Preventing recreational water illnesses in chemically treated swimming water: an intervention measuring knowledge and behavior using the stages of change model. Bush, Gayle en_US
dc.contributor.department HPERS en_US 2014-06-20T16:01:30Z 2014-06-20T16:01:30Z 2002 en_US
dc.description Director: Peggy O'Hara-Murdock. en_US
dc.description.abstract Rationale. This research addresses the public health importance of waterborne disease prevention and the effectiveness of prevention strategies in non-outbreak settings. Because of the popularity of recreational water activities and the concern for the health of swimmers, this research promotes knowledge and skills related to preventing the spread of waterborne disease. en_US
dc.description.abstract Study design. The study design was a behavioral intervention to test the effectiveness of a waterborne disease prevention training session. The primary outcome of this study was to advance aquatic staff in stages of behavior change and knowledge in regard to waterborne disease prevention. Outcome measures were assessed by comparison of pre and posttest survey results. en_US
dc.description.abstract Measures. A training manual, consisting of information about preventing waterborne diseases, was designed for this intervention. Data collection instruments included three questionnaires: a behavior survey to measure stages of change, a waterborne disease knowledge survey and a demographics survey. An evaluation form was administered after the training session. The stages of change behavior survey assessed each participant's stage in regard to behaviors related to waterborne disease prevention. There are five emphasis areas in the behavior survey to assess the implementation or existence of recreational water illnesses (RWI) prevention: (1) facility maintenance, (2) pool chemicals and water quality, (3) pool policies, (4) diaper policies and (5) recreational water illness training. The knowledge survey consisted of ten multiple choice questions about waterborne diseases and how to prevent them in chemically treated swimming water. en_US
dc.description.abstract Results. The participants who received the training advanced to another stage or progressed within a stage in all five behavioral emphasis areas. These participants also gained 35 percent in knowledge from pre to posttest. The control participants did not advance in stages of change or increase in knowledge. The data were analyzed using a general linear model approach. Interactions of group and pretest scores were the strongest predictors of the posttests scores (p less than .05). This intervention has proven to be a useful tool for training aquatic staff in preventing waterborne disease in chemically treated swimming water. en_US D.A. en_US
dc.publisher Middle Tennessee State University en_US
dc.subject.lcsh Swimming pools Health aspects en_US
dc.subject.lcsh Swimming pools Management en_US
dc.subject.lcsh Education, Health en_US
dc.subject.lcsh Health Sciences, Public Health en_US
dc.subject.lcsh Psychology, Behavioral en_US
dc.subject.lcsh Health Sciences, Recreation en_US
dc.thesis.degreegrantor Middle Tennessee State University en_US
dc.thesis.degreelevel Doctoral en_US
dc.title Preventing recreational water illnesses in chemically treated swimming water: an intervention measuring knowledge and behavior using the stages of change model. en_US
dc.type Dissertation en_US
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