Southeastern Louisiana University, SLU 10835, Hammond, LA 70402, USA.
J Sch Health. 2010 Sep;80(9):453-60. doi: 10.1111/j.1746-1561.2010.00527.x.
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.
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 indicate that the intervention group scored significantly higher on anticipatory action (t = 2.23, p = .03) but not knowledge acquisition (t = 1.37, p = .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.
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.
农业是一项危险的职业，农场主和家庭成员会因农业接触而面临健康风险。《农村医疗急救》（F.A.R.M.E.）的开发是为了支持一项培训师培训（TTT）计划，该计划旨在培养高中生通过同伴互动教授急救技能和降低风险。本研究旨在评估急救技能发展以及对影响农业社区的安全问题和伤害预防的认识的教育效果。
来自一所农村高中的 43 名农业科学学生参与了这项研究。采用准实验设计评估了知识获取和预期行动的分组情况：接受培训的小组和未接受培训的对照组。干预组包括 27 名参与者，他们使用《农村医疗急救》手册、返回演示、案例情景促进培训和教学评估会议接受了急救同伴指导员的培训。使用三角数据评估了该计划的有效性。对后测得分进行独立样本 t 检验分析，以评估两组之间的知识获取和预期行动得分。焦点小组会议评估了在同伴教学干预之后的态度、经验和价值观。
结果表明，干预组在预期行动方面的得分显著更高（t = 2.23，p =.03），但在知识获取方面的得分没有显著差异（t = 1.37，p =.18）。焦点小组数据表明，TTT 模式增强了教授的信心，证实了青少年喜欢向青少年学习，并培养了团队合作的自豪感。
F.A.R.M.E. TTT 产生了一种基于理论和证据的干预措施，可以在学校环境中实施，以促进农村高中生急救知识和技能的获取以及伤害预防。
