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Radiological preparedness-awareness and attitudes: A cross-sectional survey of emergency medicine residents and physicians at three academic institutions in the United States  

Context. Emergency preparedness has been increasingly recognized as important. Research shows many medical personnel feel unprepared to respond to radiation incidents. Knowledge and attitudes of emergency medicine residents and faculty are largely unstudied, regarding their abilities to provide care for radiation disaster victims. It is unknown whether receiving training in radiological emergency preparedness improves knowledge and attitudes. Objectives. (1) Assess the attitudes of emergency medicine residents and faculty toward a radiological disaster; (2) Assess knowledge gaps of emergency medicine residents and faculty regarding radiological emergency preparedness; (3) Assess the attitudes of emergency medicine residents and faculty toward different educational strategies. Methods. An e...

2

Study of the effects of informational and persuasive messages on the attitudes of high school students toward the use of nuclear energy for electrical production  

This investigation assessed the relationship between knowledge about and attitudes toward nuclear energy. The study's purpose was accomplished by attempting to manipulate knowledge about and attitude toward nuclear energy independently. Over two thousand high school students participated in the study. A Non-Equivalent Control Group quasi-experimental design was used involving random assignment by intact groups to treatments. A knowledge treatment was designed to increase student knowledge without affecting attitudes. An attitude treatment was designed to change attitudes without changing knowledge, and a control treatment was employed for comparison to the experimental treatments. Each treatment consisted of a videotape with a viewing guide and a homework assignment. The Nuclear Energy Assessment Battery was used as a pretest, post-test, and retention test. Males scored significantly higher in knowledge and positive attitudes, but no interaction between gender and treatment was found. The study concluded that (1) there is a correlation between nuclear knowledge and attitudes, (2) knowledge about nuclear energy can be changed without affecting attitude and attitude can be changed without affecting knowledge, and (3) students show differences and attitude based on gender.

3

HPV vaccination among ethnic minorities in the UK: knowledge, acceptability and attitudes.  

Human papillomavirus (HPV) vaccination offers a unique opportunity for the primary prevention of cervical cancer. Studies suggest that knowledge and attitudes about the vaccine are likely to influence uptake. One limitation of most studies assessing HPV vaccine knowledge, attitudes and acceptability...

4

Breastfeeding knowledge and attitudes among Egyptian baccalaureate students  

AHMED A. & EL GUINDY S.R. (2011) Breastfeeding knowledge and attitudes among Egyptian baccalaureate students. International Nursing Review58, 372-378 Aim:- To assess the breastfeeding knowledge, attitudes and perceived adequacy of breastfeeding education among baccalaureate nursing students in Cairo, Egypt. Self-confidence to provide breastfeeding support for mothers was also investigated. Background:- Nurses play a crucial role in promoting breastfeeding. Studies in Western countries have found inadequate breastfeeding knowledge among undergraduate nursing students. No published literature about breastfeeding knowledge and attitudes among nursing students in Egypt was found. Method:- An exploratory descriptive study used a sample of 110 baccalaureate nursing students from Cairo, Egypt. St...

5

75 FR 70270 - Submission for OMB Review; Comment Request; Pretesting of NIAID's Biomedical HIV Prevention...  

...submitted to the Office of Management and Budget (OMB) for review...Assess audience knowledge, attitudes, behaviors and other characteristics...Healthcare Providers...Deputy Director for Science Management NIAID. [FR Doc....

6

Factors Relating to Education Professionals' Classroom Practices for the Inclusion of Students with Autism Spectrum Disorders  

It is essential to understand the current practices used to foster inclusive education for students with autism spectrum disorders (ASDs) as well as factors related to the implementation of classroom interventions. In the current study authors assess the experience, knowledge, attitudes and current practices of education professionals regarding ASD. Results suggest that special education teachers and school psychologists hold higher levels of experience, training, and knowledge as compared to general education teachers and administrators. Attitudes towards inclusive education for students with ASD were positive, in general, although attitudes were not a significant predictor of awareness or use of empirically supported interventions. Implications and future directions are discussed. (Contains 4 tables.)

7

Factors relating to education professionals' classroom practices for the inclusion of students with autism spectrum disorders  

It is essential to understand the current practices used to foster inclusive education for students with autism spectrum disorders (ASDs) as well as factors related to the implementation of classroom interventions. In the current study authors assess the experience, knowledge, attitudes and current practices of education professionals regarding ASD. Results suggest that special education teachers and school psychologists hold higher levels of experience, training, and knowledge as compared to general education teachers and administrators. Attitudes towards inclusive education for students with ASD were positive, in general, although attitudes were not a significant predictor of awareness or use of empirically supported interventions. Implications and future directions are discussed.

8

A survey of pediatricians' attitudes and practices about maternal employment.  

A survey of 281 members (31 percent) of the Texas Pediatric Society was performed in 1981 to assess members' knowledge of, attitudes toward, and practices regarding mothers who work outside the home. Only 15 percent correctly answered two of three knowledge questions about maternal employment. Thirt...

9

76 FR 1185 - Agency Information Collection Activities: Proposed Collection: Comment Request  

...submission to the Office of Management and Budget (OMB...Transplantation (DoT), Healthcare Systems Bureau, Health...public knowledge, attitudes, and behaviors related...knowledge of the public's attitudes and perceptions about...donate, as well as attitudes about living...

10

Assessing Knowledge, Attitudes, and Behavior toward Charismatic Megafauna: The Case of Dolphins  

Using concept maps, a Kellert-type (S. R. Kellert, 1985) inventory, and self-report behavioral items, this cross-age study assessed public knowledge, attitudes, and behaviors toward bottlenose dolphins. Results suggest that this important megafaunal species is poorly understood by the public at large, and that negative "utilitarian" attitudes and potentially harmful behaviors are widespread, except among well-educated college students who have benefited by direct instruction. Researchers are encouraged to undertake companion studies on other species.

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76 FR 22406 - National Institute on Drug Abuse (NIDA); Submission for OMB Review; Comment Request; Study of...  

...Office of Management and Budget...education of healthcare providers...disorders; (2) attitudes of healthcare professionals...skills of healthcare professionals...knowledge, attitudes, and indirect...Office of Management and...

12

The relationship among food safety knowledge, attitudes and self-reported HACCP practices in restaurant employees  

This study investigates relationships among food safety knowledge, attitudes and hazard analysis critical control point (HACCP) practices in restaurant employees in Taiwan. The authors administered a baseline questionnaire to 542 restaurant employees to assess their food safety knowledge, attitude and HACCP practices. A total of 421 valid questionnaires were returned and used in analysis. Mean scores for each survey item were calculated and used in a structural equation model (SEM) designed to assess interrelationships between the three. Participants scored an average 84.7% correct in food safety knowledge, with highest and lowest correct scores in, respectively, the food poisoning and good hygienic practices (GHP) constructs. The highest score in the attitude section was ''concern for foo...

13

Medical aspects of fitness to drive. What do public hospital doctors know and think?  

Abstract Background: In Australia medical practitioners are often required to assume the responsibility for assessing fitness to drive. However the clinical practice, knowledge and attitudes of doctors with regards to this responsibility are unknown. The aim of this study was to determine the clinical practice, knowledge and attitudes of public hospital doctors in the area of fitness-to-drive decision-making. Methods: A survey of public hospital doctors in Adelaide, South Australia was undertaken in 2003, shortly after the promulgation nationwide of guidelines to assist in the assessment of patients' fitness to drive. The survey sought details on medical practitioners' clinical practice in this regard, as well as their knowledge of the guidelines. In addition, it sought their attitudes to ...

14

Applying the motorcyclist's perspective to improve car drivers' attitudes towards motorcyclists  

This study sought to provide a first crucial step in the direction of developing an intervention program aimed at improving safe attitudes and skills among car drivers towards motorcycles. We intended to improve drivers' attitudes towards motorcyclists by exposing them to demands that motorcyclists face on the road. Car drivers were exposed to hazard perception clips taken from a motorcyclist's perspective, and interactive hazards in a motorcycle simulator. Car hazard perception clips and a car simulator were used as control conditions. A questionnaire assessed participant knowledge and attitudes towards motorcyclists before and after the intervention. After the intervention participants had more empathic- and fewer negative-attitudes, as well as safer attitudes towards motorcyclists. Self...

15

Evaluation of a School-Based Multicomponent Nutrition Education Program to Improve Young Children's Fruit and Vegetable Consumption  

Objective: To assess the impact of a multicomponent nutrition education program on student knowledge, attitudes, and behaviors related to consumption of fruits and vegetables (FVs). Design: Quasi-experimental pretest/posttest research design; 3 study conditions (Intervention+, Intervention, Comparison). Setting: Six schools from the Los Angeles Unified School District (LAUSD). Participants: Three hundred ninety-nine low-income third-, fourth-, and fifth-grade students. Intervention: The Intervention+ condition included 4 components: traditional Network-LAUSD program, new standardized nutrition curriculum, teacher training workshops, and parent nutrition education workshops. The Intervention condition included 2 components: traditional Network-LAUSD program and teacher training workshops. Main Outcome Measures: Fruit and vegetable consumption, knowledge of food groups, attitudes and beliefs toward FVs, and parent/teacher influence on students' attitudes toward FVs. Analysis: Linear mixed models. Results: The Intervention+ resulted in a positive change in knowledge (P less than 0.05), attitudes and beliefs toward vegetables (P less than 0.01), and teacher influence on students' FV attitudes (P less than 0.05). Conclusions and Implications: Although this study influenced knowledge and attitudes regarding FVs, a significant increase in students' FV consumption was not observed. Given the ultimate aim of the LAUSD nutrition efforts is to increase FV consumption, future studies should consider adopting new intervention strategies, such as focusing on changing the school food environment. (Contains 4 tables.)

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Knowledge sharing and the psychological contract: Managing knowledge workers across different stages of employment  

Purpose - An employee's willingness to share knowledge may be contingent on whether the organization equitably fulfills its reward obligations. This paper seeks to examine how managers and organizations can be vehicles for managing psychological contract perceptions favoring knowledge sharing among current employees, newcomers, and applicants. Design/methodology/approach - The authors propose an integrative model to discuss psychological contract issues within each stage of employment and HRM initiatives that can encourage knowledge-sharing behaviors. Findings - The implicit psychological contracts that often influence knowledge worker attitudes for sharing knowledge are easy to overlook and challenging to manage. Managers must properly assess the nature of psychological contracts maintain...

17

Use of face masks in a primary care outpatient setting in Hong Kong: Knowledge, attitudes and practices.  

OBJECTIVES: To assess if a knowledge gap exists in the correct use of face masks, and to explore the correlations between knowledge, attitudes and practices regarding the use of face masks among outpatients and their caregivers in an outpatient clinic in Hong Kong. STUDY DESIGN: Cross-sectional study. METHODS: Outpatients and their caregivers who were present at an outpatient setting in Hong Kong were invited to participate in this survey. All participants were asked to complete a self-administered closed-ended questionnaire about their knowledge, attitudes and practices regarding the use of face masks. Data were described using descriptive statistics and correlation coefficients. RESULTS: Among the 399 respondents, 52% knew the correct steps in wearing a face mask, and their attitudes toward face masks were generally positive. Further analyses showed that respondents were more likely to wear a face mask at a clinic than in a public place or at home. Moreover, respondents were more likely to wear a face mask to protect others against influenza-like illness (ILI) than for self-protection. There was low to moderate correlation between attitudes and practices (correlation coefficient 0.26, P knowledge gap in the correct use of face masks among outpatients and their caregivers; attitudes and practices regarding the use of face masks were generally positive, but correlation was not high. It is recommended that public health education campaigns should tailor efficient programmes to combat ILI transmission among outpatient clinic populations by improving knowledge about the correct use of face masks. PMID:23153561

18

Evaluating an end-of-life curriculum in a medical residency program.  

The ability to meet patient needs at the end of life is important. Boston University Residency Program in Medicine initiated a 1-week-long end-of-life curriculum that included a hospice care orientation, core articles, and home hospice visits. Evaluated was the impact of the rotation on participant knowledge and attitude. Knowledge was assessed by pretest and posttest questionnaires and compared with more senior resident controls, naïve to the curriculum. Attitudes toward issues relating to end-of-life care and subjective change in knowledge were assessed comparing subjects' retrospective preintervention and postintervention responses included in the postintervention questionnaire. Forty-five second-year participants completed both questionnaires. Participants demonstrated significant improvements in attitude and self-assessed knowledge of end-of-life care in 23 of 24 Likert-type scale questions. The end-of-life curriculum led to significant improvements in participant knowledge and attitudes about the conceptual and practical aspects of end-of-life care. The structure of the rotation should be reproducible in many locales. PMID:17210997

19

Factors associated with the intention to recommend pertussis vaccination for postpartum women: A survey in Taiwan of obstetrician-gynecologists knowledge, beliefs, and attitudes  

ObjectiveTo examine obstetrician-gynecologists knowledge, beliefs, and attitudes associated with the intention to recommend adult tetanus, reduced diphtheria, and acellular pertussis (Tdap) vaccination to postpartum women. Materials and MethodsA survey instrument was mailed to a total of 2686 members of the Taiwan Association of Obstetrics and Gynecology to assess provider demographic characteristics, occupational information, pertussis knowledge, and beliefs and attitudes about vaccination. The intention to recommend pertussis vaccination to postpartum women was evaluated. Trend chi-square statistics and multivariate logistic models were used to determine variables that were significantly associated with intention to recommend vaccination. ResultsOf the 676 surveys returned (25.2%), 510 p...

20

The Impact of a Combined Cognitive-Affective Intervention on Pre-Service Teachers' Attitudes, Knowledge, and Anticipated Professional Behaviors regarding Homosexuality and Gay and Lesbian Issues  

The purpose of this study was to assess the impact of a cognitive-affective intervention the attitudes, knowledge, and anticipated professional behaviors regarding homosexuality and gay and lesbian issues of pre-service teachers in the United States. Sixty-seven participants were randomly assigned either to a control group (n=34) or an experimental group (n=33). Pre-test and post-test means were compared using paired-samples t-tests to determine the impact of the intervention. Data analysis revealed significant positive changes in the pre-service teachers' attitudes and knowledge about homosexuality, as well as their anticipated professional behaviors with respect to homosexual students and their families. (Contains 4 tables.)

 
 
 
 
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A comparison of the teamwork attitudes and knowledge of Irish surgeons and U.S Naval aviators  

Poor teamwork skills are contributors to poor performance and mishaps in high risk work settings, including the operating theatre. A questionnaire was used to assess the attitudes towards, and knowledge of, Irish surgeons (n = 72) towards the human factors that contribute to mishaps and poor teamwork in high risk environments. The responses were compared to those obtained from U.S. Naval aviators (n = 552 for the attitude questions, and n = 172 for the knowledge test). U.S. Naval aviators were found to be significantly more knowledgeable, and held attitudes that were significantly more positive towards effective teamworking than the surgeons. Moreover, 78.9% of Senior House Officers and Registrars stated that junior personnel were frequently afraid to speak-up (compared with 31.3% of Consu...

22

The environmental history in pediatric practice: a study of pediatricians' attitudes, beliefs, and practices.  

We conducted a mail survey of practicing pediatricians in Georgia to assess their knowledge, attitudes, and behaviors regarding recording patients' environmental histories. Of 477 eligible pediatricians, 266 (55.8%) responded. Fewer than one in five reported having received training in environmental...

23

Improving breastfeeding knowledge, attitudes, and practices of WIC clinic staff.  

OBJECTIVE: This study was conducted to assess the impact of a breastfeeding promotion clinic environment project implemented by the state of Mississippi on breastfeeding knowledge, attitudes, and practices of WIC clinic staff. METHODS: Thirteen pairs of matched intervention and comparison WIC clinic...

24

Antimalarial drug utilization by women in Ethiopia: a knowledge-attitudes-practice study.  

A survey was undertaken between December 1991 and February 1992 to assess the knowledge, attitudes, and practices with respect to malaria of 300 women from six randomly selected rural communities in central Ethiopia. A total of 85% were able to recognize one or more of the common symptoms of the dis...

25

Knowledge of and attitudes toward severe acute respiratory syndrome among a cohort of dental patients in Hong Kong following a major local outbreak  

Objective: To assess the knowledge of and attitudes toward severe acute respiratory syndrome (SARS) among patients attending a teaching dental hospital and private dental practices in Hong Kong during a major local SARS outbreak. Methods: 250 dental patients were interviewed by questionnaire and 213...

26

Safe working practices and HIV infection: knowledge, attitudes, perception of risk, and policy in hospital.  

OBJECTIVES--To assess the knowledge, attitudes, and perceptions of risk of occupational HIV transmission in hospital in relation to existing guidelines. DESIGN--Cross sectional anonymous questionnaire survey of all occupational groups. SETTING--One large inner city teaching hospital. SUBJECTS--All 1...

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Malaria infection among pregnant women attending antenatal clinics in six Rwandan districts  

The definitive version is available at www3.interscience.wiley.com , Objectives The aim of the study was to assess the knowledge, attitude and practices of pregnant women towards malaria and their association with malaria morbidity. Methods Cross-sectional malaria survey of 1432 pregnant women attendi...

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Knowledge, Attitudes, and Practices about Malaria and Its Control in Rural Northwest Tanzania  

Background. We assessed community knowledge, attitudes, and practices on malaria as well as acceptability to indoor residual spraying. Material and Methods. A cross-sectional survey was done in a community in Geita district (northwest Tanzania). Household heads (n = 366) were interviewed Results. ...

29

MER Surface Phase; Blurring the Line Between Fault Protection and What is Supposed to Happen  

An assessment on the limitations of communication with MER rovers and how such constraints drove the system design, flight software and fault protection architecture, blurring the line between traditional fault protection and expected nominal behavior, and requiring the most novel autonomous and semi-autonomous elements of the vehicle software including communication, surface mobility, attitude knowledge acquisition, fault protection, and the activity arbitration service.

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GWPS PB74 - NASA Technical Reports Server  

use this technology and the knowledge gained from its application will determine the nature of .... First, with the heightened popularity of vasectomy as a means of birth control, many men .... Thus, one should be cautious in assessing the long- ...... More study is needed, therefore, of public attitudes and values. (which in turn ...

31

WOMEN’S AWARENESS OF REDUCING RISKS OF BREAST CANCER IN FINLAND AND CHINA  

The study of women’s breast cancer awareness was carried out in Finland and China in the year of 2010. The purpose of this research was to assess the basic knowledge concerning awareness of breast cancer prevention or early detection and to explore women’s attitudes towards reducing the risk fact...

32

Creationism and evolution views of brazilian teachers and teachers-to-be  

This paper aims at assessing the evolutionist and creationist conceptions of Brazilian teachers. The work was developed within the framework of the European project BIOHEAD-CITIZEN, which takes into account that scientific knowledge and teachers’ attitudes and values can influence the teaching pract...

33

Applying the motorcyclist's perspective to improve car drivers' attitudes towards motorcyclists.  

This study sought to provide a first crucial step in the direction of developing an intervention program aimed at improving safe attitudes and skills among car drivers towards motorcycles. We intended to improve drivers' attitudes towards motorcyclists by exposing them to demands that motorcyclists face on the road. Car drivers were exposed to hazard perception clips taken from a motorcyclist's perspective, and interactive hazards in a motorcycle simulator. Car hazard perception clips and a car simulator were used as control conditions. A questionnaire assessed participant knowledge and attitudes towards motorcyclists before and after the intervention. After the intervention participants had more empathic- and fewer negative-attitudes, as well as safer attitudes towards motorcyclists. Self-reported attitude-change suggested that the use of motorcycle hazard perception clips was more effective than the simulator, and the intervention was most effective for those car drivers who reported the most negative attitudes prior viewing the clips or riding the simulator. Providing car drivers with a perspective of the motorcyclist may prove to be a useful tool for promoting safer attitudes towards motorcyclists. PMID:21658502

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Implementing a multidimensional geriatric curriculum in a physical medicine and rehabilitation residency program.  

Residency training in physical medicine and rehabilitation may not contain a formal curriculum in geriatric patient care. A multidimensional geriatric curriculum to third and fourth year physical medicine and rehabilitation residents was implemented to enhance their knowledge in and attitude toward geriatrics. The curriculum consisted of a 12-wk clinical rotation at various sites of geriatric care including outpatient geriatric clinic, skilled nursing facility, continuing care retirement community, and home visits. Six online self-learning modules and multiple didactic sessions were also created. The residents' knowledge and attitude were assessed by pretest and posttest design using the Geriatric Knowledge Test, the Geriatric Attitude Scale, and the Attitudes Toward Teamwork in Healthcare Scale. In addition, the residents completed rotation evaluations to rate their learning experiences. Ten postgraduate year 3 and 4 physical medicine and rehabilitation residents participated in the geriatric curriculum, which included a required rotation. The Geriatric Knowledge Test score at baseline was 67.2%. With the completion of the curriculum, the Geriatric Knowledge Test scores showed improvement to 72.7%, although not statistically significant. The residents showed more favorable attitudes toward the geriatric population and interdisciplinary teamwork as measured by the Geriatric Attitude Scale and the Attitudes Toward Teamwork in Healthcare Scale. Overall, they rated the learning experiences highly on a 1-9 rating scale, with 9 being the highest rating; the residents assigned an average rating of 7.06 to specific learning activities within the rotation and an average rating of 6.89 to the organizational aspects of the rotation itself. The implementation of this geriatric curriculum allowed for improved geriatric training in physical medicine and rehabilitation residents. PMID:22854907

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77 FR 30011 - Agency Information Collection Activities: Proposed Collection; Comment Request  

...Agency for Healthcare Research and...the Agency for Healthcare Research and...the Office of Management and Budget...knowledge, attitudes, and barriers...knowledge and attitudes about workflow...Project Management and $96,449...performance of AHRQ healthcare research...

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77 FR 14370 - Agency Information Collection Activities; Proposed Collection; Comment Request  

...Agency for Healthcare Research and...the Agency for Healthcare Research and...the Office of Management and Budget...knowledge, attitudes, and barriers...knowledge and attitudes about workflow...Project Management and $96,449...performance of AHRQ healthcare research...

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75 FR 74066 - Agency Information Collection Activities: Proposed Collection: Comment Request  

...submission to the Office of Management and Budget (OMB...after the Institute for Healthcare Improvement Collaborative...developed in 1996 to help healthcare organizations make...change in knowledge, attitudes, behavior, and consumption...change in knowledge, attitudes, behavior, and...

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The importance of human hydration: perceptions among healthcare professionals across Europe  

Summary- Attitudes of healthcare professionals to the importance of hydration for health, wellness and performance were evaluated in six European countries. These included general medical practitioners (n-=-600), nurses (n-=-300), pharmacists (n-=-550), nutritionists (n-=-265) and dietitians (n-=-265), spread across France, Germany, Greece, Italy, Spain and the UK, who completed computer-aided web or telephone interviews. The interviews assessed attitudes to the importance of hydration, how commonly they assess the hydration status of patients, and knowledge about recommended water intakes, sources of water for consumption and contribution from different beverages. All responders considered hydration an important issue and there was little difference in opinion between different healthcare...

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Modeling the theory of planned behavior for intention to improve oral health behaviors: the impact of attitudes, knowledge, and current behavior  

The aim of this study was to test the efficiency of an extended model of the theory of planned behavior (TPB) in predicting intention to improve oral health behaviors. The participants in this cross-sectional study were 153 first-year medical students (mean age 20.16, 50 males and 103 females) who completed a questionnaire assessing intentions, attitudes, subjective norms, perceived behavioral control, oral health knowledge, and current oral hygiene behaviors. Attitudes toward oral health behaviors and perceived behavioral control contributed to the model for predicting intention, whereas subjective norms did not. Attitudes toward oral health behaviors were slightly more important than perceived behavioral control in predicting intention. Oral health knowledge significantly affected affective and cognitive attitudes, while current behavior was not a significant predictor of intention to improve oral health behavior. The model had a slightly better fit among females than among males, but was similar for home and professional dental health care. Our findings revealed that attitude, perceived behavioral control, and oral health knowledge are predictors of intention to improve oral health behaviors. These findings may help both dentists and dental hygienists in educating patients in oral health and changing patients’ oral hygiene habits. (J Oral Sci 53, 369-377, 2011)   

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Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data.  

Purpose Nutrition is an important component of any physical fitness program. The main dietary goal for active individuals is to obtain adequate nutrition to optimize health fitness and to increase sports performance. The present study aims to assess the nutrition knowledge, attitude and practice among the selected athletes. Methods Athletes from five different private colleges situated in Salem District, Tamilnadu, India were selected. A total number of 102 athletes, 32 sportsmen belong to Volleyball discipline, 25 belongs to weightlifter discipline and 45 belong to runners discipline in sports. All the selected athletes were including in the study. The Knowledge, Attitude and Practice (KAP) questionnaire contained ten questions about nutrition knowledge, nine questions about attitudes, and ten questions about dietary practice were collected from the selected athletes. Dietary composition of the sportsmen is also assessed. The collected data was coded and used for evaluation. Results Results about KAP revealed that 42 per cent of the volleyball players had good nutritional knowledge (60–69per cent) compared to weight lifters (43per cent) who had satisfactory (50–59per cent) knowledge about nutrition. Twenty nine per cent of the runners had very good (70–79per cent) knowledge about nutrition. Regarding food consumption pattern intake of cereals, other vegetables and milk was found to be less compared to the RDA for the athletes. Among the three disciplines sports persons, the mean nutrient intake of the runners is high compared to volleyball and weight lifters. Conclusion The sports disciplines strongly affected the nutrition knowledge, attitudes and practices of sportsmen. The overall scores indicate that most sportsmen had good knowledge of nutrition and supplements. PMID:16731270

 
 
 
 
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People living with HIV /AIDS (PLWHA) and HIV/AIDS associated oral lesions; A study in Malaysia.  

ABSTRACT: BACKGROUND: The continuous increase in number of people living with HIV/AIDS (PLWHA) represents a serious health and economic burden. HIV positive individuals with oral lesions have significantly lower oral health-related quality of life than HIV positive individuals without oral lesions. The objective of this study was to assess the knowledge, attitude and practices (KAP) within a cohort of HIV/AIDS positive patients towards HIV/AIDS associated oral lesions. METHODS: Two hundred seventy patients attending a national referral hospital of infectious disease in Malaysia were recruited for the study. The study involved the administration of a validated interview-based questionnaire designed to elicit knowledge, attitude and practices of these patients towards HIV associated oral lesions. The last part of the questionnaire assessed the training provided to the patients in relation to the oral lesions associated with the disease and the effectiveness of this training. Data analysis was carried out using SPSS version 18. RESULTS: Thirty seven percent of patients were reported as knowledgeable, while sixty four percent reported to have positive attitude towards the care of oral hygiene. Sixty six percent of the patients reported that they would seek professional care when experiencing oral lesion. Training was reported effective for 93% patients. CONCLUSIONS: Patients were non-knowledgeable in relation to oral manifestations of the disease and one third of the participating patients showed negative attitudes towards oral health care and reported various measures to manage oral lesions rather than seeking professional care. Developing effective educational methodologies can empower patients with knowledge that may translate to positive attitudes and practices. PMID:23043358

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Targeting Preschool Children to Promote Cardiovascular Health: Cluster Randomized Trial.  

BACKGROUND: School programs can be effective in modifying knowledge, attitudes, and habits relevant to long-term risk of chronic diseases associated with sedentary lifestyles. As part of a long-term research strategy, we conducted an educational intervention in preschool facilities to assess changes in preschoolers' knowledge, attitudes, and habits toward healthy eating and living an active lifestyle. METHODS: Using a cluster design, we randomly assigned 14 preschool facilities in Bogotá, Colombia to a 5-month educational and playful intervention (7 preschool facilities ) or to usual curriculum (7 preschool facilities ). A total of 1216 children aged 3-5 years, 928 parents, and 120 teachers participated. A structured survey was used at baseline, at the end of the study, and 12 months later to evaluate changes in knowledge, attitudes, and habits. RESULTS: Children in the intervention group showed a 10.9% increase in weighted score, compared with 5.3% in controls. The absolute adjusted difference was 3.90 units (95% confidence interval [CI], 1.64-6.16; P preschool-based intervention aimed at improving knowledge, attitudes, and habits related to healthy diet and active lifestyle is feasible, efficacious, and sustainable in very young children. PMID:23062403

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Cotton and Sustainability: Impacting Student Learning through Sustainable Cotton Summit  

Purpose: The purpose of this paper is to examine the effect of intensive extra-curricular learning opportunities on students' knowledge, skills, and attitudes regarding cotton and sustainability. Design/methodology/approach: A three-phase extra-curricular learning opportunity was designed to include a Sustainable Cotton Summit; pre-summit and post-summit surveys of students' knowledge, skills, and attitudes toward cotton; and an individual essay competition. Findings: The two-group mean comparisons showed that the summit made the largest impact on students' knowledge in cotton and sustainability, followed by students' skills and attitudes. The student essays indicated that the summit provided insight that is not readily available in their education curricula. Research limitations/implications: The benefits derived from educating students about sustainability and cotton should be extended to other fibers, as well as to other segments of the supply chain. Practical implications: Businesses involved with cotton supply chain must do a better job at educating and explaining sustainability aspects of cotton to consumers. Educators must also further their efforts in preparing students as professionals in the industry. Originality/value: In response to the lack of educational opportunities about cotton and sustainability in the textile- and apparel-related academic field in the USA, this study offered the two-day Sustainable Cotton Summit in 2010 in which over 400 students have participated. Changes in students' knowledge, skills, and attitudes were assessed through pre- and post-summit surveys, and post-summit essays. (Contains 2 tables.)

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Smoking and Drinking: Evaluation of an Intervention Program.  

Data from a 10 percent sample of fifth-twelfth grade students indicate that in four predominantly rural counties of Kentucky, children are exposed to smoking before fifth grade and to drinking by seventh grade. The Health Education/Risk Reduction Grant Program was implemented over a 3-year period in the four county school systems in an attempt to intervene in the knowledge, attitudes, and behaviors of the program participants. Each program (smoking and alcohol) consisted of 6 hours of instruction over a 3-week period, twice per week, or over a 6-week period, once per week. The smoking program was presented to 1,400 fifth and sixth graders, while the alcohol program was presented to 1,350 seventh and eighth graders. To evaluate the programs' instruction, objectives, and evaluation instruments, pre- and post- questionnaires, assessing the students' knowledge, attitudes, and behaviors, were completed by the participants. An analysis of questionnaire responses showed that for the alcohol program, seven of the nine program objectives were met, with students demonstrating a statistically significant change in knowledge on 17 of 18 items, in attitude on 11 of 18 items, and in behavior on 4 of 11 items. For the smoking program, 11 of 12 program objectives were met, with students demonstrating a statistically significant change in knowledge on 20 of 31 items, and in attitude and behavior on 20 of 30 items. (The statement of program objectives, the evaluation questionnaire, and questionnaire data are included in the report). (BL)

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Healthcare Providers' Knowledge, Attitudes and Counselling on Injury Prevention for Preschool Children in Croatia.  

Injuries are the leading cause of death for children and young adults in Croatia. Research has indicated that health care providers can be effective in reducing the risk for traumatic injury through anticipatory guidance, but successful guidance requires that providers have injury knowledge and informed safety attitudes. This is the first study in Croatia to identify health care provider's knowledge, attitudes, and practices regarding anticipatory guidance on injury prevention for children. A stratified, random sample of licensed Croatian healthcare providers was mailed a survey, with a response of rate of 39.5 %. Participants included pediatricians, family physicians, gynecologists, each with a focus on primary care, and community nurses. Participants filled out a 15-minute paper-and-pencil survey that tested their knowledge of injury risks and prevention strategies, assessed their safety-prone attitudes, and measured the extent to which they counselled their patients on injury prevention. Pediatricians had the highest knowledge of injury risks and intervention approaches, with an average correct score of six out of ten (significantly higher than all other provider types). Knowledge was highest regarding infant fall risk and lowest for safe sleep positions. Pediatricians and community nurses had the highest safety-prone attitudes. Safety prone attitudes were strongest for transportation safety and weakest for safe sleeping position for all providers. Community nurses reported the highest level of patient counselling, followed by pediatricians. Both factual education and support in translating knowledge into everyday practice are necessary for health care providers. Implementing anticipatory guidance for child safety is a promising approach in Croatia. PMID:23086152

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Knowledge, Attitudes and Practices of Caregivers in Relation to Oral Health of Preschool Children.  

Objective: To assess the knowledge, attitudes and practices of caregivers in Kuwait in relation to the oral health of preschool children. Subjects and Methods: Questionnaires with multiple-choice questions were distributed to 334 caregivers of children under the age of 6 years attending vaccination centers in Kuwait. For each question, one of the multiple-choice answers was consistent with the consensus in the pediatric dental literature in relation to early childhood caries prevention, and was considered to be correct. The ?(2) test, independent t test, ANOVA, and stepwise linear regression were used to assess the associations between the variables in question and p ? 0.05 was accepted as statistically significant. Results: Of the 334 participants, 234 (70%) were between 20 and 40 years of age with a high school diploma or higher degree and had between 2 and 5 children. The mean knowledge score was 4.68 ± 1.87, the mean attitude score was 4.34 ± 0.88 and the mean practice score was 2.45 ± 0.99. Major weaknesses were reported in infant oral health-related concepts. Mothers had better knowledge than other caregivers (p < 0.001). Higher education was significantly associated with better knowledge (p = 0.003) and better practices (p = 0.017). In addition, knowledge, attitude and level of education were positively and significantly associated with practices (p < 0.005). Conclusions: Our study showed that caregivers had weak knowledge and practice in relation to the oral health of preschool children. Mothers and caregivers with higher education had better knowledge and practices. Education and attitude appeared to be favorable indicators of the caregivers' practices with regard to the oral health of their preschool children. PMID:22986905

47

Exploring AIDS-related knowledge, attitudes, and behaviors of female Mexican migrant workers.  

AIDS-related knowledge, attitudes, and behaviors were assessed in female Mexican migrant laborers. Thirty-two women were administered a modified version of the Hispanic Condom Questionnaire. Respondents were knowledgeable about the major modes of HIV transmission, but one-third to one-half of the women believed that they could contract AIDS from unlikely casual sources. Although respondents reported few negative beliefs about condom use, actual condom use with sex partners was low and knowledge of proper condom use was problematic. Consequently, 75 percent reported never carrying condoms. Implications of these findings for future research and provision of services for female Mexican migrants are discussed. PMID:9598392

48

Formes du rapport au savoir chez des collegien(ne)s a haut potentiel intellectuel  

This research seeks to reflect the diversity of the forms of attitude towards learning among gifted adolescents. We met, in their class environment, 255 academically gifted junior high school students (48 girls and 207 boys) aged 9 to 15 years (average: 12.5), enrolled in the French 6th to 3rd levels (British equivalents: Year 7 to Year 10 / USA: 6th to 9th grade). From a corpus consisting of 195 ''assessments of knowledge'' (Charlot et al., [1992] [17]), we conducted a lexicometric analysis using the Alceste software (Reinert [1990] [29]). The results lead to the highlighting of a typology of procedures and attitudes with regard to knowledge and learning, reflecting the heterogeneity of the relation to knowledge and learning among young gifted students. Such results support the stance of ...

49

Early Detection and Treatment of Severe Sepsis in the Emergency Department: Identifying Barriers to Implementation of a Protocol-based Approach  

Introduction: Despite evidence to support efficacy of early goal-directed therapy for resuscitation of patients with severe sepsis and septic shock in the emergency department, implementation remains incomplete. To identify and address specific barriers at our institution and maximize benefits of a planned sepsis treatment initiative, a baseline assessment of knowledge, attitudes, and behaviors regarding detection and treatment of severe sepsis was performed. Methods: An online survey was offered to nurses and physicians in the emergency department of a major urban academic medical center. The questionnaire was designed to assess (1) baseline knowledge and self-reported confidence in identification of systemic inflammatory response syndrome and sepsis; (2) current practices in treatment; (...

50

Applying online fleet driver assessment to help identify, target and reduce occupational road safety risks  

Many studies have shown that driver attitude and behaviour are important determinants of the likelihood of collision involvement. Knowledge of the Rules of the Road and the perception of hazards are also associated with collision involvement. The aim of this paper is to review the practical application of an online fleet driver assessment program to help identify, target and reduce occupational road safety risks. A large and unique data set collected from online assessment of drivers employed in a UK telecommunications organisation is analyzed. Data was also collected on driver demographics and their driving and collision history. Analysis of the data revealed that attitude, behaviour, knowledge and hazard perception are highly correlated with self-reported collisions. The influence of the...

51

Human Capital valuation and return of investment on corporate education  

This paper presents the Attitude, Skills, Knowledge, and Experience-Knowledge Value Added (ASKE-KVA) methodology developed from the designed Individual Technical Competence (ITC) of a value chain to assess changes in the Human Capital of a company. It is based on the Knowledge Value Added (KVA) method, which proposes the use of a proxy variable for measuring the flow of knowledge used in a key Process. This variable creates a relationship between the company's financial results and the resources used in each of the business processes. The KVA method uses an indicator that measures the result of knowledge per unit (K@m), which transforms costs and investments in the same unit. The ASKE-KVA methodology expands the previous concept, using fuzzy logic to measure the flow of knowledge associate...

52

Consensus and Discordance in the Management of Growth Hormone-Treated Patients: Results of a Knowledge, Attitudes, Beliefs, and Practices Survey  

Our purpose was to determine pediatric endocrinologists' knowledge, attitudes, beliefs, and practices (KABPs) regarding recombinant human growth hormone (rhGH) treatment, examine care-related attitude consensus or discordance, and identify evidence-based practice gaps. We developed a survey for Nati...

53

75 FR 52349 - Proposed Collection; Comment Request; NCCAM Office of Communications and Public Liaison...  

...submitted to the Office of Management and Budget (OMB...understand the knowledge, attitudes, and behaviors of...influence target audience attitudes and behavior in a positive...interviews with public and healthcare 300 1 .25 75 professionals...Intercept interviews with healthcare...

54

76 FR 58282 - Agency Information Collection Activities: Submission for OMB Review; Comment Request  

...review by the Office of Management and Budget (OMB...submitted to the Office of Management and Budget for review...Survey of Organ Donation Attitudes and Practices (OMB...Transplantation (DoT), Healthcare Systems Bureau, Health...public knowledge, attitudes, and behaviors...

55

Westinghouse - NASA Technical Reports Server  

velocity, attitude, or attitude rate at some particular end time. (fixed time of arrival). ..... rabies useful in midcourae narration is short: Range. (to eartb or moon). Rarge- .... result, the usual practice is to linearize equations ...... that the knowledge ...

56

A multifaceted pilot program to promote hand hygiene at a suburban fire department  

BackgroundFirefighters (FFs) and Emergency Medical Services (EMS) personnel provide care in uncontrolled settings, where the risk of hand contamination is great and opportunities for handwashing are few. Knowledge, attitudes, and beliefs about hand hygiene in this group have not been well reported. MethodsWritten surveys were administered to FFs and EMS personnel to assess their practices, attitudes, and beliefs before and after installation of alcohol hand gel dispensers, hanging of reminder posters, and completion of PowerPoint training. ResultsA majority of the participants (n = 131; 58.5%) indicated they had not received any training on hand hygiene from the fire department before the intervention. Responses to Likert scale questions about attitudes, practices, and beliefs regarding ha...

57

Consumers' attitudes toward consumption of cloned beef. The impact of exposure to technological information about animal cloning  

Novel food technologies, such as cloning, have been introduced into the meat production sector; however, their use is not widely supported by many consumers. This study was designed to assess whether Japanese consumers' attitudes toward consumption of cloned beef (specifically, beef derived from bovine embryo and somatic cell-cloned cattle) would change after they were provided with technological information on animal cloning through a web-based survey. The results revealed that most respondents did not discriminate between their attitudes toward the consumption of the two types of cloned beef, and that most respondents did not change their attitudes toward cloned beef after receiving the technological information. The respondents' individual characteristics, including their knowledge abou...

58

Knowledge of HIV/AIDS and attitude towards voluntary counseling and testing among adults.  

BACKGROUND: Nigeria has the third highest population of people living with human immunodeficiency virus (HIV). Despite this, the knowledge of HIV/AIDS and uptake of voluntary counseling and testing (VCT) is still low, especially in the rural areas. This study assessed knowledge of HIV/AIDS and attitude towards VCT among adults in a rural community in northern Nigeria. METHODS: A pretested questionnaire was administered on a cross-section of 210 adults in Danbare village, northern Nigeria. Information about knowledge of HIV/AIDS and attitudes toward VCT was elicited among respondents. RESULTS: The majority of respondents (59%) did not know the causative agent of AIDS; however, knowledge of route of disease transmission was high, with 71% and 64% of study participants mentioning sexual activity and unscreened blood transfusion, respectively, as possible transmission routes. Respondents listed avoidance of premarital sex, outlawing prostitution, condom use and screening of blood before transfusion as protective measures. Overall, 58 (27.6%), 80 (38.1%) and 72 (34.3%) of the respondents had good, fair and poor knowledge of HIV/AIDS, respectively. After adjusting for confounders, female gender and formal education remained significant predictors of HIV/AIDS knowledge. Reasons for rejection of VCT included fear of stigma, marital disharmony, incurable nature of the disease and cost of treatment. Formal education, female gender and HIV knowledge significantly predicted positive attitude toward VCT for HIV/AIDS among the study population. CONCLUSION: More than half of the respondents had adequate knowledge of HIV/AIDS, and the majority were willing to have VCT. However, misconceptions, fear, gaps in knowledge and limited access to VCT remain prevalent. Our findings suggest the need to provide health education and scale up VCT services in northern Nigeria by targeting the efforts of international and local development partners to underserved rural areas.

59

Education about Sexuality in the Elderly by Healthcare Professionals: A Survey from the Southern Hemisphere  

Education about sexuality is one method of reducing common negative stereotypes about this aspect of the life of older people. Knowledge and attitudes toward sexuality are therefore particularly important in those who educate healthcare professionals. We surveyed schools of medicine, nursing, occupational therapy, physiotherapy, psychology, and social work in Australia, New Zealand, and South Africa using White's Aging Sexuality Knowledge and Attitudes Scale. A total of 364 usable surveys were returned, revealing no main effects for differences in generally above-average levels of knowledge and attitudes across professions and the three countries. Some country-by-profession interactions were found for both knowledge and attitudes. Age was found to be the sole demographic factor able to predict both attitude toward and knowledge of sexuality. Findings suggest that levels of knowledge about sexuality and attitudes toward it have improved over earlier studies in North America. (Contains 3 tables.)

60

Train the trainer? A randomized controlled trial of a multi-tiered oral health education programme in community-based residential services for adults with intellectual disability.  

OBJECTIVES: To assess the impact of a multi-tiered oral health education programme on care staff caring for people with intellectual disability (ID). METHODS: Postal questionnaires were sent to all care staff of a community-based residential care service for adults, randomly assigned to control and intervention groups. A specifically developed training programme was delivered to residential staff nominees, who then trained all staff within the intervention group. The control group received no training. Post-test questionnaires were sent to both groups. Paired-samples t-test was used to compare oral health-related knowledge (K) and behaviour, attitude and self-efficacy (BAS) scores. RESULTS: Of the initial 219 respondents, 154 (response rate between 40% and 35.8%, with attrition rate of 29.7% from baseline to repeat) returned completed questionnaires at post-test (M = 8.5 months, range = 6.5-11 months). Control and intervention groups were comparable for general training, employment and demographic variables. In the intervention group, mean Knowledge Index score rose from K = 7.2 to K = 7.9 (P post-test (K = 7.2, BAS = 4.9) for the control group. CONCLUSIONS: Mean scores regarding knowledge, attitude, self-efficacy and reported behaviour increased significantly at 8.5 months in staff where training was provided. The results indicate that a multi-tiered training programme improved knowledge, attitude, self-efficacy and reported behaviour amongst staff caring for people with ID. PMID:23039926

 
 
 
 
61

The Role of Academic Discipline and Gender in High School Teachers' AIDS-Related Knowledge and Attitudes.  

Surveyed 141 teachers from nine Massachusetts high schools to examine their knowledge of and attitudes toward AIDS. Results indicated a direct relationship between teachers' knowledge of HIV/AIDS and positive or supportive attitudes toward HIV/AIDS. There were significant differences based on academic discipline. Allied health teachers had significantly higher knowledge levels than did any other group. (SM)

62

Democratic Values and Citizen Action: A View from US Ninth Graders  

As part of the IEA study of civic education, US ninth graders were assessed for their civic knowledge, concepts, attitudes, and experiences. The study yielded information about the development of democratic attitudes and dispositions toward social action. US ninth graders rated free expression and free elections as most important for democracy. They were less sure about the importance of peaceful protests. US ninth graders were above the international average in their support of rights for both women and immigrants. However, not all groups of students were willing to extend rights to "the other." Additionally, students were most likely to have experienced social actions to help the community; far fewer were likely to engage in more politically oriented actions. Socio-economic variables and race/ethnicity were related to civic knowledge.

63

Training in Social Determinants of Health in Primary Care: Does it Change Resident Behavior?  

ObjectiveThe aim of this study was to examine the effects of a new social determinants of health curriculum on pediatric interns’ attitudes, knowledge, documentation, and clinical practice. MethodsA nonrandomized mixed-methods study of an educational intervention conducted over a 1-year period was performed. The 2008-2009 pediatric interns (intervention group) participated in a new social determinants of health curriculum; prior year interns were controls. An anonymous online survey at the end of internship to both groups (post-tests) and the beginning of internship to the intervention group (pretest) assessed attitudes and knowledge. Documentation from the electronic medical record of social history questions was audited during the same 3-month period in successive years. Medical-l...

64

Knowledge and Attitudes of Primary Health Care Physicians Towards Complementary and Alternative Medicine in the Riyadh Region, Saudi Arabia  

Summary Background: The aim of this study was to assess the level of knowledge, attitudes, and utilization of complementary and alternative medicine (CAM) of primary health care (PHC) physicians in Riyadh, Saudi Arabia. Material and Methods: A crosssectional study including all physicians working at PHC centers in the Riyadh region, Saudi Arabia, was carried out from the beginning of April 2010 to the end of June 2010. Using a self-administered questionnaire, 1,113 physicians answered questions regarding their socio-demographic data, and knowledge, attitudes and utilization of CAM. Results: About 8% of the participants had attended a continuous medical education or a training activity. Most of them were unfamiliar with reflexology, energy healing, aromatherapy, ozone therapy, homeopathy, o...

65

Oral care practices among critical care nurses in Singapore: a questionnaire survey  

Background: Oral hygiene has an important role in maintaining the health and well-being of critically ill patients. Although a number of studies have examined nurses' oral hygiene practices, few were conducted among nurses caring for critically ill patients or involved Asian nurses. Objectives: The study aims to assess local nurses' knowledge, attitudes, and practices regarding oral care for critically ill patients. Methods: A descriptive cross-sectional design was used. We developed a 31-item questionnaire based on the literature, existing questionnaires, and focus group discussion. The tool covers three domains: beliefs and attitudes, prevailing practices, and knowledge. We sampled all nurses who worked in five intensive care units and high dependency during a 2-week period. We summarize...

66

Effectiveness of a Computer-Based Educational Program on Nurses' Knowledge, Attitude, and Skill Level Related to Evidence-Based Practice  

ABSTRACT Purpose: To conduct a baseline assessment of nurses' perceptions of knowledge, attitude, and skill level related to evidence-based practice (EBP) and research utilisation; determine the level of organisational readiness for implementing EBP and research; and examine the effectiveness of a computer-based educational program on nurses' perceptions of knowledge, attitude, and skill level related to EBP and research utilisation. Design: A descriptive, quasi-experimental design with a one-group, pre-intervention survey, intervention, and post-intervention survey method was used. A convenience sample of 744 nurses working in an integrated health care system was recruited. The study was conducted from May 2006 through November 2006. Methods: Data collection instruments were a demographic...

67

Development and process evaluation of a web-based responsible beverage service training program.  

ABSTRACT: BACKGROUND: Responsible beverage service (RBS) training designed to improve the appropriate service of alcohol in commercial establishments is typically delivered in workshops. Recently, Web-based RBS training programs have emerged. This report describes the formative development and subsequent design of an innovative Web-delivered RBS program, and evaluation of the impact of the program on servers' knowledge, attitudes, and self-efficacy. METHODS: Formative procedures using focus groups and usability testing were used to develop a Web-based RBS training program. Professional alcohol servers (N = 112) who worked as servers and/or mangers in alcohol service settings were recruited to participate. A pre-post assessment design was used to assess changes associated with using the program. RESULTS: Participants who used the program showed significant improvements in their RBS knowledge, attitudes, and self-efficacy. CONCLUSIONS: Although the current study did not directly observe and determine impact of the intervention on server behaviors, it demonstrated that the development process incorporating input from a multidisciplinary team in conjunction with feedback from end-users resulted in creation of a Web-based RBS program that was well-received by servers and that changed relevant knowledge, attitudes, and self-efficacy. The results also help to establish a needed evidence base in support of the use of online RBS training, which has been afforded little research attention. PMID:22999419

68

Multidimensional Analysis of High-School Students' Perceptions about Biotechnology  

Concerns about public understanding of biotechnology have motivated educational initiatives to improve students' competency to make scientifically sustained decisions regarding controversial issues. Understanding students' perceptions about biotechnology is essential to determine the effectiveness of these programmes. To assess how students' perceptions are modulated, this study evaluates education and gender effects on knowledge, attitudes, interest, and importance given to biotechnology. Following a quantitative assessment approach, a questionnaire was administered to 698 high-school students engaged in three curricular formats: science students attending biology ("n" = 225); non-biology science students ("n" = 210); and non-science students ("n" = 263). The outcomes of this study suggest that education is more determining than gender in shaping students' perceptions and behavioural intentions, which are modulated by cognitive, affective and motivational elements. Students, particularly from non-science courses, revealed knowledge and interest limitations, but acknowledged the importance of biotechnology. Most students demonstrated positive attitudes towards different applications, except when animal manipulation was involved. Positive correlations between knowledge, attitudes, interest and importance attributed to biotechnology were identified. The implications of these findings are discussed. (Contains 3 figures.)

69

Investigating Chinese University Students- Knowledge of and Attitudes Toward Plagiarism From an Integrated Perspective  

This article reports on a mixed-methods study of Chinese university students- knowledge of and attitudes toward plagiarism in English academic writing. A sample of 270 undergraduates from two Chinese universities rated three short English passages under different conditions, provided open-ended responses to justify their ratings, and completed a written questionnaire. The rating tasks were designed to determine their ability to recognize two forms of intertextuality (i.e., unacknowledged copying and paraphrasing) generally regarded as plagiarism in Anglo-American academia. The questionnaire was administered to collect self-appraisals of competence in source use and to assess declarative knowledge of intertextual practices that match typical Anglo-American definitions of blatant and subtle ...

70

Teaching in daily clinical practice: how to teach in a clinical setting  

Teaching in the clinical setting is challenging; however, it is the location where students apply their learned facts and learn skills and attitudes most effectively. In order to improve clinical teaching, it is important to know and implement the principles of adult learning. The clinical teacher should know or assess the learners? prior knowledge and skills, as well as their stage of learning, before starting a new teaching session. The learners should be actively involved in the clinical processes. Questions to probe students? deeper understanding and capability to analyze, synthesize, and apply medical knowledge should be an important part of clinical teaching. Regular structured feedback is an important part of any learning experience.

71

Coccidioidomycosis: knowledge, attitudes, and practices among healthcare providers -??? Arizona, 2007  

Coccidioidomycosis presumably causes <=??? 33% of community-acquired pneumonias cases, although < 15% of the patients are tested for coccidioidomycosis. We assessed healthcare providers'??? knowledge, attitudes, and practices regarding coccidioidomycosis diagnosis and treatment in Arizona. A survey was mailed to 7,608 eligible healthcare providers licensed by the Arizona medical, osteopathic, and nursing boards in October and December 2007. We used weights to adjust for non-response and multivariate logistic regression models to identify predictors of ???? 70% correct regarding knowledge and treatment practices. Of 1,823 (24%) respondents, 53% were physicians, 52% were male, and the mean age was 51 years. Approximately 50% reported confidence in their ability to treat coccidioidomycosis...

72

Identifying Barriers to Emergency Contraception Use Among Young Women from Various Sociocultural Groups in British Columbia, Canada:  

CONTEXT: Despite advances related to the provision of emergency contraception in Canada, particularly the granting of independent prescriptive authority to pharmacists in 2000, little is known about the ways in which women perceive potential barriers to using it. METHODS: In 2004, an ethnically diverse sample of 52 women living in Greater Vancouver participated in interviews that were analyzed for an assessment of women's knowledge, attitudes and experiences related to emergency contraception, with particular attention to the ways in which ethnicity affected their stories. RESULTS: Participants generally misperceived emergency contraception as an abortifacient, and often mistakenly thought that it has long-term effects on health and fertility. Knowledge gaps regarding reproductive physiolo...

73

Nationwide Satellite Training for Public Health Professionals: Web-Based Follow-Up  

Introduction: Few studies have rigorously evaluated the effectiveness of health-related continuing education using satellite distribution. This study assessed participants' professional characteristics and their changes in knowledge, attitudes, and actions taken after viewing a public health preparedness training course on mass vaccination broadcast nationally by satellite. Methods: A three-part survey design was used to evaluate training effectiveness. Paper-based questionnaires were distributed at a stratified sample of downlink facilities to collect knowledge and attitude responses before and after the broadcast. Six weeks later, willing participants were invited by e-mail to complete a Web-based follow-up questionnaire to assess actions taken as a result of viewing the broadcast. Paired t-tests and McNemar's chi-square were used to compare changes in attitude from before to after the broadcast, after the broadcast to follow-up, and before the broadcast to follow-up. Results: A total of 544 paper-based questionnaires were received from 59 of 70 sampled sites. The pre- and post assessments administered the day of the broadcast demonstrated statistically significant knowledge gain (p less than 0.001) and an increased belief immediately following the broadcast that mass vaccination clinics are important to their organizations' public health activities (p less than 0.001). Of the 291 respondents who completed the follow-up online questionnaire, 44% (n = 128) reported they implemented or planned some form of action after the broadcast. Reported actions were higher among public health workers most likely to be directly involved in preparedness and immunization activities. Discussion: This evaluation assessed (1) participants' professional characteristics, (2) knowledge gain, (3) self-reported actions taken following the broadcast, (4) program satisfaction, and (5) suggested improvements for future satellite broadcast programs. The study's methodology of using a Web-based survey for follow-up is a relatively economical tool for assessing longer-term continuing education program objectives.

74

A First Aid Training Course for Primary Health Care Providers in Nagorno Karabagh: Assessing Knowledge Retention.  

Introduction Conflict in the South Caucasus' Nagorno Karabagh region has damaged health facilities and disrupted the delivery of services and supplies as well as led to depletion of human and fixed capital and weakened the de facto government's ability to provide training for health care providers. Problem In response to documented medical training deficits, the American University of Armenia organized a first aid training course (FATC) for primary health care providers within the scope of the USAID-funded Humanitarian Assistance Project in Nagorno Karabagh. This paper reports the follow-up assessments conducted to inform policy makers regarding FATC knowledge and skill retention and the potential need for periodic refresher training. METHODS: Follow-up assessments were conducted six months and 18 months following the FATC to assess the retention of knowledge, attitudes, and self-reported practices. Eighty-four providers participated in the first follow-up and 210 in the second. The assessment tool contained items addressing the use and quality of the first aid skills, trainee's evaluation of the course, and randomly selected test questions to assess knowledge retention. RESULTS: At both follow-up points, the participants' assessment of the course was positive. More than 85% of the trainees self-assessed their skills as "excellent" or "good" and noted that skills were frequently practiced. Scores of approximately 58% on knowledge tests at both the first and second follow-ups indicated no knowledge decay between the first and second survey waves, but substantial decline from the immediate post-test assessment in the classroom. Conclusion The trainees assessed the FATC as effective, and the skills covered as important and well utilized. Knowledge retention was modest, but stable. Refresher courses are necessary to reverse the decay of technical knowledge and to ensure proper application in the field. Thompson ME , Harutyunyan TL , Dorian AH . A first aid training course for primary health care providers in Nagorno Karabagh: assessing knowledge retention. Prehosp Disaster Med. 2012;27(6):1-6. PMID:22995616

75

Prevalence of human papillomavirus in cervical cancer: a worldwide perspective. International biological study on cervical cancer (IBSCC) Study Group  

Background Early detection of dementia aims to improve treatment outcomes. However, poor perception and understanding of dementia are significant barriers. We aim to investigate the public's perception of dementia and identify variables associated with the different profiles of public perception. Methods A custom-designed questionnaire was used to assess laypersons’ knowledge and perception of dementia during a health fair at a public hospital in Singapore, a developed Asian nation. Out of a sample of 370 subjects, 32 declined to participate (response rate = 91.4%). Latent class analysis (LCA) was used to identify meaningful subgroups of subjects from significant associations with multiple indicators of dementia awareness. Multinomial logistic regression was performed exploring variables associated with each of the subgroups derived from LCA. Results The majority of the study participants were female (66.9%), 65 years or older (71.1%), and ethnic Chinese (88.1%). LCA classified the study participants into 3 subgroups: Class 1 (good knowledge, good attitude), Class 2 (good knowledge, poor attitude), and Class 3 (poor knowledge, poor attitude), in proportions of 14.28, 63.83, and 21.88%, respectively. Compared to other classes, participants with good knowledge and good attitude towards dementia (Class 1) were more likely to know someone with dementia and understand the effects of the disease, be married, live in private housing, receive higher monthly income, and not profess belief in Buddhism, Taoism, or Hinduism. Conclusion Our results show that the public in Singapore may not be ready for screening initiatives and early dementia diagnosis. Education efforts should be targeted at lower socioeconomic groups, singles, and those of certain oriental religions. PMID:7791229

76

Effects of Single-Gender Middle School Classes on Science Achievement and Attitude  

Many girls continue to achieve below their male counterparts and portray negative attitudes towards science classes. Some school districts are using single-gender education as a way to shrink the gender gap in school achievement and science related attitude. The purpose of this study was to compare achievement and science-related attitudes of 7th grade girls in single-gender education to 7th grade girls in mixed-gender education. The theoretical base for this study included knowledge from brain-based learning and assimilation, accommodation and age factors of Piaget's theory of cognitive development. The 12-week study included 48 7th grade girls, 21 in the single-gender classroom and 14 in each mixed-gender classroom. This quantitative randomized posttest only control group design utilized the TerraNova Science Assessment and the Test of Science Related Attitudes. Analysis of Variance (ANOVA) was used to determine if significant differences existed in the achievement and attitudes of girls in single and mixed-gender science classes. ANOVA analyses revealed that the girls in the single-gender classroom showed a significantly higher achievement level when compared to girls in the mixed-gender classrooms. Results showed no significant difference in attitude between the two groups. The results of this study contribute to social change by raising awareness about gender issues in science achievement and attitude, addressing a deficiency in the single-gender science education literature, and assisting educational systems in decision making to address achievement gaps while moving toward adequate yearly progress and meeting the requirements of the No Child Left Behind Act of 2001.

77

75 FR 79008 - Proposed Collection; Comment Request; Study of Substance Abuse doc.com Module Project  

...submitted to the Office of Management and Budget (OMB...professional education of healthcare providers. This online...The knowledge of healthcare professionals about...disorders; (2) attitudes of healthcare professionals...

78

From Knowledge Management Competencies to Improved ...  

From Knowledge Management Competencies to Improved Organizational .... to foster new attitudes, behaviors, processes, and organizational constructs. ... in partnership with KM, helps the organization focus on essential capabilities, key ...

79

76 FR 49487 - Proposed Data Collections Submitted for Public Comment and Recommendations  

...information about the knowledge, attitudes, and behaviors of key audiences (such as refugees, immigrants...beliefs, behavioral intentions, practices, behaviors, skills, self-efficacy, and information needs and sources....

80

Einstein and Tagore, Newton and Blake, Everett and Bohr: the dual nature of reality  

There are two broad opposing classes of attitudes to reality (realist vs idealist, material vs mental) with corresponding attitudes to knowledge (objective vs subjective, scientific vs romantic). I argue that these attitudes can be compatible, and that quantum theory requires us to adopt both of them.

 
 
 
 
81

New Digital Energy Game, the Use of Games to Influence Attitudes, Interests, and Student Achievement in Science  

Purpose: To assess how the use of games contributes to students' science learning, interests, and attitudes about science. Methodology: The study sample was middle and high-school students in a large urban school district in 2012. A total of 1191 students participated in the game. The majority of students were Hispanic females of low socio-economic backgrounds. Students were recruited by science teachers at their schools. A mixed-method, pre-posttest design was used to measure students' science knowledge, attitudes, and interests. The instruments were piloted in the previous year with a comparable student group, and were found to be reliable measures. The instruments were distributed, using a web-based format, to students in their science classes. Items on the science test were developed based on state standards. Students were offered incentives to participate in the game. Results: Findings from a paired sample of 391 students revealed a statistically significant increase in the number of science test items answered correctly from pre- to posttests. Eta squared results indicated a moderate effect size. There was also a statistically significant increase in the overall mean interest rating, but a decrease in the mean attitude rating over the study period. Pearson's r revealed a strong, positive correlation between students' interests and attitudes about science. Conclusions: There was evidence that, as students' interests in science increased, their attitudes about science increased. Moreover, as students' pre-interests and attitudes about science increased, their post science assessment scores increased. Recommendations: There were limitations to the study, including the lack of a comparison group who did not participate in the game. Nevertheless, the findings suggest immediate benefits in the use of games to improve middle and high-school students' science performance. Future studies might investigate the long-term impact of the game on students' science achievement and career pathways. Additional data: (There are 7 tables and graphs included in the paper.) (Contains 3 tables and 4 figures.)

82

Virtual Students' Perceptions of e-Learning in Iran  

With the emergence of the Internet, e-learning has increasingly become the promising solution that continues to grow day after day. Considering students' perception toward e-learning is important in successful development of e-learning in higher education, since attitude of user towards application of information technology is one of the most effective factors. This paper examines perception of virtual students' attitudes towards e-learning in Iran. A descriptive-correlation survey approach was used in this study. Students (n = 110) filled in a web-based closed questions questionnaire. Reliability and validity of instrument were determined by investigating the attitudes of e-learning specialists in Tehran University and application of Cronbach's Alpha (a=0.88). Descriptive and inferential statistics were used to analyze the data using SPSS Win13. Questionnaires received were analyzed, putting the students' perceptions in relation to gender, age, knowledge of computers and attitudes to advantages and disadvantages of e-learning. Results showed that students have positive perception to e-learning. Linear regression analysis indicated that 68% of variation in virtual students' perceptions of e-learning was determined by the four variables of: Students' assessment about competency of e-learning, access to Internet, computer and Internet usage and assessment of current higher education system's shortcomings. (Contains 5 tables.)

83

Knowledge and attitudes of Polish university students toward organ donation and transplantation.  

Although the number of patients needing organ transplantation systematically increases, recent years have seen a considerable shortage of donors. The level of knowledge and attitudes toward donation are critical factors in achieving the required balance between supply and demand. This pilot study assessed the knowledge, opinions, and behaviors related to organ donation and transplantation among 625 students representing eight different fields of study from the University of Rzeszow in south-eastern Poland. Although the participants provided evidence of knowledge about human organ donation and transplantation, they were aware of the main organs of the human body for potential transplants, and generally showed positive attitudes; only 24% of the subjects indicated their willingness to register as a donor; only 3% stated that they had already registered and had a donor card. The findings suggest that good intentions do not translate into action and that Poland needs to develop a nation-wide, up-to-date, and youth-oriented health education program that builds on favorable attitudes toward organ donation and transplantation. PMID:22360416

84

Deceased-Donor Organ Transplantation: Knowledge and Attitudes Among Health Care Professionals Managing Critically Ill Patients in Karachi.  

OBJECTIVES: Adequate knowledge and positive attitudes of health care professionals regarding deceased-donor organ transplants lead to higher donation consent rates. This study assessed the knowledge and attitudes of health care professionals toward this issue in the light of recent organ transplant legislation in Pakistan. MATERIALS AND METHODS: Health care professionals in critical care areas of 2 hospitals in Karachi were selected (n=243) and asked to complete a questionnaire regarding their knowledge and attitudes toward deceased-donor organ transplants. RESULTS: In all, 58.8% of the participants were physicians and 41.2% were nurses; 91.4% correctly identified brain death; 51.5% expressed support for deceased-donor organ transplants; 56.8% had concerns of religious rulings against deceased organ donation; 67.5% felt that a government body could not run such a system fairly; 56.4% of the respondents would consider receiving a deceased-donor organ if needed, but only 35.3% would donate after their own death. Only 42.7% and 37% were willing to approach patients and families for consent for a deceased-donor organ transplant, respectively. Most of those unwilling felt that the patient could refuse, become upset and aggressive, and lose trust in the health care professionals. CONCLUSIONS: Before implementing a deceased-donor organ transplant system in hospitals, health care professionals should attend a training program regarding their concerns. This would increase motivation when approaching patients/patients' families for consent, thus increasing deceased-donor consent rates. PMID:23113624

85

The Power of Edutainment: Alliance for Climate Education's Assembly Presentation: Impact on Student Knowledge, Attitude and Behavior  

The Alliance for Climate Education (ACE) is a national nonprofit that delivers an in-school multi-media assembly presentation to high school students about climate science and solutions. In two years of operation, ACE has reached 870,000 students in over 1400 schools. Throughout spring 2011 and fall 2012, the Alliance for Climate Education (ACE) will survey approximately 2000 high school students in 100 classrooms at 20 schools before and after its assembly to assess impact on knowledge, attitude and behavior related to global warming and climate science. The survey instrument has been designed in partnership with experts at the Yale School of the Environment and Stanford University's Precourt Energy Center. The knowledge section of the survey queries students' factual understanding of basic climate science. The behavior section asks students about basic climate-related habits related to waste, transportation and energy consumption. The attitude section is comprised of a 15-question subset of the national survey reported in Global Warming's Six Americas. Preliminary results from approximately 200 pre and post-presentation surveys suggest that after viewing the ACE Assembly, climate friendly behaviors increase slightly; correct answers to climate knowledge questions increase by 8%; and attitudes shift away from "Disengaged, Doubtful and Dismissive" toward "Alarmed, Concerned and Cautious."

86

A comparison of the teamwork attitudes and knowledge of Irish surgeons and U.S Naval aviators.  

Poor teamwork skills are contributors to poor performance and mishaps in high risk work settings, including the operating theatre. A questionnaire was used to assess the attitudes towards, and knowledge of, Irish surgeons (n = 72) towards the human factors that contribute to mishaps and poor teamwork in high risk environments. The responses were compared to those obtained from U.S. Naval aviators (n = 552 for the attitude questions, and n = 172 for the knowledge test). U.S. Naval aviators were found to be significantly more knowledgeable, and held attitudes that were significantly more positive towards effective teamworking than the surgeons. Moreover, 78.9% of Senior House Officers and Registrars stated that junior personnel were frequently afraid to speak-up (compared with 31.3% of Consultants). Only 7.3% of surgeons stated that an adequate pre-operative brief team brief was frequently conducted, and only 15% stated that an adequate post-operative team brief was frequently conducted. It is suggested that the human factors training currently provided to surgeons in Ireland is a positive first step. However, there is a need to stress the importance of assertiveness in juniors, listening in seniors, and more reinforcement of good teamworking behaviours in the operating theatre. PMID:22959161

87

Perceived chewing ability and intake of fruit and vegetables.  

Edentulous individuals have reduced chewing ability and lower fruit and vegetable consumption compared with dentate individuals. It has been suggested that the two are causally related. However, psychosocial factors such as attitude, self-identity, and knowledge of recommendations are predictive of intake in non-edentulous persons. The aims of this study were to: determine if perceived chewing ability was predictive of fruit and vegetable intake; explore the predictive ability of knowledge, attitude, and self-identity; and compare intake between edentulous and dentate individuals. Full denture-wearing (N = 79) and dentate persons (N = 52) completed a three-day food diary. Perceived chewing ability, sociodemographic, and psychosocial factors were assessed via self-administered questionnaire. The dentate persons consumed significantly more fruit and vegetables, but differences were not significant when juices were excluded. Perceived chewing ability explained approximately 4% variance in intake. Attitude, self-identity, and knowledge explained a further approximately 20%. If the diet of denture-wearers is to be improved, psychosocial factors, as well as perceived chewing ability, must be addressed. PMID:18650541

88

Modeling Environmental Literacy of University Students  

The present study proposed an Environmental Literacy Components Model to explain how environmental attitudes, environmental responsibility, environmental concern, and environmental knowledge as well as outdoor activities related to each other. A total of 1,345 university students responded to an environmental literacy survey (Kaplowitz and Levine in "Environ Educ Res" 11:143-160, 2005). The structural equation model revealed that high levels of environmental knowledge stimulate a university student's concern, attitudes, and personal responsibility toward environmental protection. More specifically, environmental knowledge was reported to be a significant predictor of environmental concern, attitudes, and responsibility. Environmental knowledge had significant indirect relationships with environmental attitudes and responsibility. Moreover, while attitudes toward the environment were found to be a significant determinant of environmental responsibility, environmental concern held significant association with attitudes toward the environment and outdoor activities. Findings promise to give clues for finding an answer to the question "how education for sustainability can be improved in higher education curricula?"

89

76 FR 58341 - Reports, Forms, and Recordkeeping Requirements  

...from the Office of Management and Budget (OMB...comments. Mail: Docket Management Facility, M-30...National Survey of Driver Attitudes and Opinions of Advanced...the public to assess attitudes and opinions of innovative...injuries, and reduce healthcare and other...

90

Applying Educational Psychology and Instructional Technology to Health Care Issues: Combating Lyme Disease.  

Examines the effects of an instructional video on knowledge, attitudes, and behaviors of high school students concerning Lyme disease. Results indicate a positive and sustained increase of students' knowledge as a result of the short intervention but show less positive results for the long-term effect on students' attitudes and behaviors. (Author/AEF)

91

Slovakian students' knowledge of and attitudes toward biotechnology  

This study examined university students' knowledge of and attitudes (N = 378) toward biotechnology in Slovakia, a conservative country where the distribution of genetically engineered products are banned by law. We found a significant positive correlation between attitudes and the level of knowledge...

92

The Effect of Anabolic Steroid Education on Knowledge and Attitudes of At-Risk Preadolescents.  

Investigates the effect of anabolic steroid education on preadolescents' knowledge of and attitudes toward anabolic steroids with 35 male athletes. Information on psychological and physiological aspects of anabolic steroid use, weight training techniques, nutrition, social decision making, and self-esteem training were provided. Participants showed more knowledge of anabolic steroids and stronger attitudes against using them in the future. (MKA)

93

Examining Athletes' Attitudes toward Using Anabolic Steroids and Their Knowledge of the Possible Effects.  

Examined the relationships between athletes' (N=291) knowledge about the long-term effects of anabolic steroids and their attitudes toward this type of drug. Results show low correlation between greater knowledge and attitudes about the use of steroids in sports, suggesting that drug education programs regarding steroids may have limited value. (RJM)

94

A Meta-Analysis of the California School-Based Risk Reduction Program.  

Performed meta-analysis upon eight California school-based risk reduction programs designed to deter fourth through eighth grade students from the use of tobacco, alcohol, and other drugs. Found that information-focused interventions had more impact upon knowledge but less upon attitudes and behavior whereas alternative interventions had less impact upon knowledge but more upon attitudes and behavior. (Author/PVV)

95

Addressing the "Other" Health Literacy Competencies-Knowledge, Dispositions, and Oral/Aural Communication: Development of TALKDOC, an Intervention Assessment Tool.  

Most health literacy assessments evaluate literacy skills including reading, writing; numeracy and interpretation of tables, graphs, diagrams and charts. Some assess understanding of health systems, and the ability to adequately apply one's skills to specific health-related tasks or demands in health situations. However, to achieve functional health literacy, the ability to "obtain, process, and understand basic health information and services needed to make appropriate health decisions," other health literacy dimensions should be assessed: a person's knowledge and attitudes about a health issue affects his or her ability to and interest in participating in his or her own care. In patient care settings, the abilities to listen, ask questions and check one's understanding are crucial to making appropriate decisions and carrying out instructions. Although literacy is a skill associated with educational attainment and therefore difficult to change in a short time, health education interventions can address health literacy domains such as knowledge, attitudes and oral communication skills. For this reason, an instrument that can assess these constructs is a valuable part of a health educator's toolbox. The authors describe the development and process and outcomes of testing a novel instrument targeted to assess HPV and cervical cancer health literacy competencies, TALKDOC, including its validation with the Health Activities Literacy Scale. PMID:23030568

96

The Origins and Consequences of democratic citizens' Policy Agendas. A Study of Popular Concern about Global Warming  

This article proposes and tests a model of the causes and consequences of Americans' judgments of the national seriousness of global warming. The model proposes that seriousness judgments about global warming are a function of beliefs about the existence of global warming, attitudes toward it, the certainty with which these beliefs and attitudes are held, and beliefs about human responsibility for causing global warming and people's ability to remedy it. The model also proposes that beliefs about whether global warming is a problem are a function of relevant personal experiences (with the weather) and messages from informants (in this case, scientists), that attitudes toward global warming are a function of particular perceived consequences of global warming, and that certainty about these attitudes and beliefs is a function of knowledge and prior thought. Data from two representative sample surveys offer support for all of these propositions, document effects of national seriousness judgments on support for ameliorative efforts generally and specific ameliorative policies, and thereby point to psychological mechanisms that may be responsible for institutional and elite impact on the public's assessments of national problem importance and on public policy preferences.

97

Improving attitudes and knowledge toward organ donation among nursing students.  

This study explored how an educational intervention related to organ donation affected the knowledge and attitude of a randomized two group sample of baccalaureate nursing students. A convenience sample of 101 subjects in the experimental group and 83 subjects in the control group were asked to complete a pretest. One week later the experimental group attended a one hour education intervention. Two weeks after intervention the pretest questionnaire was administered as a post test to the experimental and control groups. The introduction of specific education strategies improved the attitudes and knowledge base of the experimental group. SPSS results indicated a 40% increase in knowledge and an 8.5% increase in attitudes in the experimental group. Post-intervention knowledge was the sole significant predictor of post-intervention attitude scores. Results support nurse educator's use of a short term educational intervention as a means to improve knowledge and attitudes towards donation among nursing students. PMID:22987836

98

Changing nursing students’ attitudes about aging: an argument for the successful aging paradigm  

Background Pain is one of the most frequent problems among patients diagnosed with cancer. Despite the availability of effective pharmacological treatments, this group of patients often receives less than optimal treatment. Research into nurses' pain management highlights certain factors, such as lack of knowledge and attitudes and inadequate procedures for systematic pain assessment, as common barriers to effective pain management. However, educational interventions targeting nurses' pain management have shown promise. As cancer-related pain is also known to have a negative effect on vital aspects of the patient's life, as well as being commonly associated with problems such as sleep, fatigue, depression and anxiety, further development of knowledge within this area is warranted. Methods/design A quasi-experimental study design will be used to investigate whether the implementation of guidelines for systematic daily pain assessments following a theory-based educational intervention will result in an improvement in knowledge and attitude among nurses. A further aim is to investigate whether the intervention that targets nurses' behaviour will improve hospital patients' perception of pain. Data regarding nurses' knowledge and attitudes to pain (primary outcome), patient perception regarding pain (secondary outcome), together with socio-demographic variables, will be collected at baseline and at four weeks and 12 weeks following the intervention. Discussion Nursing care is nowadays acknowledged as an increasingly complicated activity and "nursing complexity is such that it can be seen as the quintessential complex intervention." To be able to change and improve clinical practice thus requires multiple points of attack appropriate to meet complex challenges. Consequently, we expect the theory-based intervention used in our quasi-experimental study to improve care as well as quality of life for this group of patients and we also envisage that evidence-based guidelines targeting this patient group's pain will be implemented more widely. Trial Registration Number ClinicalTrials.gov NCT01313234 PMID:19634262

99

O ensino de psiquiatria, habilidades de comunicação e atitudes no currículo integrado do curso de Medicina da Universidade Estadual de Londrina/ The teaching of psychiatry, communication skills and attitudes in the integrated curriculum of the medical course at the Londrina State University  

Abstract in portuguese Este artigo relata uma experiência de ensino de psiquiatria, habilidades de comunicação e atitudes no currículo integrado do curso de Medicina da Universidade Estadual de Londrina. O mapa conceitual do módulo temático de problemas mentais e do comportamento foi proposto para facilitar uma aprendizagem interdisciplinar significativa de psiquiatria. O conhecimento de psiquiatria é adquirido utilizando-se a metodologia de Aprendizagem Baseada em Problemas. O treinamen (more) to de habilidades de comunicação e atitudes é realizado de diferentes formas, com pacientes verdadeiros, pacientes simulados, vídeos, relatos de casos, dramatizações e trabalhos em pequenos grupos. Os métodos de avaliação do conhecimento de psiquiatria, habilidades de comunicação e atitudes incluem avaliação somativa eformativa, que fornecem feedback ao estudante acerca de seu progresso, o exame clínico estruturado por objetivo (Osce), portfolios e relatórios de casos. As competências de conhecimento de psiquiatria, habilidades em comunicação e atitudes são internalizadas dependendo do método de treinamento de uma aprendizagem significativa e de como os estudantes são avaliados em sua prática da medicina. Abstract in english This article describes an experience of teaching psychiatry, communication skills, and attitudes in an integrated medical curriculum at the Londrina State University. The concept map of the thematic module of mental disorders and of behavior were proposed as a strategy promoting interdisciplinary meaningful learning of Psychiatry. Psychiatric knowledge is acquired through problem-based learning. Communication skills and attitudes are taught in different ways, with patient (more) s, with simulated patients, using videos, case reports, role-playing, and work in small groups. The methods used for evaluating the knowledge in psychiatry, the communication skills and the attitudes include summative and formative assessment designed to give the student a feedback on his progress in objective structured clinical examination (Osce), portfolios, and case reports. The psychiatric knowledge, communication skills, and attitudes are assimilated depending on meaningful learning as a teaching method and on the way the students are evaluated in their medical practice.

100

Time-space sampling in minority communities: results with young Latino men who have sex with men.  

BACKGROUND: The female at-risk population represents a subgroup that is both a crucial determining factor in acquired immune deficiency syndrome (AIDS) transmission and a gap in the existing literature in Iran. The objective of this study was to evaluate the level of sex workers’ knowledge towards to safe procedures of sexually transmitted infection and AIDS prevention as well as attitudes towards AIDS. METHODS: A sample of 256 female sex workers working in Tehran was obtained by a variety of methods. Appropriate questions for the assessment of knowledge and attitude were developed based on previous studies. RESULTS: The mean age of the subjects was 26.8 ± 6.1 years (ranging from 16 to 45). Methods of transmission were widely recognized, despite the exception that few realized oral (23.4%) and anal (44.9%) intercourse as methods of human immunodeficiency virus (HIV) transmission. Most subjects knew that AIDS currently has no cure (81.2%) and no vaccine (73.4%). Most also acknowledged that HIV is transmissible from people who do not know they are HIV positive (59.4%), proper condom use can reduce the possibility of infection (78.1%), and so can having a single sexual partner (68.8%). Of the participants, 43.4% knew that an HIV-positive person can seem perfectly healthy. CONCLUSIONS: Knowledge towards sexually transmitted infections (STIs) and condom use is still inadequate, especially regarding risky behaviors such as anal sex, and attitudes are mainly negative. Identifying at-risk populations, HIV-positive sex workers, education and campaigns to change the attitudes towards AIDS should be regarded a high priority in Iran. PMID:11392935

 
 
 
 
101

Working with teams and organizations to help them involve family members  

In this article we describe our work in trying to influence whole service teams to move their practice towards greater involvement of affected family members. Work with five teams is described. The process varied but in all cases it included recruitment of the team, training, continued support and evaluation of results. Use of a standard questionnaire for assessing attitudes towards working with affected family members showed significant changes in team members' knowledge, confidence and team support for working with family members. Records of all project events and meetings suggested that change takes time but that a `cultural change' can take place whereby earlier misgivings are dispelled and positive attitudes towards involving family members become embedded in a team's approach. Diary ...

102

Practical skills training influences knowledge and attitude of dental students towards emergency medical care  

Abstract Background:- Medical emergencies in dental practice are generally perceived as being rare. Nonetheless, recent studies have shown that incidents occur on a regular basis. Therefore, patients have the right to expect necessary skills to manage life-threatening situations from every dentist. Objective:- To observe students- attitude and self-assessment towards emergency medical care (EMC) and its practical appliance. Material and methods:- Students of dentistry took part in small group sessions for adult and paediatric basic life support. Participants filled out pre-post questionnaires regarding knowledge and attitude towards EMC (6, respectively, 10-point Likert scale). Additionally, feedback was asked for the quality of course and tutors. Results:- Forty dental students in their l...

103

Development of a web-based learning medium on mechanism of labour for nursing students  

Summary This study aimed to develop a web-based learning media on the process and mechanism of labour for the third-year university nursing and midwifery students. This media was developed based on integrating principles of the mechanism of labour with the 5Es inquiry cycle and interactive features of information technology. In this study, the web-based learning unit was used to supplement the conventional lecture as in the traditional teaching. Students' achievements were assessed by using the pre- and post-test on factual knowledge and semi-structured interviews on attitude to the unit. Supplementation with this learning unit made learning significantly more effective than the traditional lecture by itself. The students also showed positive attitude toward the learning unit.

104

Understanding user attitudes: The cornerstone of computer documentation  

Understanding user attitudes is key to the design, development, and production of online and printed computer documentation. User needs for documentation can be addressed best by classifying users according to the attitudes they bring to computing, rather than by their computing knowledge or skill level only. Attitudes are reflected in all types of computer users including scientists, engineers, programmers, administrative assistants, and managers. Attitudes are independent of computing skill level and frequency of use; they apply equally to new users, casual users, or expert users. Identified are three user attitudes at Los Alamos: no-time-to-learn attitude - users simply want to get the job done and have no time to learn about the topic; want-to-learn attitude - users want to learn everything about a topic; know-what-I-want attitude - users are already familiar with similar computing topics and know what information they need.

105

Dissecting the dissectors: Knowledge, attitude, and practice of body bequests by Nigerian anatomists.  

Anatomy education in most African countries is limited by an insufficient number of cadavers for students to undertake dissection. This already significant shortage is exacerbated by an increasing number of medical schools and students. Virtual dissections are impractical in alleviating such a shortfall in African anatomy education, and further cadaver supply is challenged by unethical and dubious sources. This study was designed to assess the knowledge, attitudes, and practice of whole body and organ donation by Nigerian anatomists with the aim of finding solutions to the problems associated with the availability of cadavers in Nigerian medical schools. Out of 46 anatomists that participated in the survey, only 23.9% would consider donating their whole bodies and 60.9% their organs. More than 95% of respondents did not believe that body bequests could become the sole source of cadavers for anatomic dissection in Nigeria. Age and gender were not statistically significant in the choice of being a body or organ donor. The unacceptability to one's family members regarding body donation was the major reason for respondents' unwillingness to make a whole body donation. None of the 14 medical schools sampled in this study have yet instituted a body registration and donation program. The anatomists showed a high level of knowledge and awareness of body bequest programs, which were not reflected by their attitudes and practice. The authors recommend proactive measures aimed at improving the perception and attitudes of Nigerian anatomists. Anat Sci Educ. © 2012 American Association of Anatomists. PMID:22753151

106

Assessment of infection control knowledge, attitude and practice among healthcare workers during the Hajj period of the Islamic year 1423 (2003)  

We assessed hospital infection control knowledge, attitude, and practice (KAP) of healthcare workers (HCWs) during the Hajj season of the Islamic y 1423 (2003). A self-administered structured questionnaire was used to collect the data. A total of 392 HCWs was studied, of whom 215 (54.8%) were nurses and 177 (45.2%) were doctors. 315 (80.4%) HCWs worked in hospitals, whereas 77 (19.6%) worked in primary healthcare centres. Of the 392 HCWs, 164 (41.8%) were from Makkah, and the remaining 228 (58.2%) were recruited from other regions in Saudi Arabia. A good proportion (81.8%) of HCWs correctly answered at least 5 of the 11 knowledge statements. However, obvious deficiency of knowledge appeared concerning other important hospital infection control measures. A smaller proportion (61.9%) of HCWs...

107

Difficulties in the prevention of cervical cancer: Adults' attitudes towards HPV vaccination 3 years after introducing the vaccine in Hungary  

Cervical cancer is one of the most prevalent gynaecological malignancies worldwide. The Hungarian incidence and mortality of this disease take the 4th-5th places within the European Union. A survey including 785 male and female adults was conducted to assess the knowledge and attitudes concerning HPV vaccination. We focused on the difficulties of the primary and secondary prevention of cervical cancer and examined some potential sociodemographic predictors of HPV vaccine acceptability. Our findings have identified some important issues like: incomplete knowledge, intense distrust and financial concerns. Almost half of the college students (45.6%) are unaware of HPV infections. We confirmed previous findings that older age and female gender correlates with better knowledge on STDs, includin...

108

Attitudes towards and practice of venous thromboembolism prevention in general internal medicine wards  

Introduction: Hospitalised patients in Internal Medicine departments are at risk of venous thromboembolism (VTE). Adherence to risk stratification methods is poor. We conducted a survey among Internists from member countries of the European Federation of Internal Medicine (EFIM) to assess current knowledge and attitude towards VTE prevention. Methods: A multinational survey of Internists affiliated to EFIM. Results: 226 physicians from 30 countries were included. Seventy nine percent of the physicians were aware of clinical guidelines to prevent VTE. Most considered their knowledge of the guidelines to be moderate. Many had not updated their knowledge recently. The magnitude of the clinical problem was over- and underestimated by many (12.2% and 40.1%, respectively). Only 46.7% thought the...

109

Treatment of leishmaniasis in the Oyapock basin (French Guiana): A K.A.P. survey and analysis of the evolution of phytotherapy knowledge amongst Wayapi Indians  

Ethnopharmacological relevance: Cutaneous leishmaniasis is a neglected disease with a high incidence in French Guiana, mainly in the middle and upper Oyapock basin, where Amerindian and some Brazilian people live. The main goals of this work were (i) to assess the knowledge about leishmaniasis in the different populations of the middle and upper Oyapock basin, (ii) to study the therapeutic strategies adopted by people affected by leishmaniasis and (iii) to document the use of phytotherapeutic remedies for leishmaniasis. Knowledge, attitudes and practices (K.A.P.) related to this disease and its treatments have been studied according to cultural group and geographical settlement. Within the Wayapi group, the evolution of the knowledge of phytoremedies over the last 20 years has been charact...

110

Effectiveness of antenatal group HIV voluntary counseling and testing services in rural India.  

This study assessed HIV attitudes among pregnant women attending antenatal clinics in the Namakkal district of Tamilnadu, India, as well as HIV knowledge before and after group counseling sessions. Two hundred thirteen women (97%) attending five antenatal clinics in July 2004 accepted HIV counseling and testing and completed precounseling and postcounseling questionnaires. Although the majority of women had heard of HIV, precounseling knowledge was low (mean precounseling score; 6.9/18, SD: 4.53), with scores correlating with the women's educational level and the number of sources from which they had received information about HIV. Posttest scores increased by 21%, however, understanding of modalities to prevent HIV infection remained poor. Group counseling sessions achieve small gains in HIV knowledge, but there is a continued need for ongoing and multifaceted HIV education in rural India. PMID:17563273

111

Knowledge, Attitude and Practices Related to Occupational Health Problems among Garment Workers in Tamil Nadu, India  

The garment manufacturing process is a labour intensive task. The workers in this are employed in three different sections namely cutting, stitching and finishing. As these workers perform repetitive tasks throughout the workday, they face several work related problems. The aim of this study was to assess the level of awareness of health problems among garment workers and their attitudes and practices to prevent the same. In a cross-sectional study (n=216) the workers employed in the three sections had high levels of knowledge of the health problems, but the knowledge of personal protective equipment differed by section. More than one half of the workers in all the sections were aware of the benefits of personal protective equipment (PPE), but only a few workers in the cutting section were using PPE. There was a wide gap between their knowledge level and practice with protective devices.   

112

Knowledge, attitudes and practices of AIDS associated malignancies among people living with HIV in Nigeria.  

ABSTRACT: INTRODUCTION: The epidemic of HIV in sub-Saharan Africa varies significantly across countries in the region with high prevalence in Southern Africa and Nigeria. Cancer is increasingly identified as a complication of HIV infection with higher incidence and mortality in this group than in the general population. Without cancer prevention strategies, improved cancer treatment alone would be an insufficient response to this increasing burden among people living with HIV (PLHIV). Although previous studies have noted low levels of awareness of cancers in sub-Saharan Africa none has examined the knowledge and perceptions of cancer among beneficiaries of a large PEPFAR program in Nigeria. METHODS: Focus group discussions (FGD) and Key Informant Interviews (KII) were carried out in 4 high volume tertiary care institutions that offer HIV care and treatment in Nigeria. FGD and KII assessed participants' knowledge of cancer, attitudes towards cancer risk and cancer screening practices. RESULTS: The mean age of participants was 38 years. Most participants had heard about cancer and considered it a fatal disease but displayed poor knowledge of the causes and of AIDs associated cancers. PLHIV in Nigeria expressed attitudes of fear, denial and disbelief as to their perceived cancer risk. Some of the participants had heard about cancer screening but very few participants had been screened. CONCLUSION: Our findings of poor knowledge of cancer among PLHIV in Nigeria indicate the need for health care providers and the government to intervene by developing primary cancer prevention strategies for this population. PMID:23098099

113

Breast Cancer Knowledge, Attitudes and Screening Behaviors in Two Groups of Iranian Women: Physicians and Non-health Care Personnel.  

Breast cancer is one of the most frequent malignancies worldwide which is characterized by early onset and diagnosis at advanced stages in Iranian women. Increasing women's awareness and implementing breast cancer screening programs detect cancer earlier and reduce mortality. Physicians play a pivotal role in this regard. Further, there is limited literature about knowledge, attitude, and screening behaviors in Iranian women. Using a questionnaire, we assessed and compared breast cancer knowledge, attitude, and screening behaviors in 102 female physicians and 94 female non-health care personnel, who were mostly from the hospital's cleaning and housekeeping sections. Of the physicians and of non-health care personnel, respectively, 93.1 and 24.7 % felt confident about their knowledge and 37.6 and 26.1 % performed monthly breast self-examination. Of physicians aged 40 and over, 31.25 and 18.75 % had clinical breast examination and mammogram, respectively, within 12 months prior to date of data collection. In non-health care personnel aged 40 and over, the results were 27.59 % for clinical breast examination and 17.24 % for mammogram at the same period of time. Despite the higher knowledge and socioeconomic class of physicians, there were no significant difference in screening behaviors between physicians and non-health care personnel (P?>?0.05). PMID:22723153

114

The Multidrug-Resistant Bacteria Attitude Questionnaire: validity and understanding of responsibility for infection control in Swedish registered district, haematology and infection nurses  

Aim.- To assess the discriminative and construct validity of the Multidrug-Resistant Bacteria Attitude Questionnaire and to study registered nurses- knowledge of, behaviour toward and emotional responses to patients with multidrug-resistant bacteria in relation to how they understand their own, managers- and politicians- responsibility for adherence to preventive measures for infection control. Background.- Multidrug-resistant organisms are a global problem and an essential topic in healthcare regarding patient safety improvement. Design.- Descriptive and correlational cross-sectional survey. Method.- Data were collected in a non-random sample consisting of 397 registered nurses; district, haematology or infection registered nurses. One-way analysis of variance and independent t-tests were...

115

Dietary Habits of Greek Primary School Children  

The purpose of this study was to assess Greek primary (1st to 6th grade) school children's dietary habits and the factors influencing them. Our results show that children know the value of different foods. The socio-economic status of father has no effect on the attitude of children towards choosing their diet, however, mothers' educational status appears to have an effect on their children's behaviour. Place of residence (urban or semi-rural areas) and gender does not influence their knowledge about different diets. It was, finally, shown that as children grow older they tend to eat less healthy foods.

116

A National Survey about Human Papillomavirus Vaccination: What We Didnt Ask, But Physicians Wanted Us to Know  

Study ObjectiveThe current study presents findings from a qualitative examination of free text comments from a national survey of U.S. physicians on human papillomavirus vaccine recommendation beliefs and practices. Qualitative analyses of free text physician responses may offer a more complete and physician-driven description of influences on human papillomavirus vaccine recommendation. Design and ParticipantsIn 2009, a survey assessing physicians knowledge, attitudes, and human papillomavirus vaccination practices was conducted among a national sample of U.S. physicians practicing Family Medicine, Pediatrics, or Obstetrics/Gynecology (response rate 67.8%). Qualitative comments were analyzed using a Grounded Theory approach. ResultsOf 1008 completed surveys, 112 participants provided comm...

117

Assessment of Food Safety Knowledge of High School and Transition Teachers of Special Needs Students  

Adolescents with disabilities require access to general education and life skills instruction. Knowledge of food safety for this audience is important for health and valuable for work placement. The objective was to implement a survey to assess high school and transition special education teachers in RI, CT, and MA for food safety knowledge and attitudes toward the use of food safety education for special needs students. Respondents answered questions on food safety topics and attitudes toward incorporating food safety principles into curriculum. Agree, disagree, and don't know and Likert scale response formats were used. Descriptive one-way ANOVA and t-test statistics were run. Forty-seven food safety knowledge questions for 220 respondents were assessed. Of the respondents, 69% had primary certification in special education and 15% in Family and Consumer Sciences (FCS). As part of the learning experience, 86% served food in the classroom, and 94% served food classified as potentially hazardous. Using 80% as knowledge mastery, only 24 of 46 items (52%) met the standard, with cooking and chilling categories scoring low (70%). FCS and special education teachers had significant differences (P less than 0.05) in knowledge scores, 87% and 74%, respectively. Special education teachers scored low, 66% to 67%, in key food safety categories. Attitudinal questions reflected a support for food safety information to be taught to this student audience. The survey identified the need for outreach education for special education teachers due to lack of food safety knowledge, food safety risks due to potentially hazardous foods prepared by students, and lack of food safety resources for these students.

118

Construção de uma escala para avaliar atitudes de estudantes de medicina/ The construction of a scale to measure medical students' attitudes  

Abstract in portuguese INTRODUÇÃO: Estudos têm mostrado que as atitudes influenciam o comportamento. O desenvolvimento e a manutenção de determinadas atitudes dos estudantes durante o curso médico podem influenciar a qualidade do cuidado médico dado aos pacientes no exercício da profissão. As Diretrizes Curriculares Nacionais do Curso de Graduação em Medicina reforçam a importância de aspectos atitudinais relevantes para a prática médica. OBJETIVO: Construção e validação de u (more) ma escala de atitude do tipo Likert, para avaliar atitudes de estudantes de Medicina considerando as Diretrizes Curriculares Nacionais, adaptadas à realidade sociocultural brasileira. MÉTODO: Na construção da escala foram considerados cinco aspectos: social, ambiência, crença, conhecimento e ética. Os sujeitos foram 202 estudantes do curso de graduação em Medicina, da primeira à oitava fase, sendo 52,85 % mulheres e 47,15% homens. Estudo de coorte, descritivo e quantitativo. Os dados foram coletados por meio da aplicação de um questionário e de uma escala de atitudes (do tipo Likert) com 102 proposições. A escala foi aplicada em dois momentos. RESULTADOS: A confiabilidade da escala, medida pelo coeficiente ?, de Cronbach, foi igual a 0,87. A escala foi validada (validade de construto) por cinco especialistas. Não houve diferença estatisticamente significante entre as oito fases analisadas. As atitudes observadas foram predominantemente positivas. CONCLUSÃO: O trabalho desenvolvido resultou na definição de um instrumento válido e confiável para medir as atitudes de estudantes de Medicina segundo as dimensões social, ambiência, crença, conhecimento e ética. Abstract in english INTRODUCTION: Studies have shown that attitudes influence behavior. Developing and maintaining certain attitudes can influence the quality of health care delivered by medical students to their patients. The Brazilian National Guidelines for Medical Education emphasize the significance of the students' attitudes relevant for the medical practice. OBJECTIVES: This study aimed designing and validating an attitude scale to evaluate the impact of the medical curriculum on stud (more) ents' attitudes. METHODOLOGY: The subjects were 202 students (female = 52.85%, male = 47.15%), attending from the first to the eighth phase of the medical undergraduate course. The data for this descriptive and quantitative cohort study were collected using a questionnaire and an attitude measurement scale (5-point Likert scale) containing 102 propositions covering five different factors (social, environmental, belief, knowledge and ethics). RESULTS: Several analyses were undertaken to establish the internal validity of the instrument, including reliability (total = 0.87 and 0.89) and correlation studies. There were no statistically significant differences among the eight analyzed phases. The students showed predominantly positive attitudes. CONCLUSIONS: The final version of the scale was therefore regarded valid and reliable for the assessment of medical students' attitudes.

119

Effectiveness of a knowledge-based intervention for melanoma among those with ethnic skin  

Background Among patients with melanoma, ethnic minorities are 1.96 to 3.01 times as likely to die from melanoma as Caucasians of the same age and sex. Objective We sought to assess the effectiveness of a melanoma early detection educational intervention among those with ethnic skin. Methods A consecutive convenience sample of patients received instruction on the ABCDEs of melanoma and skin self-examination. Self-report questionnaires assessing knowledge, attitudes, and behaviors were completed before, and immediately and 3 months after, the intervention. Results Among the 71 participants, 21% reported a skin phenotype with at least sometimes burning. Knowledge that melanoma is a skin cancer and of the warning signs of melanoma significantly increased after the intervention and was retaine...

120

Teaching the Teachers: Faculty Preparedness and Evaluation of a Retreat in Screening, Brief Intervention, and Referral to Treatment  

Effective clinical faculty are essential for disseminating substance abuse screening, brief intervention, and referral to treatment (SBIRT). The authors developed an 8-hour SBIRT training for internal medicine faculty preceptors. Trainers conducted SBIRT lectures and small-group communication practice sessions. The authors assessed participants' (n = 27) knowledge, skills, and attitudes using an enhanced Alcohol and Alcohol Problems Perceptions Questionnaire (AAPPQ). Participants self-assessed their changes in SBIRT competence and comfort. Faculty trainees did not feel competent in SBIRT, particularly in intervention and referral to treatment. AAPPQ subscale scores were highest in Role Legitimacy and Motivation and lowest in Role Adequacy and Satisfaction. After training, faculty members reported greater likelihood of performing and teaching SBIRT. In some topic areas, faculty attending an SBIRT training reported limited knowledge and competence for treating drinkers; however, their interest and motivation for doing so was high. Ongoing faculty and organizational development efforts may help close these gaps. (Contains 1 figure and 2 tables.)

 
 
 
 
121

Web-Based SBIRT Skills Training for Health Professional Students and Primary Care Providers  

The authors have developed and assessed 2 innovative, case-based, interactive training programs on substance abuse, one for health professional students on alcohol and one for primary care providers on screening, brief intervention, and referral to treatment (SBIRT). Both programs build skills in substance abuse SBIRT. Real-world effectiveness trials involving medical students (n = 10) and nursing students (n = 60) were completed; trials involving primary care providers (n = 65) are in progress during 2011. Medical students and nursing students had similarly low baseline scores on assessments that benefited from training: knowledge, confidence, and clinical performance measured via an online standardized patient case and encounter note all improved post-training. Preliminary results indicate that practicing providers improved on knowledge, attitude, and brief intervention skill performance after a similar training. Results suggest that SBIRT skills can be improved with this model for case-based interactive training programs, and thus, that this training has the potential to impact patient outcomes. (Contains 3 tables.)

122

Knowledge and Attitudes of Secondary School Teachers regarding Sexual Health Education in England  

Objective: To assess the sexual health knowledge of teachers who contribute to secondary school sexual health education in order to determine whether teachers are adequately prepared to implement present government education and public health policies. Design: Results were obtained from a questionnaire as part of a two-phase intervention study. Setting: Nineteen mixed-sex, state secondary schools in central England. Participants: One hundred and fifty-five teachers (94 female, 61 male) participated. Main outcome measures: The questionnaires were distributed to teachers to assess their knowledge of sexual health, contraception and sexually transmitted infections. In addition, teachers' attitudes on the subject of sex and relationships education were evaluated. Results: The results suggest that teachers have insufficient sexual health knowledge to effectively teach sexually transmitted infections or emergency contraception, although their general sexual health knowledge was good. Therefore, at present teachers do not have adequate specialist knowledge in sexual health to contribute to current recommendations for sex and relationships education in secondary schools. There were no statistically significant differences in the results regarding location of school, area of residence, gender or age of the participant. Conclusions: Many teachers are being expected to contribute to secondary school sexual health education programmes at a time when they do not have sufficient knowledge to provide young people with adequate sexual health education and when they do not feel prepared to teach, and in many cases would prefer not to teach, these programmes. (Contains 4 tables and 3 figures.)

123

Algorithm of GNSS-based attitude determination  

This paper presents the development and study results of an attitude determination algorithm using GLONASS and GPS signals. The probability of correct ambiguity resolution in attitude determination is assessed for an exhaustive method, selecting the optimal combination of integer ambiguities by the maximum likelihood criterion. Unlike the existing algorithms, the method determines the antenna separation distance, along with the vehicle?s attitude.

124

Smoking behavior among hospital staff still influences attitudes and counseling on smoking  

Smoking among health professionals has been shown to influence smoking-related knowledge and counseling in clinical practice. The evidence regarding smoking as a risk factor has increased in the past decade. The present study was carried out in 2000 and investigated the associations between individual smoking behavior among hospital staff and (a). smoking-related knowledge, (b). attitudes toward counseling on smoking, and (c). self-reported smoking-related counseling provided by the staff. The study was based on a survey using self-administered questionnaires given to all hospital staff in a large university hospital in Denmark. Altogether, 82% of staff (2561) returned a completed questionnaire. Analyses focused on a subsample consisting of health professionals in the clinical wards (1429). Multivariate analyses were performed in which smoking-related knowledge, attitudes toward smoking-related counseling, smoking-related counseling practices, and self-rated qualifications for counseling were main outcome measures. Health professionals who were current smokers systematically underestimated the health consequences of smoking and differed significantly from nonsmokers in their assessments of smoking as a risk factor. Nonsmokers might overestimate smoking as a risk factor. Nonsmokers gave patients advice on smoking cessation significantly more often than did current smokers (ex-smokers, OR=2.5, 95% CI=1.8-3.4; never-smokers, OR=1.5, 95% CI=1.1-2.0). Ex-smokers and smokers felt significantly more qualified to counsel patients about smoking than did never-smokers (ex-smokers, OR=1.8, 95% CI=1.3-2.5; smokers, OR=1.4, 95% CI=1.0-1.9). Individual smoking behavior among hospital staff was strongly associated with smoking-related knowledge, attitudes, and counseling practices. Lack of self-rated qualifications was a major barrier to professional counseling on smoking in a hospital framework.

125

An online virtual-patient program to teach pharmacists and pharmacy students how to provide diabetes-specific medication therapy management.  

Objective. To develop, implement, and assess the effectiveness of an online medication therapy management (MTM) program to train pharmacists and pharmacy students in providing MTM services for patients with diabetes and to increase their intent to perform these services. Design. An online program was created using an Internet-based learning platform to simulate 4 MTM meetings between a pharmacist and a virtual patient diagnosed with diabetes.Assessment. Eighty students and 42 pharmacists completed the program. After completing the program, scores on post-intervention assessments showed significant improvement in 2 areas: control over performing MTM, and knowledge of how to perform MTM. Students had a significantly less-positive attitude about MTM and a decline in their perception of the social expectation that MTM is part of the practice of pharmacy, while pharmacists' attitudes did not change significantly in these areas.Conclusion. This online program using a virtual patient improved both participants' belief that they have control over performing MTM, and their knowledge of how to perform MTM for diabetic patients, which may increase the likelihood that pharmacists and pharmacy students will perform MTM in the future. PMID:23049103

126

The Influence of Web-Based Chemistry Learning on Students' Perceptions, Attitudes, and Achievements  

The goal of this study was to investigate whether integrating a website into chemistry teaching influences 10th-grade students' perceptions of the classroom learning environment, their attitudes regarding the relevance of chemistry, and their understanding of the concept of chemical bonding. Two groups participated in this study: an experimental group and a comparison group. The main study was conducted during the academic year 2005. The teachers in the experimental group were asked to implement four relevant activities from the website that was developed, all dealing with the concept of chemical bonding. Quantitative tools of the study included: A Chemistry Classroom Web-Based Learning Environment Inventory to assess students' perceptions regarding the relevance of chemistry to their life and attitude towards chemistry studies, a feedback questionnaire that examined the students' response after performing the website activities, and an achievement test that assessed their knowledge and understanding of the concept of chemical bonding. We found that the experimental group outperformed the comparison group significantly in most of the research categories. This led us to conclude that the web-based learning environment has potential to enhance the comprehension of chemistry concepts, students' attitudes and interests and to increase students' awareness regarding the relevant aspects of chemistry to daily life. (Contains 11 tables.)

127

The Development Model of Knowledge Management via Web-Based Learning to Enhance Pre-Service Teacher's Competency  

This research explores that the model of knowledge management and web technology for teachers' professional development as well as its impact in the classroom on learning and teaching, especially in pre-service teacher's competency and practices that refer to knowledge creating, analyzing, nurturing, disseminating, and optimizing process as part of the learning quality improvements. In this process, web technology particular web-based learning has a necessary role to drive and integrate knowledge and learning activities within the knowledge management process (I-Can do model). In this respect, this research aims to study and develop the appropriate model of knowledge management via web-based learning by the 18 expert's consensus and evaluate competency of the 64 pre-service teachers that divide and random assignment into 2 equal groups (control and experimental group). The competency assessment tools are conducted the volunteer participants' competency particularly in knowledge, attitude, and skills approach. The research results exhibited that the model of knowledge management via web-based learning was appropriated and enhanced the pre-service teacher's competency. (Contains 3 figures and 3 tables.)

128

Knowledge, attitudes and practices among people with chronic hepatitis B attending a hepatology clinic in Malaysia: A cross sectional study.  

ABSTRACT: BACKGROUND: Hepatitis B (HBV) is the leading cause of cirrhosis and hepatocellular carcinoma worldwide. This study assesses the knowledge, attitudes and practices of people with chronic HBV and the associated factors. Methods: This cross-sectional study was conducted at an outpatient adult hepatology clinic at a tertiary hospital in Kuala Lumpur. A self-administered questionnaire was administered on a one-to-one basis to assess knowledge, attitudes, and lifestyle practices of people with chronic HBV. Results: The response rate was 89% (n=483/543). Participants had a mean age of 46.3 (+/-14.7) years and the mean duration of HBV from time of diagnosis was 12.2 (+/-8.8) years. The mean knowledge scores was 12.57/20 (standard deviation: +/-4.4, range: 0-19). Participants aged 30-39 years, with higher educational attainment, employed in professional jobs, longer duration of diagnosis and those without cirrhosis had significantly higher knowledge scores. Age, education level and duration of diagnosis were significant predictors of the knowledge score on standard multiple regression analysis. More than half of the participants were worried of spreading HBV infection were worried of spreading HBV infection to family and friends and worried since the diagnosis. A third of the participants (33.5%) were embarrassed to reveal their diagnosis to the public but most of them (93.6%) would inform their family. Those who reported feeling worried since their diagnosis were more likely to be middle-aged, of Malay ethnicity, shorter duration of diagnosis of less than 10 years and received therapy. About half of the participants (50.6%) did not share dining utensils and the majority (93.2%) believed that HBV can be transmitted by sharing of eating and drinking utensils. As age increases, older patients were significantly more likely not to share utensils. Those who felt worried since diagnosis had significant higher knowledge of HBV. Conclusion: The findings highlight the stigma and misconceptions that still exist among the HBV patients. More patient and public education about HBV and its prevention are essential to increase awareness and to demystify the disease. KEYWORDS: Hepatitis B, knowledge, attitude, practice. PMID:22856889

129

A study in the use of the position of discrepant events in the teaching of science  

The purpose of this study was to determine whether alternative placement of discrepant events would impact affective and cognitive outcomes of ninth-grade physical science students grouped into intact classes and classified as either "high" or "low" in prior academic achievement. Although researchers have found discrepant events to be effective in terms of cognition and recall, their chronological placement within science lessons had not been empirically researched. In this study, discrepant events were presented before, during, and after specific science lessons involving thermodynamics and heat. Discrepant events were withheld from the control group. To measure affective outcomes, the "enjoyment" and "motivation" scales taken from Sandman's (1973) Attitudes Towards Science Inventory (ATSI) were used to index subjects' global feelings about studying science, while a 20-item set of Semantic Differential (SD) scales was employed to determine their attitudes regarding the specific subject matter taught. To measure cognitive outcomes, a 20-item, selected response test was constructed by the researcher, with 6 items intended to assess subjects' knowledge of unit materials, and 14 items designed to query their understanding of unit concepts. Each subject (N = 131) was administered identical forms of each test in both pre-and post-test formats, both before and after the four-week study. Analyzed using a 4 x 2 mixed Analysis of Variance (ANOVA) model, data pertinent to the ATSI suggested neither between- nor within-group differences in subjects' global attitudes about studying science, although data pertinent to the SD scales indicated generally improved attitudes about studying thermodynamics and heat (F (1,122) = 2.759, p control group's scores, robust mean-difference effect sizes were observed for all three treatment groups---"beginning" (d = 1.24), "during" (d = 0.70), and "after" ( d = 0.78)---but particularly for the "beginning" group. Subsequent analysis revealed that the apparent advantage of the "beginning" group was largely attributable to a particularly strong showing on the six test items concerned with knowledge (d = 2.06).

130

The Use of Technology and Visualization in Calculus Instruction  

This study was inspired by a history of student difficulties in calculus, and innovation in response to those difficulties. The goals of the study were fourfold. First, to design a mathlet for students to explore local linearity. Second, to redesign the curriculum of first semester calculus around the use of technology, an emphasis on visualization, and the use of local linearity to introduce the concept of the derivative, while delaying formal limits until later in the semester. Third, to design a framework to assess learning outcomes on the derivative. Fourth, to assess the impact of the course on the learning and attitudes of students. The study also aimed to assess the impact of learner characteristics, the role of technology, and the role of visualization, as they related to learning and attitude outcomes. The development and justification of the local linearity mathlet, the redesigned first semester calculus curriculum and the framework to assess derivative proficiency are reported. A mathlet is a computer application typically accessed over the internet which allows exploration of a specific mathematical concept. Students in this study developed a robust knowledge of the derivative as measured by the framework. Overall they demonstrated facility with stating definitions, finding the derivative and tangent lines, determining non-differentiability, and optimization. They demonstrated these proficiencies in multiple representations. Prior knowledge in rate and slope as well as proficiency translating between mathematical representations were significant determinants of eventual calculus proficiency. Spatial ability and prior knowledge of function were weaker predictors. There was clear evidence that the use of mathlets and graphs had a positive impact on student learning, and students were very positive about their use in this course. They experienced minimal changes in attitude regarding mathematics and technology in general, except for visually oriented students, who had very positive changes in attitude. The students in the experimental group were significantly more positive about their experiences using technology to learn calculus than students studying calculus with a traditional curriculum and labs using Maple which were not discussed in lecture. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.

131

On-line Multimedia Assessment of Curricula: Experiences with the Multimedia Forum Kiosk.  

The Multimedia Forum Kiosk (MFK) is an on-line discussion tool that has been tested as a new technique for assessing curricular reform. MFK collects discussion comments entered into the computer by students and instructors. This paper explores experiences with the MFK as a technique for on-line assessment using multimedia. The context of the assessment is an eight-university coalition of engineering schools called Synthesis, which is sponsored by the National Science Foundation. In this study, the MFK assessment approach was used to document community-wide reactions to aspects of curricular innovation, to foster discussion about new pedagogical practices, and to sample student skills and attitudes that could be demonstrated in an engineering discussion. The MFK allows discussion in an opinion area allowing for one statement of opinion and a discussion area that allows for exchanges of comments. Face icons of all the participants in the discussion made their identities salient and gave discussions a more personal tone. In this context, the MFK was very fruitful in examining curricular reform, a situation in which goals were vague and not based on declarative knowledge. By involving the instructors in conversations with their students, the MFK facilitated the evaluation of curriculum impact. Capturing discussions is a viable way to examine processes and attitudes and a new tool for open-ended assessment. (Contains 1 table, 1 graph, and 10 references.) (SLD)

132

Understanding the Effectiveness of Online Peer Assessment: A Path Model  

Peer assessment has been implemented in schools as both a learning tool and an assessment tool. Earlier studies have explored the effectiveness of peer assessment from different perspectives, such as domain knowledge and skills, peer assessment skills, and attitude changes. However, there is no holistic model describing the effects of cognitive and affective feedback, grading, and prior knowledge, and earlier studies often discuss learning outcomes without ascribing them to particular causes. Moreover, few studies have differentiated between the effects of peer assessment on both assessors and assessees. This study used a path model to investigate how two online peer-assessment activities--rubric-based assessment and peer feedback--affected the learning performance of assessors and assessees. One hundred and eighty-one high school students engaged in peer assessment via an online system--iLAP. Several path models were tested and we found that the original model did not fit when the variable of cognitive feedback from peers was included. The best fit model was the one in which direct paths from cognitive feedback from peers and student exam scores in a prior Humanities course were removed. (Contains 3 tables and 4 figures.)

133

Physical and human dimensions for integrated coastal management: Assessment of coastal changes and resident knowledge base in coastal areas of the Yucatan Peninsula  

Coastal zones are under severe pressure as a result of multiple human activities. Environmental degradation, coastal ecosystems' importance and resource depletion require alternative policy for long-term sustainable development. This study focuses on physical and human dimensions involved in ecosystem perturbation and management. This research analyzed data collected with remote sensors to determine land cover changes in tropical mangrove wetlands and their spatial relationships with roads and town developments. It also analyzed data of 139 interviews with residents in the area to assess their knowledge base regarding: (i) the use and non-use values of mangrove wetlands, (ii) attitudes in resource use, (iii) awareness of environmental impacts of urban expansion, solid waste disposal in wetlands, and coastal road networks, and (iv) acceptance of regulation. Findings indicated: (i) a significant loss of vegetation and soils, (ii) increasing urban growth and (iii) differences between urban and rural residents regarding the use, knowledge and attitudes towards coastal ecosystems and resources. To receive the future benefits from these ecosystems, specially for those whose daily survival depend upon them requires an integrated management program that accounts for: (i) the size and location of land cover changes in the area, and (ii) the heterogeneity between the urban (Progreso and Prochub) and rural (Chuburna and Chelem) coastal resident knowledge base.

134

A model of professional training in the peaceful uses of ionizing radiation; Un modelo de formacion de profesionales en las aplicaciones pacificas de la radiacion ionizante  

It proposes a training model based on the development of professional skills, on the humanist and socially responsible, which besides being functional to the professional area would also be for the society which it serves. Professional competence is according to M. T. Kane, {sup .}. the degree to which an individual is able to use knowledge, aptitudes, attitudes and wisdom associated with their profession, to solve complex problems that are presented in their area of professional activity{sup .} The model based on the staff of execution {sup .}. continuing attempts to bring as much as possible the world of professional practice and education, while striving to maintain a standardized measurement and evaluation{sup .} It should also serve as the pedagogic concepts of the significant learning in which knowledge must be structured and conceptualized information to facilitate their use. The areas in which happens training should be complementary and include the cognitive (knowledge), the psychomotor (skills) and social affective (attitudes). Assessments should also include a written, oral and practical examination. (Author)

135

Racial variation in tubal sterilization rates: The role of patient-level factors  

Objective To assess racial differences in attitudes and knowledge about sterilization. Design Cross-sectional survey Setting Questionnaires were mailed to participants’ home addresses Patients 193 women aged 18–45 who had undergone tubal sterilization. Intervention(s) None Main Outcome Measure Attitudes and knowledge about tubal sterilization and awareness of contraceptive alternatives Results We received 193 completed surveys (64% response rate). AA woman were more likely to have a family member who had undergone tubal sterilization, to report that their mothers influenced their sterilization decisions, and to report that prior unintended pregnancy and desire to avoid insertion of a foreign object were very important factors in their decision to choose sterilization over other methods. Compared to white women, AA women more often thought that sterilization reversal could easily restore fertility (62 % vs 36%); that a woman’s sterilization would reverse itself after 5 years (60% vs 23%); and that a man cannot ejaculate after vasectomy (38% vs 13%). Fewer AA women had ever heard of intrauterine contraception (90% vs 98%). Racial differences in knowledge remained statistically significant after adjusting for socioeconomic confounders. Conclusions Misinformation about sterilization and limited awareness of contraceptive alternatives among AA women may contribute to racial disparities in tubal sterilization rates.

136

Pesticide use knowledge and practices: A gender differences in Nepal  

It is important to understand gender difference on pesticide use knowledge, attitude and practices for identifying pesticide risks by gender and to recommend more gender-sensitive programs. However, very few studies have been conducted so far in Nepal. This study, thus, interviewed a total of 325 males and 109 females during 2005 to assess gender differences on pesticide use knowledge, attitude and practices. More than 50% females had never been to school and only <8% individuals were found trained in Integrated Pest Management (IPM). Almost all males and females did not smoke, drink and eat during pesticides application and also believed that pesticides are harmful to human health, livestock, plant diversity and their environment. However, there were gender differences on household decision on pesticides to be used (p<0.001), care of wind direction during spraying (p=0.032), prior knowledge on safety measures (p=0.016), reading and understanding of pesticides labels (p<0.001), awareness of the labels (p<0.001) and protective covers. Almost all respondents were aware of negative impacts of pesticide use on human health and environment irrespective of gender; however, females were at higher risk due to lower level of pesticide use safety and awareness. It is strongly recommended to initiate gender-sensitive educational and awareness activities, especially on pesticide use practices and safety precautions.

137

Analysing Teacher Knowledge for Technology Education in Primary Schools  

Teacher knowledge guides a teacher's behaviour in the classroom. Teacher knowledge for technology education is generally assumed to play an important role in affecting pupils' learning in technology. There are an abundant number of teacher knowledge models that visualise different domains of teacher knowledge, but clear empirical evidence on how these domains interact is lacking. Insights into the interaction of teacher knowledge domains could be useful for teacher training. In this study, the hypothesised relations between different domains of teacher knowledge for technology education in primary schools were empirically investigated. Subject matter knowledge, pedagogical content knowledge, attitude, and self-efficacy were measured with tests and questionnaires. Results from a path analysis showed that subject matter knowledge is an important prerequisite for both pedagogical content knowledge and self-efficacy. Subsequently, teachers' self-efficacy was found to have a strong influence on teachers' attitude towards technology. Based on the findings in this study, it is recommended that teacher training should first of all focus on the development of teachers' subject matter knowledge and pedagogical content knowledge. This knowledge will positively affect teachers' confidence in teaching and, in turn, their attitude towards the subject. More confidence in technology teaching and a more positive attitude are expected to increase the frequency of technology education, which consequently increases teaching experience and thereby stimulates the development of teachers' pedagogical content knowledge. This circle of positive reinforcement will eventually contribute to the quality of technology education in primary schools. (Contains 3 tables and 2 figures.)

138

Sexual Health Attitudes, Knowledge, and Clinical Behaviors: Implications for Counseling  

This article explores the impact of practitioners' attitudes and knowledge of sexual health on clinical behaviors. Sexual health topics are often areas of concern for clients of any age in counseling. Thus, counselors must be trained and equipped to address sexual health across the life span. This study explored whether child and adolescent clinical mental health staff's attitudes and knowledge of sexual health predicted their clinical behaviors. Results indicated that the practitioners' attitudes about sexual health, not their sexual health knowledge level, predicted whether or not they addressed sexual health with clients. Implications and suggestions for counselors and counselor educators are provided. (Contains 1 table.)

139

Australian psychologists' knowledge of and attitudes towards animal-assisted therapy  

Abstract Background:- Research on registered psychologists- knowledge of and attitudes toward Animal-Assisted Therapy (AAT) is virtually nonexistent. Aim:- To explore Australian psychologists' knowledge of and attitudes toward AAT. Materials and Methods:- This paper presents a thematic analysis of qualitative data collected from 9 psychologists speaking about AAT during individual interviews. Results:- The first research question explored psychologists- knowledge of AAT and identified 3 key themes: AAT use across the client lifespan in various health settings; training is inadequate; and efficacy studies are lacking. The second question exploring psychologists- attitudes towards AAT identified further themes: AAT enhances therapeutic relationships; AAT used purposefully or incidentally is ...

140

Evaluating Global Climate Change Education Initiative  

The Global Climate Change Education initiative (GCCE) is a multi-site effort funded by the National Science Foundation to develop web resources. The objective of curricular modules is to improve content knowledge and change attitudes about climate change among undergraduate science students. The two-year evaluation of the project was conducted by Tim Weston from the University of Colorado. The small-scale evaluation first developed measures for attitude and content about climate change, and then administered the measures online. Analysis of results is ongoing. The evaluator wanted to know the attitudes and content knowledge of students after completing the modules, and if attitudes and content knowledge shifted from pre to post. An additional component of the evaluation focused on student understanding of specific global warming topics after completing the modules. Developing the test and survey involved reviewing existing measures, soliciting content from stakeholders in the grant, and then establishing a content framework that covered the important topics in climate change linked to project curricula. The pilot attitude measure contained fourteen agree/disagree items (I believe people should change their lifestyles to help minimize climate change), five self-assessment questions (How informed are you about the different causes of climate change? ), and wo previous experience questions about previous science courses taken, and actions related to climate change. The content measure contained 10 multiple-choice items asking about changes in global average temperature, the scientific methods of climate change, and the primary countries and human activities responsible for climate change. Questions were designed to reflect a mixture of general science literacy about climate change and more specific content related knowledge taught in the curricula. Both content and attitude measures were piloted with students, who answered questions using a think-aloud" interview protocol meant to clarify any ambiguous wording or over-specialized vocabulary in the items. Corrected versions of the measures were then given to small groups of students to check for instrument and sub-scale reliability and to learn if any items had ceiling or floor effects. Results from administration of the post attitude survey showed a majority of students in multiple courses agreed with attitude items across the range of topics. For instance, 72 - 90% or students in 8 courses using the modules agreed or strongly agreed with the statement "I believe people should change their lifestyles to help minimize climate change." A majority of students also agreed with statements such as "Human actions are causing climate change, " and "there is sufficient scientific evidence that climate change is taking place." Where pre/post data was available, average scores across items increased after students used the curricula by an average of .5 on a scale of 1 - 5. Students also scored high on the climate change content measure. Average percentage correct scores per item ranged from 32% to 90%. Average scores also gained by 2 -4 points depending on course.

 
 
 
 
141

Using Project Evaluation to Focus and Improve Earth and Space Science Education and Public Outreach Projects  

It is becoming common for research geoscientists to become involved with, and often lead, earth and space science education projects for K-18 levels and outreach to the general public. Typically, these projects have three principle goals: (i) increase the general geosciences background knowledge of participants; (ii) enhance the participants' life-long attitudes toward geosciences, and science in general; and (iii) increase participants' skills toward using geoscience principles (high quality teaching by teachers, advanced field-work by amateurs, science-positive voting by legislators, etc.). As many financially sponsoring foundations or agencies now require a project evaluation, research scientists are being asked to document the effectiveness and impact of their activities. Evaluation plans are often presented in proposals as a matrix with rows indicating the specific project goals and outcomes with columns showing project activities, assessment data sources and analysis strategies, and performance indicators of success. Geoscience knowledge increases are commonly measured by pre- and posttests, enhanced attitudes with pre- and posttest Likert scale surveys with responses ranging from "(1) strongly agree" to "(5) strongly disagree," and improved skills by clinical interviews or observation checklists. Quantitative data can be validated qualitatively using individual or group interviews with participants; however, the evaluation results that are often the most convincing employ a triangulated, multi-data source approach to assessing stated project goals which use a combination both quantitative and qualitative data. This work supported in part by NSF TE 9731083 and NASA #NAG5-4576.

142

Everything You Wanted to Know about Evaluating Your Astronomy Education Project But Were Afraid to Ask  

It is becoming common for research astronomers to become involved with, and often lead, astronomy education projects for K-18 levels and outreach to the general public. Typically, these projects have three principle goals: (i) increase the general astronomy background knowledge of participants; (ii) enhance the participants' life-long attitudes toward astronomy, and science in general; and (iii) increase participants' skills toward using astronomy (high quality teaching by teachers, advanced observing by amateurs, science-positive voting by legislators, etc.). As many financially sponsoring foundations or agencies now require a project evaluation, research astronomers are being asked to document the effectiveness and impact of their activities. Evaluation plans are often presented in proposals as a matrix with rows indicating the specific project goals and outcomes with columns showing project activities, assessment data sources and analysis strategies, and performance indicators of success. Astronomy knowledge increases are commonly measured by pre- and posttests, enhanced attitudes with pre- and posttest Likert scale surveys with responses ranging from "(1) strongly agree" to "(5) strongly disagree," and improved skills by clinical interviews or observation checklists. Quantitative data can be validated qualitatively using individual or group interviews with participants; however, the evaluation results that are often the most convincing employ a triangulated, multi-data source approach to assessing stated project goals which use a combination both quantitative and qualitative data. This work supported in part by NSF TE 9731083 and NASA #NAG5-4576.

143

Interim Results of a National Test of the Rapid Assessment of Hospital Procurement Barriers in Donation (RAPiD).  

Organ donation remains a major public health challenge with over 114 000 people on the waitlist in the United States. Among other factors, extant research highlights the need to improve the identification and timely referral of potential donors by hospital healthcare providers (HCPs) to organ procurement organizations (OPOs). We implemented a national test of the Rapid Assessment of hospital Procurement barriers in Donation (RAPiD) to identify assets and barriers to the organ donation and patient referral processes; assess hospital-OPO relationships and offer tailored recommendations for improving these processes. Having partnered with seven OPOs, data were collected at 70 hospitals with high donor potential in the form of direct observations and interviews with 2358 HCPs. We found that donation attitudes and knowledge among HCPs were high, but use of standard referral criteria was lacking. Significant differences were found in the donation-related attitudes, knowledge and behaviors of physicians and emergency department staff as compared to other staff in intensive care units with high organ donor potential. Also, while OPO staff were generally viewed positively, they were often perceived as outsiders rather than members of healthcare teams. Recommendations for improving the referral and donation processes are discussed. PMID:22900761

144

Working with risk: occupational safety issues among healthcare workers in Kenya.  

The objective of this study was to explore knowledge of, attitudes towards and practice of post-exposure prophylaxis (PEP) among healthcare workers (HCWs) in the Thika district, Kenya. We used site and population-based surveys, qualitative interviews and operational research with 650 staff at risk of needlestick injuries (NSIs). Research was conducted over a 5-year period in five phases: (1) a bio-safety assessment; (2) a staff survey: serum drawn for anonymous HIV testing; (3) interventions: biosafety measures, antiretrovirals for PEP and hepatitis B vaccine; (4) a repeat survey to assess uptake and acceptability of interventions; in-depth group and individual interviews were conducted; and (5) health system monitoring outside a research setting. The main outcome measures were bio-safety standards in clinical areas, knowledge, attitudes and practice as regards to PEP, HIV-sero-prevalence in healthcare workers, uptake of interventions, reasons for poor uptake elucidated and sustainability indicators. Results showed that HCWs had the same HIV sero-prevalence as the general population but were at risk from poor bio-safety. The incidence of NSIs was 0.97 per healthcare worker per year. Twenty-one percent had had an HIV test in the last year. After one year there was a significant drop in the number of NSIs (OR: 0.4; CI: 0.3-0.6; pdistrict. However, where HIV testing remains stigmatised uptake will be limited - particularly in the initial phases of a programme. PMID:18351477

145

Evaluation of a School-Based Intervention for HIV/AIDS Prevention among Belizean Adolescents  

The purpose of this study was to evaluate the impact of a cognitive-behavioral peer-facilitated school-based HIV/AIDS education program on knowledge, attitudes and behavior among primary and secondary students in Belize. Students (N = 150) were recruited from six schools in Belize City. A quasi-experimental research design was used to assess the impact of a 3-month intervention. Seventy-five students received the intervention and 75 students served as controls. The intervention was guided by constructs from the Theory of Reasoned Action and Social Cognitive Theory. At the follow-up assessment, the intervention group showed higher HIV knowledge, were more likely to report condom use, had more positive attitudes toward condoms and were more likely to report future intentions to use condoms than the students in the control group. Overall, the findings indicate that the intervention had a positive impact on participants. Given the increasing rate of HIV/AIDS in Belize, especially among adolescents, this study has important implications for the country of Belize. (Contains 3 tables.)

146

HIV/STI Risk Behavior of Drug Court Participants  

Drug abusing offenders have high rates of HIV and other sexually transmitted infections (STI). To date, the HIV/STI prevention needs of offenders in drug court programs have been ignored. This multi-method study employed interviews to assess drug court professionals' perceptions of the need for an HIV risk reduction intervention to be integrated into the services provided to drug court participants. Then, surveys were completed by 235 drug court participants to assess whether their sexual risk behaviors affirmed the need for such an intervention. The survey also assessed demographic characteristics, drug use prior to program entry, HIV knowledge, and condom attitudes. The relationship between duration in the drug court program and sexual risk behavior was also examined. Implications for the development and delivery of HIV risk reduction interventions within drug court programs are discussed. (Contains 3 tables.)

147

Handbook for Indian Parent Committees.  

The 1980 handbook defines parental involvement and elaborates on the functions and authority of parent committees. Funding sources which are most likely to require American Indian parent committees are identified as: Elementary and Secondary Education Act, Title I; Johnson-O'Malley; and Indian Education, Title IV-A. Information is provided on: getting parents involved, membership, local education agency responsibilities, parent committee responsibilities, federal requirements for parent committees, committee organization, bylaws, grievance procedures, activities of parent committees, training needs for parent committees, community involvement, and the use of volunteers. Examples of checklists for a meeting and for a needs assessment for parent training; a training assessment survey instrument; a questionnaire for assessing parent volunteer skills, attitudes, and knowledge of the school program; and a workshop evaluation form are provided. Appendices include sample bylaws, a suggested format for an agenda, and a sample of an actual grievance procedure. (AH)

148

Evaluation of mental health recovery and Wellness Recovery Action Planning education in Ireland: a mixed methods pre-postevaluation.  

higgins a., callaghan p., devries j., keogh b., morrissey j., nash m., ryan d., gijbels h. & carter t. (2012)?Evaluation of mental health recovery and Wellness Recovery Action Planning education in Ireland: a mixed methods pre-postevaluation. Journal of Advanced Nursing68(11), 2418-2428. ABSTRACT: Aim.? To report a study evaluating the effectiveness of a Wellness Recovery Action Planning education programme. Background.? Internationally, mental health policy is advocating using recovery approaches to care. Underpinning these approaches is investment in education in recovery principles and methods and a need to provide evidence of the impact of this education. Design.? The study design employed a mixed methods approach. Methods.? Using questionnaires and focus groups, we evaluated 2- and 5-day Wellness Recovery Action Planning Education Programmes and assessed participants' attitudes towards recovery, knowledge of recovery and Wellness Recovery Action Planning beliefs. Data were collected between 2009 and 2010. Participants were people with personal experience of mental health problems, practitioners in mental health services and family members/carers of those with mental health problems. Results.? Comparing the pre and postmeasures showed that the programme increased participants' knowledge of and attitudes towards recovery and Wellness Recovery Action Planning. Although this increase was statistically significant for the 2-day programme, it was not so for the 5-day programme. Participants reported being very positive and enthusiastic about the programme and the benefits they had achieved personally and professionally as a result of participating. Conclusions.? This exploratory study shows that providing mental health practitioners and people with personal experience of mental health problems with a systematic education and training in recovery principles using the Wellness Recovery Action Planning approach leads to positive changes in people's knowledge, skills and attitudes towards recovery. This education appeared to inspire, invigorate and empower people, and for many, it was a life changing experience. PMID:22272944

149

Epilepsy perception amongst university students - A survey  

Purpose: To evaluate the information that university students have on epilepsy and to compare the differences in attitudes and perception among groups with different levels of information. Methods: A questionnaire with 13 questions regarding knowledge, attitudes and perception about epilepsy was com...

150

75 FR 69086 - Submission for OMB review; comment request; NCCAM Office of Communications and Public Liaison...  

...submitted to the Office of Management and Budget (OMB...understand the knowledge, attitudes, and behaviors of...influence target audience attitudes and behavior in a positive...interviews with public and healthcare 300 1 .25 75 professionals...Officer, Office of Management and Budget, at...

151

75 FR 61763 - Submission for OMB Review; Comment Request; NCCAM Office of Communications and Public Liaison...  

...submitted to the Office of Management and Budget (OMB...understand the knowledge, attitudes, and behaviors of...influence target audience attitudes and behavior in a positive...interviews with public and healthcare 300 1 0.25 75 professionals...Officer, Office of Management and Budget, at...

152

76 FR 71578 - Agency Information Collection Activities: Submission for OMB Review; Comment Request  

...review by the Office of Management and Budget (OMB...submitted to the Office of Management and Budget for review...Survey of Organ Donation Attitudes and Practices (OMB...Transplantation (DoT), Healthcare Systems Bureau, Health...knowledge of the public's attitudes and perceptions...

153

Pattern recognition of star constellations for spacecraft applications  

A software system for a star imager for online satellite attitude determination is described. The system works with a single standard commercial CCD camera with a high aperture lens and an onboard star catalog. It is capable of both an initial coarse attitude determination without any prior knowledg...

154

A deterministic method for estimating attitude from magnetometer data only  

A new deterministic algorithm which estimates spacecraft attitude utilizing magnetometer data only is presented. This algorithm exploits the dynamic equations of motion to propagate attitude and thus requires knowledge of both internal and external torques, except in the special case of a spacecraft rotating with constant angular velocity. Preliminary results obtained for the uncontrolled Relay Mirror Experiment satellite utilizing real telemetry data are reported.

155

A Look at Children Who Read 'Ranger Rick'.  

Investigated whether "Ranger Rick" magazine influenced children's attitudes toward and knowledge of natural resources, behavior in wildlife and conservation-related activities, and anthropomorphization of animals. Data, obtained from a national survey and from questionnaires administered to 491 grade 5 students, indicate the effectiveness of the magazine in promoting positive attitudes. (JN)

156

Knowledge, attitude and practices among health care professionals regarding pain  

Objective To assess the knowledge, attitude and practices among health care professionals regarding pain in children. Methods This was a prospective descriptive survey conducted at a tertiary care hospital in north India. A semi structured questionnaire regarding pain in children was administered to pediatric residents and nurses in a teaching hospital. The questionnaire consisted of 24 items, of which 18 items were rated on a 5-point scale (?strongly agree? to ?strongly disagree?) and 6 items were open-ended questions. Results The response rate was 89.5%. Of 77 participants, 47 (61.1%) were nurses and 30 (38.9%) were pediatric residents. The knowledge about pain scales among the studied healthcare professionals was not widespread. Majority of respondents believed that the best judge of in...

157

Knowledge, Attitude and Practices Related to Occupational Health Problems among Salt Workers Working in the Desert of Rajasthan, India  

Workers in the salt industry are exposed to direct sunlight, salt dust and contact with brine. To assess their awareness, attitude and practices related to occupational health problems, 205 salt workers were interviewed about health hazards and problems related to their working conditions, usage of protective measures and suggestions for their improvisation. The brine workers had a fair knowledge of their occupational health problems (98.7%), protective measures (100.0%) and their benefits (100.0%) as compared to non brine workers for whom these figures were 89.0%, 85.8% and 78.7% respectively. The brine workers (29.5%) and non brine workers (31.5%) used unconventional measures to prevent contact with salty water, salt dust, raw salt and glare. There was a huge gap between their knowledge and practice with protective devices, though they suggested improvements in protective devices to increase their acceptability.   

158

Quantifying the Impact of Food Preparation Skills among College Women  

Food preparation practices have changed dramatically in the past fifty years. This study was designed to quantify food preparation knowledge and practices of college women, to assess the reasons why they do not prepare certain foods, and to determine the frequency of eating outside the home. Distinct food preparation ability emerged (high, medium, and low) from a comprehensive list of food. The two dominant reasons for being unable to prepare basic foods were they had never been taught (knowledge barrier) and they had no interest in learning (attitude barrier). Most of the college women ate food prepared outside the home 1-3 times per week. Even though each generation does less cooking than the previous one, food choice still makes a significant contribution to health status. (Contains 1 figure and 4 tables.)

159

Knowledge, attitudes and behaviours in relation to safe sex, sexually transmitted infections (STI) and HIV/AIDS among remote living north Queensland youth  

Abstract Objective: To assess the knowledge, attitudes and behaviours of remote Aboriginal and Torres Strait Islander youth living in far north Queensland in relation to sexually transmitted infections, HIV/AIDS and safe sex. Methods: Community consultation followed by local recruitment of a sample of young people who, in a facilitated same gender focus group setting, completed a questionnaire followed by open discussion of the issues in a range of remote locations during 2007. Results: The remote living Indigenous youth demonstrated lower levels of knowledge in relation to STI and HIV and higher levels of partner change than was demonstrated in the 2002 national secondary school survey. Despite the high rates of bacterial STI in the region, there was an extremely low level of awareness of...

160

Do women make an informed choice about participating in breast cancer screening? A survey among women invited for a first mammography screening examination  

Objective: To determine the level of informed choice in women invited for breast cancer screening for the first time. Methods: To determine the content of decision-relevant knowledge, 16 experts were asked to judge whether each of 51 topics represented essential information to enable informed choices. To assess the level of informed choices, a questionnaire was then sent to all 460 invited women in the south-western part of the Netherlands who turned 50 in August 2008. Results: Of all 229 respondents, 95% were deemed to have sufficient knowledge as they answered at least 8 out of 13 items correctly. In 90% there was consistency between intention (not) to participate and attitude. As a result, 88% made an informed choice. Sixty-eight percent of women responded correctly on the item of over-...

 
 
 
 
161

Mass-Mediated Information Effects on Testicular Self-Examination among College Students  

The author assessed the effects of a youth-targeted national cable broadcast that promoted testicular self-examination (TSE). A telephone survey of 524 college men included variables from the theory of reasoned action, as well as measures of self-exam compliance, message exposure, knowledge, attention, and the effects of humor and fear. Exposure to the show, with attitudes and norms controlled for, demonstrated a statistically significant but very weak effect on viewers' behavioral intentions. Although also statistically significant, the effect of the show on awareness, knowledge, and facilitating interpersonal communication was as weak or weaker than its effect on intention. Furthermore, dose measures failed to demonstrate any significant effect among those who saw the show. It is conceivable that the show might be integrated into a broader effort toward TSE education, but the results of this study do not argue that it could be effectively used as a media-only TSE promotion.

162

APA Summit on Medical Student Education Task Force on Informatics and Technology: Steps to Enhance the Use of Technology in Education through Faculty Development, Funding and Change Management  

Objective: This article provides an overview of how trainees, faculty, and institutions use technology for acquiring knowledge, skills, and attitudes for practicing modern medicine. Method: The authors reviewed the literature on medical education, technology, and change, and identify the key themes and make recommendations for implementing technology in medical education. Results: Administrators and faculty should initially assess their own competencies with technology and then develop a variety of teaching methods that use technology to improve their curricula. Programs should decrease the general knowledge-based content of curricula and increase the use of technology for learning skills. For programs to be successful, they must address faculty development, change management, and funding. Conclusions: Willingness for change, collaboration, and leadership at all levels are essential factors for successfully implementing technology.

163

Use of and Attitudes and Knowledge about Pap Smears among Women in Kuwait  

Abstract Objective: To estimate the lifetime prevalence of Pap smear among women in Kuwait and to assess their knowledge about and attitude toward Pap smears. Methods: This was a descriptive cross-sectional study using a multistage cluster sampling method. We interviewed 299 women attending polyclinics in Kuwait using a self-administered questionnaire. Factors related to history of having a Pap smear, knowledge level, and willingness to participate in a screening program were evaluated. Results: The lifetime prevalence of Pap smear was found to be 37% (95% CI 33-43). Forty-four percent of women in our study had a Pap smear only once in their lives. History of having at least one Pap smear was significantly related to such factors as age, total family income, marital status, history of cerv...

164

Knowledge of Zoonoses Among Those Affiliated with the Ontario Swine Industry: A Questionnaire Administered to Selected Producers, Allied Personnel, and Veterinarians  

Abstract Zoonoses are diseases caused by infectious agents that are transmitted from animals to humans. Some zoonoses have been associated with the pig and pork industry. To ensure the safety of pigs and pork and to improve public health it is essential to understand the level of knowledge of those affiliated with the swine industry. The purpose of our study was to assess the knowledge of and attitude toward zoonotic and other microbial hazards among targeted groups of stakeholders associated with the Ontario swine industry. A postal questionnaire was sent to 409 individuals representing producers, veterinarians, and allied industry personnel. The questionnaire included seven dichotomous and Likert-scale type questions on microbial hazards, addressing topics on familiarity, concern, presen...

165

Knowledge, Attitudes, and Beliefs Regarding HPV Vaccination: Ethnic and Cultural Differences Between African-American and Haitian Immigrant Women  

BackgroundBlack women have higher rates of cervical cancer and lower rates of HPV vaccination than White women in the United States, and Haitians may be an especially vulnerable subgroup of Black women. To reduce these disparities, understanding differences among subgroups of Black women is crucial. MethodsThe objective of our study was to assess similarities and differences in the knowledge, attitudes, beliefs, and practices toward HPV vaccination and actual vaccination rates among African-American and Haitian immigrant women and their daughters. We used validated surveys of HPV knowledge, trust in physicians, acculturation, and constructs of the health belief model: Perceived susceptibility, severity, and barriers. We probed womens thought processes about vaccination using open-ended que...

166

Risk perception of the Belgian population. Results of the public opinion survey in 2009  

The SCK-CEN 2009 risk perception barometer is based on over 1000 Computer Assisted Personal Interviews, taken from persons selected to be representative for the Belgian 18+ population, and all realized in the period July and August 2009. An additional sample , N = 100 is taken from the for the population living in the communities of Lambusart and Wanfercee-Baulet in the municipality of Fleurus. Besides the classical background variables used to obtain the quota for representatively (age, language, habitat, gender and social class), we also included a series of questions assessing the communication and sociological context. The main topics in the survey were I) risk perception and confidence in authorities; II) Attitude towards science and technology and attitudes toward nuclear energy; III) stake holders engagement; IV)acceptance of legal norms for food products; v) media use; vi) evaluation of nuclear actors; VII) psychometric risk characteristics; VII) safety behaviour and anomy; ix) knowledge about nuclear domain; x) risk communication; xi) consumer's attitude towards food with radioactive contamination. Some of the questions asked in 2009 are similar to those enquired in the SCK barometer of 2006 and 2002, in order to study the time evolution of the risk perception associated with various issues.

167

Preventive Intervention for Anxious Preschoolers and Their Parents: Strengthening Early Emotional Development  

The high prevalence and early onset of anxiety disorders have inspired innovative prevention efforts targeting young at-risk children. With parent-child prevention models showing success for older children and adolescents, the goal of this study was to evaluate a parent-child indicated preventive intervention for preschoolers with mild to moderate anxiety symptoms. Sixteen children (ages 3-5) and at least one of their parents participated in Strengthening Early Emotional Development (SEED), a new 10-week intervention with concurrent groups for parents and children. Outcome measures included clinician-rated and parent-rated assessments of anxiety symptoms, as well as measures of emotion knowledge, parent anxiety, and parental attitudes about children's anxiety. Participation in SEED was associated with reduced child anxiety symptoms and improved emotion understanding skills. Parents reported decreases in their own anxiety, along with attitudes reflecting enhanced confidence in their children's ability to cope with anxiety. Reductions in child and parent anxiety were maintained at 3-month follow-up. Findings suggest that a parent-child cognitive-behavioral preventive intervention may hold promise for young children with mild to moderate anxiety. Improvements in parent anxiety and parental attitudes may support the utility of intervening with parents. Fostering increased willingness to encourage their children to engage in new and anxiety-provoking situations may help promote continued mastery of new skills and successful coping with anxiety.

168

Assessment for Effective Intervention: Enrichment Science Academic Program  

Israel suffers from a growing problem of socio-economic gaps between those who live in the center of the country and residents of outlying areas. As a result, there is a low level of accessibility to higher education among the peripheral population. The goal of the Sidney Warren Science Education Center for Youth at Tel-Hai College is to strengthen the potential of middle and high school students and encourage them to pursue higher education, with an emphasis on majoring in science and technology. This study investigated the implementation and evaluation of the enrichment science academic program, as an example of informal learning environment, with an emphasis on physics studies. About 500 students conducted feedback survey after participating in science activities in four domains: biology, chemistry, physics, and computer science. Results indicated high level of satisfaction among the students. No differences were found with respect to gender excluding in physics with a positive attitudes advantage among boys. In order to get a deeper understanding of this finding, about 70 additional students conducted special questionnaires, both 1 week before the physics enrichment day and at the end of that day. Questionnaires were intended to assess both their attitudes toward physics and their knowledge and conceptions of the physical concept "pressure." We found that the activity moderately improved boys' attitudes toward physics, but that girls displayed decreased interest in and lower self-efficacy toward physics. Research results were used to the improvement of the instructional design of the physics activity demonstrating internal evaluation process for effective intervention.

169

Brain-derived neurotrophic factor increases survival and differentiated functions of rat septal cholinergic neurons in culture  

Background & objectives: Electroconvulsive therapy (ECT) is used frequently in developing countries, but investigations of patients’ awareness and perception of ECT are rare. The present study thus attempted a comprehensive examination of knowledge, experience and attitudes concerning ECT among patients treated with brief-pulse, bilateral, modified ECT, and their relatives. Methods: Of the 153 recipients of ECT, 77 patients and relatives were eventually assessed using questionnaires designed to evaluate their awareness and views about ECT. Results: Patients were middle-aged, poorly-educated, often unemployed, with chronic, severe, and predominantly psychotic illnesses. Relatives were mainly parents, older, better-educated and usually employed. Apart from the very rudimentary aspects, patients were largely unaware of the procedure. Though most did not find the experience of ECT upsetting, sizeable proportions expressed dissatisfaction with aspects such as informed consent, fear of treatment and memory impairment. Although patients were mostly positive about ECT, ambivalent attitudes were also common, but clearly negative views were rare. Relatives were significantly likely to be more aware, more satisfied with the experience and have more favourable attitudes towards ECT, than patients. Interpretation & conclusions: The results endorse the notion that recipients of ECT are generally well-disposed towards the treatment, but also indicate areas where practice of ECT needs to be improved to enhance satisfaction among patients and relatives. PMID:2169269

170

A Multi-Level Assessment of a Program to Teach Medical Students to Teach  

Few longitudinal programs exist to teach senior students (MS4s) to be teachers, nor have there been any reports of comprehensive program evaluation in this area. The primary objectives of this study were to describe our ongoing faculty development effort and to develop a multi-level program evaluation, using Dixon's model. The TALKS (Teaching and Learning Communication Skills) program is a senior elective and open to all MS4s. We evaluated our program through assessment of its participants at three levels: level 1, opinion; level 2, competence; and level 3, performance; but not level 4, patient outcomes. The authors used a retrospective, pre-post questionnaire to assess MS4 attitudes about their educational experiences, a traditional instrument to assess their teaching, an interaction analysis technique using Bloom's taxonomy to assess MS4s' feedback skills, and a SP exam to assess MS4 communication skills. The authors hypothesized that MS4s participating in TALKS would view medical education more positively and informatively, would demonstrate important principles in giving feedback, would be assessed as excellent teachers, and would perform better than controls in an SP exam emphasizing communication skills. Results revealed that MS4s' ratings as teachers were very good to excellent, with the highest scores on the items "knowledgeable, supportive of me, and answering questions clearly." ("Level 1, Opinion") MS4s' perceptions of their knowledge, attitudes and skills increased significantly from the pre to the post-questionnaire. ("Level 2, Competence") MS4 feedback skills to MS2s revealed they did more talking than ideal, often at the lowest levels of Bloom's taxonomy. ("Level 3, Performance") MS4s demonstrated better communication skills than controls on an evaluation by professional SPs. ("Level 3, Performance").

171

The effects of the Malaysian Department of Wildlife and National Parks' environmental education program on the environmental knowledge and attitudes of 13--17 year old students  

The study focused on the effects of the Malaysian Department of Wildlife and National Park's (DWNP) environmental education program on the environmental knowledge and attitudes of the secondary school students. Conducted between May 11, 1998 and August 11, 1998, this study was designed to reflect three objectives: (1) to determine the effect of participation in the DWNP's environmental education program on environmental knowledge and attitudes of 13--17 year old Malaysian students, (2) to identify demographic factors that contribute to the change of environmental knowledge and attitudes, and (3) to establish base line data for future evaluation of the effectiveness of DWNP's environmental education program. The sample was comprised of 806 randomly selected students from 10 different schools, with 402 randomly assigned to the experimental grouped and 404 to the control group. Pretest and post-tests were administered at the schools. The experimental group was exposed to the Environmental Education Program (EEP) at the Environmental Education Center (EEC) at Bukit Rengit, Lanchang, Pahang, Malaysia sometime between May 14, 1998 and August 8, 1998. At the EEC, the experimental group was again divided, with half receiving the pretest and post-test, while the other half were given only the post-test. The instrument used in this study was a modification of the Children's Environmental Attitudes and Knowledge Scale (CHEAKS) developed by Leeming, et al. (1995). This instrument had sound psychometric properties suitable for this research setting, and allowed comparisons of results with previous studies. T-tests, ANOVA, and ANCOVA were used to determine group differences. Overall, secondary school students in the experimental group showed a significantly greater change in environmental knowledge than did students in the control group. Significant differences were also found on the Attitude sub-scale, with the control group exhibiting negative change in attitude, and slightly change occurring in the attitudes of the experimental group. There were no significant differences of the change in environmental knowledge and attitude across age and place of residence than did gender of the EEP participants. The trend of changes in environmental knowledge and attitude between school and EEC were shown negatively. Changes in both environmental knowledge and attitude began to increase but change in knowledge exceeded the change in attitude when measured between the pre and post-tests at the EEC. However, there was slightly increased in attitude toward environmental matters as compared to the change in environmental knowledge after the participants had been measured between the EEC and the school.

172

Bahamians and Climate Change: An Analysis of Risk Perception and Climate Change Literacy  

The Commonwealth of the Bahamas is forecasted to be adversely impacted by the effects of climate change. This presentation will present the results of an assessment of the risk perception toward climate change and climate change literacy among Bahamians. 499 Bahamians from the health care and hospitality industries participated in surveys and/or focus groups and three (3) areas of climate change literacy (attitude, behavior and knowledge) were analyzed as well as risk perception. In general, 1) Bahamians demonstrated an elementary understanding of the underlying causes of climate change, 2) possessed positive attitudes toward adopting new climate change policies, and 3) are already adjusting their behaviors in light of the current predictions. This research also resulted in the development of a model of the relationships between the climate literacy subscales (attitude, behavior and knowledge) and risk perception. This study also examined information sources and their impacts on climate change literacy. As the source of information is important in assessing the quality of the information, participants also identified the source(s) of most of their climate change information. The TV news was cited as the most common source for climate change information among Bahamians. As there is limited active research generating specific climate change information in the Bahamas, all the information Bahamians receive as it pertains to climate change is generated abroad. As a result, Bahamians must decipher through to make sense of it on an individual level. From the focus groups, many of the participants have been able to view possible changes through a cultural lens and are willing to make adjustments to maintain the uniqueness and viability of the Bahamas and to preserve it for generations. Continued study of Bahamians' climate change literacy will inform adaption and mitigation policy as well as individual action.

173

Knowledge of, and Attitudes to, Indoor Air Pollution in Kuwaiti Students, Teachers and University Faculty  

The concentrations of air pollutants in residences can be many times those in outside air, and many of these pollutants are known to have adverse health consequences. Despite this, there have been very few attempts to delineate knowledge of, and attitudes to, indoor air pollution. This study aimed to establish the knowledge of, and attitudes to, indoor air pollution in high school students and teachers, and in university students and faculty members, in Kuwait. A self-administered questionnaire was distributed to a representative sample of high school students and teachers and of university students and faculty members. Overall mean values for knowledge and attitudes were 7.78/19 (41%) and 3.86/5 respectively, indicating a low knowledge and suboptimal attitude. Teachers were significantly more knowledgeable than students at both secondary (OR 2.9) and university (OR 1.8) levels. Overall, books were the chief source of knowledge (57.4%) and family the lowest (25.4%). Females had significantly higher scores for attitude than did males (OR 1.6), and secondary school teachers than students (OR 1.9). There was a highly significant Pearson correlation (0.34, p less than 0.001) between knowledge and attitude. (Contains 3 tables.)

174

Determinants of medical student attitudes to a learning communication skills teaching program  

Background: The determinants of medical students' attitudes to communication skills training have for long been a concern among medical educationalists. The present study was undertaken to assess the attitudes of undergraduate medical students towards the teaching of learning communication skills courses and their determinants. Methods: A total of 472 undergraduate medical students from the Universiti Sains Malaysia participated in this study. Students' attitudes were measured using a modified communication skills attitude scale (CSAS). Univariate and multivariate statistics were applied to find the correlates to students' attitudes. Results: More than 95% of the students desired to learn communication skills. The majority of the students preferred formal courses on communication skills du...

175

Examination of psychological variables related to nuclear attitudes and nuclear activism  

It was hypothesized that knowledge about nuclear arms developments would not be correlated with nuclear attitudes, that sense of efficacy would be positively correlated with magnitude of nuclear activism, and that death anxiety would be correlated with high level of nuclear knowledge and anti-nuclear attitudes, but not with sense of power. It was also hypothesized that positive correlations would be found between nuclear activism and political activism, knowledge of nuclear facts, and degree of adherence to anti-nuclear attitudes. One hundred and forty three women and 90 men participated in this questionnaire study. Major findings are as follows. In general, the more people knew about nuclear developments, the more anti-nuclear were their attitudes. Also, regardless of nuclear attitudes, a positive correlation was found between knowledge of nuclear facts and nuclear activism. Death anxiety and powerlessness were not correlated. There was a positive correlation between anxiety and both nuclear knowledge and anti-nuclear attitudes. A strong positive correlation was found between nuclear activism and anti-nuclear attitudes, and between political activism and nuclear activism. Internal locus of control did not correlate significantly with high sense of power or with high degree of nuclear activism.

176

The influence of the Gilgel-Gibe hydroelectric dam in Ethiopia on caregivers' knowledge, perceptions and health-seeking behaviour towards childhood malaria  

Background: Malaria remains the most important public health problem in tropical and subtropical areas. Mothers' or caregivers' ability to recognize childhood malaria-related morbidity is crucial as knowledge, attitudes and health seeking behavior of caregivers towards childhood malaria could influe...

177

Inquiry-Based Science and Technology Enrichment Program: Green Earth Enhanced with Inquiry and Technology  

This study investigated the effectiveness of a guided inquiry integrated with technology, in terms of female middle-school students' attitudes toward science/scientists and content knowledge regarding selective science concepts (e.g., Greenhouse Effect, Air/Water Quality, Alternative Energy, and Human Health). Thirty-five female students who were entering eighth grade attended an intensive, 1-week Inquiry-Based Science and Technology Enrichment Program which used a main theme, "Green Earth Enhanced with Inquiry and Technology." We used pre- and post-attitude surveys, pre- and post-science content knowledge tests, and selective interviews to collect data and measure changes in students' attitudes and content knowledge. The study results indicated that at the post-intervention measures, participants significantly improved their attitudes toward science and science-related careers and increased their content knowledge of selected science concepts (p less than 0.05). (Contains 1 figure and 5 tables.)

178

Knowledge, attitudes, and reported practices among obstetrician-gynecologists in the USA regarding antibiotic prescribing for upper respiratory tract infections.  

BACKGROUND: Knowledge, attitudes, and practices regarding antibiotic prescribing for upper respiratory tract infections (URIs) have not been well described among obstetrician-gynecologists (OB/GYNs). This information is useful for determining whether an OB/GYN-specific program promoting appropriate ...

179

Provider Knowledge, Attitudes, and Practices regarding Obstetric and Postsurgical Gynecologic Infections Due to Group A Streptococcus and Other Infectious Agents  

Background. Knowledge, attitudes, and practices of obstetricians and gynecologists regarding the Centers for Disease Control and Prevention (CDC) recommendations for prevention of healthcare-associated group A streptococcal (GAS) infections as well as general management of pregnancy-related and post...

180

Sexual Counselling for the Physically Disabled: A Comparison of Health Care Professionals' Attitudes and Practices  

The objective of this study was to compare health care professionals' knowledge, beliefs, attitudes, and practices in providing sexual counselling to physically handicapped patients. Two hundred and twenty-six physicians, registered nurses, physiotherapists and occupational therapists completed mail...

 
 
 
 
181

Knowledge, attitudes, and practices regarding sexually transmitted infections among general practitioners and medical specialists in Karachi, Pakistan  

Objectives: To determine the knowledge, attitudes, and practices regarding diagnosis and treatment of sexually transmitted infections (STIs) among specialists—that is, dermatologists, gynaecologists and urologists, and general practitioners (GPs) in Karachi, Pakistan.

182

Knowledge gaps about smoking cessation in hospitalized patients and their doctors.  

Hospitalization is an opportune time for smoking cessation support; cessation interventions delivered by hospital physicians are effective. While general practitioners' and outpatients' knowledge and attitudes towards smoking cessation have been studied in great detail, in-patient cessation programm...

183

76 FR 46811 - Agency Information Collection Activities: Proposed Collection; Comment Request  

...that the Office of Management and Budget (OMB...2009, the Agency for Healthcare Research and Quality...resources for data management and other research-related...disseminate information on healthcare and on systems for...knowledge, confidence or attitudes related to...

184

76 FR 61707 - Agency for Healthcare Research and Quality Agency Information Collection Activities: Proposed...  

...intention of the Agency for Healthcare Research and Quality...that the Office of Management and Budget (OMB...2009, the Agency for Healthcare Research and Quality...resources for data management and other research-related...knowledge, confidence or attitudes related to...

185

77 FR 5804 - Statement of Organization, Functions, and Delegations of Authority  

...pre-diabetes management educational materials...5) educates healthcare professionals...understand knowledge, attitudes, and beliefs and...provides program management and administrative...decision-makers, healthcare professionals...administrative and management support for...

186

76 FR 6484 - Submission for OMB Review; Comment Request; Pretesting of NIAID's Biomedical HIV Prevention...  

...submitted to the Office of Management and Budget (OMB...audience knowledge, attitudes, behaviors and other...risk for HIV/AIDS; healthcare providers; representatives...to the: Office of Management and Budget...Director for Science Management, National...

187

75 FR 16132 - Agency Information Collection Activities: Proposed Collection; Comment Request  

...AGENCY: Agency for Healthcare Research and Quality...intention of the Agency for Healthcare Research and Quality...that the Office of Management and Budget (OMB...HICPAC Recommendations Healthcare Acquired Infections...staff knowledge of and attitudes toward KPC...

188

75 FR 69674 - Agency Information Collection Activities: Proposed Collection; Comment Request  

...SERVICES Agency for Healthcare Research and Quality...AGENCY: Agency for Healthcare Research and Quality...intention of the Agency for Healthcare Research and Quality...that the Office of Management and Budget (OMB...current knowledge, attitudes and beliefs...

189

76 FR 76415 - Agency Forms Undergoing Paperwork Reduction Act Review  

...review by the Office of Management and Budget (OMB...Officer, Office of Management and Budget, Washington...populations, training healthcare providers, and educating...about the knowledge, attitudes, and behaviors of...industry partners, healthcare providers,...

190

76 FR 14020 - Agency Forms Undergoing Paperwork Reduction Act Review  

...under review by the Office of Management and Budget (OMB) in compliance...CDC Desk Officer, Office of Management and Budget, Washington...well-being, and knowledge, attitude, and behaviors; children...Congressionally-mandated reports on healthcare disparities and...

191

75 FR 31445 - Agency Information Collection Activities: Proposed Collection; Comment Request  

...the Agency for Healthcare Research and Quality...that the Office of Management and Budget (OMB...Recommendations. Healthcare Acquired Infections...knowledge of and attitudes toward KPC surveillance...Project Management...performance of AHRQ healthcare research and...

192

76 FR 4697 - Agency Information Collection Activities: Proposed Collection; Comment Request  

...SERVICES Agency for Healthcare Research and Quality...AGENCY: Agency for Healthcare Research and Quality...intention of the Agency for Healthcare Research and Quality...that the Office of Management and Budget (OMB...current knowledge, attitudes and beliefs...

193

Proceedings  

Aug 28, 1998 ... work and the attitudes which they hold ... for Best Practices in the Public Sector, Patricia Keehley, Steven Medlin,. Sue MacBride, ...... provide the itinerary, and share your knowledge ...... Rabies (Lvssa virus). None known ...

194

Mental Health: Knowledge, Attitudes and Training of Professionals on Dual Diagnosis of Intellectual Disability and Psychiatric Disorder  

Background: Dual diagnosis (DD) refers to the coexistence of intellectual disability and psychiatric disorder. In order to provide individuals with DD with adequate care, it is essential for mental health workers to have adequate knowledge and positive attitudes. These may be achieved through proper training. Aims: To summarise the available literature examining the knowledge, attitudes and training of psychiatrists and other professional caregivers in regard to serving people with DD. Methods: A search strategy was developed to find manuscripts published in English since 1995. Results: Twenty-seven studies on knowledge, attitudes and training in the field of DD were identified and reviewed in this paper. Conclusion: The findings of this review stress the need to improve the knowledge, competence and attitudes of practitioners within the DD field via training and practice opportunities. In light of this review, recommendations for improving training opportunities and for conducting future research are made.

195

Need for Rehabilitation Teamwork Training in Europe  

Teamwork is the cornerstone of rehabilitation medicine. Rehabilitation workers in European countries are well educated in their own disciplines and attain appropriate professional knowledge; however, they lack educational opportunities for acquiring skills and attitudes necessary for effective teamw...

196

The influence of the Gilgel-Gibe hydroelectric dam in Ethiopia on caregivers' knowledge, perceptions and health-seeking behaviour towards childhood malaria  

BACKGROUND: Malaria remains the most important public health problem in tropical and subtropical areas. Mothers' or caregivers' ability to recognize childhood malaria-related morbidity is crucial as knowledge, attitudes and health seeking behavior of caregivers towards childhood malaria could influe...

197

77 FR 53887 - Proposed Data Collections Submitted for Public Comment and Recommendations  

...include, but are not limited to, knowledge, attitudes, beliefs, behavioral intentions, practices, behaviors, skills, self-efficacy, and health information needs and sources. The proposed generic clearance is needed for DGMQ to...

198

77 FR 66468 - Agency Forms Undergoing Paperwork Reduction Act Review  

...include, but are not limited to, knowledge, attitudes, beliefs, behavioral intentions, practices, behaviors, skills, self-efficacy, and health information needs and sources. The proposed generic clearance is needed for DGMQ to...

199

76 FR 30177 - Proposed collection; comment request; Web-Based Skills Training for SBIRT (Screening Brief...  

...to evaluate the effectiveness of this training on provider behavior and/or patient outcome and the program's utility as a...terms of differential SBIRT-related knowledge, attitudes, self-efficacy, self-reported clinical practices, skills as...

200

76 FR 50233 - Submission for OMB Review; Comment Request; Web-Based Skills Training for SBIRT (Screening Brief...  

...to evaluate the effectiveness of this training on provider behavior and/or patient outcome and the program's utility as a...terms of differential SBIRT-related knowledge, attitudes, self-efficacy, self-reported clinical practices, skills as...

 
 
 
 
201

Emergency physicians and sexual involvement with patients: an Ontario survey  

OBJECTIVE: To describe Ontario emergency physicians' knowledge of colleagues' sexual involvement with patients and former patients, their own personal experience of such involvement, and their attitudes toward postvisit relationships. DESIGN: Mailed survey. SETTING: Ontario. PARTICIPANTS: Emergency ...

202

HEALTH AND DIET SURVEY (HDS)  

The FDA conducts this periodic omnibus survey of American consumers to track consumer attitudes, knowledge, and reported behaviors related to diet and health issues including cholesterol awareness of diet-disease risk factors, food label use, dietary supplement use, and awarenes...

203

76 FR 34997 - Proposed Data Collections Submitted for Public Comment and Recommendations  

...tobacco use among adolescents (National...and private schools in grades 6-12...district-, and school-level administrators...the Family Smoking Prevention...products); knowledge and attitudes; media and...on access; school...

204

Neonatal male circumcision after delisting in Ontario. Survey of new parents.  

OBJECTIVE: To determine the prevalence of neonatal circumcision immediately following delisting of the procedure in Ontario and to examine parents' knowledge, attitudes, and behaviours regarding circumcision. DESIGN: Cross-sectional survey. SETTING: Perinatal tertiary care centre in southwestern Ont...

205

Evaluating the effectiveness of pediatric pain management guidelines.  

In response to unit nursing quality and patient satisfaction concerns, the shared governance councils identified opportunities to improve overall assessment and management of pain in hospitalized pediatric patients. Together, the unit-shared governance councils evaluated current practice and reviewed the literature to develop comprehensive Pediatric Pain Assessment and Management Guidelines. The purpose of this study was to evaluate the effectiveness of implementing an evidence-based pain assessment and management guideline on nurses' knowledge, ability to assess and manage the patients' pain, and patient/family satisfaction with staff's management of pain. This intervention study with a pre-post design included three assessment intervals described as baseline and 3 and 6 months after guideline implementation. The sample included pediatric and pediatric intensive care unit (PICU) nursing staff, retrospective chart reviews of pediatric and PICU patients, and patient/parent satisfaction scores. No differences were found between nurses' knowledge and attitudes regarding pain before and after implementation of the guideline. Significant increases in pain assessment, use of correct tool, and reassessment were found following implementation. Although improving, there was no difference in patient/family satisfaction after guideline implementation. PMID:22703680

206

Instructional strategies to improve women's attitudes toward science  

Although negative attitudes toward science are common among women and men in undergraduate introductory science classes, women's attitudes toward science tend to be more negative than men's. The reasons for women's negative attitudes toward science include lack of self-confidence, fear of association with social outcasts, lack of women role models in science, and the fundamental differences between traditional scientific and feminist values. Attitudes are psychological constructs theorized to be composed of emotional, cognitive, and behavioral components. Attitudes serve functions, including social expressive, value expressive, utilitarian, and defensive functions, for the people who hold them. To change attitudes, the new attitudes must serve the same function as the old one, and all three components must be treated. Instructional designers can create instructional environments to effect attitude change. In designing instruction to improve women's attitudes toward science, instructional designers should (a) address the emotions that are associated with existing attitudes, (b) involve credible, attractive women role models, and (c) address the functions of the existing attitudes. Two experimental instructional modules were developed based on these recommendations, and two control modules were developed that were not based on these recommendations. The asynchronous, web-based modules were administered to 281 undergraduate geology and chemistry students at two universities. Attitude assessment revealed that attitudes toward scientists improved significantly more in the experimental group, although there was no significant difference in overall attitudes toward science. Women's attitudes improved significantly more than men's in both the experimental and control groups. Students whose attitudes changed wrote significantly more in journaling activities associated with the modules. Qualitative analysis of journals revealed that the guidelines worked exactly as predicted for some students.

207

Knowledge of Attention Deficit Hyperactivity Disorder (ADHD) and Attitudes toward Teaching Children with ADHD: The Role of Teaching Experience  

Knowledge of attention deficit hyperactivity disorder (ADHD) and attitudes toward teaching children with ADHD are compared across stages of Australian teachers' careers. Relative to pre-service teachers with (n = 218) and without (n = 109) teaching experience, in-service teachers (n = 127) show more overall knowledge of ADHD, more knowledge of characteristics and treatments for ADHD, and higher perceived knowledge. In-service teachers reported less favorable emotion about teaching children with ADHD than did pre-service teachers without experience and more favorable behaviors than pre-service teachers with experience. Groups did not differ in knowledge of causes of ADHD, overall attitudes, stereotypical beliefs, and beliefs about teaching children with ADHD. Identification of knowledge gaps and ambivalent attitudes will guide pre-service and in-service training courses.

208

Comparison of knowledge scores of medical students in problem-based learning and traditional curriculum on public health topics  

Background The purpose of the study was to compare the knowledge scores of medical students in Problem-based Learning and traditional curriculum on public health topics. Methods We planned a cross-sectional study including the fifth and sixth year medical students of Dokuz Eylul University in Turkey. The fifth year students (PBL group, n = 56) were the pioneers educated with PBL curriculum since the 1997–1998 academic year. The sixth year students (traditional education group, n = 78) were the last students educated with traditional education methods. We prepared 25 multiple-choice questions in order to assess knowledge scores of students on selected subjects of Public Health. Our data were collected in year 2002. Results Mean test scores achieved in PBL and traditional groups were 65.0 and 60.5 respectively. PBL students were significantly more successful in the knowledge test (p = 0.01). The knowledge scores of two topics were statistically higher among PBL students. These topics were health management and chronic diseases. Conclusion We found that mean total evaluation score in the PBL group was 4.5 points higher than in the traditional group in our study. Focusing only on the knowledge scores of students is the main limitation of our study. Upon the graduation of the first PBL students in the 2002–2003 academic year, we are planning additional studies regarding the other functions of a physician such as skill, behaviour and attitude.

209

The relationship among knowledge of, attitudes toward and acceptance of genetically modified organisms (GMOs) among Slovenian teachers  

Abstract in english The objective of this study was to investigate knowledge about, opinions on and attitudes toward and finally readiness to accept genetically modified organisms (GMO) among Slovenian teachers. On average, they have higher levels of knowledge in classical genetics, and poor levels of knowledge about modern issues in biotechnology, and their attitudes toward GMOs are not extreme. They make decisions based on the acceptability of a particular GMO and not on GMOs in general, f (more) ollowing two patterns: genetic modifications (GM) microorganisms and plants are more acceptable than animals, and GMOs are more acceptable if they can not be used directly for consumption and produce something recognized as useful. The relationship among knowledge of, attitudes towards and readiness to accept GMO showed that there is no correlation between knowledge and attitudes, only a weak correlation between knowledge and acceptance, and a solid correlation between attitudes and readiness to accept GMO. The practical implication of our findings is that acceptance of GMOs will not be changed by providing new technical or scientific information to teachers but by changing attitudes. The appropriate strategies and actions for improving university courses in biotechnology and the implication for classroom science activities and future research are discussed.

210

High School Students' Knowledge and Attitudes regarding Biotechnology Applications  

The purpose of this study was to investigate high school students' knowledge and attitudes regarding biotechnology and its various applications. In addition, whether students' knowledge and attitudes differed according to age and gender were also explored. The Biotechnology Knowledge Questionnaire (BKQ) with 16 items and the Biotechnology Attitude Questionnaire (BAQ) with 37 items which were adapted into Turkish were administrated to 352 high school students. The data were analyzed by making use of both inferential and descriptive statistics. The results showed that students attained poor knowledge regarding biotechnology and its various applications. We found no statistically significant difference between male and female high school students with regard to biotechnology knowledge. On the other hand, we found significant impact of age on biotechnology knowledge. The effects of gender and age were found significant on attitudes. Furthermore, a significant difference was observed between male and female students with regard to attitudes toward biotechnology and its applications in favor of males. The older the students were the more positive attitudes they had. (Contains 1 table.)

211

Attitudes and Professional Practices of School Psychologists Involved in the Evaluation of Students with Reading Disabilities  

Reading problems are the most frequent referring reasons for special education evaluations. Recent changes in the law have implications for the changing role of the school psychologist, specifically the evaluation and identification of students with reading disabilities. Traditionally, the assessment of children with suspected reading disabilities has focused on the presence of an aptitude/achievement discrepancy in which general intellectual ability is significantly higher than reading skills. IDEA 2004 introduced a second model, Response to Intervention (RTI), in which children with a reading disability may be identified through a set of curriculum-based measures and progress monitoring data. In light of the broadening evaluation processes, the present study was designed to examine the relationship between school psychologists' attitudes and assessment practices in the identification of students suspected of reading disabilities. In addition, the study examined whether there were significant attitudes and practice differences related to school psychologists' prior teaching experience, gender status, number of years in practice, certification, grade of service delivery, professional credentials, and ethnicity. Finally, the study examined the variability in their practices for evaluating children with reading disabilities. The present study replicated and expanded the work (survey) of Nelson and Machek (2007) and Fish and Margolis (1988). Data were collected from 81 members of the Arizona Association of School Psychologists (AASP). Each participant completed a survey, which was made up of 30 items, regarding perceptions and practices psychologists use in the evaluation of students with reading difficulties using a 5-point Likert scale. Results indicated a relationship between attitudes and current practices suggesting that school psychologists' practices are compatible with their attitudes. In addition, the most remarkable correlations were observed in regard to school psychologists' attitudes that in order to identify children with a reading disability, school psychologists need to include measures of intelligence and cognitive processing, even within an RTI framework. In regard to the variability of assessment practices, school psychologists' practices for evaluating children with reading disabilities were similar. Implications from this study indicated the need for school psychologists to have a broad working knowledge of the evaluation requirements to identify children with reading disabilities beyond the aptitude/achievement model. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.

212

National character and communication. Attitude toward nuclear power plant and its public relations  

The attitude structure toward nuclear power plant is analyzed with the attitudes toward relevant matters, for example image for nuclear power, knowledge of nuclear power, attitudes toward energy and environment, anxiety about various matters, cognition of risk, social and political attitudes and Japanese national character. Six types are revealed, that is to say, indifference group (13%), strongly favorable group (11%), strongly unfavorable group (9%), fairly favorable group (12%), fairly unfavorable group (5%), and intermediate group (50%). Strongly favorable and unfavorable groups are similar in some points and different in other points, for they are both rational whereas the former is optimistic in the attitude toward science and technology and less interested in environmental problems, and the latter is pessimistic in the attitude toward science and technology and extremely sensitive to environmental problems. The intermediate group has so-called Japanese-like characteristics. It is shown that the emotional persuasion and that based on fact presentation are particularly desirable for this group. (author)

213

Knowledge, attitude, and behavior of students regarding 'mad cow disease'.  

The aim of the current study is to assess the knowledge, attitude and behavior of students enrolled at the American University of Beirut (AUB) in Lebanon, towards mad cow disease (MCD). Three hundred and fifty-six students (199 males and 157 females), ranging in age between 17 and 25 years were randomly selected from various majors and were asked to fill out a self-administered questionnaire. It was found that 99.7% of students had heard about MCD and 85.8% knew that the cow is the host for bovine spongiform encephalopathy (BSE). Seventy five percent reported that animals contract the disease through the consumption of meat and bone meal. Thirty-seven percent wrongly believed that MCD cases were reported in Lebanon and 89% were not satisfied with the measures undertaken by the Lebanese government to curb the disease. Eighty four percent were concerned about the disease and 72% stated having modified their eating habits accordingly. Moreover, students majoring in biology and other health-related majors knew significantly more about MCD compared with students majoring in non-health related majors. A surprising finding was that females were more likely to modify their eating habits than males. Hence, this study provides an insight into the knowledge, attitude, and behavior of AUB students towards MCD. A limitation of this study is that our sample is not representative of all university students in Lebanon. Future surveys should also target students enrolled in other universities in the country. PMID:12873414

214

An Exploratory Mixed Method Assessment of Low Income, Pregnant Hispanic Women's Understanding of Gestational Diabetes and Dietary Change  

Objective: To describe and assess low income, healthy, pregnant Hispanic women's understanding of gestational diabetes (GDM) and willingness to change aspects of their diet. Design: One-on-one, in-person interviews conducted in Spanish with 94 women (primarily Mexican). Setting: Federal Qualified Community Health Center's prenatal clinic. Method: Exploratory two-phased mixed method with a survey of knowledge and attitudes towards gestational diabetes and dietary change, and interviews. In phase two, participants were shown a flyer with the amount of carbohydrates in tortillas and fruit juice in comparison to a candy bar and told of the importance of drinking one glass of water before each meal. Results: Interest in having a healthy baby was high for all participants. Review of a 24-hour dietary recall identified high consumption of carbohydrates and low intake of green and leafy vegetables and water. Family involvement, especially involvement of the husband, was central to almost all the participants' views about food purchase, preparation and consumption. In the phase two follow-up, most women tried to improve their water intake but no-one reported being able to decrease the number of tortillas eaten. Conclusion: The overall profile of attitudes, knowledge, diet and willingness to change aspects of a diet offers additional direction on how to counsel this patient group on ways to decrease risk of GDM. Given Hispanic women's elevated risk for GDM, small dietary changes presented in culturally relevant, straightforward messages about commonly eaten foods might result in improved health for the mother and the broader family. (Contains 3 tables.)

215

Elderly Individuals with Diabetes: Adding Cognitive Training to Psychoeducational Intervention  

The present research examined the effects of a cognitive training program combined with psychoeducational intervention for diabetic elderly patients. Specifically, it aimed at assessing the effects of an eight-session cognitive training and educational program in diabetic elderly individuals and investigating changes in their awareness about specific aspects of diabetes. The final sample consisted of 34 individuals--19 in the experimental group (EG) and 15 in the control group (CG), all residing in the eastern region of the city of Sao Paulo. The protocol included clinical and sociodemographic questions; the Diabetes Attitudes Questionnaire (ATT-19); Diabetes Knowledge Scale (DKN-A); Mini Mental State Examination (MMSE); Verbal Fluency-animal category (VF); Geriatric Depression Scale (GDS); Short Cognitive Performance Test (SKT); and the Rivermead Behavioral Memory Test (RBMT). Results pointed to a significant difference between the two groups for the ATT-19, DKN, and SKT-memory and SKT-total, and a marginally significant difference for the RBMT history in the posttest. As for the remaining cognitive variables, no changes were observed. Retest effects were not observed in the CG. We concluded that cognitive training combined with psychoeducational intervention in diabetic elderly individuals may be effective in producing cognitive gains as well as attitude and knowledge improvement concerning diabetes mellitus (DM). (Contains 3 tables.)

216

HIV/AIDS Prevention among the Male Population: Results of a Peer Education Program for Taxicab and Tricycle Drivers in the Philippines  

This study assesses the results of a 2-year community-based peer education program aimed at increasing HIV/AIDS knowledge, attitudes toward condoms, and condom use behavior among taxicab and tricycle drivers in the Philippines. Pretest, posttest, and follow-up data were collected throughout the educational intervention program. The results of the repeated measures analysis of variance (ANOVA) indicate a significant change on knowledge about HIV/AIDS from baseline to posttest and from posttest to follow-up (F= 449.27, df= 2, pless than .001). There was also a significant change on attitudes about condom use from baseline to posttest and from posttest to follow-up (F= 425.19, df= 2, p= 0.001), and a significant effect on condom use behavior with commercial sex workers from baseline to posttest and follow-up (F= 428.31, df= 2, p= .001). The peer-mediated intervention was found to be an effective means of HIV/AIDS prevention among taxi and tricycle drivers in the Philippines. (Contains 5 tables and 1 figure.)

217

Effect of nonformal energy education program on behavioral change in selected North Carolina residents  

This research examined the effect of participation in an innovative nonformal energy education program on behavioral change in energy conservation knowledge, attitudes, and practice adoption for selected North Carolina residents. Relationships of socio-demographic factors (age, place of residence, occupation, and level of education); residential factors (type of residence, ownership, and age of residence); previous participation in energy education programs; and assessed energy efficiency of the residence to energy conservation behaviors were also analyzed. Data were collected from 379 respondents in two control and two experimental groups at two sites in North Carolina. Pretests were administered to both control and experimental groups. Respondents in the two experimental groups then participated in the nonformal energy education program, while control group respondents did not participate. Post-test were administered to control and experimental groups one month after the experimental groups completed the energy education program. Data analysis reviewed a significant difference between pretest and post-test mean scores for one control and experimental group. Change in energy conservation behaviors was observed for all control and experimental groups. Behavior changes were evidenced in knowledge of and attitudes toward energy conservation.

218

Rubber dam use among a subpopulation of Nigerian dentists  

In this cross-sectional questionnaire-based study, we surveyed the attitudes toward, knowledge of, and use of rubber dams (RDs) among dentists in southern Nigeria. The questionnaire, which was distributed and collected by one of the authors, requested information on the dentists' background characteristics, attitudes, and knowledge. Data were analyzed with SPSS, and the chi-square was used to assess differences in categorical variables. A total of 100 out of 108 dentists responded (92.6% response rate). The prevalence of RD use was 18%. Dentists in the government sector used RDs more often than did dentists in the private sector. About 77% of dentists had not used RDs or were unaware of how to use them. All specialists had seen RDs, but only 56% had used one in their practice. All dentists believed in the effectiveness of RDs. We conclude that rubber dams are underutilized in this population, and that dentists need to be made aware of the possibility of rubber dam use through an awareness campaign. (J Oral Sci 52, 245-249, 2010)   

219

Impacto de un curso interdisciplinar de formación en Counselling y apoyo en la toma de decisiones a profesionales de un servicio de nefrología/ Impact of an interdisciplinary training program in Counselling and decision-making process in a nephrology department  

Abstract in spanish Los profesionales sanitarios del servicio de nefrología de un hospital de tercer nivel recibieron entrenamiento en comunicación terapéutica mediante un curso de 12 horas centrado en el instrumento terapéutico conocido como Counselling. El objetivo fue evaluar cambios en actitudes en relación con los principios bioéticos y en conocimientos sobre comunicación y gestión emocional. Las variables evaluadas se midieron antes y después de la implantación del curso. La (more) muestra estaba formada por 76 profesionales (un 57% profesionales de enfermería, un 26% auxiliares y un 17% médicos especialistas en nefrología) para la variable conocimientos y por 27 profesionales para la variable de actitudes. Considerando la muestra total, en los resultados se observan cambios en implicación con los principios bioéticos (p Abstract in english A 12-hour training program was delivered to the professionals of a nephrology department. Contents of the course were about difficult communication skills in health care interactions. Counselling was the relational methodology instructed. The objective was to assess changes in attitudes in relation with bioethics principles and knowledge. Variables were measured before and after the training program. Sample was composed by 76 professionals (57% nurses, 26% auxiliary nurse (more) s y 17% nephrologists) for knowledge and 27 professionals for variable attitudes. Considering the total sample, results show changes in implication with bioethics principles (p

220

Administration's Overview: K-12 Physical Education. ABCD's of Physical Education.  

In September 2000, the Physical Education Kindergarten to Grade 12 Program of Studies was approved for implementation in Alberta, Canada. This program helps enable individuals to develop the knowledge, skills, and attitudes necessary to lead an active, healthy lifestyle. The four general outcomes are the ABCDs (Activity, Benefits Health, Cooperation, and Do It Daily...For Life). The ABCDs and the curriculum organizers are shown in the program design. Grade-specific outcomes for each curriculum organizer can be found in the program of studies, which is available at schools or via the Alberta Learning Web site. The program is outcomes-based and focuses on what students learn rather than what teachers teach. This publication explains what the new physical education program is all about, what a quality physical education program in schools looks like, and key components of the K-12 physical education program (active living; outcomes-based approach; knowledge, skills, and attitudes interrelated and interdependent; dimensions of categories; and student assessment). It concludes with resources available to support implementation and implementation questions to consider. A form for evaluating this publication is attached. (SM)

 
 
 
 
221

Public attitudes and risk perception toward land application of biosolids within the south-eastern United States  

A descriptive-correlational study of biosolids recycling was conducted in the south-eastern United States to assess current knowledge, attitudes and risk perceptions of participants in two communities that land apply biosolids as part of their waste management programs. One community, Amelia County VA, has been outspoken against biosolids recycling in the past, whereas the second community, Knoxville, TN region, has voiced few concerns about biosolids recycling. Additionally, gender differences within the entire study population were assessed. A 45-question telephone survey, utilizing a 4-point Likert scale, was developed and administered to 311 randomly selected adults in the two regions. Commonalities identified during the study revealed key risk perceptions by the public regarding bioso...

222

Working with risk: Occupational safety issues among healthcare workers in Kenya  

The objective of this study was to explore knowledge of, attitudes towards and practice of post-exposure prophylaxis (PEP) among healthcare workers (HCWs) in the Thika district, Kenya. We used site and population-based surveys, qualitative interviews and operational research with 650 staff at risk of needlestick injuries (NSIs). Research was conducted over a 5-year period in five phases: (1) a bio-safety assessment; (2) a staff survey: serum drawn for anonymous HIV testing; (3) interventions: biosafety measures, antiretrovirals for PEP and hepatitis B vaccine; (4) a repeat survey to assess uptake and acceptability of interventions; in-depth group and individual interviews were conducted; and (5) health system monitoring outside a research setting. The main outcome measures were bio-safety ...

223

Long-term nasogastric tube feeding in elderly stroke patients ? an assessment of nutritional adequacy and attitudes to gastrostomy feeding in asians  

Background Gastrostomy feeding is superior to long-term nasogastric (NG) feeding in patients with dysphagic stroke, but this practice remains uncommon in Asia. We sought to examine the nutritional adequacy of patients on long term NG feeding and identify barriers to gastrostomy feeding in these patients. Methodology A prospective comparison of Subjective Global Assessment (SGA), and anthropometry (mid-arm muscle circumference, MAMC; triceps skinfold thickness, TST) between elderly stroke patients on long-term NG feeding and matched controls was performed. Selected clinicians and carers of patients were interviewed to assess their knowledge and attitudes to gastrostomy feeding. Results 140 patients (70 NG, 70 oral) were recruited between September 2010 and February 2011. Nutritional status ...

224

Internet Training to Respond to Aggressive Resident Behaviors  

Purpose: This research evaluated an individualized Internet training designed to teach nurse aides (NAs) strategies to prevent or, if necessary, react to resident aggression in ways that are safe for the resident as well as the caregiver. Design and Methods: A randomized treatment and control design was implemented, with baseline, 1-, and 2-month assessments for 158 NAs. The training involved 2 weekly visits. The Internet intervention was a behaviorally focused and video-based training that included content on skills for safely dealing with physical aggression. Measures included video situation testing and assessment of psychosocial constructs associated with behavior change. Results: Analysis of covariance showed positive results for knowledge, attitudes, self-efficacy, and empathy, with medium-large effect sizes maintained after 2 months. The training was well received by participants. Implications: Internet training is a viable approach to shape appropriate NA reactions to aggressive resident behaviors. This format has future potential because it offers fidelity of presentation and automated documentation, with minimal supervision.

225

Characteristics and influences of H1N1 communication on college students  

Purpose - The purpose of this paper is to assess how college students received and responded to H1N1 pandemic emergency preparedness information and to assess college students' knowledge and attitudes towards H1N1 during the height of the H1N1 epidemic and corresponding public health response to the outbreak. Design/methodology/approach - Using a case study approach, the researchers conducted five focus groups at a large Southeastern US university between October 20-29, 2009. Findings - In order to effectively communicate emergency preparedness information to college students, universities should rely on interpersonal communication and mediated communication from trusted sources. College students need to understand the health-related emergency, the risk of the emergency, basic steps to avo...

226

Evaluating the Feasibility and Effect of Using a Hospital-Wide Coordinated Approach to Introduce Evidence-Based Changes for Pain Management  

This action research project explored the feasibility and effect of implementing a hospital-wide coordinated approach to improve the management of pain. The project used a previously developed model to introduce three evidence-based changes in pain management. Part of this model included the introduction of 30 pain resource nurses (PRNs) to act as clinical champions for pain at a local level. Both quantitative and qualitative measures were used to assess the feasibility and effect of the changes introduced. Quantitative data were gathered through a hospital-wide document review and assessment of the knowledge and attitude of the PRNs at two time points: time 1 before the introduction of the PRNs and time 2 near completion of the project (11 months later). A statistically significant improv...

227

The Lesbian, Gay and Bisexual Affirmative Counseling Self-Efficacy Inventory (LGB-CSI): Development, Validation, and Training Implications  

Five studies on the development of the Lesbian, Gay, and Bisexual Affirmative Counseling Self-Efficacy Inventory (LGB-CSI) were conducted. Exploratory and confirmatory factor analyses of an initial pool of 64 items yielded 5 factors that assess counselor self-efficacy to perform lesbian, gay, and bisexual (LGB) affirmative counseling behaviors (Application of Knowledge, Advocacy Skills, Self-Awareness, Relationship, and Assessment Skills). The LGB-CSI evidenced high internal consistency; however, low test-retest reliability was found over a 2-week period. Convergent validity was supported by correlations with measures of general counseling self-efficacy and attitudes toward LGB individuals. Discriminant validity was evidenced by an absence of relations between the LGB-CSI and measures of social desirability, self-deceptive positivity, and impression management. Construct validity was supported by findings indicating varying levels of self-efficacy commensurate with status in the field. Recommendations for training interventions are discussed.

228

Sentido, criterios y utilidades de la evaluación del aprendizaje basado en problemas/ Sense, criteria, and usefulness of learning assessment based on problems  

Abstract in spanish En este artículo se planteó que considerando las características didácticas del aprendizaje basado en problemas, se requiere de un cambio de mentalidad de los docentes universitarios para apropiarse de una nueva racionalidad evaluativa, la que debe estar constituida por elementos teóricos, conceptuales y prácticos, a fin de evaluar el conocimiento, las habilidades y las actitudes de los estudiantes, además de promover en ellos su participación en el proceso evaluativo. Abstract in english In present paper it is expound that considering didactic features of based on-learning problem, it is necessary a mentality change of university professors to achieve a new evaluation rationality, which must to include theoretical, conceptual, and practical elements, to assess knowledge, abilities, and attitudes of students, in addition to their involvement in assessing process.

229

Knowledge, Attitude and Practice Regarding Organic Solvents among Printing Workers in Hong Kong  

To find out the prevalence of good knowledge, appropriate attitude and safe practice among printing workers exposed to organic solvents in Hong Kong, and to see if safe practice was influenced by the knowledge of and the attitude towards the harmful effects of organic solvents as well as other factors. The survey was conducted in a sample of 501 male printing workers from 28 factories in Hong Kong. The knowledge of and attitude towards the harmful effects of organic solvents, as well as the good practices adopted by the workers when handling solvents were explored using a questionnaire. Multiple logistic regression analysis was conducted to identify the major factors that influenced the knowledge, attitude and practice of workers. The prevalence of good knowledge, appropriate attitude and safe practice was low, being 20.4%, 38.4% and 22.0% respectively. Good knowledge was positively associated with awareness of the relevant legislation and past drinking behavior and negatively associated with current smoking. Appropriate attitude depended on having good knowledge and younger age. Safe practice did not depend on knowledge and attitude, but was positively associated with being informed of safety precautions and being supplied with chemical information by supervisors. The majority of workers believed that their employers, the Government and other statutory bodies should be responsible for providing information on chemicals, but very few of them actually obtained information from these sources. More workers preferred publications and talks rather than television as the means of obtaining further knowledge on chemicals. Front line supervisors have a pivotal role to play in improving safe practices of workers by informing them of the necessary precautions and supplying the relevant chemical information.   

230

A systematic review of sperm donors: demographic characteristics, attitudes, motives and experiences of the process of sperm donation.  

BACKGROUNDThis systematic review aimed first to integrate the current body of knowledge on the demographic, institutional and psychosocial information on sperm donors, and second to provide insight into the actual experiences of men who donate and the attitudes towards potential donation.METHODSElectronic databases (PUBMED, CINAHL, PsycINFO, Embase and Web of Science) were searched with no date restriction using a specific search strategy followed by a snowball strategy. English language peer-reviewed abstracts and full texts were screened for eligibility and the risk of bias was assessed with 15 criteria. Eligibility, quality assessments and data extraction were performed by two independent researchers, resolving disagreement by discussion.RESULTSThe initial search retrieved 857 studies and after quality assessment, 29 studies were retained for data extraction. Data from nine countries were obtained. The review synthesis revealed differences and similarities between actual and potential sperm donors on demographic characteristics, financial compensation and attitudes towards anonymity, disclosure and providing information to potential offspring. A number of methodological shortcomings have been identified in the studies investigating sperm donors.CONCLUSIONSInstitutional factors (such as recruitment procedures, altruism versus compensation of sperm donors, anonymity versus open-identity donation) and the impact of changing legislation have largely dominated the studies on sperm donation. Furthermore, studies from countries with a bias towards white Western ideology and interpretation were over-represented. This has resulted in a profile of potential and actual sperm donors in terms of demographics, recruitment strategies, motivation for donation and attitudes regarding anonymity, disclosure, recipients and offspring. However, the psychosocial needs and experiences of the donor, and their follow-up and counselling are largely neglected. This review has identified key issues to inform current practice and the development of pathways of care for sperm donors that reflect the multidimensional nature of sperm donation. PMID:23146866

231

Examining attitudes and knowledge about HPV and cervical cancer risk among female clinic attendees in Johannesburg, South Africa.  

Developing countries account for 85% of the nearly 500,000 yearly cases of cervical cancer worldwide with approximately 250,000 deaths occurring in Sub-Saharan Africa, South Asia, and Latin America. In South Africa, cervical cancer is the 3(rd) leading cause of death among women. Although cervical cancer can be screened for with regular Pap tests, access to preventive screenings may be nearly non-existent in resource poor settings that have limited public health infrastructure and where women may lack basic health education. Therefore, it is important to understand women's attitudes, knowledge, and beliefs about HPV, cervical cancer, and the HPV vaccine, and assess their access to preventive screening in order to mitigate their risk for developing the disease. Eighty-six women, ages 18-44 with at least one child who presented at an antenatal clinic in a township in Johannesburg were recruited to complete a brief questionnaire. Using both descriptive and multivariate statistics, we assessed knowledge of cervical cancer, HPV, and the vaccine; assessed maternal-child communication about sex and STDs, assessed willingness to vaccinate child; and identified barriers to assessing medical care and the vaccine. The majority of participants were unfamiliar with HPV and cervical cancer, were concerned about their child's and their own risk for HPV and cervical cancer, faced numerous barriers to accessing screening, and were willing to vaccinate their child. Our findings indicate that women in developing countries need increased access to screening and education about HPV and cervical cancer prevention. PMID:20887829

232

Knowledge, attitudes and preferences regarding genetic testing for smoking cessation. A cross-sectional survey among Dutch smokers.  

Objectives Recent research strongly suggests that genetic variation influences smokers' ability to stop. Therefore, the use of (pharmaco) genetic testing may increase cessation rates. This study aims to assess the intention of smokers concerning undergoing genetic testing for smoking cessation and their knowledge, attitudes and preferences about this subject. Design Online cross-sectional survey. Setting Database internet research company of which every inhabitant of the Netherlands of ?12 years with an email address and capable of understanding Dutch can become a member. Participants 587 of 711 Dutch smokers aged ?18 years, daily smokers for ?5 years and smoke on average ?10 cigarettes/day (response rate=83%). Primary and secondary outcome measures Smokers' knowledge, attitudes and preferences and their intention to undergo genetic testing for smoking cessation. Results Knowledge on the influence of genetic factors in smoking addiction and cessation was found to be low. Smokers underestimated their chances of having a genetic predisposition and the influence of this on smoking cessation. Participants perceived few disadvantages, some advantages and showed moderate self-efficacy towards undergoing a genetic test and dealing with the results. Smokers were mildly interested in receiving information and participating in genetic testing, especially when offered by their general practitioner (GP). Conclusions For successful implementation of genetic testing for smoking in general practice, several issues should be addressed, such as the knowledge on smoking cessation, genetics and genetic testing (including advantages and disadvantages) and the influence of genetics on smoking addiction and cessation. Furthermore, smokers allocate their GPs a crucial role in the provision of information and the delivery of a genetic test for smoking; however, it is unclear whether GPs will be able and willing to take on this role. PMID:22223839

233

Training the trainers and disseminating information: a strategy to educate health professionals on epilepsy/ Capacitações e multiplicadores: uma estratégia para educação de profissionais da área de saúde na epilepsia  

Abstract in portuguese OBJETIVO: Avaliar conhecimentos, atitudes e percepção sobre epilepsia de profissionais da saúde do sistema de atenção básica antes e depois de curso de capacitação. MÉTODO: Cursos de capacitação foram realizados em três grupos de profissionais de saúde: 1. cursos de capacitação para médicos (241 sujeitos); 2. cursos de inserção social para agentes comunitários de saúde (631 sujeitos); 3. cursos de replicadores para médicos (11 sujeitos). O programa de (more) capacitação foi adaptado para as condições de cada local. Para avaliar o processo, foram aplicados questionários a respeito do seu conhecimento, sua atitude e percepção perante à epilepsia (KAP) antes dos cursos (pré-teste) e após a intervenção (pós-teste). RESULTADOS: A comparação feita a respeito do conhecimento com médicos mostrou que os mesmos melhoram seu conhecimento com os cursos (pré-teste: nota média=55.8; DP=14,0) vs. pós-teste: nota média=71,5; DP=12,0; t-test=7,8; p Abstract in english PURPOSE: To evaluate the knowledge, attitudes and perceptions of epilepsy in primary care system health professionals prior to and after an educational intervention. METHODS: Educational interventions were delivered to three groups of people with an interest in epilepsy: 1. Information courses for physicians (241 subjects); 2. Social re-integration course for health professionals and community leaders (631 subjects); 3. "Training the Trainers" Course for physicians (11 su (more) bjects). The whole program is flexible and can be tailored for local or regional needs. For the evaluation of this process, health professionals completed a quantitative and qualitative questionnaire to assess their knowledge, attitudes and perception (KAP) of epilepsy prior to the training (pre-test) and 6 months after it (post-test). RESULTS: Comparison of knowledge scores prior to (mean=55.8, standard deviation=14.0) and after (mean=71.5, standard deviation=12.0) the intervention showed that physicians had improved knowledge after the training (t-test=7.8, p

234

United Nations Population Fund, country programme for Maldives 2003-2007  

Background Since 2005, the T??ch? Community Services Agency (TCSA) in Canada's Northwest Territories (NT) has addressed rising rates of sexually transmitted infections (STI). In 2009, STI rates in the NT were ten times higher than the national rate and T??ch? regional rates were nearly four times that of the NT – 91 cases per 1000 people. We describe a social audit process that assessed the impact of an evidence-based community-led intervention. Methods A baseline survey of sexual health knowledge, attitudes and behaviours in 2006/07 provided evidence for a Community Action Research Team (CART) to develop and to put in place culturally appropriate interventions in the T??ch? region. A follow-up study in 2010 sought to assess the impact of CART activities on condom use and underlying conscious knowledge, attitudes, subjective norms, intention to change, sense of agency and discussions related to condom use and STI risks. We report the contrasts using Odds Ratios (OR) and 95% confidence intervals (CI). Results One in every three follow-up respondents (315/808) participated in at least one CART activity. Participation in highly ranked interventions was associated with increased condom use during the last sexual encounter (OR 1.45, 95%CI 1.07-1.98). Those exposed to three or more activities were more likely to talk openly about condoms (OR 2.08, 95%CI 1.41-3.28), but were also less likely to be monogamous (OR 0.49, 95%CI 0.29-0.90). Conclusions The measurable impact on condom use indicates a strong beginning for the T??ch? community intervention programmes. The interventions also seem to generate increased discussion, often a precursor to action. The T??ch? can use the evidence to improve and refocus their programming, increase knowledge and continue to improve safe condom use practices. PMID:15306623

235

Evaluación a educadores de salud en prevención de violencia, farmacodependencia y sexualidad insegura en jóvenes, Medellín, 2004/ Health educators assessment about prevention of violence, drug addiction and unsafe sex in the youth, Medellín, 2004  

Abstract in spanish Objetivo: evaluar el cambio en conocimientos, actitudes y habilidades de los educadores de salud (mediadores) del Proyecto Red de Jóvenes sobre la prevención de la farmacodependencia, la sexualidad insegura y la violencia. Métodos: se utilizó un diseño cuasiexperimental de intervención previa y posterior con grupo control. La muestra fue integrada por la tercera cohorte de mediadores formados (n = 459) y un grupo de controles con características similares a estos ( (more) n = 550). Las mediciones se realizaron con un cuestionario de administración directa y supervisada que evaluaba conocimientos, actitudes y habilidades. Resultados: el puntaje total de los mediadores en la prueba final superó a la inicial y esta, al comparársela frente a los controles, fue superior. Hubo un aumento en los conocimientos y actitudes de los mediadores luego de la capacitación y sus puntajes superaron al grupo control. Las habilidades permanecieron iguales luego de la intervención y no mostraron diferencia respecto de los controles. Conclusiones: la capacitación del Proyecto Red de Jóvenes aumenta en los mediadores sus conocimientos sobre las temáticas de interés y logra que las actitudes sean más favorables a la promoción y la prevención; sin embargo, no favorece cambios en habilidades. Abstract in english Objective: to evaluate knowledge, attitudes and abilities changes in health educators (mediators) of the Young People Network Project for prevention of drug addiction, unsafe sex and violence. Methods: a quasiexperimental design was used pre and post intervention with a control group. Sample was formed by the third cohort of trained mediators (n = 459) and a control group with characteristics similar to those of the mediators (n = 550). Measurements were made with a quest (more) ionnaire of direct and supervised administration that evaluated knowledge, attitudes and abilities. Results: educators total score in the final test surpassed that of the initial one and was higher when compared to controls. There was an increase in the knowled- Health educators assessment about prevention of violence, drug addiction and unsafe sex in the youth, Medellín, 2004 ge and attitudes of the mediators after the qualification process and their score surpassed that of the control group. Abilities remained equal after intervention and they did not show difference with respect to controls. Conclusions: qualification process of the Young People Network Project increased mediators? knowledge about interesting themes and allowed attitudes to be more favorable to promotion and prevention; nevertheless, it did not favor changes in abilities.

236

Attitudes Supportive of Sexual Offending Predict Recidivism: A Meta-Analysis.  

Attitudes supportive of sexual offending figure prominently in theories of sexual offending, as well as in contemporary assessment and treatment practices with sex offenders. Based on 46 samples (n = 13,782), this meta-analysis found that attitudes supportive of sexual offending had a small, yet reasonably consistent, relationship with sexual recidivism (Cohen's d = .22). To the extent that differences were observed, attitudes predicted recidivism better for child molesters than for rapists. There was no difference in the predictive accuracy of attitudes assessed at pretreatment or at posttreatment. The current study indicates that attitudes supportive of sexual offending is a psychologically meaningful risk factor for sex offenders. However, given that many different constructs have been designated as sex offender attitudes, further research and theory is needed to understand how these various constructs contribute to recidivism. PMID:23117551

237

Risk perception about zoonoses in immigrants and Italian workers in Northwestern Italy.  

OBJETIVO: To assess factors associated with a low risk perception of zoonoses and to identify the gaps in knowledge about transmission and prevention of zoonoses in immigrant and Italian workers. MÉTODOS: A cross-sectional study with 175 workers in the agro-livestock and agro-food industry in Piemonte, Italy, was carried out. Data were collected with a semi-structured questionnaire based on knowledge, attitudes and practices (KAP) survey. We calculated proportions and used chi-square tests and odds ratios to assess associations. Eight individual interviews with key informants on immigration and public health in Piemonte were carried out. RESULTADOS: Participants were 82 (47%) Italians and 93 (53%) immigrants. Immigrants were from Romania, Morocco, Albania, India, China, Argentina, Peru, Macedonia, Ivory Coast, Ukraine and Colombia. The study revealed significant differences in risk perception at work (p = 0.001). We found associations between "not having correct knowledge about zoonoses" and the following variables: i. "being immigrant" OR = 4.1 (95%CI 1.7;9.8 p ? 0.01); ii. "working in the livestock industry" OR = 2.9 (95%CI 1.2;15.4 p = 0.01); and iii. "being an unqualified worker" OR = 4.4 (95%CI 2.9;15.4 p ? 0.01). Another strong association was found between being immigrant and having a low job qualification OR = 6.7 (IC95% 2.9 - 15.4 p ? 0.01). Asian immigrants were the group with the highest frequency of risky behaviours and the lowest level of knowledge about zoonoses. CONCLUSÕES: Our results indicate that there were differences in risk perception of zoonoses between the groups participating in our study. These results suggest that immigrant status can be considered a risk factor for having lower risk perception and lower level of knowledge of zoonoses at work. There is a relationship between this specific knowledge of zoonoses and lack of training and instruction among migrant populations. Our results stress the need for developing education programs on zoonoses prevention among the immigrant population in Piemonte, Italy. PMID:23128262

238

Heat pump owners attitudinal survey. Final report  

This study assesses the attitudes of Canadian homeowners towards heat pumps as an alternative to conventional heating systems. A pilot survey of heat pump users and prospective users was carried out in four major urban areas and drew upon a non-random sample of households using heat pumps and households without heat pumps. The pilot survey was thus used to develop a database on consumer heating practices, awareness and knowledge of heat pumps, conservation intentions, and other information related to consumer decision-making with respect to heating system modifications. This report presents and analyzes the results of the pilot survey, with the objectives of providing a statistical profile of heat pump users and homeowners without heat pumps, and of identifying their attitudes and decision-making parameters with respect to heating system modifications. The report is structured to present the general survey response, a comparative analysis of households with and without heat pumps, an assessment of regional differences, and statistical distributions on heat pump use and performance. Results show, among other things, that heat pumps were owned by 38% of respondents, that those heat pumps in service were working well and inexpensive to maintain, and that 94% of heat pump owners indicated a decrease in their heating costs. 15 figs., 17 tabs.

239

The Simulation Olympics: a resuscitation-based simulation competition as an educational intervention.  

ABSTRACTThe Department of Emergency Medicine at Queen's University developed, implemented, and evaluated an interprofessional simulation-based competition called the Simulation Olympics with the purpose of encouraging health care providers to practice resuscitation skills and foster strong team-based attitudes. Eleven teams (N ?=? 45) participated in the competition. Teams completed three standardized resuscitation scenarios in a high-fidelity simulation laboratory with teams composed of nurses, respiratory therapists, and undergraduate and postgraduate medical trainees. Trained standardized actors and a dedicated technician were used for all scenarios. Judges evaluated team performance using standardized assessment tools. All participants (100%) completed an anonymous two-page questionnaire prior to the competition assessing baseline characteristics and evaluating participant attitudes, motivation, and barriers to participation. The majority of participants (71%) completed an evaluation form following the event focusing on highlights, barriers to participation, and desired future directions. Evaluations were uniformly positive in short-answer feedback and attitudinal scoring measures. To our knowledge, the Simulation Olympics competition is the first of its kind in Canada to be offered at an academic teaching hospital. PMID:23131483

240

Conceptualizations of local knowledge in collaborative environmental governance  

A major challenge to integrating local knowledge into collaborative environmental governance processes stems from the underlying differences between positivist science and local knowledge; these differences often result in strong differences of opinion regarding which forms of knowledge are valid in environmental decision-making. Previous research on these issues has mainly focused on the attitudes of scientists towards local knowledge. Studies of the views of local and non-scientific actors regarding their own knowledge are much less common. Through a qualitative case study of water allocation planning in South Australia, we analyzed participants' conceptualizations of local knowledge and the role of local knowledge in collaborative governance. We found that participants defined local kno...

 
 
 
 
241

Prevalence of severe fatigue in primary care  

Background Paediatric Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME) is relatively common and disabling with a mean time out of school of more than one academic year. NICE guidelines recommend referral to specialist services immediately if severely affected, within 3 months if moderately affected and within 6 months if mildly affected. However, the median time-to-assessment by a specialist service in the UK is 18 months. This study used a mixed-methods approach to examine factors associated with time taken to access specialist services. Methods Time-to-assessment was analysed as a continuous "survival-time" variable in Cox regression models using data from self-completed assessment forms for children attending a regional specialist CFS/ME service between January 2006 and December 2009. Semi-structured interviews about barriers experienced in accessing healthcare for their child were conducted with nine parents of children aged Chalder fatigue score; P = 0.01). Time-to-assessment was not associated with disability, mood, age or gender. Parents described difficulties accessing specialist services because of their own as well as their GP's and Paediatrician's lack of knowledge. They experienced negative attitudes and beliefs towards the child's condition when they consulted GPs, Paediatricians and Child Psychiatrists. Parents struggled to communicate an invisible illness that their child and not themselves were experiencing. Conclusions GPs, Child Psychiatrists and Paediatricians need more knowledge about CFS/ME and the appropriate referral pathways to ensure timeliness in referral to specialist services. PMID:15781924

242

Patients' perceptions of a pharmacist-managed weight management clinic in a community setting.  

BACKGROUND: There have been many studies demonstrating patients' willingness to pay for medication therapy management services provided by pharmacists. There are few studies, however, evaluating the possible provision of a weight management service in the community pharmacy setting. OBJECTIVES: The objectives were to (1) determine patients' knowledge of obesity and its resultant health risks, (2) determine patients' beliefs about obesity, (3) determine interest in pharmacist-delivered weight management services, and (4) identify factors associated with knowledge, beliefs, and interest in obesity and/or weight management services. METHODS: One thousand patients were selected from 5 community pharmacies under a single chain located within a large metropolitan area to receive a mail survey. Survey items assessed patients' knowledge of obesity and the health risks associated with it by using the Obesity Risks Knowledge Scale and the Obesity Beliefs Scale. Additional survey questions were added to measure patients' willingness to pay for a pharmacist-managed weight management clinic. Descriptive statistics and linear regression models were used in analysis of the data. RESULTS: Nearly two-thirds (62%) of respondents were classified as overweight or obese based on self-reported height and weight. Most of the respondents demonstrated an average level knowledge regarding the health risks associated with obesity. Attitudes toward obesity were commensurate with prevailing knowledge. Only a small proportion (13%) of respondents were willing to pay out of pocket for a pharmacist-delivered weight management service. Very little variance in knowledge, beliefs, or interest in pharmacist-delivered weight management services were identified. CONCLUSIONS: Despite the fact that patients are aware of the health risks associated with obesity and believe it is healthier to maintain ideal body weight, most are not doing so. Additionally, most patients are not willing to pay for pharmacist-delivered weight management services. The findings can begin to assist pharmacists in developing strategies for implementation of weight management services. PMID:22695218

243

Knowledge and beliefs among health care workers regarding hepatitis B infection and needle stick injuries at a tertiary care hospital, karachi.  

Hepatitis B virus (HBV) infection is a recognized occupational risk for health care workers (HCWs). This study aimed to assess the knowledge and beliefs of HCWs regarding HBV transmission and needle stick injuries (NSIs). A cross-sectional questionnaire based KAP study was conducted at Civil Hospital, Karachi, during the period of January to September 2006. HCWs were inquired about possible modes of HBV transmission and association with NSIs. Data were entered using EpiInfo 6.04d software. Statistical analysis was performed using SPSS 12.5 software. A total of 343 HCWs participated, and those answered at least 5 correct modes of HBV transmission were considered knowledgeable. Knowledgeable group was more likely to report NSIs (p < 0.006), more vaccinated (p < 0.001) and were also more likely to attend awareness session (p < 0.009). Overall knowledge were inadequate and behaviour and attitude towards clinical practices were found compromised. To reduce the occupational risk, effort should be focused to establish effective infection control program and training of staff. PMID:21575529

244

Aconselhamento em alimentação infantil: um estudo de intervenção/ Infant and young child feeding counseling: an intervention study  

Abstract in portuguese OBJETIVO: Avaliar a efetividade do Curso Integrado de Aconselhamento em Alimentação Infantil na transformação de conhecimentos, atitudes e práticas de pediatras e nutricionistas da rede municipal de saúde de São Paulo. MÉTODOS: Estudo de intervenção randomizado com 29 profissionais no grupo intervenção e 27 no grupo controle. Entrevistadores previamente capacitados coletaram dados dos profissionais nas unidades de saúde antes da intervenção e 2 meses após. (more) Utilizaram-se três instrumentos para avaliar o perfil do profissional, seus conhecimentos e um roteiro de observação clínica. Para análise, utilizaram-se o teste de Kruskal-Wallis para amostras independentes e o método de Tukey. RESULTADOS: Quanto ao conhecimento, observou-se melhora no grupo intervenção (p Abstract in english OBJECTIVE: To evaluate the effectiveness of an integrated infant and young child feeding counseling course for transforming the knowledge, attitudes and practices of pediatricians and nutritionists working for the municipal health system of São Paulo, Brazil. METHODS: A randomized intervention study enrolling 29 professionals in the intervention group and 27 in the control group. Interviewers were trained in advance to collect data on the professionals working at health (more) centers, before and 2 months after the intervention. Three research instruments were used, the first was to assess the profile of each professional, the second assessed their knowledge and the third was a clinical observation protocol. Analysis was performed using the Kruskal-Wallis test for independent samples and the Tukey method. RESULTS: The results for the knowledge questionnaire showed improvements in the intervention group (p

245

Obstetrician/Gynecologists and Postpartum Mental Health: Differences between CME Course Takers and Nontakers  

Introduction: Continuing medical education (CME) courses are an essential component of professional development. Research indicates a continued need for understanding how and why physicians select certain CME courses, as well as the differences between CME course takers and nontakers. Purpose: Obstetrician-gynecologists (OB-GYNs) are health care providers for women, and part of their purview includes mental health, such as postpartum depression (PPD) and psychosis (PPP). This study evaluated OB-GYNs' knowledge, attitudes, and behavior (KAB) regarding PPD/PPP, and compared characteristics of CME course takers and nontakers. Method: A survey was sent to 400 OB-GYNs. Results: Response rate was 56%. One-third had taken a CME course on PPD/PPP. Those who consider themselves a "specialist" were less likely to have taken a CME course on postpartum mental health than those who consider themselves "both primary care provider and specialist." Non-CME course takers rely on clinical judgment more. They also are less likely to track patients' psychiatric histories and they utilize validated assessments less frequently. However, CME course takers and nontakers did not differ on knowledge or belief items. Conclusion: CME courses on PPD/PPP were associated with increased screening and utilization of validated assessments. There was no association between having taken a course and several knowledge questions. It is unclear if CME courses are effective in disseminating information and altering KAB. (Contains 3 tables and 1 figure.)

246

The Relationships between Homophobic Attitudes and Religiosity among Turkish Physical Education Teacher Majors  

Background: The American Psychiatric Association (APA) removed homosexuality from its official list of mental disorders in 1973. However, homosexuals face continuous discrimination in society. Studies have been conducted on societal attitudes toward homosexuals, and most of this research has focused on factors such as gender, educational level, religious beliefs, contact experiences, and type of occupation. This study attempts to analyze physical education teacher education candidates' attitudes toward lesbians and gay men as well as to explore any possible relationships between their level of religiousness and these attitudes. Purpose: The aim of this study is to examine the relationships between attitudes toward lesbians and gay men and the level of religiousness among Turkish physical education teacher majors. Participants: Participants were 78 female (M[subscript age] = 21.12 [plus or minus] 2.24) and 95 male (M[subscript age] = 22.32 [plus or minus] 2.19) undergraduate students enrolled in the physical education teacher education program for the 2010-2011 academic year. Data collection and analysis: The Turkish version of the Attitudes toward Lesbians and Gay Men Scale (short form) was used to measure students' attitudes toward lesbians and gay men. In addition, the Religiosity Scale was used to assess students' beliefs toward Islam. A one-way between-groups multivariate analysis of variance and a paired-samples t-test were conducted to analyze differences in variables, and a Pearson product-moment correlation was used to assess relationships between variables. Results: There was a significant difference between the attitudes of male and female students toward gay men. Male students hold more negative attitudes toward gay men than female students. Male and female students' attitudes toward lesbians and their religiosity levels were comparable. In addition, the results demonstrated significant intra-group differences in the attitudes of male students toward lesbian and gay men. Unlike the attitudes of females, who demonstrated comparative attitudes, the attitudes of males toward lesbians were significantly more positive than toward gay men. There was no significant difference between first-, second-, third-, and fourth-year students in their attitudes toward lesbians and gay men. Lastly, the results of the correlation analyses demonstrated a positive relationship between students' religiosity level and their negative attitudes toward lesbians and gay men. Conclusions: Physical education teacher majors in Turkey have negative attitudes toward lesbians and gay men. Gender differences and religiosity level, unlike year of school, have an impact on the students' attitudes toward lesbians and gay men. These findings reveal the importance of the inclusion of issues related to diverse populations in teacher training programs, which will decrease these negative attitudes. (Contains 3 tables.)

247

Emergency contraception knowledge among nurse practitioner students.  

Purpose: The purpose of this study was to ascertain the knowledge level of nurse practitioner (NP) students about emergency contraception (EC), and to explore attitudes about EC that may intersect with willingness to prescribe EC. Data sources: Four hundred and sixty-seven NP students completed a 30-item web-based survey using Vovici survey software. Conclusions: Students who reported formal content on EC in their program of study showed significantly better mean knowledge scores (t= 5.279, df = 459, p Gaps in NP students' knowledge of EC mechanisms of action, understanding of indications and contraindications were apparent. Younger students (F(3,457) = 4.994, p knowledge. Attitudes regarding EC appeared to be tied to the respondent's knowledge about EC. Implications for practice: Knowledge is an important factor in informing NP practice decisions. Clinicians need accurate, evidence-based knowledge to provide health education and counseling to reproductive age women if unintended pregnancies are to be reduced. PMID:23006019

248

Environmental Knowledge, Attitudes and Actions of Bavarian (Southern Germany) and Asturian (Northern Spain) Adolescents  

This empirical study investigates the environmental awareness of school children in Bavaria and Asturias. The analysis was based on a data-set (Bavaria, 900 students; Asturias, 182 students) that was collected in spring 2007. Students aged between 14 and 15 years responded to a paper-and-pencil questionnaire. The theoretical concept follows the premise that environmental awareness could be divided into three dimensions: environmental knowledge, attitudes and actions. The results show that there are cultural influences in the scales of knowledge, attitudes and actions. Also, different independent variables have a significant bearing on the Bavarian and Asturian students' levels of environmental knowledge, readiness to act and personal environmental action. (Contains 12 tables.)

249

Differences in Students' Smoking-Related Knowledge, Attitudes, and Behaviors Among Public, Factory, and Private Secondary Schools in Guangzhou, China  

ABSTRACT Background: The prevalence of smoking among Chinese adolescents has dramatically increased in recent years. The purpose of this study was to examine the differences in smoking-related knowledge, attitudes, and behaviors among Chinese students in 3 types of secondary schools. Methods: This cross-sectional study was conducted among 3957 students of seventh, eighth, and ninth grades and 2870 student parents from 3 public, 1 factory, and 2 general-paid private secondary schools at Guangzhou in 2004. Participants were asked to complete self-administered questionnaires about sociodemographic characteristics, smoking-related family and school environments, smoking-related knowledge and attitudes, and smoking behaviors. Results: The average scores of students' smoking-related knowledge an...

250

Knowledge, Attitudes, and Practices of Avian Influenza, Poultry Workers, Italy  

We asked Italian poultry workers about knowledge, attitudes, and practices regarding avian influenza. It was perceived to be a low occupational hazard, and wearing protective equipment and handwashing were not routine practices. Knowledge of transmission and preventive measures should be improved. E...

251

College health providers' knowledge, attitudes, and management practices of genital HPV infection.  

This comparative survey of college health providers explored nurse practitioners' (N=73) and physicians' (N=70) knowledge, attitudes, and management practices related to genital human papillomavirus (HPV) infection in females. Both groups had adequate knowledge of basic issues of HPV epidemiology, d...

252

Knowledge, attitudes and practices with respect to institutional repositories in Mozambique : a benchmark study  

A benchmark study was carried out on the knowledge surrounding, attitudes toward, and use of institutional repositories at Mozambican Universities, especially with regard to their medical faculties. This benchmark study was part of a two-step research set-up which examined: The level of knowledge, t...

253

Knowledge, attitudes, and practices about kala-azar and its sandfly vector in rural communities of Nepal.  

Reported are the results of a study of the knowledge, attitudes and practices (KAP) about kala-azar of the inhabitants of two villages (Titaria and Haraincha) situated in terai (plain) areas of Nepal. The villagers had poor knowledge about the transmission of kala-azar, with most villagers perceivin...

254

Knowledge, attitudes and practice regarding Clostridium difficile: A survey of physicians in an academic medical center.  

Using current guidelines, we surveyed physicians at our hospital to ascertain knowledge, attitudes, and practice regarding Clostridium difficile infection. The survey identified significant gaps in knowledge and practice. Infection control professionals should include physician education on Clostridium difficile infection diagnosis, isolation precautions, and treatment as part of a comprehensive control program. PMID:22981165

255

Test Candidates' Attitudes and Their Relationship to Demographic and Experiential Variables: The Case of Overseas Trained Teachers in NSW, Australia  

One measure of the impact of a high-stakes test is the attitudes that test takers hold towards it. It has been suggested that positive attitudes produce beneficial effects while real or anticipated negative experiences can result in the development of attitudes that erode confidence and potentially impact negatively on performance. This study investigated test taker attitudes by exploring the opinions, beliefs, and feelings of a group of overseas trained teachers preparing for a professional gate-keeping test, and examining correlations between attitudes and demographic and experiential factors. The participants were 105 candidates who were enrolled in a preparation course for the Professional English Assessment for Teachers. They were asked to complete a written survey questionnaire with three parts: to determine the nature of their attitude towards the test, to explore the relationship of attitudes and demographic data, and to investigate their perceptions of the sources of their attitudes. Results indicated that there was a slight predominance of negative attitudes, particularly among candidates who had unsuccessfully attempted the test. The main reported sources which correlated with a negative attitude were personal experiences and feelings as well as the impact of other people: notably teachers and other candidates. (Contains 7 tables, 1 figure and 3 notes.)

256

Nursing Aides' Attitudes to Elder Abuse in Nursing Homes: The Effect of Work Stressors and Burnout  

Background: Nursing aides' attitudes condoning elder abuse are a possible risk factor for executing abusive behaviors against elder residents of long-term care facilities but have been studied infrequently. Purpose: The purpose of the study was to assess nursing aides' attitudes that condone abusive behaviors toward elderly people, as well as the relationship of these attitudes to demographic variables, work stressors (role conflict, role ambiguity, and work overload), burnout, and perceived control, based on the theory of planned behavior (Ajzen, 1988, "Attitudes, personality and behavior". Milton Keynes: Open University Press) Design and Methods: Two hundred and eight nursing aides from 18 nursing homes in Israel completed demographic, work stressors, burnout, and perceived control questionnaires and a case vignette questionnaire to test attitudes condoning elder abuse. Results: The mean score of the attitudes condoning abusive behaviors was relatively high at 3.24 (SD = 0.59) on a 1-4 scale. Condoning abusive behaviors were closely associated with higher levels of work stressors, burnout, and low income. Multiple regression analyses revealed that demographic variables, work stressors, burnout, and perceived control explained 12% of the variance of condoning abusive behaviors among the nursing aides. Of these, role ambiguity, role conflict, and burnout were significantly associated with attitudes condoning abusive behaviors. In addition, burnout partially mediated the relationship between work stressors and attitudes condoning elder abuse. Conclusions: As nursing aides' attitudes condoning elder abuse may influence their actual behaviors, training and supervision programs should be developed to reduce work stressors and burnout and to modify these attitudes.

257

An Investigation of Nursing Staff Attitudes and Emotional Reactions towards Patients with Intellectual Disability in a General Hospital Setting  

Background: It has been suggested that inequalities in health care for people with intellectual disabilities may be partly explained by negative attitudes of health professionals. This study aimed to investigate the attitudes and emotional reactions reported by nursing staff working in general hospitals towards caring for patients with intellectual disabilities. Method: Attitudes and emotional reactions were measured using a self-report, vignette style questionnaire, tested for validity and reliability. Attitudes towards patients with physical disabilities were also assessed to act as a comparison. Results: Nursing staff reported less positive attitudes, more negative emotions and fewer positive emotions, in response to caring for a patient with an intellectual disability compared to a patient with a physical disability. Occupational status (registered general nurse, student nurse, nursing assistant) had no effect upon respondents reported attitudes or emotions. Finally, attitudinal and emotional variables were significantly correlated, with positive emotions being associated with more favourable attitudes. Conclusions: Although caution needs to be exercised when inferring actual behaviour from attitudes expressed, it is suggested that the presence of less positive attitudes and feelings amongst nursing staff towards patients with intellectual disabilities may affect the quality of care. Recommendations for future research and service development includes: the need to focus upon improving attitudes of nursing staff through training, and increased joint working between acute care services and Community Intellectual Disability Teams.

258

Expanding the Domains of Attitudes Towards Evidence-Based Practice: The Evidence Based Practice Attitude Scale-50  

Mental health and social service provider attitudes toward evidence-based practice have been measured through the development and validation of the Evidence-Based Practice Attitude Scale (EBPAS; Aarons, Ment Health Serv Res 6(2):61?74, 2004). Scores on the EBPAS scales are related to provider demographic characteristics, organizational characteristics, and leadership. However, the EBPAS assesses only four domains of attitudes toward EBP. The current study expands and further identifies additional domains of attitudes towards evidence-based practice. A qualitative and quantitative mixed-methods approach was used to: (1) generate items from multiples sources (researcher, mental health program manager, clinician/therapist), (2) identify potential content domains, and (3) examine the prelimina...

259

Characteristics of Persons Approving of Physician-Assisted Death  

The present study describes the characteristics and attitudes of non-terminally ill persons who support physician-assisted death (PAD) along with their expectations and preferences for care in the future. Participants (N=101) completed a survey assessing current affect and attitudes and those expected if terminally ill. Participants' responses indicated they were a well-adjusted group with little evidence of depressive symptoms or past suicidal ideation. Current attitudes were differentially related to future care preferences. Findings suggest a need for longitudinal research on the stability of current attitudes and how they relate to PAD among non-terminally ill supporters of assisted death.

260

The Psychometric Evaluation of a Three-Dimension Elementary Science Attitude Survey  

This study describes the development of an instrument to investigate elementary students attitudes toward science. As a result of the instrument development process employed, the finalized instrument consisted of 28-items separated into three dimensions. The instrument was found to exhibit acceptable ranges of internal consistency. Confirmatory Factor Analysis showed three factors that clustered into the three dimensions of attitude identified and concurrent validity was evidenced as correlations were found when comparing attitude measures with the instrument to students? perceptions of their science classrooms. Based on the analyses completed, the instrument appears to be useful for assessing student attitude toward science.

 
 
 
 
261

Promoting positive attitudes towards science and religion among sixth-form pupils: dealing with scientism and creationism  

A sample of 187 female students, attending a sixth-form study day on religious studies, completed a questionnaire containing four scales concerned with assessing: attitude towards theistic religion, attitude towards science, scientism and creationism. The data demonstrated a negative correlation between attitude towards religion and attitude towards science. However, this negative correlation was transformed into a positive correlation after taking into account individual differences in the students' views about scientism and creationism. The implications of this finding are discussed in the context of the increasing support within society for the teaching of alternatives to evolution within the science curriculum. The authors argue both that it is important to challenge scientism by devel...

262

Evaluating the effect of a television public service announcement about epilepsy  

Public service announcements (PSAs) are non-commercial advertisements aiming to improve knowledge, attitudes and/or behavior. No evaluations of epilepsy PSAs exist. This study sought to evaluate a televised PSA showing first aid for a seizure. A multilevel regression analysis was used to determine the effect of the PSA on epilepsy knowledge and attitudes taking into account school-level clustering as well as individual-level variables, including socioeconomic status, gender, language and familiarity with epilepsy. Of the 803 randomly selected Grade 5 (9-11 years) students, 406 (51%) had seen the epilepsy PSA. Those who saw the PSA scored significantly higher on knowledge (P < 0.001) and had more positive attitudes (P < 0.001) about epilepsy. Those who saw the PSA had even greater knowledge...

263

Construcción y validación de un cuestionario para medir conductas, conocimientos y actitudes sobre la higiene de las manos en personal sanitario en formación/ Construction and Validation of a Questionnaire to Measure Behavior, Knowledge and Attitudes on Hand Hygiene in Health Personnel Training  

Abstract in spanish Fundamento: La higiene de manos en el contexto sanitario es un comportamiento complejo. Rara vez se ha determinado el papel conjunto de los conocimientos y las actitudes como predictores de la conducta de higiene de manos. El objetivo principal del trabajo es la descripción de la elaboración de un cuestionario sobre higiene de manos y el análisis de sus propiedades de medida. Método: Estudio instrumental en el que se diseñó y validó un cuestionario. Se llevó acabo (more) en enero de 2009. Éste constó finalmente de 50 ítems que evalúan la intención de conducta antes y después del contacto con el paciente, los conocimientos declarativos y las actitudes sobre la higiene de manos. Se aplicó a 431 estudiantes de ciencias de la salud de la Universidad de Granada. Resultados: Se han realizado tres análisis factoriales, obteniendo finalmente un valor de convergencia general que explica el 46,01% de la varianza total y una alta fiabilidad (a=0,843). Existe correlación entre los conocimientos y la intención de conducta antes y después del contacto con el paciente (p Abstract in english Background: Hand hygiene in the health context is a complex behaviour. There have been rarely given the role of the knowledge and attitudes as predictors of hand hygiene behaviour. The main objective of this work is the description of the development of a questionnaire on hand hygiene and the analysis of their measurement properties. Method: An instrument which was designed and validated a questionnaire. It was held in January 2009. It finally has had 50 items that assess (more) risk behaviour intention before and after contact with the patient, declarative knowledge and attitudes about hand hygiene. It has been applied to 431 students of health sciences at the University of Granada. Results: There were three factor analysis, ultimately obtaining a general convergence value that explains 46.01% of the total variance and high reliability (a=0,843). There is correlation between knowledge and behavior intentions before and after patient contact (p

264

Knowledge, Attitude, and Practices Regarding Early Start of Breastfeeding Among Pregnant, Lactating Women and Healthcare Workers in El-Minia University Hospital.  

Abstract Background: Breastfeeding within the first hour of life is a potential mechanism for health promotion and is considered to be an indicator of excellence of breastfeeding. This study was conducted to evaluate the knowledge, attitude, and practice regarding early breastfeeding initiation within the first hour of life in both the Pediatrics and Gynecology and Obstetrics Departments of Minia University Hospital, Minia, Egypt. Subjects and Methods: A study was conducted on four groups of participants from both the Pediatrics and Gynecology and Obstetrics Departments of Minia University Hospital, each of them consisting of 30 individuals, using a questionnaire to assess the knowledge, attitude, and practice regarding early breastfeeding initiation for each group. Results: Sixty percent of women delivered by spontaneous vaginal delivery and 16.7% of those delivered by cesarean section initiated breastfeeding within 30 minutes to 1 hour after birth. Forty percent of lactating women delivered by spontaneous vaginal delivery, 83.3% of lactating women delivered by cesarean section, and 36.7% of healthcare workers used prelacteal feed instead of early breastfeeding initiation. The most important factors affecting the breastfeeding initiation were maternal illness followed by immediate skin-to-skin contact. Conclusions: Although the majority of women participating in this study exhibited knowledge about early breastfeeding initiation, actual application of this practice was clearly deficient. In order to improve the rates of breastfeeding initiation within the first hour of life we should enhance vaginal delivery and prenatal classes and implement Baby-Friendly Hospital Initiative policies in both the Pediatrics and Gynecology and Obstetrics Departments of Minia University Hospital. PMID:23039401

265

Protocol for a national, mixed-methods knowledge, attitudes and practices survey on non-communicable diseases  

Background: Mongolia is undergoing rapid epidemiological transition with increasing urbanisation and economic development. The lifestyle and health of Mongolians are changing as a result, shown by the 2005 and 2009 STEPS surveys (World Health Organization’s STEPwise Approach to Chronic Disease Risk Factor Surveillance) that described a growing burden of Non-Communicable Diseases and injuries (NCDs). This study aimed to assess, describe and explore the knowledge, attitudes and practices of the Mongolian adult population around NCDs in order to better understand the drivers and therefore develop more appropriate solutions to this growing disease burden. In addition, it aimed to provide data for the evaluation of current public health programs and to assist in building effective, evidence-based health policy. Methods/Design: This national survey consisted of both quantitative and qualitative methods. A quantitative household-based questionnaire was conducted using a nationally representative sample of 3854 rural and urban households. Participants were selected using a multi-stage cluster sampling technique in 42 regions across Mongolia, including rural and urban sites. Permanent residents of sampled households were eligible for recruitment, if aged between 15-64 years. This quantitative arm was then complemented and triangulated with a qualitative component: twelve focus group discussions focusing on diet, exercise and alcohol consumption. Discussions took place in six sites across the country, facilitated by local, trained health workers. These six sites were chosen to reflect major Mongolian cultural and social groups. Discussion: KAP surveys are well represented in the literature, but studies that aim to explore the knowledge, attitudes and practices of a population around NCDs remain scarce. This is despite the growing number of national epidemiological surveys, such as STEPS, which aim to quantify the burden of these diseases but do not explore the level of population-based awareness, understanding, risk-perception and possible motivation for change. Therefore this paper will contribute to building a knowledge base of NCD KAP survey methodology for future use in epidemiology and research worldwide.

266

Radioactive waste management: exploratory survey among Rio de Janeiro state university students  

Social approval is a fundamental part of the site selection process of a radioactive waste repository. Such approval requires the involvement of the local community in the decision-making process and is deemed essential to the success of an enterprise of this kind. A major problem when it comes to nuclear energy is the poor knowledge on the issue among the general population. For effective participation in the decision-making process, the community of the candidate site should be well informed on nuclear issues, because efficient community interaction depends on the level of knowledge of their citizens on the subject. One way to identify this level of knowledge is through opinion polls on attitudes and beliefs regarding the use of nuclear energy and on radioactive waste. In the European Union research is carried out periodically seeking to know people's opinion about their participation in the decision-making process. In order to assess in a preliminary way the attitude on this matter of university students of the state of Rio de Janeiro, the research method used in the European Union was adapted and subsequently applied to a sample of 200 students from public and private universities within the state. The results indicate that the majority of respondents, though possessing little information on nuclear issues, would like to participate in the decision-making process for site selection of a low and intermediate level radioactive waste repository, if that repository was to be built close to their living area. The collected data also identifies the sources of information that are considered trustworthy by the surveyed sample. Although exploratory, this research provides guidelines for future work to be developed within the scope of the site selection for a radioactive waste repository in Brazil. (author)

267

Mental health first aid for eating disorders: pilot evaluation of a training program for the public.  

ABSTRACT: BACKGROUND: Eating disorders cause significant burden that may be reduced by early and appropriate help-seeking. However, despite the availability of effective treatments, very few individuals with eating disorders seek treatment. Training in mental health first aid is known to be effective in increasing mental health literacy and supportive behaviours, in the social networks of individuals with mental health problems. Increases in these domains are thought to improve the likelihood that effective help is sought. However, the efficacy of mental health first aid for eating disorders has not been evaluated. The aim of this research was to examine whether specific training in mental health first aid for eating disorders was effective in changing knowledge, attitudes and behaviours towards people with eating disorders, METHODS: A repeated measures, uncontrolled trial was conducted to establish proof of concept and provide guidance on the future design of a randomised controlled trial. Self-report questionnaires, administered at baseline, post-training and 6-month follow-up, assessed the effectiveness of the 4-hour, single session, mental health first aid training. RESULTS: 73 participants completed the training and all questionnaires. The training intervention was associated with statistically significant increases in problem recognition and knowledge of appropriate mental health first aid strategies, which were maintained at 6-month follow-up. Sustained significant changes in attitudes and behaviours were less clear. 20 participants reported providing assistance to someone with a suspected eating disorder, seven of whom sought professional help as a result of the first aid interaction. Results provided no evidence of a negative impact on participants or the individuals they provided assistance to. CONCLUSIONS: This research provides preliminary evidence for the use of training in mental health first aid as a suitable intervention for increasing community knowledge of and support for people with eating disorders to seek appropriate help. Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12611001181998. PMID:22856517

268

Paediatric homoeopathy in general practice: where, when and why?  

Aims To investigate the extent of homoeopathic prescribing in primary care for childhood diseases and assess GP attitudes towards the use of homoeopathy in children. Methods Homoeopathic prescribing in primary care was assessed in 167 865 children aged 0–16 years for the year 1999–2000. Computerized prescribing data were retrieved from 161 representative general practices in Scotland. Medical attitudes towards homoeopathic prescribing to children were also assessed via a questionnaire survey. Results During the year 1999–2000 22% (36) of general practices prescribed homoeopathic medicines to 190 (1.1/1000 registered) children. The majority of such prescriptions were issued to children under 1 year of age (8.0/1000 registered children). The most frequently prescribed medicines were for common self-limiting infantile conditions such as colic, cuts and bruises, and teething. A total of 259 completed questionnaires were returned by GPs, giving a response rate of 75%. GPs who frequently prescribed homoeopathic medicines to children (more than 1 per month) were more likely to claim an interest in homoeopathy, have had a formal training and keep up to date in the discipline, and refer on to a homoeopath (P homoeopathic medicines did so when conventional treatments had apparently failed (76%), while 94% also perceived homoeopathy to be safe. Frequent prescribers reported a more positive attitude towards homoeopathic medicines than those who prescribed less frequently. Non-prescribers reported a lack of proven efficacy and lack of training as the main reasons for not prescribing homoeopathic medicines (55% and 79%, respectively). However non-prescribers from within homoeopathic prescribing practices reported a more favourable attitude in general towards homoeopathy and less resistance towards prescribing in the future than non-prescribers from practices where none of the partners practiced homoeopathy. Conclusions In primary care paediatric prescribing of homoeopathic medicines most commonly occurs for self-limiting conditions in infants less than 1 year of age. Although the current level of homoeopathic prescribing is low, the widespread use in the community suggests that at least some knowledge of the main indications for homoeopathy and the preparations used would be of benefit to registered medical practitioners.

269

Communication attitudes of Japanese school-age children who stutter  

Past research with the Communication Attitude Test (CAT) has shown it to be a valid and reliable instrument for assessing speech-associated attitude of children who stutter (CWS). However, in Japan, the CAT has not been used extensively to examine the communication attitude of CWS. The purpose of this study was to determine if a Japanese version of the CAT could differentiate between the communication attitude of Japanese elementary school CWS and children who do not stutter (CWNS). A Japanese translation of the 1991 version of the Communication Attitude Test-Revised (CAT-R) was used in this study. Eighty Japanese CWS and 80 gender- and grade level-matched CWNS participated in the study. The results showed that CWS had a significantly more negative communication attitude than CWNS. Both CW...

270

Development and Initial Psychometric Assessment of the Plant Attitude Questionnaire  

Plants are integral parts of ecosystems which determine life on Earth. People's attitudes toward them are however, largely overlooked. Here we present initial psychometric assessment of self-constructed Plant Attitude Scale (PAS) that was administered to a sample of 310 Slovakian students living in rural areas aged 10-15 years. The final version of PAS consists from 29 Likert-scale items that were loaded to four distinct dimensions (Interest, Importance, Urban trees and Utilization). Mean scores revealed that Slovakian students lack positive attitudes toward plants and that gender had no effect on their mean attitude scores. Living in a family with a garden was associated with a more positive attitude toward plants. Further correlative research on diverse samples containing urban children and experimental research examining the impact of gardening in schools on student attitudes toward plants is required.

271

Ohio Appalachia Public Health Department Personnel: Human Papillomavirus (HPV) Vaccine Availability, and Acceptance and Concerns Among Parents of Male and Female Adolescents  

Public health departments (n?=?48) serving the 32 counties of Ohio Appalachia were contacted to determine human papillomavirus (HPV) vaccine availability and to assess patient and parental attitudes, perceived barriers, and decisional differences about vaccination for male and female adolescents. Nurses or nursing supervisors in 46 of 48 health departments agreed to participate with 45 (97.8?%) reporting that HPV vaccines were available for males and females. HPV vaccination barriers reported most frequently were lack of knowledge about the vaccines, concerns about potential side effects, the newness of the HPV vaccines, and parents believing their children were not sexually active or were too young to receive an HPV vaccine. Provider reports of the primary differences in the acceptability...

272

The Changing Climate of Teaching and Learning School Geography: The Case of Singapore  

Reflecting on a personal journey as a geography student, an academic, an educator and a teacher trainer, the article provides a critical narrative of the state of school geography in Singapore and argues that its development has remained relevant to the changing issues at a global level. Using personal reflections and document analyses, school geography is traced from the primary school to tertiary levels, covering aspects of curriculum, teacher education and assessment. A specific example of education for climate change is used to examine if school geography in Singapore is indeed relevant to engaging global issues. The school geography curriculum can be designed to imbue our learners with the awareness, knowledge, skills, attitudes, evaluation ability and participation required to discourse and engage environmental concerns such as climate change. It is only through this change to the climate in teaching and learning geography that there is hope to mitigate climate change and other global concerns.

273

Quantitative Assessment of a Tanzanian Integrated Conservation and Development Project Involving Butterfly Farming  

Abstract: Scientific understanding of the role of development in conservation has been hindered by the quality of evaluations of integrated conservation and development projects. We used a quasi-experimental design to quantitatively assess a conservation and development project involving commercial butterfly farming in the East Usambara Mountains of Tanzania. Using a survey of conservation attitudes, beliefs, knowledge, and behavior, we compared 150 butterfly farmers with a control group of 170 fellow community members. Due to the nonrandom assignment of individuals to the two groups, we used propensity-score matching and weighting in our analyses to control for observed bias. Eighty percent of the farmers believed butterfly farming would be impossible if local forests were cleared, and bu...

274

Pandemic influenza A (H1N1) 2009 in a critical care and theatre setting: beliefs and attitudes towards staff vaccination  

SummaryWest Midlands was particularly affected by the 2009 H1N1 influenza A (pH1N1) pandemic. Vaccination of frontline healthcare professionals (HCPs) aimed to prevent spread to vulnerable patients, minimise service disruption and protect staff. HCPs involved in upper airway management are particularly at risk of aerosol exposure. We assessed the attitudes of these HCPs towards pandemic influenza A (H1N1) 2009 vaccination uptake: primary reasons for acceptance, barriers to vaccination, and knowledge surrounding pH1N1 influenza. We performed a voluntary, anonymous questionnaire survey based in two West Midlands National Health Service Trusts, one month after introduction of the vaccine. In all, 187 useable responses were received (60.5% response rate); 43.8% (N=82) had/intended to receive v...

275

Assessment of instructors' readiness for implementing e-learning in continuing medical education in Iran  

Back ground: E-learning provides new levels of flexibility in learning and teaching. This contribution of e-learning is dependent on the levels of readiness in several critical factors particularly in an educational organization. Aim: The purpose of this study was to assess instructors' readiness and to identify the most important factors that affect their readiness in e-learning in CME programs in order to use the effective opportunities that facilitate e-learning in CME programs. Methods: A 5-point Likert scale instrument consisting of two domains (technical and pedagogical) was constructed according to four subdomains (knowledge, attitude, skills, and habits) and distributed to 70 faculty members. A factor analysis was employed to extract significant factors. Results: The results reveal...

276

Physician perceptions of the role and value of basic science knowledge in daily clinical practice  

Background: The role of basic science education in a clinical setting remains unclear. Research to understand how academic clinicians perceive and use this part of their education can aid curricular development. Aims: To assess physician's attitudes toward the value of science knowledge in their clinical practice. Methods: Academic physicians from three medical schools completed a questionnaire about the utility of basic science education in core clinical tasks and in practice-based learning and improvement. Results: A total of 109 clinical faculty returned the survey. Overall, 89% of the respondents indicated that basic science education is valuable to their clinical practice. When asked about the utility of basic science information in relation to direct patient care, greater than 50% of...

277

Examining attitudes and knowledge about HPV and cervical cancer risk among female clinic attendees in Johannesburg, South Africa  

Developing countries account for 85% of the nearly 500,000 yearly cases of cervical cancer worldwide with approximately 250,000 deaths occurring in Sub-Saharan Africa, South Asia, and Latin America. In South Africa, cervical cancer is the 3^r^d leading cause of death among women. Although cervical cancer can be screened for with regular Pap tests, access to preventive screenings may be nearly non-existent in resource poor settings that have limited public health infrastructure and where women may lack basic health education. Therefore, it is important to understand women's attitudes, knowledge, and beliefs about HPV, cervical cancer, and the HPV vaccine, and assess their access to preventive screening in order to mitigate their risk for developing the disease. Eighty-six women, ages 18-44 ...

278

IMPACT OF PROTON: A FOOD HANDLER CERTIFICATION COURSE ON FOOD HANDLERS' KNOWLEDGE, ATTITUDES AND BEHAVIORS  

Abstract We conducted an evaluation of our food handler certification program, PROTON. Research examined changes in knowledge, attitude and behavior of participants as a result of completing the course. Participants completed a pre-test assessing the three variables related to food safety at time of registration. One month following the completion of the program, participants completed an identical post-test. A total of 1,042 pre-tests and 320 post-tests were completed. Scores in the pre-test (6.3/10) and mean score for the post-test (7.6/10) rendered a mean difference of 1.3 (95% confidence interval-=-1.1 to 1.6; P-PRACTICAL APPLICATIONS From a program planning perspective, there are a number of implications from this study. It would be useful to revise the program according to the findin...

279

Exploring the Choice to Refuse or Delay Vaccines: A National Survey of Parents of 6- Through 23-Month-Olds  

ObjectiveThe purpose of this study was to assess respondents self-reported choices for vaccinating their young children; knowledge, attitudes, and beliefs (KABs) about vaccination; and communication with their childs vaccination provider. MethodsA national telephone survey of 1500 parents of children aged 6 to 23 months was conducted in 2010. We calculated proportions of parents who had chosen-or planned-to refuse or delay 1 or more recommended vaccines, and proportions for responses to KABs and communication questions, stratified by vaccination choice (ie, refuse or delay). ResultsThe response rate was 46%. Among the 96.6% of respondents (95% confidence interval [CI], 95.5%-97.4%; weighted n = 1453) who had chosen for their child to receive at least 1 vaccine, 80.6% (95% CI, 78.8%-83.0%) ...

280

Breast cancer health promotion in Qatar: a survey of community pharmacists??¢â???¬â???¢ interests and needs  

Objectives Breast cancer is the most common cancer in women in Qatar. Despite the sustained efforts to increase breast cancer public awareness via campaigns and public screening programmes, breast cancer screening rate remains low. The involvement of community pharmacists in the communication and distribution of breast cancer screening information should have a significant positive impact. The objectives of this study were to determine the degree of community pharmacists??¢â???¬â???¢ involvement in breast cancer health promotion activities in Qatar, to explore their attitudes towards the involvement in breast cancer health promotion, to assess their breast cancer knowledge, to gauge their interest in receiving breast cancer continuous education and to list their perceived barriers for...

 
 
 
 
281

Sun protection and low levels of vitamin D: are people concerned?  

Objective Recent reports on the association between low serum vitamin D and increased risk of cancer raised concerns about possible adverse effects of primary prevention strategies for skin cancer. To evaluate if these reports may influence peoples? sun protective behavior, knowledge, and attitudes to the impact of sun protection on vitamin D. Methods Within a population-based survey in Queensland, Australia (5,611 participants, mean age 50.7?years (range 20?75); 48.2% men), agreement with the statement that sun protection may result in not having enough vitamin D as well as factors associated with agreement were assessed. Results Overall, 837 (15.0%) participants agreed that sun protection may result in not having enough vitamin D, 2,163 (38.7%) neither agreed nor disagreed, and 2,591 (46...

282

Opportunities and Challenges of Sexual Health Services among Young People: A Study in Nepal  

ABSTRACT Introduction. It has been well documented that young people are more likely to engage in high-risk sexual activity. Appropriate understanding of safe sex, sexual practices, and related behaviors must recognize the importance of socioeconomic and cultural factors in prevention efforts related to HIV and other sexual transmitted infections (STIs). Aim. To examine and summarize the opportunities and challenges of sexual health services among young people in Nepal. Main Outcome Measures. Review of literature-assessing knowledge, attitudes, and understanding of sex, sexual health, and related sexual risk behaviors, among young people (15-24), in line with the current sociocultural and health service practices. Methods. Medline, Cumulative Index to Nursing and Allied Health Literature (...

283

Knowledge, Attitudes, and Practices of French Travelers from Marseille Regarding Rabies Risk and Prevention  

Objective. To assess the awareness of the mode of rabies transmission, travel-associated rabies risk, and adequate preventive measures among French travelers. Methods. Three hundred travelers were administered a detailed questionnaire prior to pretravel advice, addressing their knowledge, attitudes, and practices (KAP) with respect to animal-related injuries and rabies risk. Two hundred and nine were administered a post-travel questionnaire by telephone, addressing the occurrence of contacts with animals during travel. Results. Countries visited were at risk for rabies in 84.7% of the cases. Only 6.7% of travelers knew that the risk of rabies was important, while 40.1% considered it moderate or low. Dog bites appeared to be a well-known mode of transmission of rabies. By contrast, licks on...

284

Self-Reported News Attention Does Assess Differential Processing of Media Content: An Experiment on Risk Perceptions Utilizing a Random Sample of U.S. Local Crime and Accident News  

Evidence for media effects in survey research often depends upon measures of self-reported attention to various types of media content, under the assumption that such attention measures gauge the extent of cognitive processing of content. However, effects associated with self-reports of attention might often be due to reverse causation (the attitude or knowledge tested as the outcome might in fact give rise to self-reports of greater attention) or third variable effects. To better assess whether self-reported attention to content actually measures differential processing of content, an experiment was conducted in the context of media influences on health and safety risk perceptions. A pool of 120 eligible news stories concerning violent crime, car crashes, and other unintentional injuries ...

285

Diminishing Gender Differences in Condom Use Among a National Sample of Young Israeli Men and Women Between 1993 and 2005  

Background Studies related to condom use among young adults consistently point to substantial gender disparities, although the use has generally increased. This study examined trends in condom use between 1993 and 2005 among 13,988 Israelis aged 18–25 years and the associated sociodemographic factors. Methods An HIV/AIDS Knowledge, Attitudes, and Practice survey was self-administered to dischargees from Israel's compulsory military service. Multivariate logistic regression models were used to assess trends in condom use and the association over time of sociodemographic factors and sexual behaviors with consistent condom use. Results During the 13-year period, consistent condom use increased among men (from 35% to 58%) and women (from 17% to 54%), almost eliminating the gender differ...

286

Helmet Use Among Motorcyclists in Cambodia: A Survey of Use, Knowledge, Attitudes, and Practices  

Objective: Road traffic injuries (RTIs) are a leading cause of disability and fatality globally. Motorcycle-related injuries, mainly head injuries, and related deaths and disabilities are a significant contributor to the burden of disease in low- and middle-income countries (LMICs). Helmets have been proven to be an effective way to reduce the risk of head injury. As motorcycle use continually increases in Cambodia, head injuries and related deaths and disabilities are expected to rise. This article aims to assess the current status of helmet use in Cambodia, as well as the knowledge, attitudes, and practices among motorcyclists, in order to assist with better planning and implementation of injury prevention strategies. Methods: Two separate methodologies were employed for this study. Helm...

287

A Participatory Approach to University Teaching about Partnerships for Biodiversity Conservation  

Loss of biodiversity and habitats is one of the greatest threats to the environment and education has a critical role to play in addressing this issue. This paper describes a teaching activity for first-year university students studying sustainable resource management at the University of Newcastle which established a partnership between education, government and the community to rehabilitate a nature reserve where biodiversity values were threatened by weed invasion. Students research the problem (weed invasion), quantitatively assess the impacts of weed invasion and management interventions, and work alongside a community-based bushcare group and government agency during on-ground rehabilitation of the reserve. Key outcomes for students have been knowledge and skills relevant to a critical issue for the Australian environment; a more optimistic attitude towards environmental issues and their potential to develop solutions; a positive perspective about the role of community involvement; continued participation in community bushcare groups outside the classroom; and personal involvement in solving a critical environmental issue.

288

Targeting Behavior: Participatory Curriculum Development for Community-Based Environmental Education in Vietnam  

A participatory curriculum development process was undertaken to design and implement a university-level, community-based environmental education training course to target behaviors and thus increase the effectiveness of conservation programs in central Vietnam. The process included (1) stakeholder analysis, (2) training needs assessment, (3) development of a curriculum framework, (4) training of trainers, (5) curriculum review workshop (6) development of a detailed curriculum, workbook and teacher's notes, (7) testing and verification of the field methodology and development of a field manual, (8) teaching of courses, and (9) development of monitoring and evaluation protocol. Participatory field activities were used to develop specific strategies to understand and alleviate local conservation problems by targeting specific behaviors related to particular conditions of knowledge, skills, attitudes, barriers and/or options. (Contains 5 tables.)

289

APA Summit on Medical Student Education Task Force on Informatics and Technology: Learning about Computers and Applying Computer Technology to Education and Practice  

Objective: This article provides a brief overview of important issues for educators regarding medical education and technology. Methods: The literature describes key concepts, prototypical technology tools, and model programs. A work group of psychiatric educators was convened three times by phone conference to discuss the literature. Findings were presented to and input was received from the 2005 Summit on Medical Student Education by APA and the American Directors of Medical Student Education in Psychiatry. Results: Knowledge of, skills in, and attitudes toward medical informatics are important to life-long learning and modern medical practice. A needs assessment is a starting place, since student, faculty, institution, and societal factors bear consideration. Technology needs to "fit" into a curriculum in order to facilitate learning and teaching. Conclusion: Learning about computers and applying computer technology to education and clinical care are key steps in computer literacy for physicians.

290

MOT Test Procedures. Youth Training Scheme. Core Exemplar Work Based Project.  

This trainer's guide is intended to assist supervisors of work-based career training projects in teaching students the procedures of conducting the MOT (Ministry of Transportation) Test (Great Britain's motor vehicle inspection test) and dealing with the customers on whose cars the inspection is performed. The guide is one in a series of core curriculum modules that is intended for use in combination on- and off-the-job programs to familiarize youth with the skills, knowledge, and attitudes necessary for success in the workplace. Included in the guide are the following components: project information, a summary of the content and approach of the guide, supervisor's notes, lists of tasks and core skills, an action plan that includes suggested learning activities, supervisor and trainee review sheets, and an assessment form. (MN)

291

Smokeless tobacco use among adult patients who visited family practice clinics in Karachi, Pakistan  

Background: Use of smokeless tobacco (SLT) is significantly associated with poor oral health and cancers. The objectives of this study were to estimate the proportion of use and the knowledge about SLT in relation to oral cancer and its differentials by socio-demographic and patient's diagnostic categories. This study also aimed to assess the SLT user's attitude and practices for its use. Methods: In a cross-sectional study, 502 adult patients (?15 years) were randomly interviewed in family practice clinics in Karachi, Pakistan. SLT use was considered as usage of any of the following: betel quid (paan) with tobacco, betel nuts with tobacco (gutkha), and snuff (naswar). Results: Overall, 52.4% subjects had used SLT at least in one form. More males were using SLT than females (P = 0.03). ...

292

Prescribing sunshine: A cross-sectional survey of 500 Australian general practitioners' practices and attitudes about vitamin D  

Abstract This study aimed to assess the attitudes, practices and knowledge of general practitioners (GPs) with regards to vitamin D. A cross-sectional survey of a random sample of GPs stratified by location of practice (rural/remote or metropolitan) and employment status (full-time or part-time) in New South Wales (NSW), Australia was conducted. Of 500 respondents, 58.1% (95% CI 53.8-62.4) reported that up to 39% of their tested patients showed vitamin D deficiency or insufficiency and a further 37.7% (95% CI 33.5-41.9) of respondents said that over 40% of their patients were vitamin D insufficient. Vitamin D supplementation and advice to receive more natural sunlight were the most common ways vitamin D insufficiency was managed (97.1%; 95% CI 95.6-98.6 and 82%, 95% CI 78.6-85.4, respectiv...

293

Association Between Sleep Duration and Health Outcome in Elderly Taiwanese  

Background: The aim was to assess the relationship between sleep duration and self-rated health outcome in the elderly Taiwanese. Methods: The data were drawn from the National Survey on Knowledge, Attitude, and Practice of Health Promotion 2002 (HPKAP 2002) in Taiwan. Three thousand seven hundred and thirty-one elderly participants (@? 65 years of age) completed this survey, including 1955 men (52.4%) and 1776 women (47.6%). The anonymous questionnaire collected information on demographic data, sleep duration, health status, and health behaviors. After adjusting for various risk factors, a multiple logistic regression model was applied to compare the participants sleeping an average of 6 to 8 hours/night with those sleeping =< 5 hours and @? 9 hours. Results: A U-shaped relationship was f...

294

Psychometric properties of the Chinese Breast Cancer Screening Beliefs questionnaire  

Background: Breast cancer is the most common type of cancer in women. The Chinese Breast Cancer Screening Beliefs (CBCSB) questionnaire was developed to measure Chinese-Australian women's beliefs, knowledge and attitudes about breast cancer and breast cancer screening. Purpose: To assess the psychometrics of the modified version CBCSB in a Chinese-speaking community. Methods: Two items in the original CBCSB were removed because they were not applicable to the Hong Kong setting, which resulted in an 11-item CBCSB. A total of 730 women aged at least 18 years old without a history of breast cancer self-completed the questionnaire. Results: Based on 730 Chinese-speaking women with mean age of 43 years, the three hypothesized subscales of the CBCSB had Cronbach's alpha ranging between 0.69 and ...

295

Evaluation of an elderly care training programme for women  

BAYIK T.A. &UYSAL A. (2010) Evaluation of an elderly care training programme for women. International Nursing Review57, 240-246 Background: Caregiving across different cultures has been perceived conventionally as a private or family responsibility, predominantly performed by women who accept their caregiving as part of their gender role. Aim: This study aimed to design, deliver, and evaluate an elderly training programme for women by assessing their knowledge, attitudes and skills as a lay caregiver. Encouraging the women to find suitable positions for employment in private or governmental institutions was the further objective of the study. Design: The study was a quasi-experimental one-group pre-test post-test design. Methods: The study was conducted in a solidarity centre for women and...

296

The Regai Dzive Shiri Project: a cluster randomised controlled trial to determine the effectiveness of a multi-component community-based HIV prevention intervention for rural youth in Zimbabwe - study design and baseline results  

Summary Objective To assess the effectiveness of a community-based HIV prevention intervention for adolescents in terms of its impact on (1) HIV and Herpes simplex virus type 2 (HSV-2) incidence and on rates of unintended pregnancy and (2) reported sexual behaviour, knowledge and attitudes. Methods Cluster randomised trial of a multi-component HIV prevention intervention for adolescents based in rural Zimbabwe. Thirty communities were selected and randomised in 2003 to early or deferred intervention implementation. A baseline bio-behavioural survey was conducted among 6791 secondary school pupils (86% of eligibles) prior to intervention implementation. Results Baseline prevalences were 0.8% (95% CI: 0.6-1.0) for HIV and 0.2% (95% CI: 0.1-0.3%) for HSV-2. Four girls (0.12%) were pregnant. T...

297

Ohio Appalachia Public Health Department Personnel: Human Papillomavirus (HPV) Vaccine Availability, and Acceptance and Concerns Among Parents of Male and Female Adolescents  

Public health departments (n = 48) serving the 32 counties of Ohio Appalachia were contacted to determine human papillomavirus (HPV) vaccine availability and to assess patient and parental attitudes, perceived barriers, and decisional differences about vaccination for male and female adolescents. Nurses or nursing supervisors in 46 of 48 health departments agreed to participate with 45 (97.8 %) reporting that HPV vaccines were available for males and females. HPV vaccination barriers reported most frequently were lack of knowledge about the vaccines, concerns about potential side effects, the newness of the HPV vaccines, and parents believing their children were not sexually active or were too young to receive an HPV vaccine. Provider reports of the primary differences in the acceptability...

298

Use of a Microwave Oven. Youth Training Scheme. Core Exemplar Work Based Project.  

This trainer's guide is intended to assist supervisors of work-based career training projects in helping students understand the benefits, advantages, and disadvantages of a microwave oven and its use. The guide is one in a series of core curriculum modules that is intended for use in combination on- and off-the-job programs to familiarize youth with the skills, knowledge, and attitudes necessary for success in the workplace. Included in the guide are the following components: project information, a summary of the content and approach of the guide, supervisor's notes, background information, lists of tasks and core skills, an action plan that includes suggested learning activities, supervisor and trainee review sheets, and an assessment form. (YLB)

299

Evaluation of Mothers' Knowledge, Attitudes, and Practice Towards the Ten Steps to Successful Breastfeeding in Egypt  

Abstract Background: Despite the proven effectiveness of the Ten Steps to Successful Breastfeeding of the Baby-Friendly Hospital Initiative (BFHI), its impact on community practices in Egypt has yet to be assessed. The aim of this investigation was to evaluate the knowledge, attitudes, and practice (KAP) of Egyptian mothers towards the Ten Steps. We interviewed 1,052 breastfeeding mothers with infants less than 24 months of age from 12 governorates representing Upper Egypt (UE) and Lower Egypt (LE). Results: Marked regional variations are noted in the KAP of the samples from UE and LE. These differences can be explained to some extent by socioeconomic factors. Hospital delivery, lower parity, and a higher level of education were characteristic of mothers in LE compared with UE. More mother...

300

Do Career Goals Promote Continuous Learning among Practicing Teachers?  

Practicing teachers often engage in continuous professional learning with certain career considerations. Based on achievement goal theory, this study explored the effects of career goals on teacher's learning using a sample of practicing teachers in Hong Kong. Two forms of career goals were assessed using a questionnaire. Professional learning goals orient teachers to learn for improving professional competence by acquiring professional knowledge and understanding, and extrinsic career goals focus teachers on learning for tangible benefits such as career promotion and higher professional qualification. Results derived from regression analyses confirmed that professional learning goals were the most significant goals in predicting adaptive use of learning strategies, regulatory strategies, and positive attitudes towards learning. Extrinsic career goals predicted the use of surface strategies. This study also found that self-efficacy mediated the effects of different goals on learning. Cluster analyses provided additional findings confirming the importance of professional learning goals in teachers' goal profiles. (Contains 6 tables.)

 
 
 
 
301

Reported Adverse Events in Young Women Following Quadrivalent Human Papillomavirus Vaccination  

Abstract Purpose: To assess and describe young women's experiences with their first dose of quadrivalent human papillomavirus vaccine (HPV4) (Gardasil®) in a large managed care organization. Methods: We collected survey and electronic medical record (EMR) data for 899 young women aged 11?26 receiving their first HPV4 injection from February through September 2008. Survey items included questions about adverse events, interactions with healthcare providers, and knowledge and attitudes toward HPV disease and HPV4. Results: Six hundred ninety-six (78%) participants reported pain at the injection site. Other common reactions included injection site bruising or discoloration (n=155, 17%) or swelling (n=127, 14%) and presyncope or syncope (n=134, 15%). Overall, preteens and teens were more likel...

302

Scientific literacy and attitudes towards American space exploration among college undergraduates  

One hundred fifty-five college undergraduates from Syracuse University were surveyed to assess the relationship between their scientific literacy and attitudes to US space exploration. The students were divided into four sections based on majors: basic sciences (n = 41), health sciences (n = 29), political science (n = 36) and other (n = 49). As a whole the students had high scientific knowledge and overall support for human space exploration. There was a significant correlation (rho = 0.33, P < 0.01) between the dependent variables, suggesting that those with the highest scientific literacy looked more favorably upon US space exploration. When evaluated by college major, significant correlations were evident for political science and health science majors only (P < 0.05). There were no di...

303

An internet-based physical activity intervention for adolescents with cerebral palsy: a randomized controlled trial  

Aim To determine the effectiveness of an 8-week internet-based, lifestyle physical-activity intervention for adolescents with cerebral palsy (CP). Method A randomized controlled trial using concealed allocation with blinded assessments at baseline, 10, and 20 weeks. Forty-one adolescents with CP participated (26 males, 15 females; mean age 13y 7mo, SD 1y 8mo, range 11-17y; Gross Motor Function Classification System levels: I, n=21; II, n=17; III, n=3; unilateral distribution n=16, bilateral n=25). Primary outcome was physical activity (NL-1000 accelerometers and self-report [Multimedia Activity Recall for Children and Adolescents: MARCA]). Secondary outcomes were exercise knowledge (a purpose-designed scale), attitudes, intention and self-efficacy (Lifestyle Education for Activity Program ...

304

Too little, too late: Comparison of nutritional status and quality of life of nutrition care and support recipient and non-recipients among HIV-positive adults in KwaZulu-Natal, South Africa  

Objective: Compare the nutritional vulnerability, risk of malnutrition, nutritional status and quality of life (QoL) between recipients and non-recipients of nutrition care and support (NCS) of HIV-positive adults. Methods: In 2009, a household-based cross-sectional study of HIV-positive adults, NCS recipients (n=97) and non-NCS recipients (n=203) from KwaZulu-Natal was conducted. Nutritional vulnerability (socio-economic status; food security; self-reported health status; nutritional knowledge and attitude), risk of malnutrition (nutrition assessment screening tool), anthropometry (body mass index; mid-upper arm circumference; waist-to-hip ratio) and QoL (general health; self-care; physical functioning) were compared between the two groups. Result: Although the result suggests a modest im...

305

Robust Adaptive Geometric Tracking Controls on SO(3) with an Application to the Attitude Dynamics of a Quadrotor UAV  

This paper provides new results for a robust adaptive tracking control of the attitude dynamics of a rigid body. Both of the attitude dynamics and the proposed control system are globally expressed on the special orthogonal group, to avoid complexities and ambiguities associated with other attitude representations such as Euler angles or quaternions. By designing an adaptive law for the inertia matrix of a rigid body, the proposed control system can asymptotically follow an attitude command without the knowledge of the inertia matrix, and it is extended to guarantee boundedness of tracking errors in the presence of unstructured disturbances. These are illustrated by numerical examples and experiments for the attitude dynamics of a quadrotor UAV.

306

The National Health Insurance Scheme (NHIS): a survey of knowledge and opinions of Nigerian dentists' in Lagos.  

This study was designed to assess the knowledge and perceptions of Nigerian dentists to the National Health Insurance scheme (NHIS). A cross-sectional descriptive survey was conducted amongst 250 dentists employed in private and public dental clinics in Lagos State, Nigeria. The survey instrument was a self-administered questionnaire designed to assess their knowledge and attitudes towards the scheme. Data analysis was done using the Epi-Info statistical software (version 6.04). Statistical tools used included measures of central tendency, frequency distribution and chi-square test. A total of 216 dentists (response rate of 82.4%) participated in this study. Most 132 (61.1%) of the respondents had a fair knowledge of the NHIS, while 22 (10.2%) and 62 (28.7%) had poor and good knowledge respectively. Majority (70.4%) viewed the NHIS as a good idea that will succeed if properly implemented. Most (76.6%) respondents also believed that the scheme will improve access to oral health services, affordability of services (71.4%), availability of the services (68.3%) and recognition of dentistry as a profession (62.4%). Most of the respondents (66.2%) considered oral health care as not properly positioned in the NHIS and 154 respondents (74.4%) found the current position of oral health on the NHIS unacceptable. A good number of the respondents (77.3%) would like dentistry to operate at the primary care level on the NHIS. Majority of the dentists involved in this study had some knowledge of the NHIS and were generally positively disposed towards the scheme and viewed it as a good idea. PMID:20632669

307

Teachers' Pedagogical Competence as a Prerequisite for Entering the Profession  

Since 1980, the recruitment of teachers in many countries has followed a systematic certification procedure, i.e. a selection procedure according to criteria set by the State which are considered the minimum qualification for entrance into the profession. The term used in the last few years to define the desired level of qualification of teachers is competence. The purpose of this article is two-fold: a) to review the relevant literature and research in order to record those qualifications that ensure teachers' pedagogical competence at international level, and b) to present the Greek case--a State that evaluates teachers' pedagogical competence before they become a part of the teaching profession--in order to reveal the strengths and limitations of this evaluation process. In brief, assessing teachers' pedagogical competence is a difficult and complex procedure, as competence is ensured through the acquisition of multiple--in terms of amplitude and content--qualifications. Assessing the acquisition of these qualifications is based, to a great extent, on the procedures followed and the practices of evaluation adopted. Given that contemporary research has triggered a relevant discussion in a context of pedagogical knowledge that secures pedagogical competence, assessing the acquisition of this knowledge is, to a certain degree, possible. The evaluation of pedagogical and teaching skills and opinions is more difficult, and the monitoring of viewpoints, attitudes and beliefs, as well as capabilities, is even more difficult.

308

Socio-demographic and attitudinal determinants of nutrition knowledge of food shoppers in six European countries  

Nutrition knowledge is a prerequisite for processing nutrition-related information when making food choices. Insight into determinants of nutrition knowledge is important both for designing measures aimed at increasing levels of nutrition knowledge and for food industry attempting to position food products based on their nutritional properties. Shoppers recruited in the UK, Sweden, France, Germany, Poland and Hungary (total n=5967) filled out a questionnaire measuring their nutrition knowledge with regard to dietary recommendations, sources of nutrients, and calorie content of food and drink products. Differences in the level of knowledge found were related to country, socio-demographic characteristics, attitude to healthy eating, and use of different sources of nutrition knowledge. Result...

309

Personality traits, affective commitment, documentation of knowledge, and knowledge sharing  

Managerial influences on knowledge sharing and the importance of knowledge sharing in strategic success of firms have been well studied. Some research and theory have considered the effects of relatively malleable and situation-specific individual characteristics, such as motivation and the perception of vulnerability, on knowledge sharing. Insufficient research has considered the effects of enduring individual differences (i.e. personality traits) on knowledge sharing, although personality traits have been shown to be robust predictors of workplace behaviors, attitudes, and performance. We report a study linking two elemental personality traits, Agreeableness and Conscientiousness, to knowledge sharing via affective commitment and documentation of knowledge: Agreeableness influences an in...

310

Three hours of training improve psychiatric staff's self-perceived knowledge and attitudes toward problem-drinking patients  

Abstract Introduction and Aims. Staff attitudes are an important factor in the successful implementation of systematic alcohol strategies and policies. The forms and extent of training needed to improve therapeutic attitude among psychiatric staff to problem drinking are unclear. The aim of the investigation was to study the knowledge and attitudes of psychiatric staff toward problem-drinking patients. A further aim was to investigate whether a short 3-h training is sufficient to improve knowledge and therapeutic attitude toward problem drinking. Design and Methods. A tailored training model for psychiatric staff (non-physicians) was carried out at a medium size university clinic. Participants were medical (nurses and psychiatric aides) and non-medical staff (psychologists and social worke...

311

Attitudes of Portuguese health professionals toward adverse drug reaction reporting  

Background Adverse drug reactions are a major public health problem. Underreporting is an important limitation of all reporting systems, partially due to attitudes of health professionals. Objective This study sought: (1) to evaluate the reproducibility of a questionnaire on attitudes to and knowledge of adverse drug reaction (ADR) reporting among physicians, nurses and pharmacists: and (2) to compare the attitudes and knowledge of these three groups of health professionals. Methods This study targeted a sample of physicians (n?=?30), nurses (n?=?30) and pharmacists (n?=?20) in the central region of Portugal. A structured questionnaire was administered to each health professional twice, at an interval of 2?4?weeks. Most attitudes were based on Inman?s ?seven deadly sins? and measured using...

312

Effect of an educational course at an Iranian dental school on students' knowledge of and attitudes about HIV/AIDS.  

This study investigated the effects of an educational program designed to improve the knowledge and attitudes of senior dental students in an Iranian dental school about caring for patients with HIV/AIDS. As part of an extramural program in community dentistry, a new educational program about HIV/AIDS was developed at Tehran University of Medical Sciences in 2009. The program consisted of two days' observation at the Consultation Center for Behavioral Diseases and a one-day workshop on infection control. A control group was selected from dental students at Shahid Beheshti University of Medical Sciences. Before and after the intervention, students in both the intervention and control groups completed a questionnaire concerning their knowledge of and attitudes about HIV/AIDS. Students in the intervention group also expressed their opinions in a post-test questionnaire. An independent sample t-test was used for statistical analysis. In the control group, the means of students' knowledge and attitude scores did not differ significantly from pre-test to post-test. In the intervention group, however, the means of both knowledge and attitude scores on the post-test were significantly higher than on the pre-test (p=0.001 and p=0.009, respectively). In the intervention group, more than 96 percent of the students reported that they would completely follow infection control principles in future practice. This study concludes that the educational program improved the students' knowledge of and attitudes about HIV/AIDS and will have a positive effect on their future practice. PMID:22659709

313

Dynamical attitude model for Gaia  

The Dynamical Attitude Model (DAM) is a simulation package developed to achieve a detailed understanding of the Gaia spacecraft attitude. It takes into account external physical effects and considers internal hardware components controlling the satellite. The main goal of the Gaia mission is to obtain extremely accurate astrometry, and this necessitates a good knowledge of Gaia?s behaviour as a spinning rigid body under the influence of various perturbations. This paper describes these perturbations and how they are modelled in DAM.

314

Assistência pré-natal: conhecimentos, atitudes e práticas de mulheres internadas no Serviço de Obstetrícia de um hospital do município de São Paulo, Brasil/ Prenatal care: knowledge, attitudes and practices of women patients of the Obstetrics Clinic of a hospital in the municipality of S. Paulo, Brazil  

Abstract in portuguese Estuda-se conhecimentos, atitudes e práticas em relação à assistência pré-natal de 404 mulheres internadas no Serviço de Obstetrícia de um hospital do município de São Paulo (Brasil). Descreve-se o trimestre da gestação em que a assistência pré-natal teve início, de acordo com o risco gravídico medido através do sistema de avaliação de Perkin. Apresentam-se as razões que impediram o comparecimento no primeiro trimestre de gravidez ou levaram ao não-co (more) mparecimento a esse serviço, assim como inconsistências entre atitudes e práticas da população em estudo. Abstract in english The knowledge, attitudes and practices, in relation to prenatal care, of 404 women patients in the Obstetrics Clinic of a hospital in the municipality of S. Paulo (Brazil) were studied. The period of gestation in which prenatal care started is described in accordance with pregnancy risk as measured by Perkin's method of assessment. This study sets out the reasons with hindered the patients' taking advantage of the services offered by this Clinic during the first trimester (more) of pregnancy or at any time during pregnancy, as well as the inconsistencies between the attitudes and practices of the population sample under review.

315

Research in Science Education, Volume 15. Selections of Papers from the Annual Conference of the Australian Science Education Research Association (16th, Rockhampton, Queensland, Australia, May 1985).  

This publication contains 24 studies which focus on: the fostering of inquiry in secondary school science laboratories; realistic expectations for traditional laboratory work; a content-based, college-level science course for all students; understanding learning at the classroom level; transitions and student task involvement; a project to encourage metacognitive behavior; cognitive variables in problem-solving in chemistry; health attitudes and health awareness in high school students; students' perceptions of stress; attitude and knowledge of Tasmanian secondary students toward energy conservation and environment; students' intentions to study or not to study science (using Ajzen and Fishbein's theory of reasoned action) and a possible paradigm shift for science education. Other studies involve such areas as the importance of context in educational research; use of concept maps in assessing a computer-based biology activity; children's ideas about temperature and electric current; learners' response to the idea of environment; the long-term kinetics of conceptual development; circular motion concepts of first-year engineering students; teachers' concepts in science; effect of training in concept mapping on student achievement in traditional classroom tests; Australian general science; predicting tertiary academic performance in terms of student cognitive and non-cognitive variables; and the analysis of science curricula in Australia. (JN)

316

Developing ways to encourage early detection and presentation of oral cancer: what do high-risk individuals think?  

The aim of this pilot research was to improve understanding of individuals at risk of oral cancer, to determine their attitudes towards and responses to early detection interventions. In-depth interviews with the target group (n = 25) were used to determine their views, attitudes and requirements for an intervention to encourage early detection of oral cancer. This data was used in combination with theory-based constructs to develop written material that aimed to increase awareness of oral cancer, encourage mouth self-examination (MSE) and early presentation. A second pilot study used a think-aloud protocol to assess the target groups' (n = 14) reactions to the written information. In both studies the tape-recorded responses were analysed using framework analysis. The target group had limited knowledge about oral cancer, particularly the signs and symptoms. Participants saw benefits in performing MSE but noted the main barriers were not knowing what signs to look for or where to look. The written information was generally well-received but required some modifications. In particular, the target group required further persuasion that their lifestyle contributed to an increased risk of oral cancer. The results of these pilot studies have informed the development of a theory-based intervention for the early detection of oral cancer. PMID:21598189

317

Fusion Science Theater Presents "The Amazing Chemical Circus": A New Model of Outreach that Uses Theater to Engage Children in Learning  

Demonstration shows are a popular form of chemical education outreach used to increase interest, engagement, and appreciation of chemistry. Although practitioners often include instructional elements, evaluation has been limited to children's attitudes toward science rather than their understanding of the underlying concepts presented. In 2006, we developed an interdisciplinary demonstration show that used elements from theater to engage children's minds, emotions, imaginations, and bodies in the act of learning. The result was "The Amazing Chemical Circus", a show that laid the groundwork for a new model of science education outreach that we call Fusion Science Theater. Assessments of learning following presentations of "The Amazing Chemical Circus" indicate significant gains in children's conceptual knowledge as well as their attitudes toward science. In this article, we draw parallels between scientific investigation and theatrical practices that reveal common underlying principles at work. We also report on the show's development, form, content, evaluation, and impact. Finally, we outline the Fusion Science Theater model, and briefly discuss the implications for chemical educators and students who wish to enhance their own outreach efforts. (Contains 2 tables and 5 figures.)

318

Actitudes de la población cubana hacia las técnicas nucleares/ Attitude of cuban population towards nuclear techniques  

Abstract in spanish El trabajo presenta los resultados de un estudio sobre las actitudes hacia las aplicaciones nucleares realizado en Cuba durante los años 2004 al 2006. Este estudio responde a la necesidad de la Agencia de Energía Nuclear y Tecnologías de Avanzada de determinar las actitudes de los diferentes públicos hacia la energía nuclear para un diseño estratégico de la comunicación. Se eligió como público objeto a los usuarios finales de las técnicas nucleares y se elabor? (more) ? una metodología que permitió evaluar la posición de la muestra hacia las aplicaciones nucleares en términos de acuerdo o desacuerdo, aceptación o rechazo, a partir de la indagación sobre su conocimiento, valoraciones y comportamientos. Abstract in english The paper presents the results of a study implemented in Cuba from 2004 to 2006, regarding the attitude towards nuclear applications. This study is a response to the need of the Agency of Nuclear Energy and Advanced Technologies to determine the attitude of the different publics towards nuclear energy for the strategic design of communication. For the research, a methodology was used for evaluating the opinion of final users towards nuclear applications in terms of agreem (more) ent or disagreement, acceptance or rejection. It was deduced from the inquiry about their knowledge, assessment and behaviour.

319

Pattern recognition of star constellations for spacecraft applications  

A software system for a star imager for online satellite attitude determination is described. The system works with a single standard commercial CCD camera with a high aperture lens and an onboard star catalog. It is capable of both an initial coarse attitude determination without any prior knowledge of the satellite orientation and a high-accuracy attitude determination based on prediction and averaging of several identified star constellations. In the high-accuracy mode the star image aims at an accuracy better than 2 arc sec with a processing time of less than a few seconds. The star imager has been developed for the Danish Oersted satellite

320

Attitudes toward HPV vaccination among parents of adolescent girls in Mysore, India  

This study investigates attitudes toward human papillomavirus (HPV) vaccination among parents of adolescent girls in Mysore, India. Seven focus group discussions were held among parents of adolescent girls stratified by sex, religion and region to explore attitudes about cervical cancer and HPV vaccination. The study found that while parents have limited knowledge about HPV or cervical cancer, most are still highly accepting an HPV vaccine. In addition, high acceptability levels appear to reflect positive attitudes toward the government universal immunization program in general, rather than to the HPV vaccine in particular. The results highlight the need for additional education and health promotion regarding HPV and cervical cancer prevention in India.

 
 
 
 
321

Fifth Graders' Knowledge, Attitudes, and Behavior Toward Habitat Loss and Landscape Fragmentation  

Education and outreach programs are important strategies for natural resource managers working to maintain and restore ecological processes and improve wildlife habitat. Program effectiveness can be improved by better understanding young people's relationships to wildlife-habitat issues. A Student Opinion Survey was designed to measure student knowledge, attitudes, and environmentally responsible behaviors (ERB) toward habitat loss and landscape fragmentation. The Survey was tested with fifth-grade students (n = 464) in nine Minnesota schools. Student attitude scores demonstrated pro-environmental attitudes (4.05/5.00 scaled score). Self-reported frequency of practice of ERB was significantly lower than all other categories (2.40/5.00 scaled score). Practicing ERB is less familiar to fifth...

322

High School Students' Attitudes Towards Spiders: A cross-cultural comparison  

Spiders are traditionally considered to be among the least popular of animals. Current evidence suggests that a negative attitude towards spiders could be influenced by both cultural and evolutionary pressures. Some researchers suggest that science education activities could positively influence students' perceptions of spiders. Their evidence is, however, ambivalent. Using a five-point score Likert-type questionnaire in which the items were developed in a similar way to four of Kellert's categories of attitude (scientistic, negativistic, naturalistic, and ecologistic) towards invertebrates, we compared the level of knowledge of and attitudes towards spiders of high school students from two countries, Slovakia (n = 354) and South Africa (n = 382). The students represented different culture...

323

Teacher Beliefs and Technology Integration Practices: A Critical Relationship  

Early studies indicated that teachers' enacted beliefs, particularly in terms of classroom technology practices, often did not align with their espoused beliefs. Researchers concluded this was due, at least in part, to a variety of external barriers that prevented teachers from using technology in ways that aligned more closely with their beliefs. However, many of these barriers (access, support, etc.) have since been eliminated in the majority of schools. This multiple case-study research was designed to revisit the question, "How do the pedagogical beliefs and classroom technology practices of teachers, recognized for their technology uses, align?" Twelve K-12 classroom teachers were purposefully selected based on their award-winning technology practices, supported by evidence from personal and/or classroom websites. Follow-up interviews were conducted to examine the correspondence between teachers' classroom practices and their pedagogical beliefs. Results suggest close alignment; that is student-centered beliefs undergirded student-centered practices (authenticity, student choice, collaboration). Moreover, teachers with student-centered beliefs tended to enact student-centered curricula despite technological, administrative, or assessment barriers. Teachers' own beliefs and attitudes about the relevance of technology to students' learning were perceived as having the biggest impact on their success. Additionally, most teachers indicated that internal factors (e.g., passion for technology, having a problem-solving mentality) and support from others (administrators and personal learning networks) played key roles in shaping their practices. Teachers noted that the strongest barriers preventing other teachers from using technology were their existing attitudes and beliefs toward technology, as well as their current levels of knowledge and skills. Recommendations are made for refocusing our professional development efforts on strategies for facilitating changes in teachers' attitudes and beliefs. (Contains 5 tables and 1 figure.)

324

The motivational and informational basis of attitudes toward foods with health claims.  

This research explored the effects of food choice motives, nutritional knowledge, and the use of food labels, on attitude toward food with health claims. Food with health claims was chosen as a relatively novel category of products designed to be beneficial for health. We identified eight motives served by food in general, and tested if they serve as motivations to positively evaluate functional food. Questionnaire was administered on nationally representative samples of 3085 respondents from six Western Balkan countries. We proposed two structural models relating an extensive list of eight and, alternatively, restricted list of three food-choice motives (health, mood and sensory appeal) to attitude toward functional food. We also expected the indirect association between the health motive and attitude, through nutritional knowledge and use of food labels. The results revealed highly positive, although undifferentiated attitude toward functional food, with no significant differences between the countries. The restricted model provided a better fit then the exhaustive model; the health motive was proven to have indirect influence on attitude through knowledge and label use. The implications of these findings for functional approach to attitudes, understanding the demand for functional food and overcoming barriers to dietary change are discussed. PMID:22989622

325

Content Knowledge, Attitudes, and Self-Efficacy in the Mathematics New York City Teaching Fellows (NYCTF) Program  

The purpose of this study was to understand the mathematical content knowledge new teachers have both before and after taking a mathematics methods course in the NYCTF program. Further, the purpose was to understand the attitudes toward mathematics and concepts of self-efficacy that Teaching Fellows had over the course of the semester. The sample included 42 new Teaching Fellows who were given a mathematics content test, attitudes toward mathematics questionnaire, and teaching self-efficacy questionnaire at the beginning and end of the semester. Further, the teachers kept teaching and learning journals. Findings revealed a significant increase in both mathematical content knowledge and positive attitudes toward mathematics. Additionally, Teaching Fellows were found to have positive attitudes and high self-efficacy at the end of the semester, and relationships were found between attitudes and self-efficacy. Finally, Teaching Fellows generally found that classroom management was the biggest issue in their teaching, and that problem solving and numeracy were the most important topics addressed in their learning. Future studies should address self-efficacy differences between preservice and in-service teachers and the effects of alternative certification teacher knowledge, attitudes toward mathematics, and self-efficacy on students in the classroom. (Contains 4 tables.)

326

The accuracy of dynamic attitude propagation  

Propagating attitude by integrating Euler's equation for rigid body motion has long been suggested for the Earth Radiation Budget Satellite (ERBS) but until now has not been implemented. Because of limited Sun visibility, propagation is necessary for yaw determination. With the deterioration of the gyros, dynamic propagation has become more attractive. Angular rates are derived from integrating Euler's equation with a stepsize of 1 second, using torques computed from telemetered control system data. The environmental torque model was quite basic. It included gravity gradient and unshadowed aerodynamic torques. Knowledge of control torques is critical to the accuracy of dynamic modeling. Due to their coarseness and sparsity, control actuator telemetry were smoothed before integration. The dynamic model was incorporated into existing ERBS attitude determination software. Modeled rates were then used for attitude propagation in the standard ERBS fine-attitude algorithm. In spite of the simplicity of the approach, the dynamically propagated attitude matched the attitude propagated with good gyros well for roll and yaw but diverged up to 3 degrees for pitch because of the very low resolution in pitch momentum wheel telemetry. When control anomalies significantly perturb the nominal attitude, the effect of telemetry granularity is reduced and the dynamically propagated attitudes are accurate on all three axes.

327

The Impact of Training on Attitudes towards Sex Offenders  

The purpose of the present study was to measure attitudes towards sex offenders held by professionals and paraprofessionals and to evaluate an introductory training workshop aimed at increasing knowledge and improving attitudes to this client group. Eighty-five residential hostel workers and probation officers attended an intensive two-day training workshop and were asked to complete the Attitudes to Sexual Offenders (ATS: Hogue, 1993), Attitudes to Prisoners (ATP: Melvin, Gramling, & Gardner, 1985) and Working with Offenders Questionnaires (WOQ: see Hogue, 1995) before and after the training. Although none of the sample had previously received any formal training in working with sex offenders, all acted as supervisors of sex offenders in residential settings. The participants expressed significantly more favourable attitudes toward prisoners (non-sex offenders) compared with more negative attitudes toward sex offenders. Although there was little change in attitudes toward sex offenders post-training, there was a significant improvement in the participants' confidence in working with sex offenders after attending the workshop. Eighty-six percent of the participants felt they had the skills to work effectively in treating sexual offenders. Female workers were more concerned for their safety and expressed more negative views towards sex offenders than male workers. Participants aged 35 years and older tended to express more positive attitudes regarding the rehabilitation of sexual offenders than did younger participants. Introductory training workshops for paraprofessionals are effective in improving awareness and confidence in working with sex offenders. Issues of staff selection and training are discussed. (Contains 2 tables.)

328

Out-of-Pocket Expenses and Treatment Choice for Men With Prostate Cancer.  

OBJECTIVE: To describe the knowledge of, and attitudes toward, out-of-pocket expenses (OOPE) associated with prostate cancer treatment and the influence of OOPE on the treatment choices of patients with prostate cancer. MATERIALS AND METHODS: We undertook a qualitative research study for which we recruited patients with clinically localized prostate cancer. Patients answered a series of open-ended questions during a semistructured interview and completed a questionnaire about the physician's role in discussing OOPE, the burden of OOPE, the effect of OOPE on treatment decisions, and previous knowledge of OOPE. RESULTS: A total of 41 (26 white and 15 black) eligible patients were enrolled from the urology and radiation oncology practices of the University of Pennsylvania. Qualitative assessment revealed 5 major themes: (a) "my insurance takes care of it"; (b) "health is more important than cost"; (c) "I did not look into it"; (d) "I cannot afford it but would have chosen the same treatment"; and (e) "It is not my doctor's business." Most patients (38 of 41, 93%) reported that they would not have chosen a different treatment even if they had known the actual OOPE of their treatment. Patients who reported feeling burdened by OOPE were socioeconomically heterogeneous, and their treatment choices remained unaffected. Only 2 patients stated they knew "a lot" about the likely OOPE for different prostate cancer treatments before choosing their treatment. CONCLUSION: Among insured patients with prostate cancer treated at a large academic medical center, few had knowledge of OOPE before making treatment choices. PMID:23102446

329

[Hand washing: comparison between Professionals and Students behaviours in a large University hospital of Rome].  

The main objective of the study is assessing knowledge, opinions and compliance with the procedures of health professionals (physician, nurses, medical and nursing students) about Hand Hygiene (HH). There is a number of research which indicates that physicians respect less than nurses Hand Hygiene, there are a smaller number which investigates the differences in the attitude of the aforementioned subjects during their studies. A questionnaire was administered to a sample of 756 participants (252 doctors, 268 nurses, 117 nursing students and 119 students of medicine) at a large University Hospital in Rome, to determine their knowledge, compliance and procedures with Hand Hygiene. Knowledge of medical students is lower than that of nursing students, as well as they have lower values in adherence to practice. In both HH Beliefs Scale (HBS) and HH Practicies Inventory (HHPI) questionnaires, nursing students have higher scores than nurses, doctors and medical students. The questions on the use of alcohol-based cleaners have been those where there was the lowest number of correct responses, across all professions. Physicians compared to nurses have a lower adherence to Hand Hygiene. Future research should clarify what the differences are in the construction of the study on the practice of washing hands, what are the barriers to health professionals and best methods for teaching habits, namely the effectiveness of hand washing. Professionals should be more involved in the fight against Healthcare-associated infections. PMID:22304723

330

Teaching safety at a summer cAMP: evaluation of a water safety curriculum in an urban community setting.  

Objectives: The purpose of this project was to evaluate a water safety curriculum in a low-income, minority-focused, urban youth summer camp. The curriculum is available to Safe Kids Coalitions across the country; however, it has not previously been evaluated. Methods: Participants were pre-K to third-grade students (n = 166). Children watched a video and received the curriculum in a classroom setting. Each child was given a pre-, post-, and 3-week retention exam to assess knowledge change. Mean test scores and number of safety rules participants could list were analyzed using paired Student's t tests. Parents were given a baseline survey at the beginning (n = 140) and end of the weeklong curriculum (n = 118). Results: The participants were 50% male, 27.5% Hispanic, 68.7% African American, and 3.8% biracial. Children were divided into three groups: pre-K/kindergarten, first and second grade, and third grade. Children in each of the groups received higher knowledge scores at the posttest (p = .0097, p water safety after receiving this curriculum. This knowledge increase was maintained through the 3-week retention exam. Further evaluation of the curriculum's content and its impact on water safety beliefs, attitudes, and behaviors are needed, as well as evaluation of additional settings, risk areas, and the role of parental involvement. PMID:22193254

331

HIV infection and oral health care in South Africa.  

This study determined the knowledge, attitude and practice of oral health care workers in public clinics in South Africa towards HIV/AIDS and investigated the implementation of infection control measures. A total of 727 questionnaires were distributed to dentists, dental therapists, oral hygienists and chairside assistants in the public dental clinics of 9 provinces, of which 276 were returned from 8 provinces, giving a response rate of 38%. The questionnaire covered demographic factors and assessed issues such as knowledge, infection control practices, continuing education, legal, ethical and psychosocial issues and available support for HIV/AIDS. The common oral manifestations seen by respondents were candidiasis, acute necrotising ulcerative gingivitis (ANUG), hairy leukoplakia and Kaposi's sarcoma. Of the 174 who had a previous HIV test, 48% were for insurance purposes and 21% for post-needle-stick injury. Over 10% of the respondents indicated that gloves were not available at all, that there was an inadequate supply of water, and that there was no autoclave in their clinic. Nearly 50% of the clinicians had not had hepatitis B vaccination in the last 3 years. Fifteen respondents (5.4%) were not willing to treat HIV-positive patients. Only 48% had access to a written post-exposure management protocol and post-exposure medication was available to only 36.6%. The vast majority of the respondents clearly expressed a need for additional education on HIV/AIDS. The study demonstrated a need to add knowledge, enhance personal skills and improve the application of universal precautions. PMID:16892566

332

Coping with a Patient's Suicide: A Curriculum for Psychiatry Residency Training Programs  

Objective: The suicide of a patient is often experienced as a traumatic event by the clinician involved. Many articles have identified the need for education to guide clinicians through the aftermath of patient suicide; however, little has been published on development of such a curriculum, particularly for residents. This article describes one residency training program's development of an organized curriculum on coping with patient suicide and evaluates the impact of a core aspect of the training on clinicians' knowledge about and confidence with coping with patient suicide. Methods: The training includes a biennial half-day workshop for all trainees plus an "as-needed curriculum" used after a completed suicide. A total of 42 clinicians (39 psychiatry residents and 3 psychiatry faculty) participated in a workshop on coping with patient suicide. Their attitudes and knowledge about the topic were assessed before and after the training. Results: Participation in the workshop was associated with large and statistically significant increases in knowledge and self-perceptions of competence in coping with patient suicide. Conclusions: The addition of a curriculum on coping with patient suicide has the potential to significantly enhance psychiatric residency training.

333

Enhanced Learning of Biotechnology Students by an Inquiry-Based Cellulase Laboratory  

This study explored the effectiveness of an inquiry-based cellulase laboratory unit in promoting inquiry in undergraduate students in biotechnology. The following tools were used to assess the students' achievements and attitude: conceptual understanding test, concept mapping, students' documents, CLES questionnaire, students' self reflection, and interviews. Judging from their conceptual understanding test results and concept mapping, students gained significantly more content knowledge on enzyme-substrate interaction and its application. In addition, students' reports on their projects revealed that they have developed their critical thinking, scientific process skills and abilities to apply knowledge on enzyme cellulase to industrial application. The students reacted positively to this teaching strategy as demonstrated by results from questionnaire responses, students' self reflection and interviews. The success of this inquiry-based laboratory unit might be due to both the context which was of interest to students, and the instruction method which ranged from a guided to a more open inquiry. Most importantly, the teacher in this study had mastery of both content and pedagogical techniques. This inquiry-based cellulase laboratory unit provided significant benefits for teaching and learning science for biotechnology students. It promoted acquisition of content knowledge and skills such as asking good questions, predicting, problem solving, drawing conclusion, and communication. This inquiry-based laboratory unit may serve as a guideline or framework for implementing a dynamic instruction with a range of inquiry level for the undergraduates. (Contains 2 figures and 4 tables.)

334

Validation and Exploration of Instruments for Assessing Public Knowledge of and Attitudes toward Nanotechnology  

The purposes of this study were to develop instruments that assess public knowledge of nanotechnology (PKNT), public attitudes toward nanotechnology (PANT) and conduct a pilot study for exploring the relationship between PKNT and PANT. The PKNT test was composed of six scales involving major nanotechnology concepts, including size and scale, structure of matter, size-dependent properties, forces and interactions, tools and instrumentation, as well as science, technology, and society. After item analysis, 26 multiple-choice questions were selected for the PKNT test with a KR-20 reliability of 0.91. Twenty items were developed in the PANT questionnaire which can be classified as scales of trust in government and industry, trust in scientists, and perception of benefit and risk. Cronbach alpha for the PANT questionnaire was 0.70. In a pilot study, 209 citizens, varying in age, were selected to respond to the instruments. Results indicated that about 70 % of respondents did not understand most of the six major concepts involving nanotechnology. The public tended to distrust government and industry and their levels of trust showed no relationship to their levels of knowledge about nanotechnology. However, people perceived that nanotechnology provided high benefits and high risks. Their perceptions of the benefits and risks were positively related with their knowledge level of nanotechnology. People's trust showed a negative relationship to their risk perception. Implications for using these instruments in research are discussed in this paper.

335

The Implications of Mathematics Teachers' Identities and Official Mathematics Discourses for Democratic Access to Mathematics  

This study focuses on the attitudes of a sample of Grade 9 mathematics teachers to the national mathematics Common Task Assessment (CTA) 2002 and to the official mathematics curriculum policy. The notion of pedagogic identity provided the theoretical lens to frame the study. These teachers' personal pedagogic identities are compared with official pedagogic identities constructed by curriculum policy and by the CTA. Data analysis revealed significant tension between personal and official pedagogic identities. Teachers' strong discipline-centred retrospective identities based on pure, mathematical knowledge and skills for epistemological access to the discipline, were at odds with official expectations of them as prospective identities. Teachers identify with an absolutist philosophy, purist ideology, old humanism and popular but negative images of mathematics. Furthermore, faced with the lack of official support for meaningful implementation of the new forms of knowledge and contradictory official regulation, teachers justified their teaching of formal, pure mathematical knowledge and skills on the basis of the demands of the high-stakes matric examination. These teachers experienced much cognitive dissonance and frustration and rejected, resisted or superficially complied with official expectations of them. The implications of the incongruence between official and personal pedagogic identities and contradictions within the official recontextualising field for democratic access to mathematics are raised.

336

Children with paralytic poliomyelitis: Utilization of physiotherapy services in Zamfara State, Nigeria.  

Physiotherapy is usually indicated for health promotion and the rehabilitation of individuals with paralytic poliomyelitis. The endemic nature of this condition in children in Zamfara State, Nigeria necessitated investigation into the utilization of physiotherapy services by parents or primary caregivers of children affected with polio in this sub-region. Parents and primary caregivers of children with paralytic poliomyelitis were recruited using a purposive multi-stage sampling procedure in a cross-sectional survey. Factors associated with the utilization of physiotherapy services were assessed based on questions extracted from a 4-part, 52-item structured questionnaire originally designed for a study which investigated knowledge, attitude, and beliefs of parents of children with paralytic poliomyelitis. A total of 217 participants were included in this study. The mean age was 32.29?±?9.89 years and the mean knowledge of polio score was 62.0?±?17.3%. The mean age of the children with paralytic poliomyelitis was 6.41?±?2.50 years. Only 27.2% of the parents or primary caregivers had utilized physiotherapy service for their children at some point. No association existed between utilization of physiotherapy service and 'knowledge of paralytic poliomyelitis', 'employment status', and 'family income' of respondents. Explanations for low utilization of physiotherapy services for children with paralytic poliomyelitis by parents or primary caregivers are discussed. PMID:22871225

337

Assessing Changes in Medical Student Attitudes toward Non-Traditional Human Sexual Behaviors Using a Confidential Audience Response System  

Medical students encountering patients with unfamiliar, unconventional sexual practices may have attitudes that can affect open communication during sexual history-taking. We measured changes in first-year US medical student attitudes toward 22 non-traditional sexual behaviors before and after exposure to human sexuality instruction. An electronic, hand-held audience response system was used in a lecture hall to sample anonymous student attitudes toward this sensitive topic. Several attitudes were influenced by instruction, as shown by statistical comparisons before and after instruction. Students' attitudes shifted toward patterns favoring treatment for five out of 10 paraphilias that are not harmful of others. Most students favored imprisonment for pederasty before instruction, consistent with lessons about mandatory reporting of child sexual abuse, and this attitude increased non-significantly after instruction. Student attitudes were generally accepting of homosexuality, but were more accepting of female than male homosexuality, both before and after instruction. Implications of these diverse effects of our lecture-based curriculum on attitudes toward non-traditional human sexual behavior are discussed, as well as benefits of audience response systems in anonymously assessing students' attitudes toward sensitive topics. (Contains 2 figures and 1 note.)

338

Experiences in adding multiple-choice questions to an objective structural clinical examination (OSCE) in undergraduate dental education.  

In the University of Oulu, the competencies of fourth-year dental students have traditionally been assessed with a written examination before they go to work for the first time as dentists outside the Institute of Dentistry. In 2009, the objective structural clinical examination (OSCE) modified with multiple-choice questions was introduced as a tool for assessing clinical competencies. The aim of the study was to evaluate the validity of the modified OSCE (m-OSCE) by measuring the attitude of examiners (teachers) and dental students towards the m-OSCE and to evaluate whether the OSCE is preferred to the written examination in the assessment of knowledge and clinical skills. Additionally, the aim was to evaluate the reliability of the multiple-choice examination. Altogether 30 students (86%) and 11/12 examiners (92%) responded to the questionnaire. Most of the students considered the multiple-choice questions easy, but complained about the complex formulation of the questions. The test stations were easy for 87% of the students, but the time allocated was too short. Most of the students (73%) and examiners (91%) preferred the m-OSCE to the written examination. All students and examiners found the immediate assessment of the tasks good. Based on the evaluations of m-OSCE, it could be concluded that both students and examiners preferred the m-OSCE to the pure written examination in assessment, which indicate that m-OSCE had good face validity. Combining multiple methods in assessment of knowledge and clinical skills whilst simultaneously taking into account the feasibility and available resources provides more valid results. PMID:22251338

339

Knowledge of, Attitudes toward, and Acceptance of Genetically Modified Organisms among Prospective Teachers of Biology, Home Economics, and Grade School in Slovenia  

The objective of this study was to investigate knowledge, opinions, and attitudes toward, as well as readiness to accept genetically modified organisms (GMOs) among prospective primary and secondary Slovene teachers. Our findings are that prospective teachers want to take an active role in rejecting or supporting individual GMOs and are aware of the importance of education about genetically modified organism (GMO) items and their potential significance for society. Through cluster analysis, we recognized four clusters of GMOs, separated by degree of genetically modified acceptability. GM plants and microorganisms which are recognized as useful are accepted. They are undecided about organisms used in research or medicine and reject organisms used for food consumption and for fun. There are only weak correlations between knowledge and attitudes and knowledge and acceptance of GMOs, and a strong correlation between attitudes and acceptance. The appropriate strategies and actions for improving university courses in biotechnology are discussed. (Contains 2 figures and 4 tables.)

340

Educational Web-Based Intervention for High School Students to Increase Knowledge and Promote Positive Attitudes toward Organ Donation  

A sample of 490 high school students from 81 schools in Michigan participated in an experiment in which they were randomly assigned to either a control or an experimental Web site. The experimental Web site provided exposure to educational material about the process of organ donation and organ transplantation. The control Web site provided educational material on methods to avoid the common cold. The pre- and post-tests of knowledge of issues related to organ donation and of attitude toward donation demonstrated statistically significant increases for the experimental group compared with the control group. A structural equation path model suggested that these increases in knowledge and pro-donation attitude mediated the effects of the experiment on contacting the Michigan donor registry. The increase in knowledge and in prodonation attitude increased the likelihood of contacting the registry. The potential for this and similar other Web interventions to enhance students' health education is discussed. (Contains 1 table and 3 figures.)

 
 
 
 
341

Using Standardized Patients in Continuing Medical Education Courses on Proper Prescribing of Controlled Substances  

Controlled prescription drug (CPD) abuse is an increasing threat to patient safety and health care providers (HCPs) are not adequately prepared nor do they routinely employ proper screening techniques. Using standardized patients (SPs) as an instructional strategy, the trained physicians on proper prescribing practices and SBIRT (Screening, Brief Intervention, and Referral to Treatment) in a continuing medical education (CME) course. The authors compared two physician cohorts receiving standard CME course (control) versus CME plus SP practice. They measured knowledge and attitudes in all participants and skills and perceived competence in the SP group only. Knowledge and attitudes improved significantly for both groups. Screening behaviors for CPD use also improved. Participants overestimated their performance but increased their use of SBIRT with practice. The SP comfort levels with physician's competence improved after 2 practice sessions. Standardized patients can be an effective teaching tool in CME courses. Impact on knowledge or attitudes did not increase significantly over controls.

342

Nurses' knowledge and attitudes to HIV/AIDS-An international comparison between Finland, Estonia and Lithuania  

Suominen T, Koponen N, Mockiene V, Raid U, Istomina N, Vanska M-L, Blek-Vehkaluoto M, Valimaki M. International Journal of Nursing Practice 2010; 16: 138-147Nurses' knowledge and attitudes to HIV/AIDS-An international comparison between Finland, Estonia and Lithuania This paper presents baseline data on nurses' knowledge of and attitudes to HIV/AIDS in three countries: Finland, Estonia and Lithuania. The prevalence of HIV/AIDS is steadily increasing in Finland, Estonia and Lithuania. At the same time, labour mobility and also nursing mobility between these countries increases. Previous international studies have shown that lack of knowledge and negative attitudes continue to exist. A total of 681 registered nurses from one Finnish (n = 322), one Estonian (n = 191) and one Lithuanian (n = 1...

343

77 FR 65888 - Agency Information Collection Activities: Proposed Collection; Comment Request  

...request that the Office of Management and Budget (OMB) approve...on Workflow The Agency for Healthcare Research and Quality (AHRQ...facilitate scalable chronic disease management. The health IT component...consistently assess the staff attitudes that may impact their...

344

Risk Perceptions That Effect Behavior and Attitudes in Safety Programs.  

Purpose of this field study was to determine how perceptions of risk influence behavior and attitude in safety programs. In this study eleven undergraduate students enrolled in the aviation safety program at Embry Riddle University, were asked to assess a...

345

TEACHERS DISCOVERING CLIMATE CHANGE FROM A NATIVE ...  

The NEP scale was used to assess teachers' attitudes and beliefs about the relationship between ... Like scientific Earth systems models, the traditional ... Survey items adapted from the Six Americas Survey (Yale Project on Climate Change ...

346

Expedition 27/28 Press Kit (4.7 MB PDF  

Apr 3, 2011 ... the station's surfaces to change its speed, or velocity. ..... system, used for attitude changes while in space ...... and to update radiation assessment models ...... stabilizes at a downstream position. Marshall B. Long, Ph.D.,. Yale ...

347

Evaluation of television as a method of disseminating solar energy information  

This project included three separate studies undertaken to determine the effectiveness of television instruction as a method of effectively delivering information about solar energy systems to present and future workers in related industries, and as a method of delivery for adult continuing education instruction. All three studies used a series of five half-hour videotapes. A survey of the general public in the Las Cruces area was conducted to determine the number and occupational status of people watching the series on a local public broadcasting station. Surveys of random samples then assessed the prior level of knowledge on solar energy of residents from differing socioeconomic strata and any increase in knowledge after viewing the series. The worker study included apprentices, journeymen sheet metal workers, and materials handlers. These workers were given a pretest, shown the television series, and given a posttest. The relative effectiveness of television and regular instruction were compared in solar energy related vocational classes at two postsecondary institutions, and student attitudes concerning television instruction were assessed.

348

High School and University Students' Knowledge and Attitudes regarding Biotechnology: A Turkish Experience  

Biotechnology has a considerable importance in Turkish biology curriculum. This study was designed to explore or indicate Turkish high school and university students' knowledge and attitudes toward biotechnology. A total number of 352 high school and 276 university students were invited to the study. The Biotechnology Knowledge Questionnaire (BKQ) with 16 items and Biotechnology Attitude Questionnaire (BAQ) with 37 items were used as data collection instruments. The statistically significant correlation was observed between the level of biotechnology knowledge and the subdimensions of attitudes toward biotechnology. We found no statistically significant difference between high school and university students' knowledge of biotechnology. In contrast, university students showed more positive attitudes toward biotechnology than did high school students. However, the effect of gender was equivocal; therefore, it did not support a "gender paradox" hypothesis. Our results suggest that although students' appreciation of (agricultural) biotechnology is relatively positive, the understanding of biotechnology processes is superficial and attitudes toward shopping genetically modified products are therefore negative. The possible impact of current science and biology curriculum, and also biotechnology news given in media on Turkish students' views of biotechnology is discussed. (Contains 4 tables.)

349

The effects of a science intervention program on the attitudes and achievement of high school girls in science  

This study investigated the effects of a high school science intervention program that included hands-on activities, science-related career information and exposure, and real-world experiences on girls' attitudes and achievement in science. Eighty-four girls, 44 ninth-graders and 40 tenth-graders, and 105 parents participated in the study. Survey data was collected to assess the girls' attitudes toward science in seven distinct areas: social implications of science, normality of scientists, attitude toward scientific inquiry, adoption of scientific attitudes, enjoyment of science lessons, leisure interest in science, and career interest in science. Additional questionnaires were used to determine the extent of the girls' participation in sports and the attitudes of their parents toward science. The girls' cumulative science semester grade point averages since the seventh grade were used to assess academic science achievement. This study found no evidence that participation in the program improved the girls' attitudes or achievement in science. Parent attitudes and years of participation in sports were not accurate predictors of science achievement. Additionally, no significant relationship was detected between the girls' and their parents' perceptions of science. However, the study did suggest that extended participation in sports may positively affect science achievement for girls. This study holds implications for educational stakeholders who seek to implement intervention methods and programs that may improve student attitudes and achievement in science and attract more youth to future science-related careers.

350

Evaluation of the Recognizing and Responding to Suicide Risk Training  

Changes in attitudes, confidence, and practice behaviors were assessed among 452 clinicians who completed the training, Recognizing and Responding to Suicide Risk, and who work with clients at risk for suicide. Data were collected at three time points. Scores on measures of attitudes toward suicide prevention and confidence to work with clients at risk for suicide improved over time. Clinical practice behaviors improved for assessing and formulating suicide risk, developing suicide prevention treatment plans, and responding to vignettes. Results suggest training can improve clinicians' attitudes toward suicide, confidence to work with clients at risk for suicide, and, most importantly, clinical practice skills. (Contains 3 tables and 1 footnote.)

351

Improved climate, culture, and communication through multidisciplinary training and instruction  

Objective The objective of the study was to determine the effectiveness of multidisciplinary team training on organizational culture and team communication. Study Design The training included a 6-step protocol: (1) a pretest survey assessing cultural attitudes and perceptions, (2) a baseline high-fidelity simulation session, (3) invitational medical rhetoric instruction, (4) a second high-fidelity simulation session, (5) a posttest survey assessing changed cultural attitudes and perceptions, and (6) a debriefing with participants. Teams of 4 physicians trained together: 2 obstetricians and 2 anesthesiologists. Forty-four physicians completed the training protocol during 2010 and 2011. Results Paired-sample t tests demonstrated significant decreases in autonomous cultural attitudes and perc...

352

Gender, Sexual Prejudice and Sport Participation: Implications for Sexual Minorities  

Utilizing the compulsory heterosexuality framework, the purpose of this inquiry was to assess the influence of gender and sexual prejudice on decision-making within sport. In Study 1, responses from former and current athletes within the United States (N?=?229) indicated that prejudicial attitudes predicted unwillingness to participate when a coach was identified as gay or lesbian. A mixed-methods approach was used in Study 2 to assess the attitudes of American parents (N?=?76). Parent?s prejudicial attitudes toward gays and lesbians predicted unwillingness to allow a homosexual to coach their children; justification of which was most often based on negative gay and lesbian stereotypes. Implications for these findings are discussed.

353

Computer-managed instruction: an alternative teaching strategy.  

Computer-managed instruction is an instructional strategy whereby the computer is used to provide learning objectives, learning resources, and assessment of learner performance. Computer-managed instruction (CMI) aids the instructor in instructional management without actually doing the teaching. Central CMI themes discussed in the literature are individualization, behavioral objectives, and educational technology. The main objective of this study was to compare the outcomes of two teaching strategies: CMI versus the traditional lecture method. The learning objectives were based on specified theoretical content from a Health Assessment course for baccalaureate nursing students. The design of the study was quasi-experimental incorporating two experimental treatments applied to two groups on two occasions. Data analysis addresses differences between groups using CMI and the traditional lecture method. The variables examined were the cognitive performance of learners, the learner's attitude toward the instructional strategy, the learner's retention of knowledge, the time involved in mastering the learning objectives, and the relationship between learner characteristics and the effectiveness of the instructional strategy. No significant mean difference (p less than 0.05) was found between groups on cognitive performance as measured by written and practical examination scores. For these first-year baccalaureate nursing students, CMI did not prove to be a positive instructional method as assessed by the Attitude Questionnaire. The majority of students preferred a combination of instructional methods. There was no significant difference between groups in the time spent meeting the learning objectives by either teaching strategy. The findings suggested that these students preferred learning strategies that are traditional in nature and teacher directed.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:3029349

354

A Metaphor-Enriched Social Cognition  

Social cognition is the scientific study of the cognitive events underlying social thought and attitudes. Currently, the field's prevailing theoretical perspectives are the traditional schema view and embodied cognition theories. Despite important differences, these perspectives share the seemingly uncontroversial notion that people interpret and evaluate a given social stimulus using knowledge about similar stimuli. However, research in cognitive linguistics (e.g., Lakoff & Johnson, 1980) suggests that people construe the world in large part through "conceptual metaphors," which enable them to understand abstract concepts using knowledge of superficially dissimilar, typically more concrete concepts. Drawing on these perspectives, we propose that social cognition can and should be enriched by an explicit recognition that conceptual metaphor is a unique cognitive mechanism that shapes social thought and attitudes. To advance this metaphor-enriched perspective, we introduce the "metaphoric transfer strategy" as a means of empirically assessing whether metaphors influence social information processing in ways that are distinct from the operation of schemas alone. We then distinguish conceptual metaphor from embodied simulation--the mechanism posited by embodied cognition theories--and introduce the "alternate source strategy" as a means of empirically teasing apart these mechanisms. Throughout, we buttress our claims with empirical evidence of the influence of metaphors on a wide range of social psychological phenomena. We outline directions for future research on the strength and direction of metaphor use in social information processing. Finally, we mention specific benefits of a metaphor-enriched perspective for integrating and generating social cognitive research and for bridging social cognition with neighboring fields. (Contains 1 footnote and 5 tables.)

355

Creating a culture of safety within operative neurosurgery: the design and implementation of a perioperative safety video.  

Object Surgical and medical errors result from failures in communication and handoffs as well as lack of standardization in clinical protocols and safety practices. Checklists, simulation training, and teamwork training have been shown to decrease adverse patient events and increase the safety culture of surgical teams. The goal of this project was to simplify and standardize perioperative patient safety practices and team communication processes within operative neurosurgery through the creation of an educational safety video targeted at a neurosurgical provider audience. Methods A multidisciplinary group consisting of neurosurgeons, anesthesiologists, nurses, neuromonitoring specialists, quality champions, and a professional video production company met over several months in an iterative process to 1) determine the overall objectives of the video, 2) decide on the content and format of the video, 3) modify the proposed content and format based on stakeholder feedback, and 4) record the video and complete final revisions during postproduction. Results The video was launched within the authors' institution in July 2012 in conjunction with ongoing research projects to study the effects of the video on 1) multidisciplinary providers' knowledge of perioperative safety practices, 2) provider safety attitudes and safety culture in the operating room, and 3) provider behavior in performing predetermined elements of the preoperative timeout and postoperative debrief. Conclusions The neurosurgical perioperative safety video can serve as a national model for how quality champions can drive changes in safety culture and provider behavior among multidisciplinary perioperative patient care teams. Ongoing research is being performed to assess the impact of the video on provider knowledge, behavior, and safety attitudes and culture. PMID:23116098

356

Validação dos questionários de conhecimento (DKN-A) e atitude (ATT-19) de Diabetes Mellitus/ Validation of Diabetes Mellitus knowledge (DKN-A) and attitude (ATT-19) questionnaires  

Abstract in english OBJETIVO: Apresentar a adaptação transcultural dos instrumentos Diabetes Knowledge Scale e Attitudes Questionnaires, específicos para avaliação do conhecimento e atitudes de pacientes com Diabetes Mellitus. MÉTODOS: Os instrumentos foram submetidos às seguintes etapas: apresentação, tradução, back-translation, avaliação das equivalências semântica e idiomática, cultural e conceitual, e pré-teste. Os questionários foram aplicados em duas oportunidades, co (more) m intervalos de um mês, em uma amostra de 61 pacientes com Diabetes Tipo 2 cadastrados num hospital universitário. Utilizou-se um desenho de estudo de confiabilidade teste-reteste das respostas, que foram analisadas e estimadas pelo Coeficiente de Kappa. RESULTADOS: Os achados sugerem adequação do processo de adaptação cultural dos instrumentos para a língua portuguesa. Na análise de confiabilidade, o coeficiente de Kappa alcançou nível de concordância de moderada a forte (0,44 a 0,69) em grande parte das questões. CONCLUSÕES: Os instrumentos mostraram ser de fácil compreensão pelos sujeitos do estudo e confiáveis e válidos para uso na avaliação de programas educativos em Diabetes Mellitus na realidade brasileira. OBJECTIVE: To present the cross-cultural adaptation of the Diabetes Knowledge Scale and Attitudes Questionnaires targeted to evaluate Brazilian Diabetes Mellitus patients. METHODS: These questionnaires underwent the following steps: presentation, translation, back translation, semantic and idiomatic assessments, cultural and conceptual similarities and a pilot test. They were administered in two opportunities a month apart in a sample of 61 Diabetes Mellitus type-2 patients from a university hospital. The study design included a test-retest reliability of the answers, which were analyzed and estimated by means of the Kappa coefficient. RESULTS: The findings suggested an adequacy of the instruments to the Portuguese language and Brazilian cultural identity. The Kappa coefficient in the reliability analysis showed levels of concordance from moderate to high (0.44 to 0.69) for most questions. CONCLUSIONS: The questionnaires proved to be of very easy understanding for the studied subjects and reliable and valid for use in the evaluation of diabetes educational programs in the reality of Brazil.

357

Client Firearm Assessment and Safety Counseling: The Role of Social Workers  

Firearms constitute an environmental risk factor for suicide among all age groups. Although other professions have been urged to assess firearm availability and advocate for the removal of firearms of their clients, little is known about the practices and the techniques within the social work profession. The present study surveyed a random sample (N = 697) of Ohio licensed social workers (requiring a BSW) and Ohio licensed independent social workers (requiring an MSW and 3,000 hours of post-master's practice experience) on their attitudes, knowledge, and behaviors regarding client firearm assessment and safety counseling. Findings indicated that the majority of social workers in this study did not report assessing for firearms or counseling on firearm safety on a routine basis. Barriers included lack of training on risks, lack of risk awareness, discomfort with the topic, not social work responsibility, lack of time, and more important topics to discuss. The most influential variable positively related to firearm assessment and counseling behaviors among these social workers was reporting previous firearm safety training. Other variables included influential media, depressed client, and suicidal client.

358

Client firearm assessment and safety counseling: the role of social workers.  

Firearms constitute an environmental risk factor for suicide among all age groups. Although other professions have been urged to assess firearm availability and advocate for the removal of firearms of their clients, little is known about the practices and the techniques within the social work profession. The present study surveyed a random sample (N = 697) of Ohio licensed social workers (requiring a BSW) and Ohio licensed independent social workers (requiring an MSW and 3,000 hours of post-master's practice experience) on their attitudes, knowledge, and behaviors regarding client firearm assessment and safety counseling. Findings indicated that the majority of social workers in this study did not report assessing for firearms or counseling on firearm safety on a routine basis. Barriers included lack of training on risks, lack of risk awareness, discomfort with the topic, not social work responsibility, lack of time, and more important topics to discuss. The most influential variable positively related to firearm assessment and counseling behaviors among these social workers was reporting previous firearm safety training. Other variables included influential media, depressed client, and suicidal client. PMID:18853672

359

Source to point of use drinking water changes and knowledge, attitude and practices in Katsina State, Northern Nigeria  

In many Sub-Saharan countries such as Nigeria, inadequate access to safe drinking water is a serious problem with 37% in the region and 58% of rural Nigeria using unimproved sources. The global challenge to measuring household water quality as a determinant of safety is further compounded in Nigeria by the possibility of deterioration from source to point of use. This is associated with the use of decentralised water supply systems in rural areas which are not fully reticulated to the household taps, creating a need for an integrated water quality monitoring system. As an initial step towards establishing the system in the north west and north central zones of Nigeria, The Katsina State Rural Water and Sanitation Agency, responsible for ensuring access to safe water and adequate sanitation to about 6 million people carried out a three pronged study with the support of UNICEF Nigeria. Part 1 was an assessment of the legislative and policy framework, institutional arrangements and capacity for drinking water quality monitoring through desk top reviews and Key Informant Interviews (KII) to ascertain the institutional capacity requirements for developing the water quality monitoring system. Part II was a water quality study in 700 households of 23 communities in four local government areas. The objectives were to assess the safety of drinking water, compare the safety at source and household level and assess the possible contributory role of end users' Knowledge Attitudes and Practices. These were achieved through water analysis, household water quality tracking, KII and questionnaires. Part III was the production of a visual documentary as an advocacy tool to increase awareness of the policy makers of the linkages between source management, treatment and end user water quality. The results indicate that except for pH, conductivity and manganese, the improved water sources were safe at source. However there was a deterioration in water quality between source and point of use in 18%, 12.5%, 27% and 50% of hand pump fitted boreholes, motorised boreholes, hand dug wells and streams respectively. Although no statistical correlation could be drawn between water management practices and water quality deterioration, the survey of the study households gave an indication of the possible contributory role of their knowledge, attitudes and practices to water contamination after provision. Some of the potential water related sources of contamination were poor source protection and location, use of unimproved water source and poor knowledge and practice of household water treatment methods, poor hand washing practices in terms of percentage that wash hands and use soap. Consequently 34 WASH departments have been created at the local government level towards establishment of a community based monitoring system and piloting has begun in Kaita local government area.

360

Pathways from Global Education Understandings to Teaching Music  

Research has shown that undergraduate disciplinary study provides new teachers with knowledge schemas derived from their discipline. The key question considered in this article is: what existing disciplinary knowledge do pre-service music teachers call upon to construct their schemas of global education? This is a critical question as global education is introduced to a range of national curriculums. Further, this article investigates ways music disciplinary schemas connect with knowledge, skills and values for pre-service teachers of high school music, and how this influences their approach, understanding and future teaching of global education. The conclusion is that global education, with its knowledge, skills and attitudes, pervades all school subjects and that teaching music incorporates global knowledge, skills and attitudes in quite specific ways.

 
 
 
 
361

Tobacco use prevalence, knowledge and attitudes among Italian hospital healthcare professionals  

Background: Healthcare professionals play a key role in tobacco use prevention because they are considered as model by patients. This multicenter study was aimed to evaluate smoking prevalence, knowledge and attitudes towards tobacco among Italian hospital professionals. Methods: A cross-sectional study was carried out using a questionnaire administered to healthcare professionals in seven Italian hospitals, to investigate personal and occupational data, knowledge, attitudes, job setting, clinical activities, smoking habits and pattern for current smokers. Potential predictors of current smoking habits were evaluated using multiple logistic regressions. Results: Sample population was comprised of 1082 health professionals (51.4% females; mean age was 37.3 years: 25.3% were nurses, 24.5% me...

362

Peer Group Intervention for HIV Prevention Among Health Workers in Chile  

We tested the impacts of a professionally assisted peer-group intervention on Chilean health workers’ HIV-related knowledge, attitudes, and behaviors using a quasi-experimental design with a pretest and 3-month posttest. Two Santiago suburbs were randomly assigned to the intervention or delayed intervention control condition. Five community clinics per suburb participated. Interested workers at the intervention (n = 262) and control (n = 293) clinics participated and completed both evaluations. At posttest, intervention clinic workers had higher knowledge and more positive attitudes regarding HIV, condoms, stigmatization, and self-efficacy for prevention. They reported more partner discussion about safer sex, less unprotected sex, and more involvement in HIV prevention activities in...

363

Perspectives of African and Brazilian immigrant women on sexual and reproductive health  

Objectives To explore attitudes and experiences related to sexual and reproductive health (SRH) of African and Brazilian immigrant women in Portugal. Methods Focus groups were conducted with 35 immigrant women with low income living in Lisbon, chosen through purposive sampling. Discussions were audio-taped and transcribed, and analysed through content analysis procedure. Results Compared to the Brazilian women, most Africans lacked knowledge and had more negative attitudes toward contraceptive methods, which adversely affected their proper use. African women were also less knowledgeable on sexually transmitted infections (STIs); some of them considered that their vulnerability to STIs was related to their partners' sexual risk behaviours. Nevertheless, a few Africans held less traditional ...

364

Fertility knowledge and beliefs about fertility treatment: findings from the International Fertility Decision-making Study.  

STUDY QUESTION: How good is fertility knowledge and what are treatment beliefs in an international sample of men and women currently trying to conceive? SUMMARY ANSWER: The study population had a modest level of fertility knowledge and held positive and negative views of treatment. WHAT IS KNOWN ALREADY: Few studies have examined general fertility treatment attitudes but studies of specific interventions show that attitudes are related to characteristics of the patient, doctor and context. Further, research shows that fertility knowledge is poor. However, the majority of these studies have examined the prevalence of infertility, the optimal fertile period and/or age-related infertility in women, in university students and/or people from high-resource countries making it difficult to generalize findings. STUDY DESIGN, SIZE, DURATION: A cross-sectional sample completed the International Fertility Decision-making Study (IFDMS) over a 9-month period, online or via social research panels and in fertility clinics. PARTICIPANTS/MATERIALS, SETTING, METHODS: Participants were 10 045 people (8355 women, 1690 men) who were on average 31.8 years old, had been trying to conceive for 2.8 years with 53.9% university educated. From a total of 79 countries, sample size was >100 in 18 countries. All 79 countries were assigned to either a very high Human Development Index (VH HDI) or a not very high HDI (NVH HDI). The IFDMS was a 45-min, 64-item English survey translated into 12 languages. The inclusion criteria were the age between 18 and 50 years and currently trying to conceive for at least 6 months. Fertility knowledge was assessed using a 13-item correct/incorrect scale concerned with risk factors, misconceptions and basic fertility facts (range: 0-100% correct). Treatment beliefs were assessed with positive and negative statements about fertility treatment rated on a five-point agree/disagree response scale. MAIN RESULTS AND THE ROLE OF CHANCE: Average correct score for Fertility Knowledge was 56.9%, with greater knowledge significantly related to female gender, university education, paid employment, VH HDI and prior medical consultation for infertility (all P 0.001). People who had given birth/fathered a child, been trying to conceive for less than 12 months, who had never consulted for a fertility problem and who lived in a country with an NVH HDI agreed less with negative beliefs. HDI, duration of trying to conceive and help-seeking were also correlates of higher positive beliefs, alongside younger age, living in an urban area and having stepchildren. Greater fertility knowledge was associated with stronger agreement on negative treatment beliefs items (P case in the general population. WIDER IMPLICATIONS OF THE FINDINGS: Educational interventions should be directed at improving knowledge of fertility health. Future prospective research should be aimed at investigating how fertility knowledge and treatment beliefs affect childbearing and help-seeking decision-making. STUDY FUNDING/COMPETING INTEREST(S): Merck-Serono S. A. Geneva-Switzerland (an affiliate of Merck KGaA Darmstadt, Germany) and the Economic and Social Research Council (ESRC, UK) funded this project (RES-355-25-0038, 'Fertility Pathways Network'). L.B. is funded by a postdoctoral fellowship from the Medical Research Council (MRC) and the ESRC (PTA-037

365

Modeling and Flight Data Analysis of Spacecraft Dynamics with a Large Solar Array Paddle  

The Advanced Land Observing Satellite (ALOS) was launched on January 24 2006 and has been operated successfully since then. This satellite has the attitude dynamics characterized by three large flexible structures, four large moving components, and stringent attitude/pointing stability requirements. In particular, it has one of the largest solar array paddles. Presented in this paper are flight data analyses and modeling of spacecraft attitude motion induced by the large solar array paddle. On orbit attitude dynamics was first characterized and summarized. These characteristic motions associated with the solar array paddle were identified and assessed. These motions are thermally induced motion, the pitch excitation by the paddle drive, and the role excitation. The thermally induced motion and the pitch excitation by the paddle drive were modeled and simulated to verify the mechanics of the motions. The control law updates implemented to mitigate the attitude vibrations are also reported.

366

Development and Validation of an Instrument to Measure University Students' Biotechnology Attitude  

The impact of biotechnologies on peoples' everyday lives continuously increases. Measuring young peoples' attitudes toward biotechnologies is therefore very important and its results are useful not only for science curriculum developers and policy makers, but also for producers and distributors of genetically modified products. Despite of substantial number of instruments which focused on measuring student attitudes toward biotechnology, a majority of them were not rigorously validated. This study deals with the development and validation of an attitude questionnaire toward biotechnology. Detailed information on development and validation process of the instrument is provided. Data gathered from 326 university students provided evidence for the validity and reliability of the new instrument which consists of 28 attitude items on a five point likert type scale. It is believed that the instrument will serve as a valuable tool for both instructors and researchers in science education to assess students' biotechnology attitudes.

367

The Interrelationships Among Acculturation, Social Support, and Postpartum Depression Symptoms Among Marriage-Based Immigrant Women in Taiwan: A Cohort Study.  

This cohort study assessed the structural relationships among social support, acculturation, and postpartum depressive symptoms experienced by marriage-based immigrant mothers in Taiwan. Data were collected at 1 and 6 months postpartum from 203 immigrant mothers married to Taiwanese men in Taipei, Taiwan. The structural equation modeling results showed that social support and postpartum depression were directly and negatively related. Higher social support and lower depression at 1 month postpartum were related to a positive social attitude (i.e., accepting attitude toward mainstream society). Social attitude was a moderator of the relationship between depression at 1 month and social support at 6 months postpartum, where a positive social attitude decreased the negative effect of depression at 1 month on social support at 6 months. Social support in the early postpartum period not only directly decreased postpartum depression, but also indirectly decreased postpartum depression through improving social attitude. PMID:22865022

368

High School Students' Attitudes towards Spiders: A Cross-Cultural Comparison  

Spiders are traditionally considered to be among the least popular of animals. Current evidence suggests that a negative attitude towards spiders could be influenced by both cultural and evolutionary pressures. Some researchers suggest that science education activities could positively influence students' perceptions of spiders. Their evidence is, however, ambivalent. Using a five-point score Likert-type questionnaire in which the items were developed in a similar way to four of Kellert's categories of attitude (scientistic, negativistic, naturalistic, and ecologistic) towards invertebrates, we compared the level of knowledge of and attitudes towards spiders of high school students from two countries, Slovakia (n = 354) and South Africa (n = 382). The students represented different cultures and followed dissimilar science education curricula. Only among the Slovakian students there was a statistically significant but low correlation between knowledge and attitude (r = 0.30). The South African students scored higher in the categories of scientistic, naturalistic, and ecologistic attitudes. Comparison of attitude towards spiders of indigenous Africans from coeducational Catholic schools revealed that South African students have greater fear of spiders than Slovakian students, supporting the biological preparedness hypothesis. This hypothesis predicts a greater fear of spiders in South Africa than in Europe since several South African spiders possess venoms that are dangerous to humans. The results of this study are discussed from science education, cultural, and evolutionary perspectives. (Contains 1 table and 4 figures.)

369

Changes in eating attitudes, eating disorders and body weight in Chinese medical university students.  

BACKGROUND: : Eating disorders is a particular problem for university students. However, little is known about this problem among medical students who often have high stress. AIMS: : The aims of this study were to describe the changes in eating attitudes and eating disorders from 2006 to 2008 in a medical student sample, and to compare the gender differences of eating attitudes and body mass index (BMI, kg/m(2)) with this sample. METHODS: : This study was conducted in Changsha city, Mainland China. Self-reported questionnaires, including the Eating Attitudes Test (EAT) and Eating Disorders Assessment Questionnaire (CETCA), were employed to examine the changes in eating attitudes and eating disorders from 2006 to 2008 in a medical student sample (N = 500). RESULTS: : Self-reported findings suggest that tentative eating disorders prevalence was 0.90% (anorexia nervosa (AN): 0; bulimia nervosa (BN): 4 females) in 2006 and 1.44% (AN: 1 male; BN: 1 male and 3 females) in 2008 of the full sample. The present data showed that 2.26% (2 males and 9 females) in 2006 and 2.47% (4 males and 6 females) in 2008 of all students obtained scores greater than 20 on the EAT-26 indicative of distorted eating attitudes and behaviour. Male students kept lower distorted eating attitudes and behaviours than female students, while female students kept a lower BMI than male students in both 2006 and 2008. However, there were no statistically significant changes in eating attitudes, distorted eating attitudes and CETCA in either male or female students from 2006 to 2008. CONCLUSIONS: : The results of this study suggest that there were no statistically significant changes from 2006 to 2008 in eating attitudes, distorted eating attitudes and CETCA. However, females showed significantly higher eating disorders and distorted eating attitudes compared to males in both 2006 and 2008. This study is furthering our understanding of eating disorders in a Chinese cultural context. PMID:22733003

370

Knowledge, Attitudes and Beliefs Regarding Nuclear "Weapons": A Survey of Registered Voters in Los Angeles County in 1985.  

This study examines the relationship between knowledge and attitudes with respect to nuclear issues, including the nuclear freeze proposal, MX missle, and Strategic Defense Initiative. Adults (N=750) drawn from a list of registered voters in Los Angeles County were sent a 53-item questionnaire. Of the respondents, 64 percent were male, 53 percent were married, 68 percent had some college education, 24 percent had graduated from high school only, 82 percent were Caucasian, 41 percent were Republicans, 40 percent were Democrats, and 54 percent had a family income between $20,000 and $50,000. Fourteen items on the questionnaire measured attitudes; 23 items measured knowledge. Knowledge questions included items such as the number of nations with nuclear weapons and if the United States nuclear warning systems have ever malfunctioned. Attitude questions included items such as agreement with a nuclear freeze and with spending money on "Star Wars" research. When controlled for education, income, and age, correlations between knowledge and attitudes revealed that voters with more knowledge were significantly more likely to support a nuclear freeze, oppose building more missiles, and oppose funding "Star Wars" research. Five tables and three pages of references are included. (Author/ABL)

371

The attitude determination system of the RAX satellite  

The Radio Aurora Explorer (RAX) is a triple CubeSat that launched on November 19, 2010. RAX was designed to study plasma irregularities in the polar lower ionosphere (80-300km), and is the first CubeSat mission funded by the United States National Science Foundation. The scientific mission requires attitude knowledge within 5^o (1-@s), and a custom attitude determination subsystem was developed for the mission. The subsystem utilizes rate gyros, magnetometers, coarse sun sensors, and an extended Kalman filter, and was designed to be a simple, low cost solution to meet the attitude determination requirements. In this paper, we describe the design, implementation, and testing of the RAX attitude determination subsystem, including derivation of the determination requirements, sensor selection...

372

The Attitude Control System for the Wilkinson Microwave Anisotropy Probe  

The Wilkinson Microwave Anisotropy Probe mission produces a map of the cosmic microwave background radiation over the entire celestial sphere by executing a fast spin and a slow precession of its spin axis about the Sun line to obtain a highly interconnected set of measurements. The spacecraft attitude is sensed and controlled using an inertial reference unit, two star trackers, a digital sun sensor, twelve coarse sun sensors, three reaction wheel assemblies, and a propulsion system. Sufficient attitude knowledge is provided to yield instrument pointing to a standard deviation (l sigma) of 1.3 arc-minutes per axis. In addition, the spacecraft acquires and holds the sunline at initial acquisition and in the event of a failure, and slews to the proper orbit adjust orientations and to the proper off-sunline attitude to start the compound spin. This paper presents an overview of the design of the attitude control system to carry out this mission and presents some early flight experience.

373

Student Attitudes toward Cadaveric Dissection at a UK Medical School  

A more humanistic approach toward dissection has emerged. However, student attitudes toward this approach are unknown and the influences on such attitudes are little understood. One hundred and fifty-six first-year medical students participated in a study examining firstly, attitudes toward the process of dissection and the personhood of the cadaver and secondly, the extent to which gender, anxiety, exposure to dissection, bereavement and prior experience of a dead body influenced these attitudes. Attitudes toward dissection were assessed by of levels of agreement toward eleven statements and by selection of adjectives describing possible feelings toward dissection. Students were asked about recent bereavement, whether they had seen a dead body prior to starting their course and exposure to dissection when completing the questionnaire. Validated instruments were used to measure disposition toward generalized anxiety (Hospital Anxiety and Depression Scale) and toward death anxiety (Collett-Lester Death Anxiety Scale). Between 60% and 94% of students held positive attitudes toward the process of dissection and over 70% of students selected 2 or fewer negative adjectives. Students' attitudes toward the personhood of the cadaver were more disparate. Disposition toward anxiety (particularly death anxiety), and exposure to dissection, influenced attitudes. Female gender and recent bereavement exerted a negative influence. Students with higher levels of anxiety experienced more negative feelings and those recently bereaved were less enthusiastic about dissection. Anticipation of dissection may be worse than reality. Sensitive preparation of students prior to entering the dissecting room for the first time may be beneficial. (Contains 5 tables.)

374

A Meta-Analysis of Global Youth Environmental Knowledge, Attitude and Behavior Studies  

There is a considerable body of literature on research on environmental knowledge, attitude and action. A lot of research has occurred on the primary and secondary school populations and the general population. However, much less emphasis has been placed on studies that concern post-compulsory education students in the range from 16 to 18 years old. The purpose of this review was to give an overview of environmental knowledge, attitude and action research with a particular emphasis on youth. The findings of a majority of studies reported a positive attitude towards the environment and a variety of levels of environmental knowledge. Behavior was not extensively studied. A number of studies found that females had a more positive attitude towards the environment than males. The majority of studies indicate that the main sources of environmental information for youth are television, books, newspapers, schools and friends. The main environmental problems mentioned by students were air pollution, water pollution, the loss of biological diversity and "population increase in the big cities" and hazardous waste. Most studies used quantitative techniques to gather data. The most commonly used instrument was a questionnaire with multiple choice questions and a Likert type scale particularly to measure attitudes. Considering the mainly quantitative nature of these studies, more appropriate sampling strategies, contextualized research instruments and statistical analysis should have been carried out to ensure more robust statistical findings. (Contains 2 tables.)

375

Working with Teams and Organizations to Help Them Involve Family Members  

In this article we describe our work in trying to influence whole service teams to move their practice towards greater involvement of affected family members. Work with five teams is described. The process varied but in all cases it included recruitment of the team, training, continued support and evaluation of results. Use of a standard questionnaire for assessing attitudes towards working with affected family members showed significant changes in team members' knowledge, confidence and team support for working with family members. Records of all project events and meetings suggested that change takes time but that a "cultural change" can take place whereby earlier misgivings are dispelled and positive attitudes towards involving family members become embedded in a team's approach. Diary audit indicated that the frequency of involvement of family members in sessions can be increased three- to five-fold, with teams beginning to carry out work with a diversity of family members, in diverse ways and with diverse positive outcomes. In a number of cases, teams were encouraged to institute new family-friendly procedures, for example changes to appointment letters, assessments and design of waiting and counselling rooms. Lessons have been learnt, including the need to accommodate different levels of initial experience of working with family members, and the need to be clear about project aims and objectives. Sustainability of change remains an issue. A general conclusion is that the capacity of services to take on work with family members affected by substance misuse of close relatives varies greatly. Where organizations already have a mission to involve family members, capacity is good. Where alcohol and drug services have previously been focused on individuals who are misusing substances, change is difficult but can be achieved. For most non substance-specialist organizations, such as primary care health centres and most non-statutory organizations, capacity is very limited. In addition to training and continued support for practitioners, explicit commissioning of work with family members combined with management support is necessary. (Contains 5 tables and 1 figure.)

376

Science-policy in environmental and health risk assessment: if we cannot do without, can we do better?  

How can empirical evidence of adverse effects from exposure to noxious agents, which is often incomplete and uncertain, be used most appropriately to protect human health? We examine several important questions on the best uses of empirical evidence in regulatory risk management decision-making raised by the US Environmental Protection Agency (EPA)'s science-policy concerning uncertainty and variability in human health risk assessment. In our view, the US EPA (and other agencies that have adopted similar views of risk management) can often improve decision-making by decreasing reliance on default values and assumptions, particularly when causation is uncertain. This can be achieved by more fully exploiting decision-theoretic methods and criteria that explicitly account for uncertain, possibly conflicting scientific beliefs and that can be fully studied by advocates and adversaries of a policy choice, in administrative decision-making involving risk assessment. The substitution of decision-theoretic frameworks for default assumption-driven policies also allows stakeholder attitudes toward risk to be incorporated into policy debates, so that the public and risk managers can more explicitly identify the roles of risk-aversion or other attitudes toward risk and uncertainty in policy recommendations. Decision theory provides a sound scientific way explicitly to account for new knowledge and its effects on eventual policy choices. Although these improvements can complicate regulatory analyses, simplifying default assumptions can create substantial costs to society and can prematurely cut off consideration of new scientific insights (e.g., possible beneficial health effects from exposure to sufficiently low 'hormetic' doses of some agents). In many cases, the administrative burden of applying decision-analytic methods is likely to be more than offset by improved effectiveness of regulations in achieving desired goals. Because many foreign jurisdictions adopt US EPA reasoning and methods of risk analysis, it may be especially valuable to incorporate decision-theoretic principles that transcend local differences among jurisdictions. PMID:16459712

377

A Formação do neurologista para o século XXI/ The education of neurologists for the 21st century  

Abstract in portuguese A formação do neurologista inclui a aquisição de amplo conhecimento de medicina interna, das neurociências básicas e das doenças do sistema nervoso. Além de obter conhecimento científico o neurologista deve desenvolver habilidades clínicas e atitudes que permitam a expressão adequada de sua competência e seu contínuo aperfeiçoamento profissional. Para atingir este objetivo há necessidade de promover profundas mudanças no sistema de educação médica inser (more) indo-o no espírito universitário da pesquisa e da busca da excelência. A residência médica deve enfatizar a formação de hábitos de aprendizado independente, do uso da metodologia científica, de pensamento analítico e crítico, assim como de atitudes éticas. Neste sentido o preceptor desempenha importante papel como modelo. Abstract in english The training of neurologists for the practice in the coming years requires deep changes in the system of medical education. It is critical for the medical student and the resident the acquisition of a broad knowledge of scientific information. But physicians must also know how to use knowledge they have accumulated from a variety of sources. They express their knowledge through abilities in the wards or in ambulatory settings in order to get an accurate diagnosis and the (more) proper management of a particular condition. In addition to that they are expected to develop ethical attitudes toward their patients, peers and the greater society. They must be committed to work, to independent learning and to rationality. To accomplish its scholarly goals medical education has to emphasize the development of adequate personal attributes, skills and habits of mind rather than the transmission of factual information. With todiay's technology all the scientific information necessary for the practice of medicine is at the fingertips through computers. Memorization is therefore an absolute nonsense in teaching. A better education involves reducing the working load and the number of lecture hours providing students and residents with sufficient unscheduled time to seek out information independently and to assess their own learning. Problem-solving methods of teaching providing the formulation of multiple concurrent hypotheses, the critical analysis and evaluation of data and the application of new acquired knowledge as well as previously learned concepts to the solution of problems should be widely employed. Faculty members are guides who assist students and residents to develop analytical and critical skills. They play an important role as models through their own attitudes and actions. The humanistic dimensions of the medical profession cannot be overemphasized.

378

Attitudes of Saudi Arabian secondary preservice teachers toward teaching practices in science: The adequacy of preparation to use teaching strategies in classrooms  

The purpose of this study was to investigate the attitudes of Saudi Arabian secondary preservice science teachers (SPSTs) toward a variety of science teaching practices. An ultimate, essential goal of this study was to use generated information and findings to improve the current secondary science education programs in Saudi Arabia and to develop better science teacher practices. The selected practices were posted by the National Research Council in 1999. These indicated that students learn science best through understanding of science rather than memorization of scientific facts and concepts, building new knowledge and understanding on what is already known and believed, formulating new knowledge by modifying and refining current concepts and by adding new concepts to what is already known, taking care of their own learning, social learning environments and interactions, and application of knowledge to novel situations. The study's sample consisted of all (147) SPSTs enrolled in the spring semester of 2003 in four Teachers' Colleges: Riyadh, Makkah, Taif, and Dammam. All participants were performing student teaching in secondary schools. This study used quantitative and qualitative data collection methods. Only three SPSTs were purposefully selected from each college for seven semi-structured interview questions, lasting an hour per interview. They were asked to complete a 58-item questionnaire survey and respond to four open-ended survey questions. To assess their attitudes toward the above science teaching practices, data was analyzed using the Rasch analysis model, other parametric tests (e.g., a one-way analysis of variance (ANOVA) and independent-samples t-test), and non-parametric tests (e.g., a chi-square of independent test). Furthermore, qualitative procedures were also used to assess SPSTs' views of some specific aspects about science teaching and the current secondary science education programs in Saudi Arabia. This was achieved through a careful analysis of frequent themes, patterns, and phrases mentioned by participants, which were coded and classified under broader categories. Findings of this study revealed that there were some significant differences among SPSTs in different Teachers' colleges with regard to certain demographic variables such as 'Teachers' College location' and 'age.' A broad conclusion was that although SPSTs felt that these six science teaching practices were crucial and effective teaching methods in classrooms, they did not frequently implement them due to several factors: large numbers of students in classrooms, classroom management issues, time demands, and lack of necessary materials and equipment.

379

Attracting and retaining doctors in rural Nepal  

Objectives Knowledge, attitudes, and practices of healthcare providers related to occupational exposure to bloodborne pathogens were assessed in a tertiary-care hospital in Middle East. Methods A cross-sectional study was undertaken using a self-administered questionnaire based on 3 paired (infectivity known vs. not known-suspected) case studies. Only 17 out of 230 respondents had an exposure in the 12 months prior to the survey and of these, only 2 had complied fully with the hospital's exposure reporting policy. Results In the paired case studies, the theoretical responses of participating health professionals showed a greater preference for initiating self-directed treatment with antivirals or immunisation rather than complying with the hospital protocol, when the patient was known to be infected. The differences in practice when exposed to a patient with suspected blood pathogens compared to patient known to be infected was statistically significant (p < 0.001) in all 3 paired cases. Failure to test an infected patient's blood meant that an adequate risk assessment and appropriate secondary prevention could not be performed, and reflected the unwillingness to report the occupational exposure. Conclusion Therefore, the study demonstrated that healthcare providers opted to treat themselves when exposed to patient with infectious disease, rather than comply with the hospital reporting and assessment protocol. PMID:20839900

380

Community assessments: Road maps to successful public involvement  

This paper presents a framework for performing comprehensive community assessments to increase the effectiveness of public involvement efforts. The community assessment process involves systematic and critical examination of beliefs, attitudes, opinions and knowledge of the many groups in the community. A good community assessment gathers information on the concerns or issues directly related to an environmental project as well as other important community issues to ensure development of an effective public involvement program. The framework discusses types of people and organizations that should be included in the community assessment interview process. It also delineates steps that persons charged with performing assessments can take to ensure that the views of all potential stakeholders are included--a necessary consideration in communities that are ethnically, racially, or economically diverse. Lastly, the framework discusses types of written materials that can be analyzed for additional insight into communities. For example, it discusses methods for reviewing past issues of the local newspaper to provide both validation of the information gathered during interviews and an understanding of the ways that community members give and receive information and respond to conflict or perceived threats. This framework is designed to show environmental professionals who are responsible for public involvement how to perform an initial community assessment. It provides illustrations of instances in which information vital to a successful public involvement effort has been uncovered through a careful assessment of the community. Both the U.S. EPA and the public have made clear their intentions to require increased public involvement. Many of these efforts will succeed or fail based on how well those charged with the public involvement component of environmental projects identify community issues and design communications programs that successfully reach all stakeholders.

 
 
 
 
381

Evaluation of a School-Based Train-the-Trainer Intervention Program to Teach First Aid and Risk Reduction among High School Students  

Background: Farming is a hazardous occupation posing health risks from agricultural exposures for the farm owner and family members. First Aid for Rural Medical Emergencies (F.A.R.M.E.) was developed to support a train-the-trainer (TTT) program to prepare high school students to teach first aid skills and risk reduction through peer interaction. This study was designed to evaluate the educational effectiveness for first aid skill development and awareness of safety issues and injury prevention impacting agricultural communities. Methods: Forty-three agricultural science students from a rural high school participated in the study. A quasi-experimental design was used to evaluate knowledge acquisition and anticipatory action among groups: those participating in training and a comparison group with no training. The intervention group included 27 participants trained as first aid peer instructors using the F.A.R.M.E. manual, return demonstration, case scenario facilitation training, and teaching evaluation sessions. The effectiveness of the program was evaluated using triangulated data. Independent t test analyses were conducted on post-test scores to evaluate the knowledge acquisition and anticipatory action scores between groups. Focus group sessions assessed attitudes, experiences, and values held following the intervention of teaching peers. Results: Results indicate that the intervention group scored significantly higher on anticipatory action (t = 2.23, p = 0.03) but not knowledge acquisition (t = 1.37, p = 0.18). Focus group data suggest that the TTT format bolstered confidence in teaching, confirmed that teens enjoy learning from teens, and fostered pride in team work. Conclusions: The F.A.R.M.E. TTT resulted in a theory and evidence-based intervention that can be implemented in a school setting to promote knowledge and skill acquisition of first aid and injury prevention among rural high school students. (Contains 1 figure and 2 tables.)

382

Safety in the stress field involving man and production. Sicherheit im Spannungsfeld von Mensch und Produktion  

Modern production systems are characterised by continuous innovative adaptations and improvements. They do not permit adequate preparation of vocational training in the phase between school and job. Only a basis extending to basic skills, basic knowledge and attitude to work can thus be secured in the training. However, knowledge of work and work experience should be added to the technical and social skills for the work input in order to achieve higher qualification by technical competence, system competence and social competence. It is essential to include safety as an integrated part of the training. Consequently safety and social skills, which in subsequent work input constitute the prerequisites to enable safety to compete with the other production aims, could be acquired in this way. The time taken to acquire a far higher qualification, viz. risk competence, is thus also inevitably shortened. Risk competence is understood to mean the ability to perceive risks and organise all behaviour in the sense of rational prevention of danger. However, human behaviour is determined by the readiness to accept risks and the assessment of risks. As no technology can be utilised without risks, either the readiness to accept risks or their assessment or preferably both must be changed to reduce the accident rate. The school records of the trainees offer good prerequisites for basic knowledge; the youthful age of the work force of 34 years on average suggests that the higher qualification has not yet been achieved in many sectors as a result of the change of generation. There is thus still imbalance between the force fields of the workplaces and the employees. However, a balanced condition can be achieved only if this development takes place gradually in stages in which the technical, organisational and personnel aspects are controllable. (orig.).

383

Children's Attitudes toward Their Peers with Down Syndrome in Schools in Rural Ireland: An Exploratory Study  

Increasingly, children with Down Syndrome are attending mainstream schools, but evidence suggests that these children are more prone to peer rejection and other problems when compared with their non-disabled counterparts. However, relatively little is known about children's attitudes toward their peers with moderate to serious learning disabilities, including Down Syndrome. This study assessed the attitudes of non-disabled primary school children (n = 118) in mainstream education toward their peers with Down Syndrome. A secondary aim was to assess whether exposure to audiovisual material promoting inclusion had any immediate effects on overall attitudes. A cross-sectional, questionnaire-based survey was administered in four rural-based schools. The results showed that female participants over 10 were the most sociable. Overall attitudes toward inclusion were consistently and statistically significantly more negative than those toward sociability. Other factors, such as contact with peers with Down Syndrome, were not related to attitudes. Neither was there any change in overall attitudes following exposure to the promotional material. Further work is needed to identify factors underpinning the attitudes of non-disabled children to their peers with Down Syndrome and how best to promote inclusion in mainstream schools. (Contains 1 table.)

384

Young adults' media use and attitudes toward interpersonal and institutional forms of aggression.  

Links between media violence exposure and favorable attitudes toward interpersonal violence are well established, but few studies have examined whether associations extend to include favorable attitudes toward institutional forms of aggression. Studies on this topic have not assessed multiple forms of media use and statistically controlled for individual characteristics likely to influence attitudes beyond sociodemographic information. In this study, undergraduate students (N=319) aged 18-20 years (56% male) completed a survey assessing media use (number of hours per week spent playing videogames, watching movies/TV shows, watching TV sports) and attitudes toward interpersonal violence, punitive criminal justice policies, and different types of military activities (preparedness/defense and aggressive intervention). Greater number of hours spent watching TV contact sports was associated with more favorable attitudes toward military preparedness/defense, aggressive military intervention, and punitive criminal justice policies among men independently of parental education, lifetime violence exposure within the home and community, aggressive personality, and constrained problem solving style. Greater number of hours spent watching violent movies/TV was associated with more favorable attitudes toward military preparedness/defense among men and with more favorable attitudes toward interpersonal violence and punitive criminal justice policies among women, but these associations became non-significant when adjusting for covariates. PMID:17918280

385

Development of novel satellite attitude determination and control algorithms based on telemetry data from an Earth satellite  

All spacecraft missions require accurate knowledge of attitude, which is derived from on-board sensors using attitude determination algorithms. The increasing demands for attitude accuracy, high performance and low cost spacecraft are driving designers to change from available attitude determination methods to those that are more robust and accurate. However, the cost, the processor workload and the time-constraints in spacecraft development and deployment projects curtail the opportunity for developing new on-board attitude determination methods, especially with regards to the development of more precise sensors. Therefore, it is always desired to achieve the required attitude accuracy with the existing set of on-board sensors, but using effective attitude determination methods and sensor fusion algorithms. Developing such algorithms starts on the ground and is subject to verification and tuning with real experimental data from telemetry. Moreover, the on-ground mission control center has to evaluate the attitude accuracy, calibrate sensors and performance. Motivated by these needs, the main objective of this thesis is to develop novel attitude determination algorithms combining several sensors and attitude estimation methods for Ground-Based Attitude Estimation (GBAE) with telemetry data. The GBAE formulation will be based on a guaranteed ellipsoidal state estimation for acquisition mode and a modified Kalman filter for pointing mode, to provide optimal attitude estimates of the spacecraft. The GBAE has to be evaluated both in the simulation environment and in the flight environment. In the simulation environment, the evaluation of the GBAE rests on the availability of an accurate dynamical model for the spacecraft. However, spacecraft dynamics are complex with multiple modes of operation. Moreover, the nonlinearities in the actual system make the spacecraft dynamics more complex. This motivates the use of switching between a global nonlinear controller for acquisition mode and a local linear controller for pointing mode, which can guarantee performance and is less computationally intensive for implementation in an on-board microprocessor. In this thesis, novel attitude determination and control algorithms are evaluated in the flight environment for a case study in collaboration with the Canadian Space Agency for the SCISAT-1 satellite.

386

The effects of direct and problem-based learning instruction in an undergraduate introductory engineering graphics course  

In this study, the researcher examined the effects of problem-based learning and compared any statistical gain in knowledge, skill, and attitude to traditional teaching of engineering graphics. Problem-based learning was hypothesized to have a positive effect on knowledge, skills, and attitude of students in a traditional engineering graphics course. The study sample was forty-eight (N = 48) students in a Foundation of Graphics course at North Carolina State University. The quasi-experimental study involved a pre-test/post-test control group, using a single control and single treatment group consisting of 24 persons per group. The independent variable was pedagogical strategy, and the dependent variables of knowledge pre-test and knowledge post-test measured graphic content knowledge, allowing for direct gain comparisons of engineering graphics to the control and treatment groups. Other dependent variables comprised a CAD skill evaluation that measured students' skill in creating a three-dimensional CAD model and an attitude survey (MSLQ) to compare attitude associated with traditional versus problem-based learning. The pedagogical PBL treatment was a series of 20 in-class exercises, where students worked in small groups to complete small-problem scenarios, including reverse engineering of parts. To determine whether groups differed on more than one dependent variable, an ANOVA was used to analyze data and investigate difference and gain between traditional instruction and problem-based learning for knowledge, skills, and attitude. Each ANOVA investigated if any significant difference or gain (p groups and was used to determine gain between dependent variables. The means on the pre- and post-tests measured if the two groups were significantly different in their prior knowledge and skill. The comparison of means and ANOVA of the MSLQ survey score revealed no significant differences in attitude. The result of hypothesis #1 (knowledge), F(19, 23) = 2.12, p = 0.24, indicated no significant gain. The result of hypothesis #2 (skill), F(1, 23) = 0.03, p = 0.85, indicated no significant difference, and the result of hypothesis #3 (attitude), F(21, 527) = 1.57, p = 0.50, indicated no significant difference. Further studies were recommended using similar or other variables to determine if more benefits can be attributed to problem-based learning when teaching engineering graphics.

387

Relationship between knowledge, attitude, behavior, and self-efficacy on the radiation safety management of radiation workers in medical institutions  

Radiation safety managements in medical institutions are needed to protect certain radiation damages as a part of National Coalition. This study investigates the characteristics of self-efficacy that become the major factor on the knowledge, attitude, and behavior on the radiation safety management of radiation workers as an approach of educational aspects and analyzes the relationship between such factors to provide basic materials for improving the activity level of radiation safety managements. In order to implement the goal of this study, a survey was performed for 1,200 workers who were engaged in radiation treatments in medical centers, such as general hospital, university hospital, private hospital, and public health center for 42 days from July 23, 2006. Then, the results of the analysis can be summarized as follows: 1. Average scores on knowledge, attitude, and behavior in the radiation safety management were presented as 75.76{+-}11.20, 90.55{+-}8.59, 80.58{+-}11.70, respectively. Also, the average score of self-efficacy was recorded as 73.55{+-}9.82. 2. Knowledge levels in the radiation safety management showed significant differences according to the sex, age, marriage, education, and experience. Also, males of married, older, highly educated, and largely experienced represented high knowledge levels. Attitude levels in the radiation safety management showed certain significant differences according to the type of medical centers in which private hospitals showed a relatively low level compared to that of high levels in university hospitals. Behavior levels in the radiation safety management also represented significant differences according to the age, marriage, education, experience, and types of medical centers. Factors in married, general hospital, older, highly educated, and largely experienced showed high behavior levels. In addition, the self-efficacy showed certain differences according to the marriage and types of medical centers. Factors in married and general hospital demonstrated high self-efficacy levels. 3. Relationship between knowledge, attitude, behavior, and self-efficacy on the radiation safety management showed statistical differences according to the relationship between the knowledge and the attitude, the knowledge and the behavior, the attitude and the behavior, the attitude and the self-efficacy, and the behavior and the self-efficacy. The relationship between the behavior and the self-efficacy was represented as {gamma} = 0.482, which was the strongest relationship in such factors. Also, the knowledge and self-efficacy didn't show certain relationships.

388

Alternative energy for the home: a demonstration project  

The purpose of this study was to develop an experiential curriculum intervention strategy that would: (1) develop a better understanding of the energy options and conservation practices available today; (2) develop and/or reinforce a positive attitude toward the use of alternative energy devices and practices; (3) teach some hands-on construction techniques; and (4) Foster a sharing of knowledge between the writer, seminar participants, neighbors and friends of everyone involved. For the purpose of assessing the seminars' effectiveness, an energy inventory pre/post questionnaire was developed by the researcher and administered to the sixty-four participants. The computer analysis of the subjects' responses to the 23 item pre/post questionnaire tended to indicate the seminar participants had: (1) a greater knowledge of alternative energy devices available; (2) a more complete understanding of:how various collectors work; How to build and use collectors; how to evaluate/audit present energy usage and efficiency and how to retrofit present structures to be more energy efficient; (3) increased self assurance in regard to individual construction skills/abilities; and (4) a more positive awareness of the need for greater use of conservation practices and alternative energy devices was developed or reinforced. The experiential approach to learning was quite successful.

389

"Do Octopuses Have a Brain?" Knowledge, Perceptions and Attitudes towards Neuroscience at School.  

The present study contributes to the question of school literacy about the brain, with an original survey conducted on Italian students from the 3(rd) to 10(th) grades (n?=?508). The main goal was to test student's knowledge, attitudes, and interests about neuroscience, to assess needs, prospects, and difficulties in teaching about the brain from elementary to high school. A written questionnaire, maintaining anonymity, asked 12 close-ended multiple choice questions on topics related to human and animal brains, plus one facultative open-ended question about interests and curiosities on brain topics. The results show that respondents have a fragmentary level of basic knowledge about the brain, with aspects related to brain functions and consciousness the most challenging. As expected, degrees of performance improve with school level; elementary school students answered correctly an average number of 5.3 questions, middle school 6.5, and high school 7.4. Overall, students show great interest in the brain, as shown by the large number of questions gathered through the open-ended question (n?=?384). Other topics are addressed, mostly related to brain structure/functions and the role of the brain in the everyday life. The survey indicates the need of more thorough school programs on this subject, reinforced by interdisciplinary teaching where comparative anatomy and evolutionary aspects of brain development are covered. PMID:23082231

390

Independently Living Rural Seniors and Emergency Preparedness: A Pilot Study in Southern Illinois  

Rural-dwelling older adults often have difficulty obtaining needed medical and social services due to factors such as physician shortages, lack of transportation, and financial limitations. These factors are further exacerbated during an emergency. Understanding these challenges is important to implement successful health promotion interventions and protect human life. Purpose: The purpose of this pilot study was to assess independently dwelling rural senior citizens' knowledge, attitudes, and behaviors regarding emergency preparedness. Methods: A 39-item instrument was administered to 85 independently dwelling seniors throughout a rural county in Illinois. Results: The majority, 56%, indicated not having an emergency plan, and one-third reported not having bottled water or a first aid kit in the home. Discussion: Less than half of the respondents were knowledgeable regarding what types of items, such as food, water, and medications should be included in a 72-hour kit, and many participants did not have these items stored. Most participants felt that local health departments should provide warnings, food, shelter, transportation, help to the injured, and medications during an emergency. This finding is important, as rural health departments are not typically equipped to provide any of these. Rural health departments should clarify what services are provided by which agencies and collaborate with local social service organizations to help seniors be more prepared. (Contains 2 tables.)

391

Constructing a self-care curriculum.  

The purpose of this paper is to describe the unique challenges presented by a dynamic marketplace when designing a self-care curriculum. As manufacturers seek to satisfy consumer demand and increase market product shares, rapid changes occur with brand name extensions and prescription to nonprescription switches. The US Food and Drug Administration's continuous process of approving ingredients (monographs) add to this changing environment. Thus, developing learning outcomes beyond drug knowledge becomes critical. Learning outcomes must also address the multifaceted nature of self-care, including the development of skills in patient assessment (triage) and education. Determining which content areas to be covered can be difficult when consumer demand and marketplace changes are considered. For example, consumer use of dietary and herbal supplements forces pharmacists to have some basic knowledge of safety and efficacy regarding these products. Ultimately, given the dynamic, multifaceted nature of self-care, developing life-long learning skills/attitudes in students may be the most important outcome necessary for a self-care curriculum. PMID:17332866

392

Improving safety and quality: how can education help?  

National efforts to improve the quality and safety of health care present challenges for medical education and training. Today's doctors need to be skilled communicators who know how to identify, prevent and manage adverse events and near misses, how to use evidence and information, how to work safely in a team, how to practise ethically, and how to be workplace teachers and learners. These competencies (knowledge, skills and attitudes) are set out in the National Patient Safety Education Framework (NPSF) of the Australian Council for Safety and Quality in Health Care. The NPSF is designed to help medical schools, vocational colleges, health organisations and private practitioners develop curricula to enable health professionals to work safely. The NPSF describes what doctors (depending on their level of knowledge and experience) can do to demonstrate competencies in a range of quality and safety activities. Medical schools, vocational colleges, health organisations and private practitioners need to work collaboratively with one another and with other health professionals to ensure that patient safety and quality curricula are implemented and evaluated, and that valid and reliable assessments of learning outcomes are developed. Interdisciplinary and vertically integrated education and training are needed, incorporating innovative methods, to create a safer health care system. PMID:16719739