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Development of a questionnaire to assess worker knowledge, attitudes and perceptions underlying dermal exposure.

Authors
Geer-LA; Curbow-BA; Anna-DH; Lees-PSJ; Buckley-TJ
Source
Scand J Work, Environ & Health 2006 Jun; 32(3):209-218
NIOSHTIC No.
20037397
Abstract
OBJECTIVES: Workers' behavior is identified as an important determinant of dermal exposure and is influenced by knowledge, attitudes, and risk perceptions. Because behavior may be a significant predictor of exposure, its assessment provides a means for examining exposure and designing strategies and incentives that encourage worker protective behavior. Currently, there are no psychosocial instruments examining worker knowledge, attitudes, and perceptions with respect to dermal hazards. Accordingly, a questionnaire was developed and tested to provide an instrument for measuring worker knowledge, attitudes, and perceptions. METHODS: The questionnaire was developed on the basis of a literature review and expert consultation. Scales were constructed based on standard methods. Two worker focus groups were used to evaluate worker understanding and content validity of the KAP (knowledge, attitudes, perceptions) questionnaire. The resulting 115-item questionnaire that included scales for knowledge (N=13), attitudes (N=27), perceptions (N=15), behavior (N=8), behavioral intentions (N=15), barriers (N=13), and facilitators (N=5) was tested on 89 workers from 19 facilities. RESULTS: The concepts identified in the focus groups included worker perception of higher risk due to a poor fit and replacement frequency for personal protective equipment and cross-contamination by workers moving into work zones. Field testing of the questionnaire (N=89) yielded Cronbach's alpha reliability scores ranging from 0.87 for the self-efficacy personal protective equipment scale to 0.92 for the overall belief scale, indicating high internal reliability. CONCLUSIONS: Although further testing and refinement is needed, this survey instrument provides an initial and conceptually unique means for evaluating behavioral determinants of worker dermal exposure.
Keywords
Workers; Exposure-assessment; Exposure-levels; Questionnaires; Dermatitis; Risk-analysis; Risk-factors; Behavior; Author Keywords: Assessment; Attitude; Behavior; Occupational dermal exposure; Perception; Questionnaire; Survey development; Worker knowledge
Contact
Dr TJ Buckley, Ohio State University School of Public Health, Division of Environmental Health Sciences, 1214 Kinnear Road, Columbus, OH 43212-1167, USA
CODEN
SWEHDO
Publication Date
20060601
Document Type
Journal Article
Email Address
tbuckley@sph.osu.edu
Funding Type
Grant
Fiscal Year
2006
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-T42-OH-008428
Issue of Publication
3
ISSN
0355-3140
Source Name
Scandinavian Journal of Work, Environment and Health
State
MD; PA
Performing Organization
Johns Hopkins University
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