Harold Joonkeun Oh, Moira A Law, Isdore Chola Shamputa
{"title":"加拿大大西洋地区卫生保健工作者的结核病相关知识、态度和行为：一项描述性研究","authors":"Harold Joonkeun Oh, Moira A Law, Isdore Chola Shamputa","doi":"10.3390/tropicalmed10080214","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Despite the key role of healthcare workers (HCWs) in tuberculosis (TB) prevention and control, there is a lack of regional data on their knowledge, attitudes, and practices (KAPs) regarding the disease in Atlantic Canada.</p><p><strong>Objectives: </strong>To assess the KAPs of HCWs and identify targets for educational interventions to enhance TB care and control.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among HCWs in Atlantic Canada aged ≥19 years from October 2023 to February 2024. Participants were recruited via multiple channels such as social media, collegiate email lists, and snowball sampling. Survey data were collected using an online platform and analyzed using IBM SPSS Statistics v29. KAPs were assessed using Likert-type scales and internal consistency was evaluated using Cronbach's alpha.</p><p><strong>Results: </strong>A total of 157 HCWs participated in this study (age range: 19 to 69 years); most were women (<i>n</i> = 145, 92%), born in Canada (<i>n</i> = 134, 85.4%), with nearly three-quarters (<i>n</i> = 115, 73.2%) who had never lived outside of Canada. Study participants demonstrated moderately high knowledge <i>(M =</i> 29.32, <i>SD</i> = 3.25) and positive attitudes (<i>M</i> = 3.87, <i>SD</i> = 0.37) towards TB and strong practices (<i>M</i> = 4.24, <i>SD</i> = 0.69) in TB care; however, gaps were identified in HCW abilities to recognize less common TB symptoms (e.g., rash and nausea), as well as inconsistent practices in ventilation and pre-treatment initiation. Internal consistency analysis indicated suboptimal reliability across all three KAP domains, with Cronbach's alpha values falling below 0.7, thwarting further planned analyses.</p><p><strong>Conclusions: </strong>This study found overall moderate-to-strong TB-related KAPs among HCWs in Atlantic Canada; however, critical gaps in knowledge and practice were noted. This new information can now guide future educational initiatives and targeted training to enhance TB preparedness and ensure equitable care for patients in the region.</p>","PeriodicalId":23330,"journal":{"name":"Tropical Medicine and Infectious Disease","volume":"10 8","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12390285/pdf/","citationCount":"0","resultStr":"{\"title\":\"Tuberculosis-Related Knowledge, Attitudes, and Practices Among Healthcare Workers in Atlantic Canada: A Descriptive Study.\",\"authors\":\"Harold Joonkeun Oh, Moira A Law, Isdore Chola Shamputa\",\"doi\":\"10.3390/tropicalmed10080214\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Despite the key role of healthcare workers (HCWs) in tuberculosis (TB) prevention and control, there is a lack of regional data on their knowledge, attitudes, and practices (KAPs) regarding the disease in Atlantic Canada.</p><p><strong>Objectives: </strong>To assess the KAPs of HCWs and identify targets for educational interventions to enhance TB care and control.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among HCWs in Atlantic Canada aged ≥19 years from October 2023 to February 2024. Participants were recruited via multiple channels such as social media, collegiate email lists, and snowball sampling. Survey data were collected using an online platform and analyzed using IBM SPSS Statistics v29. KAPs were assessed using Likert-type scales and internal consistency was evaluated using Cronbach's alpha.</p><p><strong>Results: </strong>A total of 157 HCWs participated in this study (age range: 19 to 69 years); most were women (<i>n</i> = 145, 92%), born in Canada (<i>n</i> = 134, 85.4%), with nearly three-quarters (<i>n</i> = 115, 73.2%) who had never lived outside of Canada. Study participants demonstrated moderately high knowledge <i>(M =</i> 29.32, <i>SD</i> = 3.25) and positive attitudes (<i>M</i> = 3.87, <i>SD</i> = 0.37) towards TB and strong practices (<i>M</i> = 4.24, <i>SD</i> = 0.69) in TB care; however, gaps were identified in HCW abilities to recognize less common TB symptoms (e.g., rash and nausea), as well as inconsistent practices in ventilation and pre-treatment initiation. Internal consistency analysis indicated suboptimal reliability across all three KAP domains, with Cronbach's alpha values falling below 0.7, thwarting further planned analyses.</p><p><strong>Conclusions: </strong>This study found overall moderate-to-strong TB-related KAPs among HCWs in Atlantic Canada; however, critical gaps in knowledge and practice were noted. This new information can now guide future educational initiatives and targeted training to enhance TB preparedness and ensure equitable care for patients in the region.</p>\",\"PeriodicalId\":23330,\"journal\":{\"name\":\"Tropical Medicine and Infectious Disease\",\"volume\":\"10 8\",\"pages\":\"\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-07-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12390285/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Tropical Medicine and Infectious Disease\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3390/tropicalmed10080214\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"INFECTIOUS DISEASES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Tropical Medicine and Infectious Disease","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3390/tropicalmed10080214","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
Tuberculosis-Related Knowledge, Attitudes, and Practices Among Healthcare Workers in Atlantic Canada: A Descriptive Study.
Introduction: Despite the key role of healthcare workers (HCWs) in tuberculosis (TB) prevention and control, there is a lack of regional data on their knowledge, attitudes, and practices (KAPs) regarding the disease in Atlantic Canada.
Objectives: To assess the KAPs of HCWs and identify targets for educational interventions to enhance TB care and control.
Methods: A cross-sectional study was conducted among HCWs in Atlantic Canada aged ≥19 years from October 2023 to February 2024. Participants were recruited via multiple channels such as social media, collegiate email lists, and snowball sampling. Survey data were collected using an online platform and analyzed using IBM SPSS Statistics v29. KAPs were assessed using Likert-type scales and internal consistency was evaluated using Cronbach's alpha.
Results: A total of 157 HCWs participated in this study (age range: 19 to 69 years); most were women (n = 145, 92%), born in Canada (n = 134, 85.4%), with nearly three-quarters (n = 115, 73.2%) who had never lived outside of Canada. Study participants demonstrated moderately high knowledge (M = 29.32, SD = 3.25) and positive attitudes (M = 3.87, SD = 0.37) towards TB and strong practices (M = 4.24, SD = 0.69) in TB care; however, gaps were identified in HCW abilities to recognize less common TB symptoms (e.g., rash and nausea), as well as inconsistent practices in ventilation and pre-treatment initiation. Internal consistency analysis indicated suboptimal reliability across all three KAP domains, with Cronbach's alpha values falling below 0.7, thwarting further planned analyses.
Conclusions: This study found overall moderate-to-strong TB-related KAPs among HCWs in Atlantic Canada; however, critical gaps in knowledge and practice were noted. This new information can now guide future educational initiatives and targeted training to enhance TB preparedness and ensure equitable care for patients in the region.
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