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Biomedical subjects

S K Telljohann

Publications and source records attributed to S K Telljohann.

At least 19 recordsLinked to original sources

Primary grade teachers' knowledge and perceptions of head lice.

This study examined primary grade teachers' knowledge of head lice, perceived self-efficacy in dealing with head lice, and preferred resources of additional information on head lice. Survey data from a three-wave mailing (M = 292; 60%) found that teachers needed more knowledge regarding head lice and were significantly more knowledgeable as teaching experience increased. A plurality (46%) had high efficacy expectations scores regarding their ability to control the spread of head lice. Most (71%) primary teachers reported they received most of their head lice information from school nurses. Most (63%) said they would like more information on how to prevent head lice infestation, and they wanted the information in the form of videotapes (68%) and brochures (51%). Only 23% provided yearly instruction regarding head lice.

Adult↗

School nurses' perceptions of and experience with school health research.

This survey examined school nurses' perceptions of and experience with school health research. A random sample of school nurses who were either members of the school nurse section of the American School Health Association (ASHA) or members of the National Association of School Nurses (NASN) comprised the sample (n = 590). The response rate was 81%; the nurses were all females. A plurality held masters degrees (40%) and had worked an average of 12.0 years as a school nurse. Most (67%) were employed at the elementary school level. Slightly more than one-third (37%) had ever been involved in a research study as a school nurse. Perceived barriers to engaging in research were lack of time, clerical help, and money. Perceived benefits of school nurses engaging in research were: adds new knowledge on school nursing issues (97%), benefits the health care of children at school (93%), and helps peers do their job better (86%). School nurses also indicated they would become involved in research if someone would assist them (78%).

Attitude of Health Personnel↗

Mothers' perceptions of factors influencing violence in schools.

This study investigated mothers' perceptions of factors contributing to school violence. Of 345 mothers, 225 (65%) from urban public schools and 120 (35%) from suburban public schools, significant differences in perceptions of school violence were found on the enabling factors subscale for school location. Urban school mothers were significantly more likely than suburban mothers to attribute violence problems at their child's school to the lack of dress codes, violent messages in rap music, and poor parent/teacher communication. Significant differences in perceptions of school violence were found on the reinforcing factor subscale for school location, income, family structure, and race. Mothers of low- and middle-income, single parents, and African Americans were much more optimistic about the possibility that violence prevention programs for students, parents, and teachers would work well to stop or reduce school violence than were higher-income, married, and White mothers. These mothers also were more likely to believe it was acceptable for their child to fight at school than were their counterparts.

Adult↗

High school health teachers' perceived self-efficacy in identifying students at risk for suicide.

A national random sample of 228 high school health teachers completed a 45-item survey to examine their perceived self-efficacy regarding adolescent suicide. Most respondents were female, White, and held master's degrees. Most believed it was their role to recognize students at risk for suicide, believed that if they did recognize students at risk it would reduce the chances that the student would commit suicide, and believed that one of the most important things they could do would be to prevent a suicidal student from committing suicide. However, only 9% believed they could recognize a student at risk for suicide. High efficacy expectations scores were associated with working at a school that offered an inservice program on adolescent suicide, included teaching about suicide prevention in the curriculum, and had a crisis intervention team. This study suggests that teacher health education programs should spend more time on developing the skills necessary to identify students at risk. In addition, a comprehensive school suicide prevention program is strongly encouraged for all high schools.

Adolescent↗

Predictors of sixth graders engaging in sexual intercourse.

Researchers explored factors related to sixth graders' sexual behavior. First, level of sexual behavior and sexual behavior intentions were examined. Second, health-related risk behaviors and constructs from Social Support and Social Cognitive theories were analyzed based on race and gender to determine their predictive value for sixth graders engaging in sexual intercourse. Findings indicated that very few sixth graders engaged in sexual intercourse or in high-risk behaviors such as smoking. Of the risk factors examined, smoking was the highest predictor of engaging in sexual intercourse for all categories of race and gender. Of the constructs, Efficacy Expectations consistently predicted engaging in sexual intercourse for all race and gender categories.

Attitude to Health↗

Junior high school students' perceptions regarding nonconsensual sexual behavior.

This study assessed early adolescents' attitudes and perceptions regarding nonconsensual sexual activity. A total of 371 surveys (94% return rate) was completed. More than one-third of respondents (35%) reported they had engaged in sexual intercourse; 17% reported having been sexually coerced by a teen-ager; 19% reported feeling pressure from their friends to have intercourse; 7% reported having been sexually coerced by an adult; and 6% reported having sexually coerced someone else. Students also demonstrated lack of knowledge regarding nonconsensual sexual behaviors. Analysis of variance tests determined if knowledge (KN), attitudes (AT), behavioral intentions (BI), and locus of control (LC) changed across specific background and demographic variables. One background variable (having been sexually coerced by a teen-ager) was associated with high risk orientation (lower scores) on all four subscales. Lower scores also were associated with being male (KN, AT, BI), having sexually coerced someone else (KN, AT, BI), having been sexually coerced by an adult (AT, BI), and having engaged in sexual intercourse (AT, BI).

Adolescent↗

Evaluation of a three-year urban elementary school tobacco prevention program.

The longitudinal study compared effects of varying amounts of tobacco instruction (one, two, and three years) on the knowledge, attitudes, and behavioral intentions of urban elementary students. A three-year, fourth-through-sixth grade tobacco prevention curriculum was developed based on the Centers for Disease Control and Prevention's Guidelines for School Health Programs to Prevent Tobacco Use and Addiction. The curriculum comprised five, 45-minute lessons per year. The same trained instructor taught the curriculum all three years. Six intervention schools were taught the curriculum, and two control schools were not. A 49-item questionnaire was used to assess tobacco knowledge, attitudes, and behavioral intentions. The experimental group's posttest knowledge and attitude scores were significantly higher than the control group's posttest scores. No significant differences occurred in posttest behavioral intention scores between the control and intervention groups.

Adolescent↗

Sun protection counseling by pediatricians.

OBJECTIVE: To establish a national baseline regarding pediatricians' sun protection counseling perceptions and behaviors. INTERVENTIONS: A survey was mailed to a random sample of 600 pediatricians selected from the 1996 American Academy of Pediatrics Directory using a 3-wave mailing technique to maximize the response rate. The 3-wave mailing resulted in 414 returned surveys of 583 surveys (17 surveys were nondeliverable) (a 71% response rate). RESULTS: Most (60%) of the pediatricians lacked formal training on how to counsel parents and children about sun protection. Approximately 3 (78%) of 4 indicated that not enough time was spent in their residency program on how to educate parents and children about sun protection. Greater than half (60%) of the respondents indicated that they usually (47%) or always (13%) counseled about sun protection. Seventy-seven percent of the respondents indicated that pediatricians have a professional responsibility to counsel parents and children about sun protection. CONCLUSIONS: The results of this investigation suggest that most pediatricians surveyed believed that they had a professional responsibility to counsel about sun protection and that such counseling would be effective in decreasing skin cancer and the number of sunburns. Although most had not had training on sun protection counseling in their residency program, 6 of 10 indicated that they usually or always counseled about sun protection. Sun protection counseling training in residency programs can potentially extend pediatricians' knowledge of skin cancer and the importance of a broad spectrum of preventive measures, as well as increase their ability to counsel about such measures.

Adult↗

Family practice physicians' firearm safety counseling beliefs and behaviors.

The purpose of this study was to identify family physicians' firearm safety counseling beliefs and behaviors. A survey was mailed to a random sample of 600 members of the American Academy of Family Physicians. A three wave mailing technique was used to maximize the response rate and yielded 271 usable surveys (55% response rate). Outcome measures included training experience in firearm safety counseling, the prevalence of firearm safety counseling by family physicians, and their perceptions regarding such counseling. The majority (78%) of family physicians lacked formal training on how to counsel patients about firearm safety and 49% believed more time should be spent in residency programs on firearm safety counseling. The majority (84%) of respondents never or rarely counseled patients on firearm safety and 50% believed firearm safety counseling should be a low priority in their delivery of primary care. The majority of respondents did not regularly counsel patients about firearm safety, did not believe firearm safety counseling should be a priority, and did not believe firearm safety counseling would be effective in reducing firearm-related trauma.

Attitude of Health Personnel↗

Evaluation of a third grade sexual abuse curriculum.

This paper presents results from a third grade sexual abuse prevention program. A 24-item questionnaire was administered as a pretest and post-test to an experimental group (n = 236) and a control group (n = 195) of third grade students. Those receiving the sexual abuse prevention program significantly increased their sexual abuse knowledge scores from pretest to post-test. In addition, differences in knowledge were significantly higher in the experimental compared to the control group. Students who received the sexual abuse curriculum significantly improved from pretest to post-test on their behavioral intention scores. Results from this evaluation indicated a modest improvement can be obtained through use of this two-hour sexual abuse prevention curriculum.

Child↗

National assessment of early elementary teachers perceived self-efficacy for teaching tobacco prevention based on the CDC guidelines.

A national random sample of 505 early elementary school teachers completed a 47-item survey to determine their perceived self-efficacy for teaching tobacco prevention education based on the Centers for Disease Control and Prevention guidelines for grades K-3, their training status on tobacco prevention, and their level of teaching about tobacco prevention. Results indicated most of the teachers were female, White, held a bachelor's or master's degree, never smoked, and had not received formal tobacco prevention training. The teachers' scores were high for efficacy expectations, and for outcome expectations. Conversely, for outcome value, teachers ranked tobacco prevention fifth out of six health topics, as the most important health topic to teach elementary students. Also, teachers trained in four tobacco areas or more had statistically significantly higher scores for efficacy expectations than those trained in three or fewer areas. Statistically significant positive associations were also found between years of teaching tobacco prevention and efficacy and outcome expectation scores, and between the amount of time that tobacco prevention was taught during the past school year and outcome value.

Adult↗

The effect of a monetary incentive in increasing the return rate of a survey to family physicians.

The barrage of requests family physicians receive to complete mail surveys often results in physicians who are unwilling, or unable due to time constraints, to complete each survey they receive. Thus, to obtain an acceptable response rate, state-of-the-art mail survey techniques must be used. This article reports the results of the use of a modest ($1) monetary incentive to increase a survey response rate. A random sample of 600 American Academy of Family Physicians members were mailed a survey of firearm safety counseling; half received a $1 incentive whereas the remaining half served as a control group. The response rate in the incentive group was 63% compared to 45% in the control group [chi 2 (1, N = 251) = 16.0, p < .001]. Further, the use of the incentive appears to be more cost-effective than a third follow-up (postcard reminder) mailing.

Chi-Square Distribution↗

An informational versus monetary incentive in increasing physicians' response rates.

This study examined return rates for a cancer prevention survey by pediatricians in relation to an informational booklet versus a monetary incentive in the first of a three-wave mailing. Of the 300 surveys sent which included an informational booklet incentive, 189 (64%) were returned. Of the 300 surveys sent which included a $1.00 incentive 227 (79%) were returned, indicating the $1.00 incentive was more effective than the informational incentive in increasing return rates in this sample of physicians.

Attitude of Health Personnel↗

Perceptions of cervical cancer and Pap smear screening behavior by women's sexual orientation.

This study examined 330 adult females' perceptions and practices regarding cervical cancer by sexual orientation. Ninety-four percent of respondents were unable to correctly identify all 5 risk factors associated with increased risk for cervical cancer (smoking, sexual intercourse with men, multiple male sexual partners, sexual intercourse before age 16, and having genital warts) regardless of sexual orientation. Furthermore, 20% were not able to identify any of the 5 risk factors for cervical cancer. Lesbians perceived themselves to be less susceptible to cervical cancer than heterosexuals or bisexuals even though 79% of lesbians had sexual intercourse with a male. Eight percent of the respondents believed that most women who develop cervical cancer die from the disease. The main barriers identified by non-regular Pap screeners (N = 127) were: no health insurance (33%), forgetting to get a pap test (32%), and not liking to get a Pap test (31%). Three-fourths (75%) have had a Pap test within the last 2 years and planned to continue having them on a regular basis. The results of this survey indicate that there is considerable room for improvement in knowledge, perceptions, and practices of all women, regardless of sexual orientation, regarding cervical cancer.

Adolescent↗

Effects of an inservice workshop on the health teaching self-efficacy of elementary school teachers.

This study examined the effectiveness of a 30-hour health education inservice training for elementary school teachers. Effectiveness was assessed by measuring pretest to post-test (eight months apart) differences in health teaching self-efficacy, amount of time per week teaching health education, and amount of effort on specific health content areas. Workshop participants scored significantly higher than control teachers on efficacy expectations, outcome expectations, and outcome value subscales. Workshop participants also reported spending significantly more hours per week teaching health education and expending significantly more effort on a variety of specific health content areas than controls.

Adult↗

Knowledge, beliefs, and use of prescribed antibiotic medications among low-socioeconomic African Americans.

This study examined knowledge, beliefs, and use of prescribed oral antibiotics of 163 low-socioeconomic African-American adults in a large midwestern city. The effects of age, education, and gender on knowledge and use of antibiotics were examined. Slightly more than 65% of the subjects in this study preferred using brand-name antibiotics. Females were more likely to report using all of their prescribed antibiotics, while males and those in the older age category were more likely to report using antibiotics only until the problem stopped. Twenty-three percent of the males and 18% of the females reported sharing their antibiotics with someone. Less than half of the respondents reported using physicians (and other health professionals) as a major source of information on prescribed antibiotics. Respondents often incorrectly identified painkillers and other medications as antibiotics. Based on these results, it appears that more education is needed to improve patients' understanding of antibiotic regimens.

Adolescent↗

Teaching about sexual orientation by secondary health teachers.

Less than half of a random sample (N = 211) of high school health teachers formally teach about homosexuality. When taught, it most commonly is taught for less than one class period. Only one-in-four teachers perceived themselves as very competent in teaching about homosexuality. This is not surprising given the fact that teachers were most likely to identify the mass media as the most commonly used source of information regarding homosexuality. One-in-five teachers claimed students in their classes often used abusive language when describing homosexuals. One-third of health teachers indicated gay and lesbian rights are a threat to the American family and its values. However, one-third of the health teachers perceived the schools were not doing enough to help homosexual adolescents. Finally, more than half the health teachers indicated gay/lesbian support groups would not be supported by their school administrator. Perceptions and behaviors regarding adolescent homosexuality varied by the teachers' gender, age, educational level, and teaching status regarding homosexuality.

Adolescent↗

High school students' perceptions of nonconsensual sexual activity.

A total of 588 secondary students completed a 25-item survey on perceptions regarding nonconsensual sexual activity. Subjects included an equal percentage of males and females and were predominantely White (61%), freshmen (67%), and of lower academic achievement (< 3.0 GPA = 57%). Females, African Americans, and those with low academic achievement were more likely to perceive that all or most of their same sex peers were having sex. African American students and those with low academic achievement were significantly more likely than White students and students with high academic achievement (> 3.0 GPA) to perceive that all or most of their close friends were having sex. Females were more knowledgeable of nonconsensual sexual activity than were males. Significant differences existed on attitudes and behavioral intentions by gender, race, academic achievement, and perceived sexual activity of close friends.

Adolescent↗