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Questionnaire studies of knowledge, attitude and practice (KAP) are effective research in the field of health, which have many shortcomings. The purpose of this research is to propose an automatic questionnaire-free method based on deep learning techniques to address the shortcomings of common methods. Next, the aim of this research is to use the proposed method with public comments on Twitter to get the gaps in KAP of people regarding COVID-19.

In this paper, two models are proposed to achieve the mentioned purposes, the first one for attitude and the other for people’s knowledge and practice. First, the authors collect some tweets from Twitter and label them. After that, the authors preprocess the collected textual data. Then, the text representation vector for each tweet is extracted using BERT-BiGRU or XLNet-GRU. Finally, for the knowledge and practice problem, a multi-label classifier with 16 classes representing health guidelines is proposed. Also, for the attitude problem, a multi-class classifier with three classes (positive, negative and neutral) is proposed.

Labeling quality has a direct relationship with the performance of the final model, the authors calculated the inter-rater reliability using the Krippendorf alpha coefficient, which shows the reliability of the assessment in both problems. In the problem of knowledge and practice, 87% and in the problem of people’s attitude, 95% agreement was reached. The high agreement obtained indicates the reliability of the dataset and warrants the assessment. The proposed models in both problems were evaluated with some metrics, which shows that both proposed models perform better than the common methods. Our analyses for KAP are more efficient than questionnaire methods. Our method has solved many shortcomings of questionnaires, the most important of which is increasing the speed of evaluation, increasing the studied population and receiving reliable opinions to get accurate results.

Our research is based on social network datasets. This data cannot provide the possibility to discover the public information of users definitively. Addressing this limitation can have a lot of complexity and little certainty, so in this research, the authors presented our final analysis independent of the public information of users.

Combining recurrent neural networks with methods based on the attention mechanism improves the performance of the model and solves the need for large training data. Also, using these methods is effective in the process of improving the implementation of KAP research and eliminating its shortcomings. These results can be used in other text processing tasks and cause their improvement. The results of the analysis on the attitude, practice and knowledge of people regarding the health guidelines lead to the effective planning and implementation of health decisions and interventions and required training by health institutions. The results of this research show the effective relationship between attitude, practice and knowledge. People are better at following health guidelines than being aware of COVID-19. Despite many tensions during the epidemic, most people still discuss the issue with a positive attitude.

To the best of our knowledge, so far, no text processing-based method has been proposed to perform KAP research. Also, our method benefits from the most valuable data of today’s era (i.e. social networks), which is the expression of people’s experiences, facts and free opinions. Therefore, our final analysis provides more realistic results.

The purpose of this paper is to evaluate the levels of food safety knowledge, attitudes and practices (KAP) of food technical assistants (FTAs) working in dairy processing plants (DPPs) with different grades of prerequisite programs (PRPs) checklist.

An observational cross-sectional study was carried out by using a self-administered questionnaire and interviewing 76 FTAs occupied in DPPs in the city of Isfahan, Iran.

Out of a total score of 100, the participants received scores for knowledge (79.5 ± 14.9), attitudes (75.2 ± 9.9) and practices (86 ± 11.6) referred to the principles of Hazard analysis Critical Control Point (HACCP). It was found correlations between food safety knowledge and attitudes of FTAs (r = 0.38, p ≤ 0), knowledge and practices (r = 0.21, p = 0.03) and between attitudes and practices (r = 0.36, p ≤ 0). Moreover, there were also significant correlations between KAP scores and age (knowledge: r = 0.18, p = 0.06; attitude: r = 0.25, p = 0.01; practice: r = 0.22, p = 0.02) and KAP scores and job satisfaction level (knowledge: r = 0.27, p = 0. 01; attitude: r = 0.22, p = 0.02; practice: r = 0.27, p = 0). There was no significant correlation between educational background and KAP scores. Furthermore, no significant correlation was found in terms of gender.

Education of FTAs about food safety issues seems necessary. Such training should not only focus on theoretical aspects of knowledge but also be practical to foster positive attitudes toward food safety and promote practices among FTAs. Consideration to all principles of PRPs is recommended to implement food safety management system (FSMS) in food processing plants (FPPs).

This study examined the level of knowledge, attitudes and practices (KAP) of Jordanian dairy employees about coronavirus disease 2019 (COVID-19) characteristics and the effect of precautionary measures on food safety risk during the pandemic.

A cross-sectional study was conducted between Dec 17, 2020 and Feb 22, 2021, involving a total of 428 participants across 34 random chosen dairy facilities in Jordan. KAP related to COVID-19 were measured by 46 items, while 13 items were used to examine perceived notions regarding COVID-19 precautionary measures on food safety.

The results indicated that 32.2% of the respondents had sufficient knowledge, 60.3% had a good attitude, and 27.1% followed correct practices concerning COVID-19. Moreover, female respondents had higher total KAP scores of COVID-19 characteristics than males. Furthermore, older and more experienced respondents had higher total KAP scores than younger respondents. This study also observed that the total KAP scores were not affected by education, marital status, and job position. Characteristics and measures taken by the dairy industry were at large significantly associated with (p < 0.05) knowledge and practice of employees about COVID-19 attributes. Results of this study suggested that Jordanian dairy workers were not adequately aware about COVID-19.

No such study on dairy workers has been conducted previously to the best of the authors’ knowledge. Moreover, studies which analyse the association of industry response and characteristics on the KAP of employees are very limited.

This study aims to assess knowledge retention of the graduates of the online graduate certificate on local development planning, land use management and disaster risk management (PDLOTGR, the abbreviation of the certificate's Spanish title). The certificate was offered to practitioners and faculty members of Latin American countries since 2016.

The authors reviewed the knowledge, attitude and practice (KAP) method to develop a specific approach, which included the preparation of a KAP survey, a composite KAP index and three sub-indices. The survey targeted two groups: (1) experimental group, composed of the certificate's 76 graduates, and (2) control group, comprised of 25 certificate's candidates, who had not yet undergone the training/intervention. The statistical analysis included a one-way multivariate analysis of variance to compare the mean scores on the KAP index and sub-indices for individuals in the experimental and control groups.

The study results showed significant differences in the knowledge sub-index between those who had completed the PDLOTGR training and those who had not, while the attitudes and practices sub-indices did not show significant differences. When using the KAP index, a statistically significant difference was also observed between the two groups.

Perceived knowledge assessment offers an acceptable and non-intimidating option for evaluating continuing education and professional development programs associated to disaster risk. It is particularly helpful in determining whether an intervention or program has a lasting impact. It is not, however, a substitute for direct knowledge assessment, and the use of other methods to evaluate the performance of a capacity building program's graduates.

This study determined factors that influenced patients' knowledge, attitudes and practices (KAP) regarding uncomplicated malaria in primary healthcare (PHC) facilities of Plateau state, Nigeria.

The data of 956 patients treated for uncomplicated malaria in PHC facilities of Plateau state were used for the study. Inferential statistical analyses were conducted to identify factors that influenced patients' KAP on the disease and its management.

The study revealed age (p < 0.001), level of education (p = 0.012), attitudes (p = 0.007) and practices (p < 0.001) as significant predictors of knowledge outcomes on uncomplicated malaria, while their attitudes towards the disease and its management was predicted by their gender (p = 0.011), occupation (p = 0.049), monthly income (p = 0.018), knowledge (p < 0.001) and practices (p < 0.001). Furthermore, their practices were significantly predicted by monthly incomes (p = 0.043), knowledge (p < 0.001), attitudes (p < 0.001) and number of anti-malarial and adjunct drugs administered to them (p = 0.041).

The study revealed a mixed influence of patients' characteristics on their KAP outcomes. This calls for appropriate intervention measures towards achieving the desired patients' therapeutic outcomes.

The purpose of this study is to explore the knowledge, attitude and practices (KAP) of Industry 4.0 between the academicians and industry players in construction engineering, further suggesting a mechanism to narrow the gap between the distinct parties.

This study was conducted through structured online and face-to-face interviews, using KAP survey, and semi-structured interviews. This constructive research was conducted among Malaysian construction industry players and academicians from the construction engineering department in public universities.

The findings exhibit the similarities and differences of KAP between academics and industry on Industry 4.0 in construction engineering. In general, both categories of respondents have displayed more similarities than differences in all aspects, except for knowledge. The better knowledge profile of Industry 4.0 among the academicians reflects the nature of the academic works that constantly seek new knowledge, thus suggesting the establishment of an industry-academic (I-A) knowledge equilibrium framework to leverage the knowledge profile between both parties.

This exploratory study that showcases the perspective of the academia and industry practitioners on Industry 4.0 acts as a cornerstone for bridging the gap between the two distinct sectors within the same field.

The gap between the academic and industry was highlighted, further establishing the I-A knowledge equilibrium framework that could also be applied to other fields of study.

The originality of this paper was the profiling of the KAP of Industry 4.0 for the academicians and industry players in construction engineering, further distinguishing the gap between both parties.

The objective of this study was to analyze knowledge, attitudes and practices (KAP) on the sustainability in two populations of university students.

A cross-sectional analytical study with university students.

The scale employed showed remarkable psychometric properties of reproducibility and validity. Besides, KAP levels were found to be related in the studied population, with higher levels of knowledge and attitudes than those of practice. Knowledge was found to be related to educational cycle and age, attitudes with sex and age and practices with age.

This is one of the few studies in the field of KAP related to sustainability and environmental issues in using a validated psychometric scale. As a consequence, this study also offers methodological details necessary to make comparisons with similar populations in other countries.

Malaria still remains a significant public health problem in Myanmar and it has a complex epidemiology. Evidence-based community awareness raising interventions are also particularly needed. This cross-sectional study was organized to explore the basic characteristics associated with knowledge, attitude and practice (KAP) regarding malaria among people living in the most malaria-endemic villages of the Banmauk Township, Sagaing Region, Myanmar. The paper aims to discuss these issues.

The Banmauk, one of the most malaria-endemic townships, was selected purposively in order to represent the survey results for people living in malaria hotspots. During the peak malaria season (July 2018), 250 household leaders were invited to be interviewed with structured questionnaires. In addition to descriptive data, the associations were determined by χ²-test and correlation.

Overall KAP indicated considerably low percentages of good levels, especially in practice, only 21.6 percent showed good practice, 38.4 percent had good knowledge and 56.8 percent had good attitude. Age (p=0.022) and annual family income (p<0.001) were significantly associated with the knowledge level, whereas having fever attacks among family members in the last two weeks (p=0.023) showed statistical association with attitude at a p-value <0.05. Surprisingly, there were no associated variables with malaria practice. In addition, there were negative correlations between knowledge with attitude and knowledge with practice; however, the results were not significant.

The overall KAP regarding malaria was at relatively poor levels among people living in malaria transmission areas. Therefore, new approaches to improve malaria KAP are promptly needed in this community.

The purpose of this paper is to assess the knowledge, attitudes and practices (KAP) of farmers regarding the on-farm food safety measures in the commercial layer farms in Thailand prior the implementation of the mandatory Good Agricultural Practices (GAP) standard.

The cross-sectional study was conducted through the face-to-face interview with a questionnaire in 143 GAP certified and 59 non-GAP certified farms. The levels of safety and quality measures implemented in farms were evaluated using a self-reported approach. Scoring system was applied to investigate the relationship between level of practices and its determining factors using the correlation test.

The layer hen farmers appeared to have an adequate level of knowledge on safety and quality measures; however, some misconception on recommended practices was still observed. The significant differences (p<0.001) in the regularity of practices adopted in farms were noticed between GAP and non-GAP groups. The GAP farmers have higher level of knowledge, and positive attitudes toward implementation. Only the weak positive relationships were found between all KAP variables which implied that there are other factors influencing the translation of knowledge and favorable attitudes into practices.

None of the on-farm food safety KAP report has been published in Thailand. This study highlights the gaps in the practices and issues needed to be focused by standard promoters for developing the knowledge translation programs aimed at enhancing the standard of layer farming.

People with food allergies rely to a great extent on restaurant staff to have a safe meal. The purpose of this paper is to acquire novel data to evaluate knowledge, attitudes and practices of food allergy among the restaurant's staff and factors that could be associated with these domains.

A cross-sectional study involving 306 restaurant staff in Amman City, Jordan was conducted using a validated self-reported questionnaire. Logistic regression analysis was performed to identify factors independently associated with knowledge, attitude and practices (KAP).

The results showed that most restaurant staff had moderate to excellent knowledge, positive attitudes, low to moderate risk practices regarding food allergy. Knowledge level was significantly associated with the staff's age, position, education level and restaurant class. Further, attitude level was significantly associated with staff age, experience, gender, education level, restaurant class and whether the restaurant held food safety certificates. Similarly, staff behavioral practices were significantly associated with staff position, restaurant class and the presence of valid food safety certificates.

This study suggests that more training for the staff in restaurants would be associated with a lower risk of providing unsafe meals.

This study demonstrated the need for the pre-employment theoretical and practical tests for restaurants’ staff to determine their knowledge level and provide them mandatory developing training programs to support and facilitate food allergy risk management and to develop food allergy policies.