title: Factors affecting high school teacher adoption, sustainability, and fidelity to the "Youth@Work: Talking Safety" curriculum.
abstract: BACKGROUND
  Our objective was to identify individual- and organizational-level factors that affect high school teacher adoption, sustainability, and fidelity to the occupational safety and health curriculum, "Youth@Work: Talking Safety."
  
  
  METHODS
  We analyzed survey data collected from 104 high school teachers across the US who were trained in the curriculum since 2004. Linear and Cox regression were used to examine bivariate associations between individual and organizational-level factors and the outcomes of interest.
  
  
  RESULTS
  Except for perceived complexity, all individual-level factors (acceptance, enthusiasm, teaching methods fit, and self-efficacy) were associated with one or more outcomes of interest (P-values ranged from <0.001 to 0.031). Priority for non-academic courses (P = 0.035) and supportive organizational climate (P = 0.037) were the organizational-level factors associated with sustainability and number of lessons delivered, respectively.
  
  
  CONCLUSIONS
  Consistent with the literature, individual-level factors influenced teacher adoption and, to a lesser extent, sustainability, and fidelity to the Youth@Work: Talking Safety curriculum and should be considered in attempts to promote the curriculum's use in high schools.
authors.affiliation: Department of Occupational and Environmental Health Sciences, West Virginia University School of Public Health, Morgantown, West Virginia.|West Virginia University Injury Control Research Center, Morgantown, West Virginia.
authors.forename: Kimberly J
authors.initials: KJ
authors.lastname: Rauscher
authors.affiliation: Department of Occupational and Environmental Health, University of Iowa College of Public Heatlh, Iowa City, Iowa.|University of Iowa Injury Prevention Research Center, Iowa City, Iowa.
authors.forename: Carri
authors.initials: C
authors.lastname: Casteel
authors.affiliation: Labor Occupational Health Program, University of California Berkeley School of Public Health, Berkeley, California.
authors.forename: Diane
authors.initials: D
authors.lastname: Bush
authors.affiliation: Department of Occupational and Environmental Health Sciences, West Virginia University School of Public Health, Morgantown, West Virginia.|West Virginia University Injury Control Research Center, Morgantown, West Virginia.
authors.forename: Douglas J
authors.initials: DJ
authors.lastname: Myers
mesh_terms: D000293:Adolescent; D003479:Curriculum / Q000706:statistics & numerical data*; D005178:Faculty / Q000706:statistics & numerical data*; D006801:Humans; D016014:Linear Models; D016272:Occupational Health / Q000193:education*; D015397:Program Evaluation; D016016:Proportional Hazards Models; D012574:Schools; D020377:Self Efficacy; D012944:Social Support; D011795:Surveys and Questionnaires; D013663:Teaching / Q000379:methods; D014481:United States; D017132:Workplace / Q000523:psychology
keywords: adoption; curriculum; health and safety; injury prevention; sustainability; young workers