Using a Modified Theory of Planned Behavior to Examine Adolescents' Workplace Safety and Health Knowledge, Perceptions, and Behavioral Intention: A Structural Equation Modeling Approach.

Rebecca J Guerin, Michael D Toland, Andrea H Okun, Liliana Rojas-Guyler, Amy L Bernard
Author Information
  1. Rebecca J Guerin: National Institute for Occupational Safety and Health (NIOSH)/Centers for Disease Control and Prevention (CDC), 1090 Tusculum Ave. MS C-10, Cincinnati, OH, 45226, USA. rguerin@cdc.gov.
  2. Michael D Toland: Department of Educational, School, and Counseling Psychology, University of Kentucky, 251C Dickey Hall, Lexington, KY, 40506-0017, USA.
  3. Andrea H Okun: National Institute for Occupational Safety and Health (NIOSH)/Centers for Disease Control and Prevention (CDC), 1090 Tusculum Ave. MS C-10, Cincinnati, OH, 45226, USA.
  4. Liliana Rojas-Guyler: Health Promotion and Education Program, Univeristy of Cincinnati, 2610 McMicken Circle, Teachers-Dyer Complex, Cincinnati, OH, 45221-0068, USA.
  5. Amy L Bernard: Health Promotion and Education Program, Univeristy of Cincinnati, 2610 McMicken Circle, Teachers-Dyer Complex, Cincinnati, OH, 45221-0068, USA.

Abstract

Work, a defining feature of adolescence in the United States, has many benefits. Work also has risks, as adolescents experience a higher rate of serious job-related injuries compared to adults. Talking Safety, a free curriculum from the National Institute for Occupational Safety and Health, is one tool educators may adopt to provide teens with essential workplace safety and health education. Adolescents (N = 2503; female, 50.1%; Hispanic, 50.0%) in a large urban school district received Talking Safety from their eighth-grade science teachers. This study used a modified theory of planned behavior (which included a knowledge construct), to examine students' pre- and post-intervention scores on workplace safety and health knowledge, attitude, self-efficacy, and behavioral intention to enact job safety skills. The results from confirmatory factor analyses indicate three unique dimensions reflecting the theory, with a separate knowledge factor. Reliability estimates are ω ≥ .83. The findings from the structural equation models demonstrate that all paths, except pre- to posttest behavioral intention, are statistically significant. Self-efficacy is the largest contributor to the total effect of these associations. As hypothesized, knowledge has indirect effects on behavioral intention. Hispanic students scored lower at posttest on all but the behavioral intention measure, possibly suggesting the need for tailored materials to reach some teens. Overall the findings support the use of a modified theory of planned behavior to evaluate the effectiveness of a foundational workplace safety and health curriculum. This study may inform future efforts to ensure that safe and healthy work becomes integral to the adolescent experience.

Keywords

References

  1. J Appl Psychol. 2003 Oct;88(5):879-903 [PMID: 14516251]
  2. J Safety Res. 2016 Dec;59:43-51 [PMID: 27846998]
  3. Prev Sci. 2007 Sep;8(3):206-13 [PMID: 17549635]
  4. Psychol Rep. 2004 Aug;95(1):345-54 [PMID: 15460391]
  5. Int J Occup Environ Health. 2010 Apr-Jun;16(2):216-22 [PMID: 20465066]
  6. J Res Health Sci. 2012;12(1):54-60 [PMID: 22888715]
  7. Occup Environ Med. 2004 Jun;61(6):518-22 [PMID: 15150391]
  8. J Sch Health. 2011 May;81(5):258-64 [PMID: 21517865]
  9. Am J Public Health. 2008 Sep;98(9):1693-9 [PMID: 18633089]
  10. Psychol Health. 2010 Oct;25(8):925-41 [PMID: 20204952]
  11. Am J Ind Med. 2016 Nov;59(11):969-978 [PMID: 27711978]
  12. J Adolesc Health. 2014 Mar;54(3):269-274.e2 [PMID: 24560034]
  13. J Sch Psychol. 2017 Feb;60:41-63 [PMID: 28164798]
  14. Neuropsychology. 2011 Mar;25(2):176-84 [PMID: 21219074]
  15. J Youth Adolesc. 2016 May;45(5):973-85 [PMID: 27016219]
  16. Public Health Rep. 2012 May-Jun;127(3):246-52 [PMID: 22547854]
  17. J Child Psychol Psychiatry. 2005 Sep;46(9):982-94 [PMID: 16109001]
  18. BMJ Open. 2017 Jul 18;7(7):e015100 [PMID: 28720614]
  19. Psychol Methods. 2015 Jun;20(2):193-203 [PMID: 25664380]
  20. MMWR Morb Mortal Wkly Rep. 2010 Apr 23;59(15):449-55 [PMID: 20414187]
  21. Br J Soc Psychol. 2001 Dec;40(Pt 4):471-99 [PMID: 11795063]
  22. J Safety Res. 2013 Jun;45:133-9 [PMID: 23708485]
  23. Fam Community Health. 2005 Jul-Sep;28(3):225-38 [PMID: 15958881]
  24. Res Soc Stratif Mobil. 2007 Oct 1;25(3):189-203 [PMID: 20011672]
  25. Psychol Addict Behav. 2007 Dec;21(4):498-507 [PMID: 18072832]
  26. Psychol Methods. 2014 Jun;19(2):300-15 [PMID: 24079927]
  27. J Adolesc Health. 2007 Sep;41(3):248-55 [PMID: 17707294]
  28. J Community Health. 2012 Feb;37(1):186-94 [PMID: 21717209]
  29. J Safety Res. 2013 Jun;45:103-10 [PMID: 23708481]
  30. Dev Rev. 2008 Mar;28(1):78-106 [PMID: 18509515]
  31. Prev Res. 2010 Jan 1;17(2):8-11 [PMID: 20835367]
  32. J Adolesc Health. 2010 Oct;47(4):414-7 [PMID: 20864012]
  33. Pediatrics. 2007 Mar;119(3):526-34 [PMID: 17332206]
  34. J Adolesc Health. 2002 Dec;31(6 Suppl):240-50 [PMID: 12470921]
  35. Psychol Bull. 2006 Mar;132(2):249-68 [PMID: 16536643]
  36. Am J Public Health. 2005 Mar;95(3):404-11 [PMID: 15727967]
  37. J Adolesc Health. 2008 Jan;42(1):50-7 [PMID: 18155030]
  38. Int J Sociol Soc Policy. 2009;29(3/4):164-175 [PMID: 19750144]
  39. J Prim Prev. 2009 Nov;30(6):659-76 [PMID: 19949867]
  40. Health Commun. 2000;12(3):219-37 [PMID: 10938914]
  41. J Youth Adolesc. 2016 Aug;45(8):1560-74 [PMID: 26920565]
  42. Health Psychol. 1996 Mar;15(2):114-23 [PMID: 8681919]
  43. J Adolesc Health. 2008 Nov;43(5):466-73 [PMID: 18848675]
  44. J Occup Environ Med. 2003 Mar;45(3):316-23 [PMID: 12661189]
  45. AIDS Behav. 2015 Oct;19(10):1850-9 [PMID: 26267253]
  46. South Med J. 2003 Dec;96(12):1213-20 [PMID: 14696873]
  47. Am J Health Behav. 2006 Sep-Oct;30(5):525-32 [PMID: 16893315]

Grants

  1. CC999999/Intramural CDC HHS

MeSH Term

Adolescent
Adult
Attitude
Female
Health Education
Humans
Intention
Latent Class Analysis
Male
Reproducibility of Results
Safety
Self Efficacy
Students
United States
Workplace

Word Cloud

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