通过知识、态度和实践(KAP)调查评估知识差距,并为伊利诺伊州的推广工作人员提供有关蜱虫和蜱传疾病的信息。
Assessing knowledge gaps and empowering Extension workers in Illinois with information on ticks and tickborne diseases through KAP surveys.
作者信息
Chakraborty S, Kopsco H, Evans C, Mateus-Pinilla N, Smith R L
机构信息
Program in Ecology, Evolution & Conservation Biology, University of Illinois, Urbana Champaign, 505 S Goodwin Avenue, Urbana, IL, 61801, USA.
Department of Ecology, Evolution and Environmental Biology, Columbia University, 10th floor Schermerhorn Ext., 1200 Amsterdam Ave, New York, NY, 10027, USA.
出版信息
Heliyon. 2024 Feb 3;10(3):e25789. doi: 10.1016/j.heliyon.2024.e25789. eCollection 2024 Feb 15.
Tickborne diseases (TBDs) are increasingly prevalent in Illinois and the Upper Midwest region. People who work in occupations that require time outdoors in agricultural or natural settings, such as some Extension workers, are at risk of tick bites and TBDs. Additionally, Extension workers are often a primary source of information about ticks and TBDs in rural communities. However, there is limited information on the level of awareness about ticks and TBDs in the Extension community. The goals of this study were to sequentially i) determine the baseline awareness of Extension workers in Illinois about ticks and TBDs using a knowledge, attitudes, and practices (KAP) survey tool, ii) provide comprehensive training on ticks and TBDs to this demographic, and iii) measure the uptake of knowledge after the training intervention through a post-training survey. The study period was from June 2022 until May 2023. We received 233 pre-training and 93 paired post-training survey responses. Most survey respondents were Extension volunteers, identified as women, and were over 50 years old. Knowledge about ticks and TBDs varied. We identified several gaps in their current tick awareness, most importantly, in tick prevention measures, tick identification, and TBDs in general. TBD knowledge, attitude, and practice scores all significantly improved after training (p < 0.001), with a mean difference of 10.47, 1.49, and 2.64 points, respectively. Additionally, both Extension professionals (79.2 %) and Extension volunteers (66.7 %) were more likely to feel confident in engaging with their stakeholders on ticks and TBDs after participating in training. Poisson models revealed that higher attitude and practice scores and greater self-reported knowledge were the factors most significantly associated with higher TBD knowledge. We found that greater concern for ticks and TBD (attitudes) and adherence to science-based prevention and management methods (practices) were also associated with higher knowledge scores. To our knowledge, this is the first study in Illinois to capture Extension workers' awareness of ticks and TBDs. The results highlight Extension workers' interest in filling knowledge gaps through learning, and the importance of training Extension workers to disseminate reliable and updated information on ticks and TBDs to their constituents, a critical step in preventing TBDs.
蜱传疾病(TBDs)在伊利诺伊州和中西部上游地区日益普遍。从事需要在农业或自然环境中长时间户外活动的职业的人,如一些推广人员,有被蜱虫叮咬和感染蜱传疾病的风险。此外,推广人员往往是农村社区蜱虫和蜱传疾病信息的主要来源。然而,关于推广社区对蜱虫和蜱传疾病的认知水平的信息有限。本研究的目标依次为:i)使用知识、态度和行为(KAP)调查工具确定伊利诺伊州推广人员对蜱虫和蜱传疾病的基线认知;ii)为这一人群提供关于蜱虫和蜱传疾病的全面培训;iii)通过培训后调查衡量培训干预后知识的吸收情况。研究期为2022年6月至2023年5月。我们收到了233份培训前和93份配对的培训后调查问卷回复。大多数调查受访者是推广志愿者,为女性,年龄超过50岁。关于蜱虫和蜱传疾病的知识各不相同。我们发现他们目前对蜱虫的认知存在几个差距,最重要的是在蜱虫预防措施、蜱虫识别以及一般的蜱传疾病方面。培训后,蜱传疾病知识、态度和行为得分均显著提高(p < 0.001),平均差异分别为10.47、1.49和2.64分。此外,推广专业人员(79.2%)和推广志愿者(66.7%)在参加培训后更有可能对与利益相关者就蜱虫和蜱传疾病进行交流感到自信。泊松模型显示,更高的态度和行为得分以及更多的自我报告知识是与更高的蜱传疾病知识最显著相关的因素。我们发现,对蜱虫和蜱传疾病的更大关注(态度)以及坚持基于科学的预防和管理方法(行为)也与更高的知识得分相关。据我们所知,这是伊利诺伊州第一项了解推广人员对蜱虫和蜱传疾病认知的研究。结果突出了推广人员通过学习填补知识空白的兴趣,以及培训推广人员向其选民传播关于蜱虫和蜱传疾病的可靠和最新信息的重要性,这是预防蜱传疾病的关键一步。
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