Evidence map›Paper›PMID 41044025›Full record

ArticleAmerican journal of industrial medicine2025

Developing and Refining a Knowledge Assessment Instrument for Individuals Involved in Managing Occupational Heat Stress: Paper A.

Emily J Tetzlaff, Bruce E Oddson, Kristina-Marie T Janetos, Robert D Meade, Glen P Kenny

Abstract read
In one paragraph

Article in American journal of industrial medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Emily J TetzlaffHuman and Environmental Physiology Research Unit, School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada.
Bruce E OddsonSchool of Kinesiology and Health Sciences, Laurentian University, Sudbury, Ontario, Canada.
Kristina-Marie T JanetosHuman and Environmental Physiology Research Unit, School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada.
Robert D MeadeHuman and Environmental Physiology Research Unit, School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada.
Glen P KennyHuman and Environmental Physiology Research Unit, School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0001-8683-6973

Funding

This project was funded by the Workplace Safety and Insurance Board (WSIB) (Ontario). The provision of grant support by the WSIB does not in any way infer or imply endorsement of the content by the WSIB. E.J.T. was supported by a Mitacs Accelerate Doctoral Fellowship Award.
6 · The paper itself

Abstract

introductionOccupational heat stress poses a critical threat to workers' health, safety, and productivity. To effectively manage this hazard, occupational health and safety (OHS) representatives must comprehensively understand heat stress, heat-associated injury and disease outcomes, and heat mitigation measures to protect workers. We developed the Human and Environmental Physiology Research Unit-Occupational Heat Stress Knowledge Assessment Test (HEPRU-OHSKAT) as an initial step toward facilitating research in this area.

methodThe HEPRU-OHSKAT was developed using a mixed-methods approach. Preliminary items were developed after reviewing the academic and gray literature. A standardized content validity assessment was conducted with heat stress and OHS experts (n = 9); a trial distribution to refine and test feasibility was performed with an internal pilot group (n = 18). The instrument was then distributed to individuals involved with OHS (n = 216) and members of the general working population (n = 101) in Ontario, Canada (n = 317). Item analysis and item response theory modelling were used to refine the scale and scope of the instrument.

resultsThirty-two items were developed for the preliminary instrument. Following expert consultation, a review of content validity, and the internal pilot, 31 items were retained in four subscales: General Heat Stress Knowledge (n = 8), Recognizing the Signs and Symptoms of Heat Stress and First Aid (n = 7), Exposure Limits and Heat Monitoring Practices (n= 13), and Workplace Controls for Heat (n = 3). Following item selection, the broader instrument was reduced to 20 items grouped into one scale.

conclusionsThe HEPRU-OHSKAT is the first instrument to assess knowledge of heat stress among those responsible for OHS. The instrument showed good reliability and internal consistency across knowledge categories. PRACTICAL APPLICATIONS: The instrument can help OHS representatives better evaluate knowledge of, and manage training about, heat stress.

Indexed as

Health Knowledge, Attitudes, PracticeHeat Stress DisordersOccupational DiseasesOccupational HealthAdultFemaleHumansMaleMiddle AgedOccupational ExposureOntarioReproducibility of ResultsSurveys and Questionnairesheat‐health educationheat strainheat stress managementoccupational health and safety

Identifiers

PMID41044025
PMCPMC12606391

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.