxiety and depression among students post-Covid-19: exploring associating factors’, Psychology Research and Behavior Management, 161797-1810. Available at: https://doi.org/10.2147/PRBM.S409632.

Batty, D. and Parveen, N. (2021) ‘UK schools record more than 60,000 racist incidents in five years’, The Guardian, 28 March. Available at: https://www.theguardian.com/education/2021/mar/28/uk-schools-record-more-than-60000-racist-incidents-five-years (Accessed: 12 June 2024).

Biancardi, A., Colasante A and D'Adamo I. (2023) ‘Sustainable education and youth confidence as pillars of future civil society’, Scientific Reports, 13955. Available at:https://doi.org/10.1038/s41598-023-28143-9.

Bleck, J., DeBate, R., Garcia, J. and Gatto, A. (2023) ‘A pilot evaluation of a university health and wellness coaching program for college students’, Health Education & Behavior: The Official Publication of the Society for Public Health Education. Available at:https://doi.org/10.1177/1090198122113126.

Bone, J. K., Bu, F., Sonke, J. K. and Fancourt, D. (2023) ‘Longitudinal associations between arts engagement and flourishing in young adults: a fixed effects analysis of the panel study of income dynamics’, Affective Science, 4(1), pp.131-142. Available at:https://doi.org/10.1007/s42761-022-00133-6.

Brewer, Margo. L., van Kessel, G., Sanderson, B., Naumann, F., Lane, M., Reubenson, A. and Carter, A. (2019) ‘Resilience in higher education students: a scoping review’, Higher Education Research & Development, 38(6), pp.1105-1120. Available at:https://doi.org/10.1080/07294360.2019.1626810.

Brown, C. E. B., Richardson, K., Halil-Pizzirani, B., Atkins, L., Yucel, M. and Segrave R. A. (2024) ‘Key influences on university students’ physical activity: a systematic review using the Theoretical Domains Framework and the COM-B model of human behaviour’, BMC Public Health, 24(1), 418. Available at: https://doi.org/10.1186/s12889-023-17621-4.

Cerit, Y. (2023) ‘The effect of ethics and moral education on the levels of schadenfreude experienced by students’, International Journal of Psychology: Journal International De Psychologie, 59(1), pp.163-171. Available at:https://doi.org/10.1002/ijop.12960.

Chen, Y., Zeng, X., Tao, L., Chen, J. and Wang, Y. (2022) ‘The influence of arts engagement on the mental health of isolated college students during the COVID-19 outbreak in China’, Frontiers in Public Health, 101021642. Available at: https://doi.org/10.3389/fpubh.2022.1021642.

Donnelly, S., Penny, K. and Kynn, M. (2024) ‘The effectiveness of physical activity interventions in improving higher education students’ mental health: a systematic review’, Health Promotion International, 39(2), daae027. Available at: https://doi.org/10.1093/heapro/daae027.

European Commission (2022) The gender pay gap situation in the EU. Available at: https://commission.europa.eu/strategy-and-policy/policies/justice-and-fundamental-rights/gender-equality/equal-pay/gender-pay-gap-situation-eu_en (Accessed: 12 June 2024).

Fancourt, D. and Finn, S. (2019) ‘2. RESULTS’, in ‘What is the evidence on the role of the arts in improving health and well-being? A scoping review’, WHO Regional Office for Europe. Available at: https://www.ncbi.nlm.nih.gov/books/NBK553778/ (Accessed: 26 May 2024).

Finn, S. and Fancourt, D. (2018) ‘The biological impact of listening to music in clinical and nonclinical settings: a systematic review’, in Christensen, J. F. and Gomila, A. (eds.) Progress in brain research: the arts and the brain. Elsevier, pp.173-200. Available at: https://doi.org/10.1016/bs.pbr.2018.03.007.

Gamage K. A. A, Dehideniya, D. M. S. C. P. K. and Ekanayake S. Y. (2021) ‘The role of personal values in learning approaches and student achievements’, Behavioral Sciences, 11(7), 102. Available at: https://doi.org/10.3390/bs11070102.

Garner, R. (2010) ‘Sixth of students regret going to university’, Independent, Education

News, 27 May. Available at: https://www.independent.co.uk/news/education/education-news/sixth-of-students-regret-going-to-university-1983917.html (Accessed: 3 September 2024)

Gov.UK (2022) HMRC gender pay gap report 2022. Available at: https://www.gov.uk/government/publications/hmrc-and-valuation-office-agency-gender-pay-gap-report-and-data-2022/hmrc-gender-pay-gap-report-2022 (Accessed: 12 June 2024).

Gov.UK (2024) Apprenticeships, Academic year 2023/24. Available at: https://explore-education-statistics.service.gov.uk/find-statistics/apprenticeships (Accessed: 26 May 2024).

Hall, K. and Chae, A. (2022) ‘Identifying threshold concepts in postgraduate general practice training: a focus group, qualitative study’, BMJ Open, 12(6), e060442. Available at: https://doi.org/10.1136/bmjopen-2021-060442.

Hill Weller, L., Rubinsky, A. D., Shade, S. B., Liu, F., Cheng, I., Lopez, G., Robertson, A., Smith, J., Dang, K., Leiva, C., Rubin, S., Martinez, S. M., Bibbins-Domingo, K. and Morris, M. D. (2024) ‘Lessons learned from implementing a diversity, equity, and inclusion curriculum for health research professionals at a large academic research institution’, Journal of Clinical and Translational Science, 8(1), e22. Available at: https://doi.org/10.1017/cts.2024.6.

Horrigan, L. A. (2018) ‘Tackling the threshold concepts in physiology: what is the role of the laboratory class?’, Advances in Physiology Education, 42(3), p.507-515. Available at: https://doi.org/10.1152/advan.00123.2017.

Hudson, L., Engel-Hills, P. and Winberg, C. (2018) ‘Threshold concepts in radiation physics underpinning professional practice in radiation therapy’, International Journal of Practice-based Learning in Health and Social Care, 6(1), pp.53-63. Available at: https://doi.org/10.18552/ijpblhsc.v6i1.421.

Ilić M., Pang H., Vlaški T., Grujičić M. and Novaković, B. (2024) ‘Prevalence and

associated factors of overweight and obesity among medical students from the Western Balkans (South-East Europe Region)’, BMC Public Health, 24(1), 29. Available at: https://doi.org/10.1186/s12889-023-17389-7.

Jereb, E., Perc, M., Lämmlein, B., Jerebic, J., Urh, M., Podbregar, I. and Šprajc, P. (2018) ‘Factors influencing plagiarism in higher education: a comparison of German and Slovene students’, PLoS ONE, 13(8), e0202252. Available at: https://doi.org/10.1371/journal.pone.0202252.

Johannes C., Roman N. V., Onagbiye S. O., Titus, S. and Leach, L. L. (2024) ‘Strategies and best practices that enhance the physical activity levels of undergraduate university students: a systematic review’, International Journal of Environmental Research and Public Health, 21(2), 173. Available at: https://doi.org/10.3390/ijerph21020173.

Johnson, J., Simms-Ellis, R., Janes, G., Mills, T., Budworth, L., Atkinson, L. and Harrison R. (2020) ‘Can we prepare healthcare professionals and students for involvement in stressful healthcare events? A mixed-methods evaluation of a resilience training intervention’, BMC Health Services Research, 20(1), 1094. Available at: https://doi.org/10.1186/s12913-020-05948-2.

Jones, H. and Hammond, L. (2022) ‘Threshold concepts in medical education: a scoping review’, Medical Education, 56(10), pp.983-993. Available at: https://doi.org/10.1111/medu.14864.

Joyce, S., Shand, F., Tighe, J., Laurent, S. J., Bryant, R. A. and Harvey, S. B. (2018) ‘Road to resilience: a systematic review and meta-analysis of resilience training programmes and interventions’, BMJ Open, 8(6). Available at: https://doi.org/10.1136/bmjopen-2017-017858.

Kendix, M. (2024) ‘Huge rise in plagiarism on university applications’, The Times, 8 January. Available at: https://www.thetimes.com/uk/education/article/huge-rise-in-plagiarism-on-university-applications-97tz8lnsp (Accessed: 12 June 2024).

Liljedahl, M., Palmgren, P. J. and McGrath, C. (2022) ‘Threshold concepts in health professions education research: a scoping review’, Advances in Health Sciences Education, 27(5), pp.1457-1475. Available at: https://doi.org/10.1007/s10459-022-10127-5.

Loertscher, J., Green, D., Lewis, J. E., Lin, S. and Minderhout, V. (2017) ‘Identification of threshold concepts for Biochemistry’, CBE Life Sciences Education, 13(3), pp.516-528. Available at: https://doi.org/10.1187/cbe.14-04-0066.

Lv, Z., Ying, C. and Chen J. (2024) ‘The impact of volunteer service on moral education performance and mental health of college students’, PloS One, 19(4), e0294586. Available at: https://doi.org/10.1371/journal.pone.0294586.

Malagodi, F., Dommett E., Findon J. and Gardner, B. (2024) ‘Physical activity interventions to improve mental health and wellbeing in university students in the UK: a service mapping study’, Mental Health and Physical Activity, 26100563. Available at: https://doi.org/10.1016/j.mhpa.2023.100563.

Malik, A. A., Hassan, M., Rizwan, M., Mushtaque, I., Lak, T. A. and Hussain, M. (2023) ‘Impact of academic cheating and perceived online learning effectiveness on academic performance during the COVID-19 pandemic among Pakistani students’, Frontiers in Psychology. 141124095. Available at: https://doi.org/10.3389/fpsyg.2023.1124095.

Martin, L., Oepen R., Bauer, K., Nottensteiner, A., Mergheim, K., Gruber, H. and Koch, S. C. (2018) ‘Creative arts interventions for stress management and prevention: a systematic review’, Behavioral Sciences, 8(2), 28. Available at: https://doi.org/10.3390/bs8020028.

Mastroianni, A. M. and Gilbert, D. T. (2023) ‘The illusion of moral decline’, Nature, 618(7966), pp.782-789. Available at: https://doi.org/10.1038/s41586-023-06137-x.

McInnis, K. (2023) ‘Campus racism: University of Manchester apologises over slurs in class’, BBC News, 28 April. Available at: https://www.bbc.com/news/newsbeat-65410599 (Accessed: 12 June 2024).

Meyer, J. and Land, R. (2003) ‘Threshold concepts and troublesome knowledge: linkages to ways of thinking and practising within the Disciplines’, ETL Project. Available at: https://www.etl.tla.ed.ac.uk/docs/ETLreport4.pdf (Accessed: 3 September 2024).

Muller-Heyndyk, R. (2018) ‘Students regret going to university’, HR, 27 July. Available at: https://www.hrmagazine.co.uk/content/news/students-regret-going-to-university/ (Accessed: 11 June 2024).

Office for Students (2022) Suicide prevention. Available at: https://www.officeforstudents.org.uk/advice-and-guidance/promoting-equal-opportunities/effective-practice/suicide-prevention/ (Accessed: 30 June 2023).

Olaniyi, N. E. E. (2020) ‘Threshold concepts: designing a format for the flipped classroom as an active learning technique for crossing the threshold’, Research and Practice in Technology Enhanced Learning 15(1), 2. Available at: https://doi.org/10.1186/s41039-020-0122-3.

Osbourne, L., Barnett, J. and Blackwood, L. (2023) ‘Black students’ experiences of “acceptable” racism at a UK university’, Journal of Community & Applied Social Psychology, 33(1), pp.43-55. Available at: https://doi.org/10.1002/casp.2637.

Plotnikoff, R. C., Costigan, S. A., Williams, R. L., Hutchesson, M. J., Kennedy, S. G., Robards, S. L., Allen, J. Collins, C. E., Callister, R. and Germov, J. (2015) ‘Effectiveness of interventions targeting physical activity, nutrition and healthy weight for university and college students: a systematic review and meta-analysis’, International Journal of Behavioral Nutrition and Physical Activity, 12(1), 45. Available at: https://doi.org/10.1186/s12966-015-0203-7.

Prospects (2021) Nearly half of university students unprepared for employment, June. Available at: https://www.prospects.ac.uk/prospects-press-office/nearly-half-of-university-students-unprepared-for-employment (Accessed: 3 September 2024).

Reilly, M. L. (2024) ‘Study shows college enrollment falling with perceptions of its value’, Forbes, 18 March. Available at: https://www.forbes.com/sites/meglittlereilly/2024/03/14/study-shows-college-enrollment-falling-with-perceptions-of-its-value/ (Accessed: 26 May 2024).

Sandrone, S. and Alavian, K. N. (2021) ‘Threshold concepts in Neuroscience: identification challenges, educational opportunities and recommendations for practice’, Frontiers in Education, 5. Available at: https://doi.org/10.3389/feduc.2020.540307.

Singh, M. K., Hu, R. and Miklowitz, D. J. (2021) ‘Preventing irritability and temper outbursts in youth by building resilience’, Child and Adolescent Psychiatric Clinics of North America, 30(3), pp.595-610. Available at: https://doi.org/10.1016/j.chc.2021.04.009.

Solís-Espallargas, C., Ruiz-Morales, J., Limón-Domínguez, D. and Valderrama-Hernández, R. (2019) ‘Sustainability in the university: a study of its presence in curricula, teachers and students of education’, Sustainability, 11(23), 6620. Available at: https://doi.org/10.3390/su11236620.

Srivastava, S. K. (2013) ‘Threshold concepts in geographical information systems: a step towards conceptual understanding’, Journal of Geography in Higher Education, 37(3), pp.367-384. Available at: https://doi.org/10.1080/03098265.2013.775569.

Tapera, R., Merapelo, M. T., Tumoyagae, T., Maswabi, T. M., Erick, P., Letsholo, B. and Mbongwe, B. (2017) ‘The prevalence and factors associated with overweight and obesity among University of Botswana students’, Cogent Medicine, 4(1), 1357249. Available at: https://doi.org/10.1080/2331205X.2017.1357249.

Telleria-Aramburu, N. and Arroyo-Izaga, M. (2022) ‘Risk factors of overweight/obesity-related lifestyles in university students: results from the EHU12/24 study’, The British Journal of Nutrition, 127(6), pp.914-926. Available at: https://doi.org/10.1017/S0007114521001483.

Wan Mohamed Radzi, C. W. J., Salarzadeh Jenatabadi, H., Alanzi, A. R. A., Mokhtar, M. I., Mamat, M. Z. and Abdullah, N. A. (2019) ‘Analysis of obesity among Malaysian university students: a combination study with the application of Bayesian structural equation modelling and Pearson correlation’, International Journal of Environmental Research and Public Health, 16(3), 492. Available at: https://www.doi.org/10.3390/ijerph16030492.

Wang, X., Hegde, S., Son, C., Keller, B., Smith, A. and Sasangohar, F. (2020) ‘Investigating mental health of US college students during the Covid-19 pandemic: cross-sectional survey study’, Journal of Medical Internet Research, 22(9), e22817. Available at: https://doi.org/10.2196/22817.

Westfall, C. (2023) ‘Educators battle plagiarism as 89% of students admit to using OpenAI’s ChatGPT for homework’, Forbes, 28 January. Available at: https://www.forbes.com/sites/chriswestfall/2023/01/28/educators-battle-plagiarism-as-89-of-students-admit-to-using-open-ais-chatgpt-for-homework/ (Accessed: 12 June 2024).

Yan, H. and Ke, Q. (2022) ‘Moral education guides people to construct three dimensions of a happy life and reduce emotional barriers’, International Journal of Neuropsychopharmacology, 25(Suppl 1), pp.A99-A100.

Yorke, H. (2017) ‘One in five students regret their choice of university, new study shows’, The Telegraph, 20 January. Available at: https://www.telegraph.co.uk/education/2017/01/20/one-five-students-regret-choice-university-new-study-shows/ (Accessed: 26 May 2024).

Yuan, F., Peng, S., Khairani, A. Z. and Liang J. (2024) ‘A systematic review and meta-analysis of the efficacy of physical activity interventions among university students’, Sustainability, 16(4), 1369. Available at: https://doi.org/10.3390/su16041369.

Zhai, Y. and Du, X. (2022) ‘Trends and prevalence of suicide 2017–2021 and its association with COVID-19: Interrupted time series analysis of a national sample of college students in the United States’, Psychiatry Research, 316, 114796. Available at: https://doi.org/10.1016/j.psychres.2022.114796.

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Published

29-09-2024

How to Cite

Mehta, K. (2024) “Expanding the concept of ‘threshold concepts’: threshold concepts for life ”, Journal of Learning Development in Higher Education, (31). doi: 10.47408/jldhe.vi31.1312.

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Opinion Pieces