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- W4317181651 abstract "Background and aim Environmental health (EH) is a crucial public health aspect, usually overseen by health-care practitioners. Partly, this is due to a lack of awareness and knowledge on this area. The few existing tools available for measuring EH knowledge focus on specific health profiles (nurses) or population groups (children). Currently no tools evaluating the competence of different health specialties on EH issues concerning the general population exist. The objective of this work was to develop such a tool. Methods A group of public health-care professionals and epidemiologists developed an initial pool of 38 EH related items. After a pilot study, a reduced version of this instrument was derived. Items had 3 response options (correct/incorrect/doesn´t know). Rasch analysis was applied with acceptable fit statistics: KR-20>0.80, separation>2, reliability>0.80, infit and outfit<2. Participants were mainly health practitioners of the Basque Public Health System-Osakidetza, or health students studying at the University of the Basque Country. Statistical analyses were performed with the SAS and Winsteps softwares. Results Initially 38 EH questions were established, covering the areas of environmental risk factors for childhood/adolescence, air pollution, urban pests, drinking water problems, among others. The n=151 pilot participants had a mean age of 31.9 (SD: 13.2) years, 87% females. Of those 48% were health-care university students, 31% nurses and 21% medical doctors. At this stage, several too easy and too difficult items were identified, while others evaluated more than one concept. The second 33-item version was tested in n=366 health professionals and students, 85% females, 54% working in primary care. KR-20 was 0.82 and all fit statistics were adequate. Item targeting had improved and unidimensionality of the tool was sustained. Conclusions The developed questionnaire can be used as a means of assessing EH competences and knowledge, detecting areas of improvement. Keywords Environmental health, health-care professionals, Rasch analysis" @default.
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- W4317181651 date "2022-09-18" @default.
- W4317181651 modified "2023-10-18" @default.
- W4317181651 title "Developing an environmental health knowledge questionnaire for health practitioners" @default.
- W4317181651 doi "https://doi.org/10.1289/isee.2022.p-0907" @default.
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