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The knowledge, attitudes, & behaviors approach how to evaluate performance and learning in complex environments



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In the fields of education and performance improvement, we find ourselves in the
business of facilitating development and change. The methods practitioners select
are often simplistic: Engage students with an instructional intervention and then
assess the change that results. To do this, we typically employ self-constructed
knowledge tests or essays but may also use other forms of assessment, such as rubrics
or performance-based measures. Educational researchers often adopt slightly more com-
plex methods, such as quasi-experimental or randomized trials. They also use different
measures like IQ, self-efficacy, or other psychometrically sound instruments and then
apply the same basic principle of measuring change. Unfortunately, these visions of
change are often too narrow, focusing only on academic or knowledge-based develop-
ment. While our understanding of knowledge and our ability to assess it has improved
over time, there are many instructional contexts in which knowledge is only a portion
of the specified learning objectives.
The notion that the complex aspects of learning correspond with more than one out-
come measure is not a new idea. Bloom began developing a taxonomy of instructional
objectives in three domains—the cognitive, affective, and psychomotor—as early as
1956 (Bloom, 1976; Bloom, Englehart, Frost, Hill, & Krathwol, 1956; Bloom, Hastings, &
Madaus, 1971). Research has not only confirmed the importance of these constructs as
outcomes of learning but describes a relationship among the cognitive, affective, and
behavioral dimensions as well (Woolfolk, 1998). Further, Alexander (2003) has found
strong ties between the cognitive and affective attributes of the learner and their impact
on the acquisition and comprehension of information. Ajzen and Fishbein (1977) report
that while it is not the sole indicator, attitude is a factor in determining behavior, and
Kim and Hunter (1993) add that the higher the attitudinal relevance, the stronger the
relation between attitude and behavior.
With these arguments in mind, a growing body of researchers from different areas have
ventured to adapt Bloom’s taxonomy of instructional objectives into a multi-construct
approach to assessment that evaluates not only knowledge, but attitude and behavioral
change as well (Bruvold, 1990; Byrd-Bredbenner, O’Connell, & Shannon, 1982; Coyle,
Basen-Engquist, Kirby, Parcel, Banspach, & Harrist, 1999; Donovan, & Singh, 1999;
by P.G. Schrader, PhD, and Kimberly A. Lawless, PhD
The Knowledge, Attitudes,
&Behaviors Approach
How to Evaluate Performance and
Learning in Complex Environments
Heppner, Humphrey, Hillenbrand-Gunn, & DeBord, 1995;
Kapoor, 1989; Kirby, 1985; Lawless, Brown, & Cartter, 1997;
Looker, & Shannon, 1984; Miller, Booraem, Flowers, &
Iversen, 1990). The most common examples of the knowl-
edge, attitude, and behavior (KAB) approach arise from the
medical literature examining a range of areas from primary
care to AIDS prevention (e.g., Miller et al., 1990).
In general, these re s e a rch ers have all espoused an assessment
a p p roa ch that seeks to measure not only knowledge gains,
but the heightening of learner attitudes and the impact of
knowledge and attitude on behavioral change. As re s e a rc h e r s
have discovered, however, the assessment of each of these
c o n s t ruc ts is not without challenge. Issues as simple as defin-
ing each construct constitutively and as complex as re l i a b l y
capturing quantitative data as indicators of the constru c t s
have confounded much of what we know about these con-
s t ruc ts. In the following sections of this paper, we delineate
many of these issues, provide some consistency in terms of
how we communicate about these constructs, and pro v i d e
guidance from the literature re g a rding methods of best prac-
tice when using these constructs to portray a model of out-
come-based change from instructional interv e n t i o n s .
With respect to Bloom’s taxonomy, the cognitive domain of
l e a rning is concerned with knowledge and understanding.
Within a domain, knowledge embodies all information that a
person possesses or accrues related to a particular field of
study (Alexander & Jetton, 2000; Alexander, Jetton, &
Kulikowich, 1995). Knowledge is generally defined as com-
prising three forms: (1) declarative, or knowing w h a t , (2) pro-
cedural, or knowing h o w, and (3) conditional, or knowing
when a n d w h y. For example, in biology, knowing how to
define the word m i t o s i s is an example of demonstrating one’s
declarative knowledge. Comparatively, knowing how to use a
m i c roscope to identify slides that depict various phases of
mitosis would exemplify procedural knowledge. Final
a rrangement of the slides in terms of order for cell division is
an example that demonstrates conditional knowledge, that is,
knowing when one phase ends and another begins.
The influence of domain knowledge on learning has been
illustrated in a number of fields, including biology, history,
psychology, and kinesiology (Alexander, 2003). It has been
found a strong predictor of new information acquisition
from a variety of instructional contexts, such as textbooks,
the Internet, and problem-solving environments (Alexander
2003; Chen, Shen, Scrabis, & Tolley, 2002; Lawless, Brown,
Mills, & Mayall, 2003) and has been consistently related to
competence when processing new information from a
related domain in a strategic and efficient manner
(Alexander, 1992; Alexander & Judy, 1988).
There is also a substantial body of research indicating that
knowledge provides more than just a simple foundation for
the acquisition of new knowledge (e.g., Halford, 1993).
Knowledge directs an individual’s attention to either dis-
count or to focus on particular environmental elements
(e.g., Ericsson, Patel, & Kintsch, 2000; Marshall, 1995). It
also allows people to make inferences and therefore colors
the perceived meaningfulness of new information (Gagne,
Yekovich, & Yekovich, 1993; Marshall, 1995).
In general, knowledge has been a pesky construct for
researchers to capture reliably and validly. Perhaps this is
why we find such a varied set of approaches for its mea-
surement. Some researchers have taken the approach of
simply asking a learner to self-report how much knowledge
he or she has on a given topic or within a given domain (e.g.,
Mautone & Mayer, 2001). While this is an easy and often
cost-effective way to measure knowledge, research has indi-
cated that self-report data of any kind are problematic in
two main areas: the ability for participants to respond with
accurate information and the potential for students to pro-
vide intentionally false or non-representative information
(Kuh, 2002). What is actually being measured is not knowl-
edge but instead a person’s confidence within a particular
topic area or domain (Lawless, Kilikowich, & Smith, 2002).
In particular, these data reflect one’s perceptions of truth
without any actual index such as measured knowledge,
observed action, or other indicator.
However, under certain conditions, self-report data have
been shown to be both reliable and valid (Baird, 1976; Pace,
1984; Pohlmann, 1974). Kuh, Carini, and Klein (2004) sug-
gest that survey question items should target information
that is known to the respondents. The items should also be
clearly written and free of any ambiguity. In all cases, the
items should merit serious and thoughtful re s p o n s e s .
Generally, responses should not threaten, embarrass, or vio-
late the privacy of the respondent or encourage participants
to respond in socially desirable ways. In the case of behav-
ioral self-reports, items should pertain to events that have
taken place during a fixed time frame or with a specific
frame of reference. Researchers using self-report scales are
encouraged to review Brandt (1958), DeNisi and Shaw
(1977), and Kuh (2002) for a more detailed review.
Given the issues with self-report data, many researchers
have attempted to develop more objective tests for knowl-
edge that include multiple choice or other similar forced
choice item formats. By and large, these tests are at best dif-
ficult to construct appropriately. Common psychometric
issues with these measures include insufficient item sam-
pling from the domain, poor item or distractor construction,
and lack of linkages between the items and the instructional
content (Tobias, 1994; Alexander et al., 1995).
More recently, researchers have begun to explore alternative
assessment formats for knowledge, including concept map-
ping, portfolio development, and performance-based mea-
sures. For example, Schrader, Leu, Kinzer, Ataya, Teale, and
Labbo (2003) used a concept-mapping strategy to assess
Performance Improvement Volume 43 Number 9 9
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domain knowledge relative to early literacy instruction.
Participants were asked to complete a conceptual map asso-
ciated with a particular domain, and those concept maps
were evaluated. In another example, Baume and Yorke
(2002) used portfolios to assess teachers’ development in
higher education. Baume and Yorke emphasize the impor-
tance of attaining reliable assessment. Although these
assessment tools are becoming more widely accepted, they
are relatively new. As such, the methodological issues asso-
ciated with assessing knowledge in this way are still becom-
ing clear. Figure 1 lists several KAB studies and the manner
in which they assessed knowledge, attitudes, and behaviors.
Even though knowledge has proven to be such an elusive
construct to measure well, we arein the business of educa-
tion. This means knowledge increases will always be a prin-
cipal outcome variable for us. Thus, the selection of a scale
format and the construction of its contents should be a rig-
orous endeavor, involving multiple iterations and pilot
tests. If we cannot be assured that we are measuring what
we purport to measure and do so consistently across and
within subjects, then we can make no claims about the
effectiveness of our interventions. For individuals inter-
ested in learning more in-depth approaches to creating
sound knowledge measures, see Cangelosi (1990), Ebel
(1965), and Payne (1992).
Similar to knowledge, the concept of attitude has multiple
meanings to researchers. Historically, the literature reveals
two separate frameworks in which attitude is defined:
behavioral and cognitive (see Ajzen & Fishbein, 1977, for a
review). Allport (1967) and LaPiere (1967) define attitude in
a behavioral sense, as a mental and neural state of readiness
conditioned by stimuli directing an individual’s response to
all objects with which it is related. In contrast, Thurstone
takes the position that an “attitude is the affect for or against
a psychological object” (1931, p. 261) rather than a behav-
ioral object as others suggested. Thurstone (1967) adds that
attitudes are also subjective because they are viewed as the
sum or aggregate of all feelings and dispositions toward a
particular concept, idea, or action.
M o re contemporary psychologists have further expanded the
understanding and definition of attitude (Ajzen, 1993;
A l b e rt, Aschenbre n n e r , & Schmalhofer, 1989; Eagly &
Chaiken, 1993; Erwin, 2001; Gable & Wolf, 1993) to include
t h ree components: cognitive, affective, and conative. The
cognitive component is a belief or idea associated with a par-
ticular psychological object. The affective component re p re-
sents the individual’s evaluation of the psychological object
as well as the emotion associated with that object. The
Figure 1. KAB Studies and Their Measures.
Performance Improvement Volume 43 Number 9 11
conative—or behavioral—component re p resents the overt
action or predisposition toward action directed toward that
object. Though perspectives may vary, commonalities among
the viewpoints regarding attitudes are evident. The affective
domain specified by Bloom (1976) represents the emotions
and feelings attached to a particular action or thought that
are related to behaviors. Ajzen also states “although formal
definitions of attitude vary, most contemporary theorists
agree that the characteristic attribute of attitude is its evalu-
ative (pro-con, positive-negative) dimension” (1993, p. 41).
As a result, most assessment and scaling techniques (see
Gable & Wolf, 1993) result in a score that locates the indi-
vidual on an evaluative continuum. From a cognitive per-
spective, researches use this scaling technique to assess the
affective domain in Bloom’s taxonomies.
The measurement of attitudes is not without concern, how-
ever. Seeman (1993) indicates a problem with the multidi-
mensionality of attitude measurement. He describes issues
associated with isolating strong and stable factors and
admits the difficulty in predicting behavior from attitudes
alone. This may be due to the fact that an attitude is situated
in both the environment and the individual (Seeman, 1993).
As such, the attitude is a function of the situation in which
it occurs. This can become very problematic for researchers
in complex environments like the schools and businesses
Gable and Wolf (1993) investigate. Seeman addresses this
concern by advising researchers to attend to the environ-
ment as best as possible, ensuring consistency between
measures and rigorous test construction.
Examples of attitude assessment in KAB research typically
focus on some form of self-report data (Schrader, 2003).
Several researchers have simply used Likert-type scales to
measure attitudes relating to a topic (e.g., Heppner et al.,
1995; Miller et al., 1990). Other researchers have used
semantic differentials to assess attitudes (Morrison, Baker, &
Gillmore, 1994). In addition to the scale, researchers must
also decide how to evaluate the scores. For example, Miller
et al. (1990) calculated a unified score for the attitude scale
in re s e a r ch on community-based AIDS pre v e n t i o n .
However, due to multidimensionality of his attitude scale,
Schrader (2003) was compelled to evaluate factor variables.
Issues with evaluating attitudes are both compelling and
frustrating. For this reason, researchers are encouraged to
review the work of researchers such as Gable and Wolf
(1993), who offer a comprehensive review of developing
scales in the affective domain.
Most psychologists agree that a behavior is an observable
action. Researchers use the constitutive definition: the way
in which a person, organism, or group responds to a certain
set of conditions. Although this understanding is simple,
re s e a rchers have operationally defined a multitude of
assessment techniques to record and measure behavior.
Researchers have applied direct measurement techniques,
such as recording the frequency of behaviors during a set
time, but they have also used less direct methods, like inter-
views with peers or close friends, to understand the dynam-
ics of a part i c i p a n t ’ s behavior. Although less dire c t ,
participant reflection on behaviors through some form of
self-report, such as a journal or survey, is used as well.
While most of the behavioral data collected have been in
some form of self-report surveys or frequency reports (e.g.,
Donavan & Singh, 1999; Lawless et al., 1997; Schrader,
2003), there are important examples of other measurement
strategies. In particular, researchers can use diaries and logs
(Byrd-Bredbenner et al., 1982), direct observation (Kapoor,
1989), or participant interviews (Heppner et al., 1995). In
addition to these methods, there are other, less frequently
used techniques to collect behavioral data. These include
video logs, interviews with family, friends, and peers; and
direct outcome measures, for example, pregnancies and
births as an indicator of sexual conduct (see Kirby, 1985). In
most cases, the research conditions direct the assessment
strategies. See Figure 1 for a list of methods researchers have
used to assess behavior.
Interaction of Knowledge, Attitudes, and
One of the justifications for integrating the multiple con-
struct assessment methodology is the unclear relationship
between knowledge and behavior (Valente, Paredes, & Polle,
1998). Researchers have debated the directionality of the
relationship as well as the actual presence of the relation-
ship (Ajzen, Timko, & White, 1982; Fazio, 1986; Fishbein,
1967). More recent research indicates that the relationship
is considerably more complex, indicating that it is poten-
tially reciprocal and dynamic (Alexander & Dochy, 1995;
Ajzen & Fishbein, 1977; Bruvold, 1990; Kim & Hunter, 1993;
Kirby, 1985). From one perspective, what an individual
knows may inform his or her attitude about that topic, and
how he or she feels about that topic may influence behavior.
Alternatively, as some have previously indicated, attitudes
can also be aligned with behavior, indicating that behaviors
can inform attitudes (Fishbein, 1967), and attitudes are
influential in attention (Hoffman, 1986). Thus, attitudes can
impact what an individual perceives and therefore impacts
knowledge gains. Furthermore, knowledge—or attitude, for
that matter—is not necessarily a strong predictor of behav-
ior alone (Ajzen & Fishbein, 1977; Beavers, Kelley, &
Flenner, 1982). Taking all these arguments into account, one
may conclude that the relationship between these three
dimensions—knowledge , attitude, and beh avior—is
dynamic and sometimes reciprocal. It is therefore beneficial
12 www.ispi.orgOCTOBER 2004
and prudent to conduct research of this sort from the per-
spective that these three dimensions can and do interact.
Designing and Conducting KAB Research
Researchers are trained to follow several specific steps
when conducting research. In this sense, KAB research is
the same as other research methods. However, there are a
few vital areas, outlined in Figure 2, where the KAB
methodology demands additional attention and rigor. Once
the research questions have been identified, KAB research
efforts have typically implemented some form of pretest/
post-test research design (Byrd-Bredbenner et al., 1982;
Kapoor, 1989). In many cases, researchers collect data at
multiple points in time (Coyle et al., 1999; Heppner et al.,
1995; Looker & Shannon, 1984). Due to the nature of mea-
suring change, a pretest/post-test research design is highly
recommended (see Campbell & Stanley, 1963). In the event
that a true experimental design is not feasible and equating
the groups is desirable, experts recommend a covariate that
does not share a great deal of variance with the KAB measure s
such as grade point average (GPA), job performance rating,
and so on.
As indicated earlier, the three dimensions in the KAB
methodology are assessed in various ways. Knowledge, for
example, has been evaluated using a range of techniques,
including content measures, conceptual mapping exercises,
or self-report scales. Although assessment of the attitude
and behavior dimensions is generally not as complex,
researchers also have a number of measurement strategies.
As a result, determining the assessment strategy, which is
heavily influenced by the research constraints and objec-
tives, is a crucial step in KAB research.
R e g a rdl ess of assessment strategy selected, newly con-
structed KAB measures must be psychometrically sound.
Although validation strategies also vary, it is evident that
pilot testing and other practices are extremely important at
this stage. The validation and pilot process for research
involving first-year college students and their academic and
social adjustment, for example, was conducted over the
course of several years (Schrader, Ataya, & Brown, 2000;
Schrader, Brown, & Ouimette, 2002). As indicated, the KAB
methodology evaluates multiple cognitive constru c t s .
Consequently, the instruments are often more complex than
other measures. Due to this complexity and the desire for
valid inferences from the results, excellent psychometric
properties are a crucial component of KAB research.
With the exceptions already noted, KAB methods follow the
same logical research steps. Once the idiosyncrasies have
been addressed, one is prepared to administer a KAB instru-
ment, analyze the data, and evaluate the results. This is
done following standard research methods. This work has
little to add in that area. In general, however, the literature
Figure 2. Conducting KAB Research
on KAB investigations has revealed several examples of sta-
tistical analyses used in pretest and post-test designs.
Schrader (2003) describes the application of a MANCOVA
design in detail, while Coyle et al. (1999) refer to a multi-
level modeling procedure. Researchers are encouraged to
review statistical practices that adequately address issues of
change and the unique issues associated with KAB research
(see Stevens, 1996, and Tabachnick & Fidell, 1996, for a
review of multivariate methods).
Research has shown that knowledge instruction alone is a
poor agent for influencing changes in behavior (Bruvold,
1990; Morrison et al., 1994; Valente et al., 1998). Successful
outcomes of interventions in education and performance
improvement involve more than knowledge gains.
Furthermore, researchers are not only concerned with eval-
uating change but with predicting behavior. Unfortunately,
some interventions may influence behavior for a short time
without lasting effects (Lawless et al., 1997). Unless one
assesses the cognitive constructs associated with the inter-
vention, one is unable to offer a justifiable reason for this
phenomenon. Further, attitudes are typically heightened
immediately following an intervention but often dissipate
over time, negatively influencing the future likelihood of
performing a particular behavior. As a result, research sug-
gests that interventions and their evaluation should involve
all three domains. The growing body of KAB research sug-
gests that this design has profound potential as well as pro-
found utility in this area.
Although the KAB method is more complex than most, this
complexity aff o rds a more comprehensive understanding of
the cognitive constructs associated with development and
change. This is particularly true of complex learning enviro n-
ments, where traditional, simple evaluation strategies are
often inadequate. While each specific KAB evaluation is dis-
tinct, re s e a rch has shown the KAB method to be a reliable and
valid method to evaluate change as a result of interventions.
Studying learning is not a simple undertaking, but it is an
important one. There are many variables to consider and
many types of outcomes that can be examined. However, as
the fields of education and training continue to present
learners with environments that house an abundance of
materials and resources, it would seem very important to
explore the relationships among variables that can be used
to indicate complex human processing within these envi-
ronments. Researchers need to continue to identify these
constructs and develop methods that facilitate their exami-
nation. By doing so, researchers and designers alike will be
more capable of developing practical applications from
their findings for teaching and learning environments. The
KAB approach summarized in this article is one promising
method for examining such changes and isolating the out-
comes that will lead to instructional improvement in any
arena of human performance.
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Dr. P.G. Schrader is an Assistant Professor of Educational Multimedia in the
College of Education and Integrative Studies at Cal Poly, Pomona. Prior to
working in education, Dr. Schrader was a swimmer and ranked among the top
100 backstrokers in the world. After a successful athletic career, Dr. Schrader
pursued his degree in Educational Psychology. During that time, he instructed
students of all ages in the areas of mathematics, educational psychology, and
technology. Dr. Schrader has received awards honoring his commitment to
academics, the community,and higher education in general. His dissertation
focused on the manner in which newly matriculated students adjust to the col-
lege environment, particularly with respect to electronic and technological
resources. Dr. Schrader’s current work emphasizes the importance of learning
theory in educational multimedia. He has recently published work on Internet-
delivered case-based instruction in Instructional Science.He has also been
published in the areas of instrument development, multimedia, distance learn-
ing, and games in education and has presented at more than 20 national and
regional conferences. Dr. Schrader may be reached at
Dr. Kimberly Lawless is an Associate Professor of Educational Technology
in the department of Curriculum, Instruction and Evaluation at the University of
Illinois, Chicago. Her research focuses on the comprehension of digital text
and teacher beliefs about the effectiveness of technology in the classroom.
She has published more than 60 articles and book chapters in the areas of
educational technology, instructional science, and reading. Currently, Dr. 8
Lawless is the lead principal investigator and project director for Project TITUS,
funded by the Department of Education’s Preparing Tomorrow’s Teachers to
Use Technology program, and is the university partner for Chicago Public
School’s No Child Left Behind initiative. In addition, Dr. La wless serves on the
editorial review boards for several professional journals, including the
International Journal of Instructional Media and the Journal of Research on
Computers in Education. Most recently, she has served as the co-guest editor
for a special issue of Instructional Science focusing on innovations in web-
based education. Dr. Lawless served as the program chair for the educational
t e c h n o l o g y research section of the Americ an Educational Resear ch
Association for 2004 and was recently awarded the Outstanding Young Alumni
Researcher Award from the University of Connecticut and the AACTE Best
Practice Award for Technology in Teacher Education. She may be reached at
Performance Improvement Volume 43 Number 9 15
... Knowledge refers to all information that a person possesses or accrues on a particular field of study [59]. Here, evidence of privacy knowledge is captured based on the practitioners' education, training, information resources, conceptualisations of privacy, familiarity with laws and standards, etc. ...
... Attitude can be defined in terms of three components [59]: a cognitive component such as a belief or idea associated with a psychological object; an affective component of the individual's evaluation and emotion associated with a psychological object; and a conative component, represented as an overt action or predisposition toward action directed toward a psychological object. Here the main psychological object is the participants' construction of privacy. ...
... Most researchers define behaviour as an observable action [59]. The participants' behaviour is captured with emphasis on their self-reported independent actions concerning privacy in their work activities. ...
Privacy engineering, as an emerging field of research and practice, comprises the technical capabilities and management processes needed to implement, deploy, and operate privacy features and controls in working systems. For that, software practitioners and other stakeholders in software companies need to work cooperatively toward building privacy-preserving businesses and engineering solutions. Significant research has been done to understand the software practitioners' perceptions of information privacy, but more emphasis should be given to the uptake of concrete privacy engineering components. This research delves into the software practitioners' perspectives and mindset, organisational aspects, and current practices on privacy and its engineering processes. A total of 30 practitioners from various countries and backgrounds were interviewed, sharing their experiences and voicing their opinions on a broad range of privacy topics. The thematic analysis methodology was adopted to code the interview data qualitatively and construct a rich and nuanced thematic framework. As a result, we identified three critical interconnected themes that compose our thematic framework for privacy engineering "in the wild": (1) personal privacy mindset and stance, categorised into practitioners' privacy knowledge, attitudes and behaviours; (2) organisational privacy culture, such as decision-power and positive and negative examples of privacy climate; and, (3) privacy engineering practices, such as procedures and controls concretely used in the industry. Among the main findings, this study provides many insights about the state-of-the-practice of privacy engineering, pointing to a positive influence of privacy laws (e.g., EU General Data Protection Regulation) on practitioners' behaviours and organisations' cultures. Aspects such as organisational privacy culture and climate were also confirmed to [...]
... The theoretical framework of this study builds on the KAB model widely applied in health-related environmental fields (FAO, 2014;Kollmuss & Agyeman, 2002;Oreg & Katz-Gerro, 2006). Knowledge refers to possessed information on a given topic, attitude (or perception) denotes the emotional beliefs that can influence positive or negative responses, and behaviors are actual personal actions responding to a particular set of conditions (Schrader & Lawless, 2004). The original model, developed in the 1950s, was founded on the basic premise of rational individual responses, proposing a linear progression that supports specific behavior patterns. ...
... This subsection discusses farmers' knowledge and perceptions of pesticide health risks and protection behaviors while using chemicals. To verify the respondents' cognitive patterns, the survey elicited their agreement with various KAB statements related to pesticides using a five-point Likert scale (FAO, 2014;Schrader & Lawless, 2004). Specifically, knowledge questions reflect information on common exposure routes (e.g., dermal, inhalation, and ingestion) and the protective functions of PPE. ...
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Health consequences of harmful pesticide use are a growing concern in developing countries. As an analytical framework for farmers' protective behavior, the literature has long proposed the knowledge, attitude, and behavior (KAB) model in which knowledge translates to perceptions, leading to behavioral changes. However, there are mixed results on the role of knowledge and perceptions in farmers' self-protection against pesticide-related health risks. This study tests the KAB model using survey data from 138 vegetable farmers in northern Vietnam, in a regression framework. The empirical results show that knowledge affects general protection practices (e.g., handwashing after spraying) in the direct and indirect pathways via risk perceptions. In contrast, knowledge affects personal protective equipment use through attitudes relevant to risk perceptions, consistent with the classical linear progression in the KAB model. Thus, risk perceptions mediate the link between risk awareness and protection against pesticide-related health risks. Overall, the KAB model's goodness-of-fit to the data depends on protective actions, offering a possible explanation for the mixed results in the literature. We also identify poisoning experiences and advice from peers, retailers, and media, rather than governmental training, as significant sources of knowledge formation processes. Finally, we offer policy recommendations to facilitate safe pesticide use by small-scale Vietnamese farmers.
... These models, however, have been criticised for failing to capture the complexities and specific phenomena of cybersecurity [27]. The KAB, a dynamic and sometimes reciprocal model, on the other hand, was originally used in the health and environmental psychology area [28] as well as in the criminology and education fields [29] and has also been applied to the ISA context [30,31]. KAB has received much attention among scholars and has been applied to various fields of research because previous research found that knowledge alone was not sufficient to cause behavioural changes [32]. ...
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During the pandemic, the prevailing online learning has brought tremendous benefits to the education field. However, it has also become a target for cybercriminals. Cybersecurity awareness (CSA) or Internet security awareness in the education sector turns out to be critical to mitigating cybersecurity risks. However, previous research indicated that using education level alone to judge CSA level received inconsistent results. This study postulated Social Educational Level (SEL) as a moderator with an extended Knowledge-Attitude-Behaviour model, used students’ year level as a proxy for the impact of education level, and used work exposure for the influence of social education level, to compare CSA among undergraduates, postgraduates and working graduates. The participants in the study were divided into six groups, namely year 1 university students, year 2-3university students, final-year students, postgraduate students, young working graduates, and experienced working graduates. The Human Aspects of Information Security Questionnaire was used to conduct a large-scale survey. The multivariate regression model analysis showed significant differences among the knowledge, attitude and behaviour dimensions across groups with different conditions of year-level and work exposure. However, it was found that SEL played a more significant role than an individual’s education level. The study suggested that a greater endeavour be committed to educating the public at large together with individuals, institutes, corporate and governments to improve the national CSA level.
... About more than 50% of the assets are used by the manufacturing organizations on its maintenance every year. Maintenance provides safety, security, durability and enhances productivity & efficiency [1][2][3][4] of manufacturing system. Maintenance can be performed online through e-maintenance [5] so as to monitor, fault detection and prognosis. ...
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This research aims to use AHP model to evaluate variables of PAT managing manufacturing organizations. Using AHP approach, an evaluation model can be constructed, capable to measure the weight and ranking of variables. Literature helps to identify twenty six variables of PAT. These variables are arranged on the basis of expert’s opinion and construct a conceptual domain in which variable are divided as five major and twenty one sub variables. This domain is used to draw hierarchy framework of AHP model. Thereafter, pair wise comparison is performed on the expert’s responses to measure weight of PAT variables, the responses and matrices, validated by computing consistency ratio. Finally, weight and ranking of entire variables are evaluated in AHP methodology section and concluded in last section which gives interesting suggestions to the manufacturing organizations so as to manage their manufacturing system.
... KAB is an important theoretical model in health behaviour and education, which is based on a notion that knowledge acquisition will heighten attitude and then causes behaviour change (Schrader & Lawless, 2004;Xu et al., 2010). The model has been widely applied to assess health-related beliefs and behaviours in the context of specific illnesses or treatments (Lotfi et al., 2019). ...
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Aim: To develop and validate a questionnaire on knowledge, attitude, behaviour and care preference of family members of Chinese older adults related to palliative care. Design: A descriptive study design and STROBE checklist were applied in this research. Methods: The theoretical framework of the questionnaire was knowledge-attitude-behaviour model. An additional dimension of palliative care preference of family members was set up in the questionnaire. Items were generated from a rapid review of international literature and interviews with 61 family members of the older adults living either in an aged care service organization or the community. The content validity was examined by five experts. A preliminary questionnaire with 69 items was then set up, and its psychometric property was assessed. Results: A final version of questionnaire with 42 items under four dimensions was constructed. The content validity index of the overall questionnaire was 0.93 and of each item ranged 0.80-1.00. The factor loading of all items was higher than 0.50 as per exploratory and confirmatory factor analysis; the average variance extracted for each dimension was higher than 0.50; the composite reliability was higher than 0.90; and the absolute value of the correlation coefficient of each dimension was <0.50 and less than the square root of the average variance extracted. The Cronbach's alpha value and the split-half reliability value of the overall questionnaire were 0.93 and 0.97, respectively. Conclusions: This questionnaire has good validity and reliability, but needs further testing in multi-centered settings.
... On the other side, some scholars highlighted that knowledge-or attitude, for that matter-is not necessarily a strong predictor of behavior alone (Ajzen & Fishbein, 1977;Beavers, Kelley, & Flenner, 1982). Upon those arguments, as Schrader & Lawless (2004) concluded, the interaction between the three dimensions (KAB) is dynamic and sometimes mutual. ...
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This study explores the university students’ awareness of the Circular Economy (CE) through the identification of knowledge, attitudes and behaviors (KAB). A quantitative method is applied by adopting the SDG survey questionnaire of Cifuentes-Faura that was developed using the 5Rs (Reduce, Reuse, Refurbish, Repair and Recycle) of the CE concept to measure the students’ KAB towards CE. A total of 110 students studying economics-related courses from two Indonesian universities participated in the survey and the statistical program SPSS 20.0 was used for data analysis. The study found that the students’ awareness of the circular economy is higher in terms of knowledge (85.5%) than attitude (55.5%) and behavior (68.2%). In a way, the results of attitude and behavior show that students tend to buy new things instead of reusing/renting or repairing them. The female students' knowledge of CE is higher than male students, whereas their attitude and behaviour show similar results. Additionally, there is a correlation between knowledge and attitude, attitude and behavior, and knowledge and behavior, which means that the variables influence each other.
... In addition, the knowledge-attitude-behavior (KAB) model has been advocated to be beneficial for health-related educational interventions. The KAB model is based on the theory that knowledge should be developed first, followed by changes in attitude and subsequently in behavior [14][15][16]. To the best of our knowledge, no studies thus far have examined the consistency in the medical empathy intervention studies by these approaches. ...
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Various studies have examined the effectiveness of interventions to increase empathy in medical professionals. However, inconsistencies may exist in the definitions, interventions, and assessments of empathy. Inconsistencies jeopardize the internal validity and generalization of the research findings. The main purpose of this study was to examine the internal consistency among the definitions, interventions, and assessments of empathy in medical empathy intervention studies. We also examined the interventions and assessments in terms of the knowledge–attitude–behavior aspects. We conducted a literature search for medical empathy intervention studies with a design of randomized controlled trials and categorized each study according to the dimensions of empathy and knowledge–attitude–behavior aspects. The consistencies among the definitions, interventions, and assessments were calculated. A total of 13 studies were included in this study. No studies were fully consistent in their definitions, interventions, and assessments of empathy. Only four studies were partially consistent. In terms of knowledge–attitude–behavior aspects, four studies were fully consistent, two studies were partially consistent, and seven studies were inconsistent. Most medical empathy intervention studies are inconsistent in their definitions, interventions, and assessments of empathy, as well as the knowledge–attitude–behavior aspects between interventions and assessments. These inconsistencies may have affected the internal validity and generalization of the research results.
Since its reunification in 1990, Germany has been the destination of a large number of immigrants from Israel. They chose to settle in a country that is associated with the greatest tragedy in Jewish history, the Holocaust. Furthermore, they were raised in a country in which Holocaust memory and commemoration are major component of group identity. Within this context, the present study uses data from a survey carried out in 2014/2015 among Israeli‐Jewish immigrants in Germany (N = 510) to assess their linguistic adjustment in the new country. Incorporating factors of Holocaust memory (noneconomic incentives) into the model of destination‐language acquisition (MDLA), I ran similar equations for the three uses of language: speaking, reading and writing. Results from the multivariate analysis suggest that Holocaust memory does not inhibit the immigrants' proficiency in the German language. Accordingly, I adapt the indifference hypothesis, centring on maximizing gains and pleasure, and refute the two competing hypotheses, disruption and heightening. Variables of the MDLA—exposure, efficiency and economic incentives, and, especially, duration in the host country and young age at immigration—are significantly associated with proficiency in German; they were able to explain much of the variation in each of the uses of language. In the Discussion, I venture a proposal as to how fluency in German may help to attenuate intergroup tensions.
The aim of this research is to prioritize the critical factors of prognosis agent technology (PAT) in order to increase the overall performance of manufacturing organizations by applying the Decision Making Trail and Evaluation Laboratory (DEMATEL) approach. In which DEMATEL helps to evaluate the direct and indirect influence among the variables and determine the interrelationship between them. Five major and twenty-one major variables were identified through literature used to architect a conceptual domain. Based on this domain, a questionnaire was prepared, communicated, and a response was collected from the expert. The collected responses were analyzed using DEMATEL, which evaluated the integration between the manufacturing system and maintenance as the most significant variable, followed by fault identification, manufacturing process, organization productivity, and organization control, and also showed that organization control is highly influenced by the other variables. Finally, it is concluded through the usage of the DEMATEL approach that if PAT is implemented properly, it will enhance the overall performance of manufacturing organizations.KeywordsPrognosis agent technologyDEMATELPerformance of manufacturing system
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Background: Ageing is an important emerging demographic spectacle across the world. Therefore, the number of people with dementia is increasing every year as aging is an inevitable risk factor for dementia. An increasing number of people with dementia infers the necessity for a better quantity and quality of geriatric care services. Therefore, good knowledge and positive attitude regarding the dementia is expected in nursing students to deliver adequate quality care as they are the future primary health care professionals. Purpose: This study aims to investigate the knowledge and attitude of Nepalese nursing studentstowards dementia. Methods: A descriptive correlational research design was adopted for the study. The data was collected from Nepalese nursing students (n=177). Alzheimer’s Disease Knowledge Scale (ADKS) and Dementia Attitude Scale (DAS) were used to measure students’ knowledge and attitude of dementia and obtained data were analyzed by using descriptive methods. Results: The overall mean score of ADKS was found 19.64 (SD=3.363) out of 30, and the total mean score on dementia attitude of DAS was 93.82 (SD=10.09) out of 140, where a positive relationship was remained between the knowledge score and the attitude scores (r = 0.148, P=0.050). Moreover, the domain of Assessment and Diagnosis (2.94±0.851, out of 4) was found to have the highest correct answers (94.9%), whereas the life impact domain with mean score (1.56±0.714, out of 3) revealed the lowest correct responses (50.8%). Conclusion: This study concluded that the nursing students in Nepal demonstrate limited knowledge of dementia, while show positive attitude towards people with dementia. Moreover, findings of the study also demand the proper dementia care training and more clinical exposure for the nursing students to improve the knowledge ofdementia to be ready in their professional career.
Schemas in Problem Solving explores a theory of schema development and studies the applicability of the theory as a unified basis for understanding learning, instruction and assessment. The theory's prescriptions for teaching are direct, and its application to assessment suggests new directions for tests. After examining the roots of the theory in earlier work by philosophers and psychologists, Marshall illustrates the main features of her theory with experimental evidence from students who are learning to recognize and solve arithmetic story problems. She describes individual performance with traditional empirical studies as well as computer simulation. The computer simulation reflects an approach in modelling cognition. Marshall's model links neural networks with symbolic systems to form a hybrid model that uses pattern matching of sets of features as well as logical step-by-step rules.
As students matriculate into college, new and varied experiences challenge them. Academic rigor as well as social stress invites each student to either adapt or fail. In order to provide meaningful interventions, illuminate effective practices and make appropriate adaptations to existing services one must first ascertain the needs of the population, relevant successes of previous efforts, and potential modifications to those efforts. This study explores the cognitive constructs of college freshmen with respect to their academic and social life skills as a means to indicate need, success, and room for change. In particular, this study looks at the potential gender differences of matriculating students' knowledge, attitude, and behaviors (KAB) with respect to life skills over the course of a single semester at the University of Connecticut. Data were collected from students following a pre- and post-, quasi-experimental control group design. Principal components factor analysis was used to describe the underlying constructs of the instrument scores. This analysis indicated that there were four total factors on the knowledge dimension, two factors on the attitude dimension, and four factors on the behavior dimension. Multiple MANCOVA models were conducted on a total of 944 matched data sets. Post-test factor scores were used as dependent variables while the pre-test factor scores serve as covariates. Significant differences were detected in areas of great importance (e.g. knowledge of resources, attitudes towards tools for collegiate success, and attitudes toward interactions).
The variable perspective approach to social attitudes was inspired by two events that occurred when the present authors worked together as faculty advisor and research assistant. One was a challenge by a granting agency to defend the use of Thurstone’s equal-appearing intervals scaling procedure in light of evidence that judges’ attitudes affect their judgments of opinion statements (Hovland & Sherif, 1952). The other was a televised interview of retiring President Dwight Eisenhower in which he described his manner of making political decisions. The first event led to a study in which it was demonstrated that judges whose own positions are not included in the range of statements offered for judgment act as though their positions were included, thereby effectively extending the range (Upshaw, 1962). In other words, the perspectives assumed by judges appeared to vary according to the judges’ own attitudes when those attitudes were out of the range of a set of items that were judged.
This investigation evaluated whether type of programming differentially affects elaboration likelihood model central route processing of rape prevention messages, attitudes, knowledge, behaviors, and stability of change. The 258 participants were assigned to a didactic-video program, an interactive drama, or control. Measured over 5 time periods, results indicated that (a) the interactive drama was most effective in promoting central route processing; (b) the didactic-video intervention was more effective than the control at altering men's rape myth acceptance at 1 month, but change was not stable; (c) a pattern of rebounding scores on rape attitudes occurred for both interventions; (d) interactive drama participants were more able to identify consent versus coercion; and (e) interactive drama participants demonstrated differences on behavioral indicators.
In 3 experiments, students received a short science lesson on how airplanes achieve lift and then were asked to write an explanation (retention test) and to write solutions to 5 problems, such as how to design an airplane to achieve lift more rapidly (transfer test). For some students, the lesson contained signals, including a preview summary paragraph outlining the 3 main steps involved in lift, section headings, and pointer words such as because or as a result. The signaling did not add any additional content information about lift but helped clarify the structure of the passage. Students who received signaling generated significantly more solutions on the transfer test than did students who did not receive signaling when the explanation was presented as printed text (Experiment 1), spoken text (Experiment 2), and spoken text with corresponding animation (Experiment 3). Results are consistent with a knowledge construction view of multimedia learning in which learners seek to build mental models of cause-and-effect systems.