20.500.12556/DiRROS-24584 The risk of occupational anaphylaxis in beekeepers an educational public health intervention The risk of occupational anaphylaxis in beekeepers: an educational public health intervention Background: Beekeepers are at increased risk for anaphylaxis due to frequent honeybee stings. This study developed an educational program for anaphylaxis prevention and an assessment tool to evaluate the knowledge and attitudes of Slovenian beekeepers.Methods: The educational program was developed using the Delphi method with 13 healthcare professionals (9 allergists and 4 registered nurses specialized in allergology). The Beekeepers Anaphylaxis Awareness and Learning Questionnaire (BAALQ) consisted of two distinct components, developed by 12 experts. Content validity for the Recognition and Anaphylaxis Action Scale (RAAS) was confirmed by 59 healthcare professionals. Criterion and construct validity were assessed with 143 beekeepers without a history of anaphylaxis, using a nominal scale for measuring knowledge and a 5-point Likert scale for evaluating Socio-Cultural Learning Attitudes Scale (SCLAS). Knowledge differences among beekeepers before and after the educational intervention were evaluated using the Wilcoxon test. Cronbach’s Alpha coefficient was used to assess internal consistency of the instrument.Results: The RAAS included 26 statements. Kendall’s W was 0.799 (95% CI: 0.718–0.866, x2 = 359, p < 0.001), indicating strong expert agreement, while Cronbach’s alpha was 0.798 (95% CI: 0.756–0.840). To further assess internal consistency, the Split-half method showed a Pearson correlation of 0.733, with a Spearman-Brown correction value of 0.846, confirming the instrument’s good reliability. The Wilcoxon test showed a significant increase in knowledge (Z = −10.078; p < 0.001), with Mdn scores rising from 18 to 25. The SCLAS included 15 statements. Kendall’s W was 0.714 (95% CI: 0.600–0.814, x2 = 289, p < 0.001). Confirmatory Factor Analysis confirmed three factors: “Self-confidence,” “Importance of knowledge and education,” and “Influence of gender and age.” The model fit well (RMSEA = 0.0618, CFI = 0.925, TLI = 0.911), with Cronbach’s alpha of 0.717 (95% CI: 0.683–0.751).Conclusion: The developed educational program is effective in improving beekeepers’ knowledge of recognizing and responding to anaphylaxis. The assessment tool shows strong validity and reliability and supports its use in future educational and research contexts. knowledge attitudes questionnaire znanje stališča vprašalnik true false true Frontiers Media S. A., 2013- Frontiers in public health Angleški jezik Slovenski jezik © 2025 Močnik, Zidarn, Frelih and Ličen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. Neznano 2025-12-08 13:04:29 2025-12-08 13:04:29 2025-12-09 03:44:00 0000-00-00 00:00:00 2025 0 Lausanne 0 Besedilo z nasl. zaslona; Opis vira z dne 25. 11. 2025; 18 str. Vol. 13, [article no.] 1693834 25. Nov. 2025 0000-00-00 Zaloznikova Objavljeno apc 2025-08-27 2025-11-13 2025-11-25 616-039.71-056.43:614.253.8 2296-2565 10.3389/fpubh.2025.1693834 258562307 https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2025.1693834/full 1 0dd04866-d42e-11f0-94a7-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=36677 RAZ_Mocnik_Tea_2025.pdf RAZ_Mocnik_Tea_2025.pdf 1 37DC2B228A5E139C7CA297379A0CB9A1 4f3dc1f26449f41e650b8bd00c2e79603068a40acf42886be7ae39aa25b835b8 793e2646-d42f-11f0-94a7-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=36678 Univerzitetna klinika za pljučne bolezni in alergijo Golnik 0 0 0