School health education: appraisal of a conceptual approach to curriculum development. 1966.
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Biomedical subjects
Publications and source records attributed to E M Sliepcevich.
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Health concerns of adolescents are important factors to consider when developing and implementing school health education programs. In addition, an understanding of adolescent concerns compared to their teachers' and parents' beliefs about adolescents' concerns may enhance communication between adolescents and adults. Despite the need to identify the health concerns of adolescents and beliefs about them among parents and teachers, few instruments exist. The inventory described in this article is one approach to assessing adolescent health concerns. Three forms of the Adolescent Health Concerns Inventory (AHCI) were developed to assess: (1) the health concerns of adolescents, (2) teachers' beliefs about adolescent health concerns, and (3) parents' beliefs about adolescent health concerns. The final version of the instrument contained 150 health-related items grouped into 12 topical subscales. Reliability estimates for the 12 subscales as measured by Cronbach's alpha ranged from .76 to .92. A panel of experts was used to assess content validity. Construct validity was assessed using principal components factor analysis. All items were positively loaded on factor 1. Readability was estimated at the eighth grade as measured by the SMOG readability formula. Psychometric characteristics of the instrument and recommendations for the use of the ACHI are presented.
Participant satisfaction is an important measure of program effectiveness. In hospitals, patient satisfaction is a measure that is compatible with quality assurance. This article focuses on the revision, implementation and analysis of a patient satisfaction questionnaire that was designed as a tool for assessing the quality of non-physician encounters in a small hospital. The Patient Satisfaction Questionnaire (PSQ), which contained a 30-item rating scale, was designed to collect data about admissions, nursing care and seven other hospital services. The 686 PSQs that comprised a 4-month sample of 2156 instruments (31.8%) completed in a selected year were analyzed. Results show no less than 90% of patient ratings reflecting satisfaction. In addition, open-ended responses were overwhelmingly laudatory. The content and process of this collaborative effort demonstrate compatibility between research and management when goals and purposes are clearly delineated.
The Self-Care Behavior (SCB) Inventory was developed as part of a long-term study of self-care practices of persons who have multiple sclerosis (MS) in Denmark. The universe of behaviors regarding the physical, social, emotional, environmental, and spiritual aspects of coping with the illness was ascertained by informal and formal interviews. Respondents were asked not only what behavior was performed, but also who performed it, how it was performed, why, when, and where it was performed, and where the knowledge to perform the behavior in this manner was acquired, such as a lay-referral network, physician, social worker, spouse, or media. The inventory went through a series of drafts and pre-tests, resulting in a final version that met criteria for validity and reliability. The model presented for the development of the SCB Inventory can be useful for designing behavioral inventories and assessment tools for other chronic conditions such as arthritis, epilepsy, and diabetes.
Monitoring the implementation of a program being evaluated can improve the interpretability of data collected and help evaluators to avoid committing a Type III error: evaluating a program that has not been adequately implemented. This article describes an evaluation that analyzed the implementation of a school health education curriculum, assessed cognitive learning outcomes attributable to the curriculum, and examined the relationship between classroom implementation and changes in students' knowledge. Five fifth-grade classes (n = 101) participated in the curriculum, and five classes (n = 84) served as a comparison group. Data collection procedures involved a pretest and posttest of all students' health-related knowledge, daily monitoring of classroom implementation by the five teachers participating, and questionnaires completed by principals and teachers. Analysis methods included descriptive statistics, parametric and nonparametric tests of significance, and qualitative assessment procedures. Results indicated that the curriculum had a positive effect on learning in students; curriculum implementation varied considerably among the five classes participating; teaching/learning activities that were most and least likely to be implemented could be identified and described; both teachers and principals perceived the program favorably; some health instruction was occurring in the comparison classes, so it was not appropriate to consider them as pure controls; and no statistically significant relationship between curriculum implementation and cognitive outcomes was observed. This study provides evidence of the need for and value of measuring implementation of programs being evaluated. Implications for developing implementation measures and the role of formative evaluation in health education practice are considered.
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The acute shortage of human organs and tissues for transplantation has been attributed in part to health professionals, including nurses, for their reluctance to recognize and refer suitable candidates for donation. In 1988, nurses' knowledge, attitudes, and beliefs regarding organ and tissue donation and transplantation were assessed using a 70-item questionnaire. Respondents included 1,683 nurses employed in 62 rural and urban hospitals in the Midwest. Only 365 respondents (21.7 percent) reported having requested tissue donations and 243 (14.4 percent) reported having requested organ donations. However, of those who requested tissue or organ donations, 270 (74 percent) obtained consents for tissues and 150 (61.7 percent) obtained consent for organ donations. Respondents were knowledgeable about organ and tissue donation (mean score of 7.5 on a 0 to 10 knowledge scale with 10 as highest) and reported attitudes and beliefs were moderately positive. Factors that were significantly correlated with the number of requests made for organs and tissues and the number of consents obtained included nurses' knowledge, attitudes, and beliefs about donation; nurses' perception of their own confidence in their ability to request tissues and organs; being a supervisor; and working in an emergency department.
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