A worksite nutrition education program increased firefighters' knowledge and resulted in healthier attitudes toward fad diets

The effectiveness of a worksite nutrition education program to improve firefighters' knowledge and weight management strategies was evaluated. One hundred fifty Miami-Dade Fire Rescue workers recruited for the study were randomly assigned to an intervention or a control group. The intervention group attended four 30-minute worksite nutrition education sessions. A nutrition knowledge test completed by both groups before and after the intervention showed no significant differences between groups for pre-intervention nutrition knowledge. The post-intervention increase in nutrition knowledge was significantly greater (p < 0.001) for the intervention group (16.8% ± 8.2) compared to the control group (4% ± 8.9). No significant pre-intervention difference was found between the groups' predilection toward a ketogenic diet. A statistically significant (p < 0.01) reduction was seen in the intervention group's willingness (0.57 ± 1.06) to use this diet compared to the control group (0.02 ± 0.99). Results indicate that worksite nutrition education can improve firefighters' knowledge and weight reduction strategies. ^

Knowledge, attitudes, and practices affecting health behaviors in the U.S. Army Special Operations Command population of Rangers

Malaria is a threat to United States military personnel operating in endemic areas, from which there have been hundreds of cases reported over the past decade. Each of these cases might have been avoided with proper adherence to malaria chemoprophylaxis medications. Military operations may detract from the strict 100% adherence required of these preventive medications. However, the reasons for non-adherence in military populations are not well understood. This behavior was investigated using a cross sectional study design on a convenience sample of U.S. Army Ranger volunteers (n=150) located at three military instillations. Theoretical support was based on components of the Health Belief Model, the Theory of Reasoned Action/Theory of Planned Behavior, and the Social Cognitive Theory. ^ Data on knowledge, attitudes, and practices, as well as multiple environmental domains was collected using an original yet unvalidated questionnaire. The data was analyzed using bivariate Pearson correlations, binary logistic regression, and moderated logistic regressions employing a 0.05 criterion of statistical significance. Power analyses predicted 96-98% power for this analysis. ^ Multiple significant medium strength Pearson correlation coefficients were identified relative to the two dependent variables Take medications as directed and Intend to take the medications as directed the next time. Binary logistic regression analyses identified multiple variables that may predict behavioral intentions to adhere to these preventive medications, as a proxy for behavioral change. Moderated logistic regression analyses identified Command Support for adherence to these medications as a potential significant moderator that interacts with independent variables within three domains of the survey questionnaire. ^ The findings indicate that there may be potential significant beneficial effects, which may improve this behavior in this population of Rangers through 1) promoting affirmative interpersonal communications that emphasize adherence to these medications, 2) including malaria chemoprophylaxis medications in the mission planning process, and 3) military command support, in the form of including the importance of proper adherence to these medications in the unit safety briefings.^

If People Were Kaleidoscopes: Sharpening the Resolution on Patient Engagement in Safety

Healthcare is unacceptably error prone. The question remains why, with 20 years of evidence, is error and harm reduction not being effective? While precise numbers may be debated, all stakeholders recognize the frequency of healthcare errors is unacceptable, and greater efforts to ensure safety must occur. In recent years, one of these strategies has been the inclusion of the patient and their family as partners in safety, and has been a required organizational practice of Accreditation Canada in many of their standard sets. Existing patient advisories created to encourage engagement, have typically not included patient perspectives in their development or been comprehensively evaluated. There are no existing tools to determine if and how a patient wants to be involved in safety engagement. As such, a multi-phased study was undertaken to advance our knowledge about the client’s and family’s role in promoting safety. Phase 1 of the study was a scoping review to methodically review the existing literature about patients’ and families’ attitudes, beliefs and behaviours about their involvement in healthcare safety. Phase 2 was designed to inductively explore how a group of patients in an Ontario, Canada, community hospital, describe healthcare safety and see their role in preventing error. The study findings, which include the narratives of 30 patients and 4 family members, indicate that although there are shared themes that influence a patient’s engagement in patient safety, every individual has unique, changing beliefs, experiences and reasons for involvement. Five conceptual themes emerged from their narratives: Personal Capacity, Experiential Knowledge, Personal Character, Relationships, and Meaning of Safety. These study results will be used to develop and test a pragmatic, accessible tool to enable providers a way to collaborate with patients for determining their personal level and type of safety involvement. The most ethical and responsible approach to healthcare safety is to consider every facet and potential way for improvement. This exploratory study provides fundamental insights into the complexity of patient engagement in safety, and evidence for future steps.

Seat Belt Convictions by County of Occurrence - 2011 to 2014, May 8, 2015

Convictions of seat belt violations by county for the state of Iowa from 2011-2014.

1999 Seat Belt Usage Survey, March 15, 2000

The 78 percent seat belt usage rate in 1999 (up 7 percent since 1992) reflects active enforcement and education efforts that have occurred in Iowa during the last few years. Through continuing education of the public, an active "Life Toll" campaign, seat belt enforcement, and other cooperative efforts between state and local law enforcement, Iowa will strive to increase the use of seat belts and save lives on Iowa roadways.

1998 Seat Belt Usage Survey, February 18, 1999

The 78 percent seat belt usage rate in 1999 (up 7 percent since 1992) reflects active enforcement and education efforts that have occurred in Iowa during the last few years. Through continuing education of the public, an active "Life Toll" campaign, seat belt enforcement, and other cooperative efforts between state and local law enforcement, Iowa will strive to increase the use of seat belts and save lives on Iowa roadways.

2001 Seat Belt Usage Survey, April 23, 2003

The 81 percent seat belt usage rate in 2001 (up 10 percent since 1992) reflects active enforcement and education efforts that have occurred in Iowa during the last few years. Through continuing education of the public, an active "Life Toll" campaign, seat belt enforcement, and other cooperative efforts between state and local law enforcement, Iowa will strive to increase the use of seat belts and save more lives on Iowa roadways.

2002 Seat Belt Usage Survey, February 26, 2003

The 82 percent seat belt usage rate in 2002 (up 11 percent since 1992) reflects active enforcement and education efforts that have occurred in Iowa during the last few years. Through continuing education of the public, an active "Life Toll" campaign, seat belt enforcement, and other cooperative efforts between state and local law enforcement, Iowa will strive to increase the use of seat belts and save more lives on Iowa roadways.

2005 Seat Belt Usage Survey, June 12, 2006

During the spring and summer of 2005, two surveys were taken of motor vehicle drivers’ and passengers’ seat belt usage. These surveys are before and after parts of the “Click it or Ticket” education and enforcement campaign. The whole project starts with a pre-campaign survey followed by the four-week public information, education and enforcement campaign. Finally, the postcampaign survey is taken to test the effectiveness of the education and enforcement campaign. In the pre-campaign survey of seat belt usage, the usage/non-usage of 15,444 front seat occupants of cars, vans, SUVs and pickups were observed at 100 locations. In the post-campaign survey of seat belt usage, 15,731 observations were made of front seat occupants of cars, vans, SUVs and pickups. The day of the week and time of day the observations took place were selected for each site using a random number generation computer program.

2006 Seat Belt Usage Survey, April 28, 2011

Surveys were taken of motor vehicle drivers’ and passengers’ seat belt usage. These surveys are before and after parts of the “Click it or Ticket” education and enforcement campaign. The whole project starts with a pre-campaign survey followed by the four-week public information, education and enforcement campaign. Finally, the postcampaign survey is taken to test the effectiveness of the education and enforcement campaign.

2007 Seat Belt Usage Survey, April 28, 2011

Surveys were taken of motor vehicle drivers’ and passengers’ seat belt usage. These surveys are before and after parts of the “Click it or Ticket” education and enforcement campaign. The whole project starts with a pre-campaign survey followed by the four-week public information, education and enforcement campaign. Finally, the postcampaign survey is taken to test the effectiveness of the education and enforcement campaign.

2008 Seat Belt Usage Survey, April 28, 2011

Surveys were taken of motor vehicle drivers’ and passengers’ seat belt usage. These surveys are before and after parts of the “Click it or Ticket” education and enforcement campaign. The whole project starts with a pre-campaign survey followed by the four-week public information, education and enforcement campaign. Finally, the postcampaign survey is taken to test the effectiveness of the education and enforcement campaign.

2010 Seat Belt Usage Survey, April 28, 2011

Surveys were taken of motor vehicle drivers’ and passengers’ seat belt usage. These surveys are before and after parts of the “Click it or Ticket” education and enforcement campaign. The whole project starts with a pre-campaign survey followed by the four-week public information, education and enforcement campaign. Finally, the postcampaign survey is taken to test the effectiveness of the education and enforcement campaign.

2009 Seat Belt Usage Survey, April 28, 2011

Surveys were taken of motor vehicle drivers’ and passengers’ seat belt usage. These surveys are before and after parts of the “Click it or Ticket” education and enforcement campaign. The whole project starts with a pre-campaign survey followed by the four-week public information, education and enforcement campaign. Finally, the postcampaign survey is taken to test the effectiveness of the education and enforcement campaign.

2011 Seat Belt Usage Survey, July 20, 2011

Surveys were taken of motor vehicle drivers’ and passengers’ seat belt usage. These surveys are before and after parts of the “Click it or Ticket” education and enforcement campaign. The whole project starts with a pre-campaign survey followed by the four-week public information, education and enforcement campaign. Finally, the postcampaign survey is taken to test the effectiveness of the education and enforcement campaign.