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Preprint . 2017
License: CC BY
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International Archives of Occupational and Environmental Health
Article . 2019 . Peer-reviewed
License: Springer TDM
Data sources: Crossref
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An educational intervention to improve knowledge about prevention against occupational asthma and allergies using targeted maximum likelihood estimation

Authors: Daloha Rodríguez-Molina; Swaantje Barth; Ronald Herrera; Constanze Rossmann; Katja Radon; Veronika Karnowski;

An educational intervention to improve knowledge about prevention against occupational asthma and allergies using targeted maximum likelihood estimation

Abstract

Background. Occupational asthma and allergies are potentially preventable diseases affecting 5-15% of the working population. However, the use of preventive measures is often low. The aim of this study was to estimate the average treatment effect of an educational intervention designed to improve the knowledge of preventive measures against asthma and allergies in farm apprentices from Bavaria (Southern Germany). Methods. Farm apprentices at Bavarian farm schools were asked to complete a questionnaire evaluating their knowledge about preventive measures against occupational asthma and allergies (use of personal protective equipment, personal and workplace hygiene measures). Eligible apprentices were randomized by school site to either a control or an intervention group. The intervention consisted of a short educational video about use of preventive measures. Six months after the intervention, subjects were asked to complete a post-intervention questionnaire. Of the 116 apprentices (70 intervention group, 46 control group) who answered the baseline questionnaire only 47 subjects (41%; 17 intervention group, 30 control group) also completed the follow-up questionnaire. We therefore estimated the causal effect of the intervention using targeted maximum likelihood estimation. Models were controlled for potential confounders. Results. Based on the targeted maximum likelihood estimation, the intervention would have increased the proportion of correct answers on all six preventive measures by 18.4% (95% confidence interval: 7.3% - 29.6%) had all participants received the intervention versus had they all been in the control group. Conclusions. These findings indicate the improvement of knowledge by the educational intervention.

Keywords

Adult, Male, Likelihood Functions, Farmers, Adolescent, occupational asthma and allergies, Occupational Diseases, Germany, Surveys and Questionnaires, educational intervention, Hypersensitivity, Humans, preventive measures, Female, causal effect, Asthma, Occupational, targeted maximum likelihood estimation, Occupational Health

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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