{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T03:25:12Z","timestamp":1777865112708,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["Emerging Infections Program"],"award-info":[{"award-number":["Emerging Infections Program"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1 TR 002384"],"award-info":[{"award-number":["UL1 TR 002384"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Journal of School Nursing"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:p>Healthcare Professionals Working in Schools (HPWS) are responsible for providing health services to students and play a role in providing education to prevent illnesses, including tickborne diseases (TBD). Providing TBD education to children has been shown to increase prevention behaviors and knowledge of TBD symptoms, but little is known regarding the current state of TBD awareness among HPWS. In spring 2019 we conducted a cross-sectional knowledge, attitudes, and practices (KAP) survey of HPWS in two states with a high incidence of Lyme disease (LD) to inform design of TBD prevention programs. The survey queried general knowledge of TBDs, school practices regarding TBDs, and availability of TBD resources. Overall, higher confidence, experience, risk perception, prior training on TBD, and more years employed as a HPWS were independently associated with knowledge of LD transmission, symptoms, and correct tick removal practices. State and local health departments should consider prioritizing engagement with HPWS to provide educational opportunities about tickborne diseases.<\/jats:p>","DOI":"10.1177\/10598405221099484","type":"journal-article","created":{"date-parts":[[2022,6,2]],"date-time":"2022-06-02T01:26:05Z","timestamp":1654133165000},"page":"372-379","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Assessment of Knowledge, Attitudes, and Practices Toward Ticks and Tickborne Disease among Healthcare Professionals Working in Schools in New York and Maryland"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9175-5219","authenticated-orcid":false,"given":"Kristen","family":"Howard","sequence":"first","affiliation":[{"name":"New York State Department of Health"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alyssa","family":"Beck","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention"},{"name":"Oak Ridge Institute for Science and Education (ORISE)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5203-1691","authenticated-orcid":false,"given":"Alison","family":"Kaufman","sequence":"additional","affiliation":[{"name":"New York State Department of Health"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4352-0685","authenticated-orcid":false,"given":"Heather","family":"Rutz","sequence":"additional","affiliation":[{"name":"Maryland Department of Health"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jer\u00e9","family":"Hutson","sequence":"additional","affiliation":[{"name":"Maryland Department of Health"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Crum","sequence":"additional","affiliation":[{"name":"Maryland Department of Health"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Rowe","sequence":"additional","affiliation":[{"name":"New York State Department of Health"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace","family":"Marx","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Hinckley","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"White","sequence":"additional","affiliation":[{"name":"New York State Department of Health"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,6]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-3811-5"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/ncprheum0374"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198106294646"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.2002.1055"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ttbdis.2018.01.002"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1942602X11427928"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1942602X09333901"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.7326\/AITC201605030"},{"key":"e_1_3_2_12_1","unstructured":"Kimberlin D. W. Brady M. T. Jackson M. A. Long S. S. (eds) (2018). Red Book: 2018 Report of the Committee on Infectious Diseases. American Academy of Pediatrics 515\u2013523."},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/josh.12835"},{"issue":"11","key":"e_1_3_2_14_1","first-page":"1039","article-title":"Longitudinal evaluation of an educational intervention for preventing tick bites in an area with endemic lyme disease in Baltimore County, Maryland","volume":"157","author":"Malouin R.","unstructured":"Malouin R., Winch P., Leontsini E., Glass G., Simon D., Hayes E. B., Schwartz B. S. (2003, June 1). Longitudinal evaluation of an educational intervention for preventing tick bites in an area with endemic lyme disease in Baltimore County, Maryland. 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