Abstract:
OBJECTIVES:This study evaluated the effects of a major federal immunization continuing education course, delivered in both traditional classroom and satellite broadcast versions, on public health professionals' knowledge, agreement, self-efficacy, and adherence in practice to recommendations. METHODS:The study used a comparative time series design to determine whether the course influenced participants' knowledge, agreement, self-efficacy, and adherence in practice to general and polio-specific recommendations as measured immediately and 3 months after the course. It also compared the effects of the classroom and satellite broadcast versions and used path analysis to show how the outcomes were related to one another. RESULTS:Both versions significantly improved knowledge, agreement, self-efficacy, and adherence. Knowledge and agreement were significant predictors of self-efficacy, which directly predicted adherence. Vaccine availability and supportive clinic policies were also important adherence predictors. CONCLUSIONS:A well-designed training update can change provider knowledge, agreement, self-efficacy, and adherence. Traditional classroom and distance training can have comparable effects. The findings support incorporation of distance learning in national public health training, if the distance learning is used wisely in relation to training needs, goals, and practice contexts.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Umble KE,Cervero RM,Yang B,Atkinson WLdoi
10.2105/ajph.90.8.1218subject
Has Abstractpub_date
2000-08-01 00:00:00pages
1218-24issue
8eissn
0090-0036issn
1541-0048journal_volume
90pub_type
杂志文章abstract::Use of the Freedom of Information Act can be potentially harmful to the security of research in progress. There is no protection from disclosure of information in grant applications; collected research data can be obtained and disclosed prematurely; and data supporting published research may be acquired and re-analyz...
journal_title:American journal of public health
pub_type: 社论
doi:10.2105/ajph.72.4.335
更新日期:1982-04-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to assess the relationship between syphilis and human immunodeficiency virus (HIV) infection in injection drug users. METHODS:A 6-year prospective study of 790 injection drug users receiving methadone maintenance treatment in the Bronx, NY, was conducted. RESULTS:Sixteen perce...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.8_pt_1.1112
更新日期:1996-08-01 00:00:00
abstract:OBJECTIVES:We developed a process through which community outreach workers, whose role is not typically that of a trained researcher, could actively participate in collection of qualitative evaluation data. METHODS:Outreach workers for a community-based intervention project received training in qualitative research me...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300263
更新日期:2011-12-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to elucidate changes in attitudes, experiences, readiness, and confidence levels of medical residents to perform screening, brief intervention, and referral to treatment (SBIRT) and factors that moderate these changes. METHODS:A cohort of 121 medical residents received an educa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300802
更新日期:2012-08-01 00:00:00
abstract:OBJECTIVES:We sought to evaluate outcomes of the Veterans Administration (VA) Afghan and Iraq Post-Deployment Screen for mental health symptoms. METHODS:Veterans Administration clinicians were encouraged to refer Iraq or Afghanistan veterans who screened positive for posttraumatic stress disorder, depression, or high-...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.115519
更新日期:2008-04-01 00:00:00
abstract::We reviewed Florida pediatric gonococcal (GC) infection surveillance data collected between 1984 and 1988. The incidence rate was 11 per 100,000 per year for the age group 1 month through 9 years. Incidence rates were higher for females, other-than-Whites, and residents of rural counties than for males, Whites, and re...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.3.426
更新日期:1992-03-01 00:00:00
abstract::Municipal swimming pools and wading pools were examined for the presence of human enteric viruses using a portable virus concentrator at the site to concentrate viruses from 100-gallon to 500-gallon samples. Ten of 14 samples contained viruses; three of these were positive for virus in the presence of residual free ch...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.9.1026
更新日期:1981-09-01 00:00:00
abstract::Iodine-131 was found to dominate the gamma spectra of dried sludge and concentration liquid effluent samples from a sewage treatment plant serving the area containing the Texas Medical Center in 1975. The concentration of Iodine-131 varied considerably on a time scale of weeks but was fairly stable in the course of a ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.1.47
更新日期:1981-01-01 00:00:00
abstract::The Centers for Disease Control (CDC) has proposed revising the AIDS surveillance definition to include any HIV-seropositive person with a CD4 cell count of less than 200 cells per microliter. Based on a study of persons receiving treatment for HIV infection, this new definition would lead to an estimated 50% increase...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.11.1531
更新日期:1992-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.116103
更新日期:2009-12-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302849
更新日期:2016-01-01 00:00:00
abstract::Objectives. To compare the flood impacts experienced by Harris County, Texas, hospitals with Federal Emergency Management Agency (FEMA) flood hazard areas and Hurricane Harvey's inundation boundary.Methods. One year following Hurricane Harvey, we created a novel data set of Hurricane Harvey's flood impacts in Harris C...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305520
更新日期:2020-04-01 00:00:00
abstract::Several epidemiologists have published papers in major medical journals in which they compare incidence rates and prevalence and use these comparisons to support conclusions regarding questions of major public health importance. Although these papers have been criticized in published correspondence, we believe that co...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.79.9.1301
更新日期:1989-09-01 00:00:00
abstract::A sample of 149 (70 White, 79 Black) male intravenous drug users with steady female sexual partners was interviewed in 1987, in treatment and street settings, about sexual practices during the previous five years. Eighty-three percent had multiple partners, 15 percent reported male sexual contact, 38 percent reported ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.4.465
更新日期:1990-04-01 00:00:00
abstract::We evaluated a community-based 12-week healthy lifestyle program in Moloka'i, HI, called Ke 'Ano Ola, which was developed to decrease chronic disease risk through health education emphasizing weight loss, exercise, and risk factor reduction. Program leaders' strong commitment and positive role modeling, along with soc...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.176222
更新日期:2010-05-01 00:00:00
abstract:OBJECTIVES:The relationships between television beer advertising and drinking knowledge, beliefs, and intentions were investigated in a survey of schoolchildren. The research was guided by a theoretical model specifying that awareness of advertising, and not mere exposure, is necessary for it to have an effect on belie...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.2.254
更新日期:1994-02-01 00:00:00
abstract::This paper examines artificial reproduction (AR) within a broad comparative perspective and with specific reference to Czechoslovak law, medicine, and demography. It proceeds form an analysis of the social context that gives rise to technologies of AR to a review of the two principal technologies, artificial inseminat...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.79.1.57
更新日期:1989-01-01 00:00:00
abstract::The Center for Disease Control (CDC), Atlanta, Georgia implemented an eight-month prospective surveillance system in 24 hospitals distributed among states with and without public funding for abortion. Out of 3,157 visits for abortion-related complications, only 10 women gave a history of non-physician or self-induced ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.9.945
更新日期:1979-09-01 00:00:00
abstract::Cancer registries are a valuable resource for recruiting participants for public health-oriented research, although such recruitment raises potentially competing concerns about patient privacy and participant accrual. We surveyed US central cancer registries about their policies for research contact with patients, and...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.061556
更新日期:2006-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.122077
更新日期:2009-02-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.8.1147
更新日期:1992-08-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.152900
更新日期:2009-10-01 00:00:00
abstract::To ascertain HCV testing practices among US prisons and jails, we conducted a survey study in 2012, consisting of medical directors of all US state prisons and 40 of the largest US jails, that demonstrated a minority of US prisons and jails conduct routine HCV testing. Routine voluntary HCV testing in correctional fac...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302071
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:We compared pneumonia and influenza death rates among American Indian/Alaska Native (AI/AN) people with rates among Whites and examined geographic differences in pneumonia and influenza death rates for AI/AN persons. METHODS:We adjusted National Vital Statistics Surveillance mortality data for racial miscla...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301740
更新日期:2014-06-01 00:00:00
abstract::Family physicians in the State of Washington were surveyed about their knowledge and views about chiropractors; 79 per cent (476) responded. Sixty-six per cent indicated discomfort with what they believed chiropractors do while acknowledging their effectiveness for some patients; 25 per cent viewed chiropractors as an...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.5.636
更新日期:1989-05-01 00:00:00
abstract::The Gay, Lesbian, Bisexual, and Transgender (GLBT) Health Access Project is a unique public-private collaboration working to eliminate barriers to health care for the GLBT community, foster development of comprehensive, culturally appropriate health promotion policies and health care services for GLBT people and their...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.6.895
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVES:We examined the longitudinal effects of a Housing First program for homeless, mentally ill individuals' on those individuals' consumer choice, housing stability, substance use, treatment utilization, and psychiatric symptoms. METHODS:Two hundred twenty-five participants were randomly assigned to receive hou...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/ajph.94.4.651
更新日期:2004-04-01 00:00:00
abstract:OBJECTIVES:Follow-up of California blood lead registry reports, 95% of which are of occupationally exposed adults, can guide interventions at specific high-risk work sites and measure the impact of targeted, industry-specific interventions. METHODS:A protocol was implemented to follow up the most severe case reports (...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.3.402
更新日期:1993-03-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.6.837
更新日期:1995-06-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302727
更新日期:2015-10-01 00:00:00