一项应用PRECEDE模型的横断面研究，以探索影响学前教育工作者防疫行为的因素。

A cross-sectional study applying the PRECEDE model to explore factors influencing epidemic prevention behaviors among preschool educators.

作者信息

He Yi-Ying, Huang Wei-Hsiang, Tung Chen-Yin

机构信息

Department of Health Promotion and Health Education, College of Education, National Taiwan Normal University, Taipei, Taiwan.

Department of Early Childhood Care and Education, University of Kang-Ning, Taipei, Taiwan.

出版信息

BMC Public Health. 2024 Dec 18;24(1):3486. doi: 10.1186/s12889-024-20865-3.

DOI:10.1186/s12889-024-20865-3

PMID:39696044

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11657516/

Abstract

BACKGROUND

This study investigates the epidemic prevention behaviors of preschool educators and the factors influencing these behaviors, applying the PRECEDE model as a framework for analysis.

METHODS

A cross-sectional survey was conducted among 190 preschool educators from public and private institutions in Taipei City and New Taipei City. A 64-item self-developed questionnaire was used to assess epidemic prevention behaviors and their determinants. The instrument's reliability was supported by internal consistency (Cronbach's α ranging from 0.85 to 0.92), while its validity was confirmed through expert review, item analysis, and confirmatory factor analysis (CFA). Statistical analyses included hierarchical regression to examine the influence of predisposing, reinforcing, and enabling factors on behavior.

RESULTS

The model explained 54% of the variance in epidemic prevention behaviors. Enabling factors had the strongest influence (β = 0.46, p < 0.001), followed by reinforcing factors (β = 0.15, p < 0.05) and predisposing attitudes (β = 0.14, p < 0.05). Background variables, such as age (β = 0.23, p < 0.001) and years of service, collectively explained 14% of the variance.

CONCLUSION

The findings underscore the critical role of institutional support and professional training in enhancing epidemic prevention practices among preschool educators. Recommendations include integrating disease prevention training into professional development initiatives.

摘要

背景

本研究以PRECEDE模型为分析框架，调查学前教育工作者的防疫行为及其影响因素。

方法

对台北市和新北市公立及私立机构的190名学前教育工作者进行了横断面调查。使用一份自行编制的包含64个条目的问卷来评估防疫行为及其决定因素。该工具的信度通过内部一致性得到支持（克朗巴哈α系数在0.85至0.92之间），效度则通过专家评审、项目分析和验证性因素分析（CFA）得以确认。统计分析包括层次回归，以检验 predisposing、强化和促成因素对行为的影响。

结果

该模型解释了防疫行为中54%的变异。促成因素的影响最强（β = 0.46，p < 0.001），其次是强化因素（β = 0.15，p < 0.05）和 predisposing 态度（β = 0.14，p < 0.05）。年龄（β = 0.23，p < 0.001）和服务年限等背景变量共同解释了14%的变异。