Survey and analysis of kindergarten teachers’ knowledge, attitude, and practice (KAP) of unintentional injury prevention and first aid for children: A cross-sectional study in Mianyang, China

This study aims to investigate the current status of knowledge, attitudes, and practices (KAP) among kindergarten teachers in Mianyang regarding the prevention and first aid of unintentional injuries for children and analyze the associated influencing factors, to provide a reference for enhancing teachers'injury prevention capabilities and developing targeted training strategies. Based on the KAP theory and drawing upon previous literature and research findings, this study developed a questionnaire to investigate the level of KAP among kindergarten teachers regarding the prevention and first aid of unintentional injuries for children. The questionnaire consisted of 32 items across 3 dimensions: knowledge (11 items), attitude (8 items), and practice (13 items). A multistage stratified random sampling method was employed to select kindergarten teachers in Mianyang City. The questionnaire was distributed online to the targeted teachers via the Wenjuanxing platform. Univariate analysis and multiple linear regression analysis were used to identify the influencing factors. A total of 277 valid questionnaires were received for an effective recovery rate of 92.30%. Among the kindergarten teachers who completed the survey, the total KAP score was 96.71 ± 8.72, with a scoring rate of 83.4%. The scores for each dimension from highest to lowest were: attitude dimension (38.28 ± 2.25) with a scoring rate of 95.7%; practice dimension (50.42 ± 7.12) with a scoring rate of 77.6%; and knowledge dimension (7.99 ± 1.82) with a scoring rate of 72.6%. Multiple linear regression analysis showed that marital status (P = .044, 95% CI: -10.714 to -0.145), childbearing history (P = .008, 95% CI: 2.016 -13.372), working years (P = .005, 95% CI: 0.391 -2.208), participation in training related to unintentional injury prevention and first aid for children (P < .001, 95% CI: 3.547 -7.462), and experience with unintentional injury incidents involving children (P = .030, 95% CI: 0.235 -4.548) were influencing factors for kindergarten teachers' KAP level in preventing unintentional injuries and providing first aid for children (P < .05). The KAP levels among kindergarten teachers in Mianyang regarding unintentional injury prevention and first aid for children need improvement. Among these, the knowledge dimension scored relatively low, indicating a need to strengthen training and learning in unintentional injury prevention and first aid for children, to promote the healthy development of children.