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PubMed2000

Tobacco growers' knowledge of revenue distribution and foreign prices: implications for health education.

This study examined tobacco growers' knowledge of tobacco economics, particularly their knowledge of how tobacco revenue is distributed and their knowledge of the price of foreign tobacco. Tobacco growers (n = 1236) from 14 tobacco-dependent counties in North Carolina were interviewed by telephone and asked to estimate how much of a hypothetical $2.00 for a pack of cigarettes is received by each of four market segments: tobacco growers, retailers, government and manufacturers. Respondents were also asked to estimate the price of foreign raw tobacco. USDA data were used to assess the accuracy of the respondents' estimates. Respondents were within the 'correct' range as follows: growers 31%, retailers 15%, government 23%, manufacturers 43% and foreign prices 25%. Knowledge was positively related to education and farm size for the growers' share and foreign tobacco prices. Knowledge of the government's and manufacturers' shares was positively associated with younger age. North Carolina growers lacked knowledge of the distribution of the tobacco dollar. This may influence the positions that growers take on health policy and provide significant opportunities for health educators to become involved in grassroots efforts to educate growers.

Adult↗
PubMed2006

Baseline survey of sun-protection knowledge, practices and policy in early childhood settings in Queensland, Australia.

Excessive exposure to sunlight during early childhood increases the risk of developing skin cancer. Self-administered questionnaires exploring sun-protection knowledge, practices and policy were mailed to the directors/coordinators/senior teachers of all known early childhood services in Queensland, Australia, in 2002 (n = 1383; 56.5% response). Most (73.7%) services had a written sun-protection policy (SPP). However, 40.6% of pre-schools and kindergartens had not developed a written SPP. Most directors had moderate knowledge about sun-protection (median score: 7/12 [IQR 6, 8]), but few understood the UV index, the sun-protection factor rating for sunscreens or the association between childhood sun-exposure, mole development and melanoma. Pre-school teachers had lower knowledge scores than directors of long day care centers and other services (P = 0.0005). Staff members reportedly wore sun-protective hats, clothing and sunglasses more often than children. However, sunscreen use was higher among children than staff. Directors' knowledge scores predicted reported hat, clothing, sunscreen and shade utilization among children. Remoteness impacted negatively on director's knowledge (P = 0.043) and written SPP development (P = 0.0005). Higher composite sun-protection scores were reported for children and staff from services with written sun-protection policies. SPP development and increased sun-protection knowledge of directors may improve reported sun-protective behaviors of children and staff of early childhood services.

Adolescent↗
PubMed1993

Developmental and family correlates of children's knowledge and attitudes regarding AIDS.

Assessed developmental and family variables associated with children's knowledge of and emotional attitudes toward AIDS. Participants included 65 first to sixth graders from two private elementary schools and their mothers. Between-groups comparisons showed that children knowledgeable about AIDS were older and had more mature illness concepts than children who were not knowledgeable. Among children who were knowledgeable about AIDS, a relatively negative attitude toward AIDS was associated with a negative attitude toward illness in general. Moreover, the children's attitude toward AIDS was more negative than their attitudes toward other serious illnesses. Family relations and maternal AIDS-related knowledge and attitudes were linked with neither children's knowledge nor their attitudes.

Acquired Immunodeficiency Syndrome↗
PubMed1995

Parents' contributions to children's knowledge and attitudes regarding AIDS: another look.

Attempted to determine, using a sample of students in Grades 3, 5, and 7, whether parent-child communication about AIDS and parent knowledge of AIDS predict children's knowledge, social attitudes, and worry regarding AIDS, partially replicating tests by Sigelman, Derenowski, Mullaney, and Siders (1993) of main effects, interaction, and potentiation models of parent-child socialization. Most parents had talked to their children about AIDS but many were susceptible to myths about HIV transmission. Child age was the strongest predictor of accurate knowledge and positive attitudes, but gender, ethnicity, and parent education also made modest contributions. Consistent with the potentiation model, parent knowledge of common transmission myths predicted child knowledge of those same myths (and willingness to interact with individuals who have AIDS as well) only when parent-child communication about AIDS was relatively extensively (and only when child rather than parent reported it). Findings suggest that both the quantity and quality of parental messages must be considered by socialization researchers but that parents may not be the primary socializers of knowledge and attitudes regarding AIDS and other health issues.

Acquired Immunodeficiency Syndrome↗
PubMed2002

Physicians' ratings of their knowledge, attitudes, and end-of-life-care practices.

PURPOSE: Health care institutions are examining ways to improve physicians' skills in the delivery of end-of-life (EOL) care. Experts have suggested that influencing physicians' knowledge and attitudes concerning EOL care can influence subsequent EOL practices, including hospice use for appropriate patients; yet few studies have examined empirically the influence of physicians' knowledge and attitudes on such practices. The authors assessed the influences of self-rated knowledge and attitudes on physicians' discussions and referrals for hospice care. METHOD: In 1998 and 1999 the authors conducted a cross-sectional study of physicians affiliated with six randomly selected community hospitals in Connecticut with more than 200 licensed medical and surgical beds. Physicians completed a self-administered questionnaire (response rate 52.4%) that assessed self-rated knowledge of terminal care and hospice, a set of attitudinal items, and practices related to hospice discussion and referrals, as well as standard sociodemographic data. Bivariate and multivariate analyses were conducted. RESULTS: Self-rated knowledge was significantly associated with referral practices in unadjusted analyses (unadjusted odds ratio [OR]: 0.70; 95% confidence interval [CI]: 0.52, 0.95), although this association was attenuated in adjusted analyses by specialty and other physicians' characteristics (adjusted OR: 0.80; 95% CI: 0.55, 1.18). Attitudes representing support for hospice practices and philosophy were associated with referral practices in adjusted and unadjusted analyses (adjusted OR:0.52; 95% CI: 0.35, 0.77). CONCLUSIONS: This study demonstrated that self-rated knowledge and attitudes may influence hospice referral. The results support current efforts to develop medical school curricula and continuing education programs that better cover the many aspects of caring for the dying, including hospice use.

Adult↗
PubMed2006

Can participation in a health affairs interdisciplinary case conference improve medical students' knowledge and attitudes?

PURPOSE: To explore whether participation in a three-hour health affairs interdisciplinary case conference (HAICC) changed medical students' knowledge and attitudes about the role of interdisciplinary teams in health care. METHOD: Faculty from ten University of North Carolina at Chapel Hill health professions' schools helped to design the HAICC. Conference goals included improving students' knowledge and attitudes about the skills of various health professions and the benefits of interdisciplinary care. From 2001-04, 2,005 health professions students, including 615 second-year medical students, participated in the HAICC. Working in teams, students, using the World Health Organization's International Classification of Function and Disability, interviewed a standardized patient and, then, developed a patient-centered management plan. A self-report instrument to assess medical students' knowledge about each of the ten health professions and to assess students' attitudes about working with other health professionals was administered before and after the conference. Repeated measures were used to assess whether medical students' knowledge and attitudes about interdisciplinary teams changed as a result of participating in HAICC. RESULTS: A total of 605 medical students (98.5%) completed both instruments. Following participation in the HAICC, there were significant increases in students' knowledge about the training and skills of all ten professions, the advantages of working in an interdisciplinary team, and the importance of care provided by these professions. In general, there were significant improvements in students' attitudes toward the value of interdisciplinary team work and leadership by all health professionals. CONCLUSIONS: Participation in a three-hour HAICC resulted in medical students' increased knowledge about and attitudes toward the role of interdisciplinary teams in health care.

Delivery of Health Care↗
PubMed1999

The relationship of rural persons' multidimensional health locus of control to knowledge of cancer, cancer myths, and cancer danger signs.

The purpose of the study was to determine if a relationship exists between multidimensional health locus of control and knowledge of breast cancer, prostate cancer, cancer myths, and danger signs. A descriptive correlational design was used. A convenience sample of 78 rural men and 79 rural women participated in the study. Participants completed three questionnaires: (a) the Cancer Danger Signs Questionnaire, (b) the Cancer Myths Questionnaire, (c) the Prostate Cancer Knowledge Test (completed by the men) and the Breast Cancer Knowledge Test (completed by the women). Results indicated that an internal score on the Multidimensional Health Locus of Control (MHLOC) scale did not predict knowledge of breast cancer in women, prostate cancer in men, cancer myths, or danger signs. Women who scored high on the Powerful Others subscale of the MHLOC had statistically significant high scores on knowledge of breast cancer, but not on cancer myths and danger signs. The MHLOC and its subscales did not predict knowledge of prostate cancer, cancer myths, or cancer danger signs for the male participants. The implications of these results for rural nursing practice and their relationship to previous research are discussed.

Adult↗
PubMedDate not supplied

Effects of 2 educational methods on the knowledge, attitude, and practice of women high school teachers in prevention of cervical cancer.

Because of the increased emphasis on prevention and early detection of cervical cancer, we studied the effects of 2 educational methods on the knowledge, attitude, and practice, as regards prevention of cervical cancer, of women high school teachers in Tabriz. This study was a semiexperimental research. Samples were 129 female teachers divided in 3 groups: experimental 1 (educated by pamphlets), experimental 2 (educated by a lecture and flash cards), and control group (not manipulated). After doing pretest in the 3 groups, investigators used 2 educational methods for experimental groups. Data regarding the knowledge and attitude of 3 groups were gathered after 14 days and data regarding practice were gathered after 2 months. Chi-square and 1-way ANOVA were used for data analysis. Before education, knowledge, attitude, and practice of the 3 groups were the same, but after education there were significant differences in mean scores of knowledge and attitude of 2 experimental groups as compared with the control group and also between the 2 experimental groups (P < .001). Education by lecture and flash cards was more effective than by pamphlets. In regard to Pap smear practice, there was a significant difference between the 2 experimental groups as compared with the control group (P = .001), but there was no significant difference between the 2 experimental groups. Therefore, educational methods were effective on knowledge, attitude, and practice of teachers regarding prevention of cervical cancer and education by lecture and flash cards was more effective than by pamphlets in increasing knowledge and inducing a positive attitude but the 2 educational methods had the same effect on practice of teachers.

Adult↗
PubMedDate not supplied

Knowledge of the limitations associated with prostate cancer screening among low-income men.

This correlational pilot study measured limitations of prostate cancer screening, using a revised Knowledge of Prostate Cancer Questionnaire. Knowledge in 81 low-income men is reported. The Knowledge About Prostate Cancer Screening Questionnaire consists of 12 questions, with scores ranging from 0 to 12. Concepts measured include limitations, symptoms, risk factors, and screening age guidelines. The Total Knowledge Score had a mean of 6.60, with a standard deviation of 3.00, indicating that knowledge was low. Half of the men knew that "some treatments for prostate cancer can make it harder for men to control their urine." More than half of the men knew that, "some treatments for prostate cancer can cause problems with a man's ability to have sex." Married men, low-income men, and Caucasian men had significantly lower Total Knowledge Scores than unmarried, higher income, and African American men. Implications for practice and research are discussed.

Adult↗
PubMedDate not supplied

Acquired immune deficiency syndrome. Knowledge, experiences, and attitudes of hospital-based registered nurses.

BACKGROUND AND OBJECTIVES: Because of the rapidly increasing number of people affected by acquired immune deficiency syndrome, an increasing number of health care providers are involved. The knowledge, experiences, and attitudes of hospital-based registered nurses can affect the quality and quantity of care provided people with acquired immune deficiency syndrome. GOALS: To determine the knowledge, experiences, and attitudes about acquired immune deficiency syndrome of registered nurses employed in hospitals in Oklahoma and delineate changes in that knowledge and attitudes over time. This should provide a measure of the preparedness of hospital-based registered nurses in Oklahoma to facilitate initial and continued care of people with acquired immune deficiency syndrome. STUDY DESIGN: This study surveyed hospital-based registered nurses in Oklahoma in 1986 and again in 1994. In 1986, 75 (51%) of the hospitals and 446 (68% response rate) of the registered nurses participated in the study. In 1994, 85 (53%) of the hospitals and 564 (74% response rate) of the registered nurses participated in the study. The study sample demographics closely matched the state and national populations of hospital-based registered nurses. RESULTS: The average scores on general and clinical knowledge tests increased significantly from 1986 to 1994. In general, infection control registered nurses had statistically significantly greater knowledge than did registered nurses assigned to other areas of work. However, deficiencies were evident in specific areas of knowledge. The attitudes of registered nurses toward people with acquired immune deficiency syndrome have become more positive since 1986. Some confusion and unjustifiable fear may exist among some registered nurses regarding certain aspects of acquired immune deficiency syndrome. CONCLUSIONS: The hospital-based registered nurses in Oklahoma have increased their preparedness to facilitate initial and continued care of people with acquired immune deficiency syndrome. Because of the representative sample of this study, that conclusion probably is applicable to the nation.

Acquired Immunodeficiency Syndrome↗
PubMed2002

Knowledge about glaucoma in the unselected population: a German survey.

PURPOSE: To determine the general population's knowledge about glaucoma. MATERIALS AND METHODS: A representative survey of the German population was conducted in which 2,742 men and women were interviewed face to face. The sample was matched with the German population for age, sex, education, income, and other factors. Questions were asked concerning the nature, occurrence, possible risk factors, and course of glaucoma. RESULTS: Fifty-one percent of the population had an active knowledge of the term "glaucoma" and 75% had a passive knowledge of the term. Of those interviewees with a passive knowledge, glaucoma was thought to be associated with raised intraocular pressure (IOP) by 28% and loss of visual field (14%) but also with corneal (14%) or lens disease (10%). Only 8.4% correctly recognized a basic glaucoma definition. Suspected symptoms were blurred vision (39%), pain (28%), or reading difficulties (22%). Twenty-nine percent of respondents believed that one is able to feel increased IOP. Prevention of visual loss was believed to be possible by reading (16%) or smoking less (11%). Therapeutic measures known were surgery (63%), laser treatment (26%), and medical treatment (23%). Information about glaucoma was mainly obtained from friends (44%), and less often from doctors (13%). CONCLUSIONS: In a large representative sample of the population, knowledge about glaucoma, its signs and symptoms, risk factors, treatment, and possible outcome is poor. Lack of knowledge in the general population may be an important cause for failure to detect glaucoma and may result in blindness from the disease.

Adolescent↗
PubMed2005

Knowledge and perception of guidelines and secondary prevention of coronary heart disease among general practitioners and internists. Results from a physician survey in Germany.

AIMS: This study investigated knowledge and perception of guidelines in secondary prevention of coronary heart disease and the impact of guideline knowledge on treatment practices in coronary patients among primary care physicians. DESIGN AND METHODS: A representative questionnaire survey was performed in 2002-2003 among all 1023 general practitioners and office-based internists in the Region of Münster, Germany. The survey instrument contained questions on knowledge and attitudes toward guidelines, risk factors and treatment practices in secondary prevention of coronary heart disease. RESULTS: In total, 681 (66.6%) physicians participated. Seventy percent of physicians reported knowledge of at least one guideline. Participants expressed mainly positive attitudes toward guidelines but also reported important barriers to their implementation such as lack of reimbursement. Only 63 and 32%, respectively, reported to start antihypertensive and lipid-lowering treatment according to guidelines. Physicians reporting guideline knowledge were more likely to initiate lipid-lowering treatment of elevated low-density lipoprotein (LDL)-cholesterol [odds ratio (OR) 2.3; 95% confidence interval (CI) 1.5-3.5], to intensively advise overweight patients (OR 1.5; 95% CI 1.0-2.5), to make use of nicotine replacement therapy or cessation courses in smoking patients (OR 1.7; 95% CI 1.2-2.4), and to comply with an overall measure of guideline adherence (OR 1.8; 95% CI 1.1-2.8). CONCLUSIONS: In this study, guideline knowledge led to improved cardiovascular risk factor treatment among GPs and internists. Many physicians, however, do not treat coronary patients according to evidence-based guidelines. Further dissemination of guidelines and educational efforts are essential to improve secondary prevention of coronary heart disease.

Adult↗
PubMed2006

Improving knowledge and skills for use of medication by patients after stroke: evaluation of a nursing intervention.

OBJECTIVE: The objective of this study was to determine if a tailored nursing intervention, as opposed to usual rehabilitation care, can improve knowledge and behavioral skills for correct use of medication use in aged stroke patients. DESIGN: Stratified random sampling created two homogenous groups: 73 intervention patients, who were provided with the nursing intervention program along with usual rehabilitation care, and 82 controls, who underwent usual rehabilitation care alone. Participants were assessed within the first week of admission to the rehabilitation ward, 3 mos after stroke (at the end of the intervention), and 6 mos after stroke. An assessment instrument measuring correct knowledge and skills concerning medications was used. RESULTS: After 3 and 6 mos, intervention subjects were significantly better than controls in knowledge of shape and dosage of their medications, in knowledge of side effects and correct response to side effects, and in adherence to their dietary regimen. However, for knowledge of color and daily schedule of medications, there were differences at 3 mos, but differences were diminished after 6 mos. CONCLUSIONS: This nursing intervention, tailored to the specific needs of the aged stroke patient, increased the patients' knowledge and skills concerning medication therapy, but to a limited extent and for a limited time.

Aged↗
PubMedDate not supplied

Remembering and understanding: the effects of changes in underlying knowledge on children's recollections.

This study was designed to explore the influence of changes in children's knowledge on earlier constructed memories. Kindergartners' (N = 102) recall of a series of stories was examined as a function of their interpersonal knowledge about the main story character. Children's knowledge about the protagonist was manipulated prior to presentation of the stories, and the effects of their impressions on story recall were examined. A change in some of the children's impressions was then promoted, and the impact of this second knowledge manipulation on recall of previously heard stories was assessed. The results indicated that children's story recall was affected by their prior impressions. Moreover, following the second knowledge manipulation, children revised their story reports in ways that were consistent with their newly acquired impressions, which suggests that they had reconstructed their memories of previously heard stories. These findings provide evidence for both prospective and retrospective effects of knowledge on memory.

Age Factors↗
PubMedDate not supplied

Latino immigrants' knowledge of tuberculosis.

This study examined tuberculosis (TB) knowledge in Latino immigrants receiving latent TB infection (LTBI) therapy. The study design was descriptive correlational. Knowledge was measured using the LTBI Knowledge Instrument. The convenience sample included 82 Latino immigrants primarily from Central America and Bolivia who attended a public health clinic for their LTBI therapy. The mean TB knowledge score was 66%. Knowledge scores were correlated with years of education, but not with age or number of years in the United States. More than 80% of study participants correctly answered questions about the importance of keeping monthly appointments and how Isoniazid works to eradicate TB germs in the human body. Questions that pertained to the contagiousness of active TB and how the disease spreads received the most incorrect responses. Public health nursing interventions should focus on increasing Latino immigrants' knowledge of TB, both in public health clinics and in the community.

Adult↗
PubMedDate not supplied

Nurses' knowledge of chest drain care: an exploratory descriptive survey.

Chest drains are a common feature of patients admitted to acute respiratory or cardio-thoracic surgery care areas. Chest drains are either inserted intraoperatively or as part of the conservative management of a respiratory illness or thoracic injury. Anecdotally, there appears to be a lack of consensus among nurses on the major principles of chest drain management. Many decisions tend to be based on personal factors rather than sound clinical evidence. This inconsistency of treatment regimes, together with the lack of evidence-based nursing care, creates a general uncertainty regarding the care of patients with chest drains. This study aimed to identify the nurses' levels of knowledge with regard to chest drain management. The research objective of this study was to describe the nurses' levels of knowledge regarding the care of the patient with chest drains. The data were collected using survey method. The results of the study revealed deficits in knowledge in a select group of nurses. Several service-led options exist with regard to improving knowledge in this area, such as service study days as well as ward-based tutorials. However, in an era of increasing accountability together with the impetus for each nurse to provide evidence-based care, it is crucial for individual nurse responsibility in the pursuit of knowledge in this area. Nurses must be supported by local practice development and through personal portfolio use to identify gaps in knowledge and seek appropriate training and resources.

Adult↗
PubMed2006

HIV/AIDS knowledge, attitudes and beliefs among Nepalese adolescents.

AIM: This paper reports an exploration of Nepalese adolescents' knowledge, attitudes and beliefs of HIV/AIDS. BACKGROUND: Nepal is confronted with an increasing incidence of HIV/AIDS among adolescents and young adults. A priority of nurses and other health professionals in Nepal is the prevention of the spread of HIV infection. The first step in prevention is assessing the HIV/AIDS knowledge, attitudes and beliefs of adolescents. METHODS: A cross-sectional correlational design was carried out in 2003 in a private school in Kathmandu, Nepal. A total of 150 adolescents participated in the study. Two instruments were used: a demographic questionnaire and the Youth Survey, which included questions on knowledge, attitudes and beliefs. FINDINGS: The majority of the adolescents had a moderate level of overall HIV/AIDS knowledge, but lacked knowledge in the areas of mode of transmission and prevention of HIV/AIDS. Approximately 79% thought that AIDS was a big problem and 67% were afraid of getting AIDS. However, only 16.7% reported that they were likely to get AIDS, and 18.7% did not perceive living in Kathmandu as a risk for HIV/AIDS. CONCLUSION: The findings of this study will help policymakers and healthcare professionals develop a culturally sensitive and needs specific educational programme for urban Nepalese adolescents. The findings may also have lessons for public health and school nurses working in similar contexts. Nurses, and more specifically public health nurses in Nepal, need to play an active role in the development and implementation of educational programs on HIV/AIDS. Research needs to be done in rural as well as urban areas of Nepal on adolescents' HIV/AIDS knowledge, attitudes and beliefs.

Acquired Immunodeficiency Syndrome↗
PubMed1996

Attitudes to and knowledge about elderly people: a comparative analysis of students of medicine, English and Computer Science and their teachers.

Attitudes to and knowledge about elderly people were assessed in 1091 students and lecturers from the London Hospital Medical College (LHMC), London, UK and the English and Computer Science departments of Queen Mary and Westfield College (QMW), London, UK. General knowledge about elderly people was measured by the Palmore 'Facts about Aging Quiz 1'. Attitudes towards elderly people were measured by the Rosencranz and McNevin Semantic Differential scale. A higher level of knowledge about elderly people was found both in medical students and in medical lecturers compared to their counterparts in the English and Computer Science departments (P < 0.001). The cross-sectional data indicated that medical students developed a significantly increasing knowledge about elderly people as they progressed through their training, in contrast to students of English and Computer Science. Scores on the Rosencranz & McNevin scale indicated that attitudes towards elderly people across all three groups of students and lecturers were similar. The scores obtained for all groups indicated that they held approximately neutral attitudes towards elderly people. A significant correlation (P < 0.001) was found between high levels of knowledge about elderly people, and positive attitudes towards them. The necessity of interventions to improve general attitudes towards and knowledge of elderly people among medical students is questioned. It is suggested that future research should look beyond surveys of general attitudes towards elderly people for the causes of the current lack of interest in geriatric medicine.

Aged↗