Health education & behavior : the official publication of the Society for Public Health Education最新文献

Staff Burnout Prevention and Mitigation Protocol for Research Studies on Sexual and Intimate Partner Violence. 性暴力和亲密伴侣暴力研究工作人员职业倦怠预防和缓解议定书。

IF 2.1

Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2026-06-01 Epub Date: 2025-10-09 DOI: 10.1177/10901981251377715

Karen Jakubowski, Emily F Dauria, Namita Dwarakanath, Rosemary Iwuanyanwu, Lakshmi Gopalakrishnan, Rachel E Gartner, Lynissa R Stokes, Maya I Ragavan, Elizabeth Miller, Carla Chugani

{"title":"Staff Burnout Prevention and Mitigation Protocol for Research Studies on Sexual and Intimate Partner Violence.","authors":"Karen Jakubowski, Emily F Dauria, Namita Dwarakanath, Rosemary Iwuanyanwu, Lakshmi Gopalakrishnan, Rachel E Gartner, Lynissa R Stokes, Maya I Ragavan, Elizabeth Miller, Carla Chugani","doi":"10.1177/10901981251377715","DOIUrl":"10.1177/10901981251377715","url":null,"abstract":"There is an increasing focus on sexual violence (SV) and intimate partner violence (IPV) in public health research, including epidemiological, prevention, and intervention studies. Although critical institutional structures and policies exist for the protection of research participants, less consideration is given to the well-being of research staff in academic and medical research settings, including risk of burnout and vicarious trauma. No widely accepted procedures or practices exist for the conduct of SV- and IPV-focused research specifically among research staff. In this article, we first describe opportunities and recommendations for identifying, preventing, and addressing burnout among staff working on SV- and IPV-focused research studies. Second, we draw upon an instructive example from one of our research studies that led to the development of a burnout prevention and mitigation protocol for research staff, describe the resulting protocol, and provide guidance for researchers who are interested in developing similar tools or procedures for their own studies. Based on the limited research in this area and our own experiences as SV and IPV researchers, we propose that burnout mitigation protocols will likely be most impactful and effective if they are tailored to the unique needs and data collection methods of the research team, are co-created with research team members, and are adaptive and responsive to research team needs for the duration of the study. A burnout prevention and mitigation protocol should be considered a critical component of conducting research on trauma-relevant topics and has the potential to generalize beyond SV and IPV research.","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"312-322"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impacts of El Camino on Latino Youth's Sexual Health: A Cluster Randomized Controlled Trial. El Camino对拉丁裔青年性健康的影响：一项随机对照试验。

IF 2.1

Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2026-06-01 Epub Date: 2025-11-03 DOI: 10.1177/10901981251375467

Krystle McConnell, Sahra Ibrahimi, Martha Yumiseva, Salwa Shan, Amy Lewin

{"title":"Impacts of El Camino on Latino Youth's Sexual Health: A Cluster Randomized Controlled Trial.","authors":"Krystle McConnell, Sahra Ibrahimi, Martha Yumiseva, Salwa Shan, Amy Lewin","doi":"10.1177/10901981251375467","DOIUrl":"10.1177/10901981251375467","url":null,"abstract":"Rates of unintended teen pregnancy remain high among Latino youth. This cluster randomized controlled trial evaluates the long-term impacts of El Camino, a sexual health education program for Latino youth based on the principles of positive youth development, on students' sexual behavior and related outcomes. Sixty-eight classrooms (n = 746 students, ninth to 12th grade) were randomly assigned to intervention (El Camino; 34 classrooms, n = 398) or control (standard curricula: 34 classrooms, n = 348) conditions across 11 schools in Maryland with large populations of Latino students. Classes were implemented in Spanish (75%) and English (25%). Sexual behavior outcomes and key behavior determinants were assessed using baseline and follow-up surveys administered approximately 10 months after program completion (n = 377). An intent-to-treat analysis was conducted. For the overall sample, there were no significant differences between conditions on rates of penile-vaginal sex (ever or recent), sex without a condom, or sex without any method of contraception. In subgroup analyses of students who reported never having had sex at baseline (n = 248), El Camino showed a statistically significant impact on reducing rates of sexual initiation (p = .007) and sex without a condom (p = .02). El Camino also showed significant favorable impacts on increased contraception and consent knowledge, increased awareness of birth control methods, and greater intention to use condoms if sexually active. Taken together, this randomized controlled trial of El Camino demonstrates favorable impacts on sexual behavioral precursors for all students and long-term sexual behavioral impacts among an important subsample of students.","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"249-259"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145433662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health Belief Model and Social Support in Shaping Intentions for Oral Health Examinations. 健康信念模式与社会支持在口腔健康检查意向塑造中的作用。

IF 2.1

Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2026-06-01 Epub Date: 2025-10-23 DOI: 10.1177/10901981251382136

Shuruo Zhang, Hongyan Shi, Xinrui Shi, Xiaoming Xu, Jiwei Wang

{"title":"Health Belief Model and Social Support in Shaping Intentions for Oral Health Examinations.","authors":"Shuruo Zhang, Hongyan Shi, Xinrui Shi, Xiaoming Xu, Jiwei Wang","doi":"10.1177/10901981251382136","DOIUrl":"10.1177/10901981251382136","url":null,"abstract":"Oral diseases are affecting over 3.5 billion people globally, but they are largely preventable. Regular oral health examinations (OHEs) help detect early signs of dental and systemic diseases, yet many individuals fail to seek OHE due to factors like cost and lack of awareness. This study explores the factors influencing individuals' intention to undergo OHE using the Health Belief Model (HBM) and social support theory. A cross-sectional survey was conducted in January 2024 with 807 participants from Minhang District. Questionnaires assessed sociodemographic characteristics, health beliefs, and perceived social support. Exploratory factor analysis was conducted to evaluate the factor structure of the HBM scale, and hierarchical multiple regression was employed to identify predictors of participants' intention to undergo OHE. Sociodemographic factors such as gender, education, income, and health insurance status significantly influenced OHE intention. Perceived benefits, perceived barriers, cues to action, and family social support were key predictors. The integrated model combining HBM and social support theory effectively explained individuals' intention to undergo OHE. These findings highlight the importance of raising awareness, reducing barriers, and utilizing family support to encourage preventive oral care. In addition, government efforts should focus on incorporating OHEs into routine health examination programs to ensure institutional support for preventive care.","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"269-277"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating Information on Medication Abortion: Do Attitudes and State Policies Matter? 评估药物流产信息：态度和国家政策重要吗？

IF 2.1

Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2026-06-01 Epub Date: 2025-11-03 DOI: 10.1177/10901981251377723

Elizabeth A Mosley, Gianna White, Barry Dewitt, Tamar Krishnamurti

{"title":"Evaluating Information on Medication Abortion: Do Attitudes and State Policies Matter?","authors":"Elizabeth A Mosley, Gianna White, Barry Dewitt, Tamar Krishnamurti","doi":"10.1177/10901981251377723","DOIUrl":"10.1177/10901981251377723","url":null,"abstract":"The Food and Drug Administration proposed \"patient medication information\" inserts for all medications, including the abortion drug Mifepristone. It is unclear how abortion attitudes or state policies affect how people evaluate such communications. Participants (n = 311) were randomized to view variants of the Mifepristone insert. Linear regression was used to assess abortion attitudes' and policies' relationships with comprehension and perceived evidence strength, safety, and effectiveness. Interaction terms were constructed to assess moderation of those relationships. Abortion policies were unrelated to comprehension, perceived evidence strength, or perceived effectiveness, but abortion bans at or before 6 weeks were associated with lower perceived safety. Attitudes were not associated with comprehension, but participants with positive attitudes rated the evidence as stronger and the drug as safer. Abortion attitudes moderated the effect of randomized group on perceived safety. The informational inserts communicate well across abortion policy environments (except perceived safety where abortion is banned at or before 6 weeks), yet negative abortion attitudes affected perceptions of evidence strength and drug safety.","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"334-340"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Swap Up: Four Years of Behavior Change Through Adolescent Nutrition Education in Oklahoma. 交换：俄克拉何马州青少年营养教育的四年行为改变。

IF 2.1

Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2026-06-01 Epub Date: 2025-09-29 DOI: 10.1177/10901981251377064

Dana E Wagner, Taylor Goldman, Julia Geer, Sophia Villarreal, Kelli A Brodersen, Sjonna Whitsitt-Paulson, Dylan M Jasna, Kelsey E Nation

{"title":"Swap Up: Four Years of Behavior Change Through Adolescent Nutrition Education in Oklahoma.","authors":"Dana E Wagner, Taylor Goldman, Julia Geer, Sophia Villarreal, Kelli A Brodersen, Sjonna Whitsitt-Paulson, Dylan M Jasna, Kelsey E Nation","doi":"10.1177/10901981251377064","DOIUrl":"10.1177/10901981251377064","url":null,"abstract":"Oklahoma Tobacco Settlement Endowment Trust's youth nutrition education campaign, Swap Up, is designed to provide Oklahoma adolescents (13-18 years old) with accessible and actionable information to make healthy daily nutrition choices. Four years of online survey data (n = 856) and a subset of longitudinal responses (n = 295) were analyzed to assess the campaign's reach, resonance, and related nutrition-supporting beliefs and behaviors. A majority of participants reported aided campaign awareness (75%) and at least one form of digital engagement with campaign content (70%). A series of linear mixed-effects models with the full sample and longitudinal subsample demonstrated that digital engagement consistently predicted positive receptivity, nutritional beliefs, and nutritional behaviors and intentions. Aided campaign awareness, without digital engagement, was not a consistent predictor of campaign outcomes. A social and digital engagement-focused creative and media strategy was key to the success of Swap Up, highlighting the critical role of digital strategies in promoting nutrition-supporting, healthier beliefs and behaviors among an adolescent audience.","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"237-248"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13125705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145188304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

School Staff Perspectives on Tobacco Prevention: Findings From a Statewide Educator Survey. 学校教职员对预防吸烟的看法：一项全州教育工作者调查的结果。

IF 2.1

Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2026-06-01 Epub Date: 2025-11-15 DOI: 10.1177/10901981251391146

Joanna Sun, Gino Acevedo, Ting Luo, Ding Ding Wang, Christopher M Anderson, Shu-Hong Zhu

{"title":"School Staff Perspectives on Tobacco Prevention: Findings From a Statewide Educator Survey.","authors":"Joanna Sun, Gino Acevedo, Ting Luo, Ding Ding Wang, Christopher M Anderson, Shu-Hong Zhu","doi":"10.1177/10901981251391146","DOIUrl":"10.1177/10901981251391146","url":null,"abstract":"The California Department of Education (CDE) has operated the statewide, school-based, Tobacco-Use Prevention Education (TUPE) Program since 1989. Evaluating the impact of such a program is challenging in a real-world context, where multiple tobacco prevention activities have been ongoing for years and occur simultaneously. This study aimed to determine how TUPE funding was distributed geographically and whether it was associated with increased tobacco training and prevention activity in California public schools. TUPE funding levels were compared by region, and staff of randomly selected middle and high schools (n = 6,115 staff from 1,383 schools) were recruited to participate in the California Educator Tobacco Survey, administered March-June 2022. TUPE-funded and non-TUPE-funded schools were compared on respondent characteristics, health priorities, substance use prevention training, and tobacco prevention activities. Regional distribution of funding followed the same rank order as youth tobacco use rates. TUPE-funded staff were significantly more likely than non-TUPE-funded staff to perceive tobacco as a school health priority (28.0% vs. 22.6%), receive training on tobacco prevention (odds ratio [OR] = 1.4), and report that their school offered >3 tobacco prevention activities (OR = 2.1). The main conclusion was that TUPE funding was associated with increased tobacco training and prevention activity. The study also demonstrated the value of school staff surveys in assessing the implementation of tobacco prevention programming. Encouraging applications from rural, high-prevalence areas may be important in countering geographic disparities. To address the low prioritization of tobacco, future tobacco prevention efforts may aim for closer integration with other student health programs (e.g., mental health, marijuana use prevention).","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"304-311"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13125703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Multilevel Prevention Program for Depressive and Anxious Symptoms: Factors That Influence Decisions to Participate and Efficacy. 抑郁和焦虑症状的多层次预防计划：影响参与决策和疗效的因素。

IF 2.1

Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2026-06-01 Epub Date: 2025-10-27 DOI: 10.1177/10901981251382081

Diane Marcotte, Claire J Starrs

{"title":"A Multilevel Prevention Program for Depressive and Anxious Symptoms: Factors That Influence Decisions to Participate and Efficacy.","authors":"Diane Marcotte, Claire J Starrs","doi":"10.1177/10901981251382081","DOIUrl":"10.1177/10901981251382081","url":null,"abstract":"The rise in depressive and anxious symptoms in postsecondary students has marked a significant increase in demand for mental services. In a context of limited resources, multilevel approaches are recommended. The present study examines the predictive link between demographic factors, depressive and anxious symptoms, and acquired learning, following a universal prevention (UP) intervention, and the choice to actively participate or not in a targeted prevention (TP) intervention. The study utilized binary logistic regression and focused on 967 symptomatic postsecondary students. Results showed that higher weekly work hours diminished the likelihood of participating, whereas higher academic goals increased the likelihood. In addition, we examined whether baseline sociodemographic factors moderated the efficacy of the TP intervention. Mother's education level was a significant moderator but not weekly work hours, study hours, or grades. The current study highlights the varied ways in which sociodemographic characteristics influence participation and efficacy of prevention interventions.","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"260-268"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13125706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145373596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Physical Activity Moderates the Relationship Between Screen Time and Body Dissatisfaction in Early Adulthood. 体育活动调节成年早期屏幕时间与身体不满之间的关系。

IF 2.1

Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2026-06-01 Epub Date: 2025-11-06 DOI: 10.1177/10901981251387139

Rachel Surprenant, David Bezeau, Isabelle Cabot, Jonathan Smith, Hyoun S Kim, Caroline Fitzpatrick

{"title":"Physical Activity Moderates the Relationship Between Screen Time and Body Dissatisfaction in Early Adulthood.","authors":"Rachel Surprenant, David Bezeau, Isabelle Cabot, Jonathan Smith, Hyoun S Kim, Caroline Fitzpatrick","doi":"10.1177/10901981251387139","DOIUrl":"10.1177/10901981251387139","url":null,"abstract":"The transition to adulthood is a vulnerable period for the development of body image issues, which can increase the risk of behavioral disorders such as body dysmorphic and eating disorders. This study explored whether adherence to physical activity guidelines moderates the association between recreational screen time and body dissatisfaction in early adulthood. A sample of 1,475 young adults (mean age 18.81 years, 60.9% female) from 17 French-speaking public colleges in Quebec, Canada, completed self-report questionnaires in Fall 2021 and Winter 2022. Participants reported their daily recreational screen time, engagement in physical activity over the past 3 months, and sociodemographic characteristics. The analysis, based on multivariate linear regression, showed that higher screen time was associated with greater body dissatisfaction, but this relationship was weaker among participants who met the World Health Organization's physical activity guidelines. These findings suggest that adherence to physical activity guidelines may buffer the negative effects of recreational screen time on body dissatisfaction in young adults, highlighting the value of promoting physical activity in interventions aimed at reducing body dissatisfaction.","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"278-285"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13125711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

COVID-19 Prevention Behaviors and Mistrust Among Black and Latino Public Housing Residents in NYC. 纽约市黑人和拉丁裔公共住房居民的COVID-19预防行为和不信任

IF 2.1

Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2026-06-01 Epub Date: 2025-11-28 DOI: 10.1177/10901981251393179

Marina Mautner Wizentier, Desiree Williams, Jasmin Choi, Melody S Goodman, Vincent Guilamo-Ramos, Holly Hagan

{"title":"COVID-19 Prevention Behaviors and Mistrust Among Black and Latino Public Housing Residents in NYC.","authors":"Marina Mautner Wizentier, Desiree Williams, Jasmin Choi, Melody S Goodman, Vincent Guilamo-Ramos, Holly Hagan","doi":"10.1177/10901981251393179","DOIUrl":"10.1177/10901981251393179","url":null,"abstract":"Preventive measures against COVID-19 played a crucial role in mitigating transmission. Social and structural factors influence individuals' trust in health care and engagement in health-promoting behaviors. This study investigates racial-ethnic differences in COVID-19 prevention behaviors and beliefs among public housing residents in the South Bronx, NYC. Data come from the Nurse-Community-Family Partnership study, a randomized controlled trial conducted during the COVID-19 pandemic. The analytic sample (n = 200) was limited to adult participants who identified as non-Hispanic Black, Hispanic Black, Hispanic White, or Hispanic Other. Multilevel logistic regression models estimated odds ratios and 95% confidence intervals, adjusted for sex, age, and education. The odds of receiving a COVID-19 vaccine were 3.8 times greater for Hispanic White participants and 2.5 times greater for Hispanic Other participants than for non-Hispanic Black participants. In addition, the odds of practicing social distancing were 2.2 times greater for Hispanic Other participants than for non-Hispanic Black counterparts. COVID-19-related government mistrust was associated with an 88% decrease in the odds of vaccinating, a 58% decrease in the odds of practicing social distancing, and a 77% decrease in the odds of mask-wearing. COVID-19 vaccine mistrust was associated with a 93% decrease in the odds of vaccination. When adjusted for mistrust, differences in vaccination rates by racial-ethnic groups were no longer significant. Addressing mistrust is pivotal for improving public health outcomes. Interventions that enhance trust in health institutions through cultural competence, community engagement, and greater representation in health care can help bridge the gap in prevention behaviors among racially minoritized groups.","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"323-333"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13044962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145644653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Developing the Type 5 Diabetes Knowledge Scale for Assessing Community Knowledge in Rural Settings. 农村社区5型糖尿病知识评估量表的编制

IF 2.1

Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2026-06-01 Epub Date: 2025-11-10 DOI: 10.1177/10901981251390514

Debby Syahru Romadlon, Diana Barsasella, Rudy Kurniawan, Safiruddin Al Baqi

{"title":"Developing the Type 5 Diabetes Knowledge Scale for Assessing Community Knowledge in Rural Settings.","authors":"Debby Syahru Romadlon, Diana Barsasella, Rudy Kurniawan, Safiruddin Al Baqi","doi":"10.1177/10901981251390514","DOIUrl":"10.1177/10901981251390514","url":null,"abstract":"The International Diabetes Federation's 2025 recognition of type 5 diabetes, a malnutrition-related form of diabetes, highlights the urgent need for validated tools to assess public knowledge in underserved settings. This study aimed to develop and validate the Type 5 Diabetes Knowledge Scale (T5DKS), a contextually appropriate instrument to measure awareness of type 5 diabetes among rural adults. A cross-sectional instrument development design, guided by COSMIN standards, was used. Item generation drew on literature review and expert input, producing a 15-item draft. Content validity was established by four experts and piloted in a separate rural sample. The main validation study involved 312 rural adults across three regions. Items were dichotomously scored (true/false, reverse-coded where appropriate) and summarized as percent correct. Exploratory factor analysis supported a three-factor structure: core clinical understanding, risk factors, and prevention and management. Five items were removed for low loadings or redundancy, yielding a 10-item scale. The final version showed strong internal consistency (Cronbach's α = 0.84) and acceptable item-total correlations (0.45-0.63). Item performance ranged from 59% to 83% correct, suggesting generally adequate knowledge but highlighting misconceptions, particularly regarding differentiation from other diabetes types and epidemiology. The T5DKS was also linguistically validated in English and Bahasa Indonesia. The scale is brief, culturally adapted, and psychometrically sound, with utility for identifying knowledge gaps, guiding education, and supporting community health programs in low-resource settings. Future research should evaluate test-retest reliability, responsiveness, and cross-cultural applicability.","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"296-303"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145484141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0