Attitude Domains Research Articles

Development and validation of a questionnaire on radiation protection knowledge, attitudes, and practices among Moroccan dentists.

This study aimed to develop and evaluate the validity and reliability of dentists' radiation protection knowledge, attitudes, and practices (DRP-KAPs) questionnaire. This study was conducted using a stepwise approach. In the first step, items were generated to determine the relevant content and domains after a thorough literature review. In the second step, the content validity of the questionnaire was assessed by seven experts using face and content validity. The content validity index for relevance and clarity (I-CVI, S-CVI/Av, and S-CVI/UA) and the content validity ratio (CVR) were performed. Then, the questionnaire was pre-tested with 10 dentists for face validation. In the third step, reliability was assessed using internal consistency (Kuder-Richardson-20 (KR-20) and Cronbach's alpha) and test-retest (Kappa and intraclass correlation coefficient [ICC]) methods by filling out the questionnaire by 100 dentists practicing in the Rabat-Salé-Kénitra region, in Morocco. The finalized DRP-KAPs questionnaire contains 41 items covering knowledge, attitudes and practices (KAPs). The I-CVIs, S-CVI/UA and S-CVI/AV and CVR values of the 41 items were ≥0.86 for each item, ≥0.82, ≥0.97, and ≥0.71, respectively. With regard to internal consistency reliability, the KR-20 coefficients for the knowledge and practice domains were 0.70 and 0.68, respectively, and the Cronbach alpha for the attitude domain was 0.73. The DRP-KAPs questionnaire has good reliability with the ICC coefficients for attitude items ranging from 0.57 to 0.95 and Kappa coefficients for knowledge and practice items ranging from 0.64 to 1 and 0.77 to 1, respectively. The developed DRP-KAPs questionnaire was found to be a noteworthy tool for assessing radiation protection among dentists, with acceptable internal consistency, good ICC and Kappa coefficients, and good content validity indices.

GUIDELINES FOR THE COMPETENCY DEVELOPMENT OF TRAINERS IN THE PLASTICS MOLDING INJECTION FACTORIES IN THAILAND

Objective: The aim of this research is to develop guidelines for the competency development of trainers in plastics molding injection factories (PMIF) in Thailand. Theoretical Framework: A mixed-methods framework is adopted, integrating quantitative data through statistical analyses like means, standard deviations, and regression, alongside qualitative insights from interviews. The framework explores relationships by combining numerical trends with thematic patterns for a comprehensive understanding. Method: The study population comprises 284 operators and 14 trainers. Data is collected through quantitative and qualitative approaches, including questionnaires and interviews, with statistical analysis applied using percentages, means, standard deviations, relationship analysis, and stepwise multiple linear regression. Results and Discussion: Guidelines for trainer competency development in PMIF in Thailand focus on three key areas—knowledge, skills, and attitude. Four sub-competencies in the knowledge domain influence training success: knowledge in 1) Teaching Psychology, 2) Trainers' Attitudes, 3) Behavior and Work Analysis, 4) Training and Counseling. In the skills domain, significant sub-competencies include: 1) Teaching Skills, 2) Listening Skills, 3) Computer Proficiency, 4) Behavior and Work Analysis Skills. The significant sub-competencies of the attitude domain include: attitudes toward 1) Modern Research, 2) Trainees' Intentions, 3) Teaching Psychology, 4) Trainers' Attitudes. Research Implications: Guidelines to enhance trainer competency in Thailand's plastics molding injection industry are provided. Findings influence training programs, workforce development, and industry productivity. Originality/Value: Key sub-competencies that predict training success are identified in the areas of knowledge, skills, and attitude. Structured approaches to enhance training success are provided, impacting professional practice and training outcomes in industrial settings.

Effect of Hand Washing with Soap Education Using Puzzle Media on Hand Washing with Soap Behavior in Elementary School Age Children

Clean and healthy living behavior by washing hands is an important effort to minimize the emergence of disease. However, many people, including children, do not know how to properly maintain hand hygiene. The aim of the research was to determine the effect of hand washing with soap education using puzzle media on the hand washing behavior with soap of elementary school aged children. The research used a pre-experimental design with a One Group Pretest-Posttest Design approach. The sample consisted of 56 students as the intervention group. Data analysis used the Wilcoxon Signed Ranks Test. The use of puzzle media has been proven to have an influence with a significance value of 0.000 < 0.005 on behavior in the domain of knowledge, attitudes and actions in elementary school age children. Teachers, health workers and the general public can provide education through puzzle media to children because it is interesting, easy to understand and affordable. INDEX TERMS : Education, Elementary School Age Children, Hand Washing with Soap, Puzzle

New Age Parenting and Its Impact on Child’s Oral Health: Cross-sectional Questionnaire Study

Abstract Background: With increased globalization, East culture is meeting West culture and parenting style has been completely changed. Children depend significantly on their parents for provision, instruction, and supervision of crucial preventive oral hygiene habits. The education level and awareness of parents regarding preventive oral health measures play a pivotal role in this aspect. Therefore, it becomes imperative to evaluate and educate parents about proper oral hygiene care for their children, ultimately contributing to the overall well-being of the child. Aim: The aim of this study was to assess an impact of new age parenting on oral health of their children. Methodology: A cross-sectional questionnaire study was conducted among 204 parents of children aged 5–10 years, consisting of 27-item questionnaires containing four domains of demographic data, knowledge, attitude, and practice, which was distributed among the participants. A descriptive analysis was done using IBM SPSS software (version 22.0 Chicago, IL, USA). Results: It was surprising to note that 32.84% of parents were unaware about the specialist dentist is available for children. About 65.69% of parents had low level of knowledge regarding oral health of their children. The correlation among knowledge, attitude, and practice was determined to be highly statistically significant (P = 0.0001). Conclusion: Our study concluded that knowledge, attitude, and practice of oral health care of children are low among new age parents and there is a need to educate these parents regarding the same.

Assessing attitudes toward LGB people in young adolescents.

Since people's attitude toward lesbians, gay men and bisexual people (LGB) affects young LGB people's mental health and subsequently their quality of life, it is important to establish people's attitudes toward LGB people. The current study examined attitudes toward lesbian, gay and bisexual people among Dutch students and the psychometrical characteristics of adapted instruments measuring attitudes toward sexual diversity. The students in the sample (N = 1.633) were recruited from secondary schools. The participants completed questionnaires with scales measuring attitudes toward LGB people. The results indicate that participants hold positive attitudes overall, but there are differences with regard to gender and educational level. In addition, the used instruments prove to be psychometrically sound for measuring LGB attitudes and this work contributes to the empirical debate about whether adolescents' attitudes toward lesbians, gay men and bisexual people underly domains of a general attitude toward LGB people. Our results indicate that students do not seem to distinguish among sexually diverse subgroups much, possibly a sign of increased awareness and knowledge of LGB groups. The use of one general measure of attitudes of sexually diverse people may be considered in future research.

Awareness Regarding Medical Device Safety among Physicians: A Knowledge, Attitude, and Practice Survey

Abstract Background: With the huge inflow of medical devices into the healthcare market, it is imperative to monitor the device safety throughout its period of usage, with the help of a systematic continual surveillance mechanism. Although the Materiovigilance Program of India has been formally introduced since 2015, there exists a dearth of awareness regarding its existence and functioning among the major stakeholders of patient safety. Addressing this gap, the study probes the awareness regarding materiovigilance among the doctors in eastern India. Methods: A cross-sectional questionnaire-based study was carried out using a 20-item structured survey tool to evaluate the knowledge, attitude, and practice of medical professionals regarding safety surveillance of medical devices. Responses obtained were statistically analyzed and interpreted. Results: Principal elements of medical device adverse event (MDAE) reporting were known to around 40% of respondents. However, the time frame for reporting an event/incident was found to be grossly unclear. Over 30% of respondents were aware of the effect of MDAEs and that its reporting could enhance patient safety. Items related to practice domains revealed that although around 50% of respondents of either category encountered MDAEs in their practice setup, only 10.95% of faculty and 6.41% of residents have reported it. Less than 5% of the respondents were ever trained on how to report MDAEs. The mean domain score for knowledge was on higher mark for the faculty, while that for attitude and practice domains were higher for the residents. Conclusion: There was a gross dearth of awareness regarding materiovigilance among the doctors. Enhanced sensitization regarding medical device safety surveillance in all healthcare levels can definitely help the situation ensuring patient safety.

The Relationship between Five Factors Personality Traits of Nursing Students and Their Attitudes towards Mental Patients

This study aimed to reveal the relationship between the personal traits of nursing students and their attitudes toward mental Patients. The randomized sample consisted of (144) selected students in the Faculty of Nursing at Al al-Bayt University, their ages ranged from (18 to 22) years. The result concluded that nursing students’ attitudes toward mental patients were negative. It also indicated that the trait openness to experience has a significant negative correlation on all domains of attitudes toward mental patients scale, the correlation of the conscientiousness trait with the domains of attitudes toward mental disorders is not significant, and the extraversion trait has significant positive correlation with stereotyping, pessimism and stigma domains. The agreeableness trait has a significant negative correlation with all domains of attitudes toward mental disorders scale. The neuroticism trait has a significant negative correlation with the domain of the tendency towards pity in students' attitudes toward mental patients, while the rest of the domains of students' attitudes toward mental patients were not significant. The results also indicated that there are significant differences in all domains of the attitudes toward mental patients scale due to the gender variable in favor of males; That is, males had more negative attitudes toward mental patients than females. It is also clear that there are no significant differences for the variables of academic level and cumulative average in the dimensions of attitudes toward mental disorders. The study recommends creating educational programs to educate students about the importance of carrying positive attitudes toward mental patients, which contributes to reducing the problems of mental patients.

Impact of implementing primary care-based medication for opioid use disorder on provider and staff perceptions

Abstract Medication for opioid use disorder (MOUD) is the management of opioid use disorder (OUD) on an outpatient basis with buprenorphine or buprenorphine/naloxone (or methadone, which is limited to federally certified opioid treatment programs). Primary care practices are well poised to provide comprehensive care for patients with OUD, including provision of MOUD. The aim of this study was to assess provider and staff OUD attitudes and role perceptions before and after implementation of a MOUD clinical service line. A survey was distributed to evaluate attitudes and perceptions of patients with OUD and provision of MOUD among providers and staff in an academic family medicine clinic. Surveys were distributed in December 2020 (73% response rate), prior to a substance use disorder educational training and MOUD service line implementation, which provided patients with OUD both primary care services and management with buprenorphine/naloxone. A follow-up survey was distributed in February 2022 (69% response rate).Training and implementation of the MOUD service line demonstrated improvements in the domains of motivation (+0.63), attitudes (+0.32), satisfaction (+0.38), role support (+0.48), role adequacy (+0.39), and safety (+0.79) among surveyed participants. The change in satisfaction and safety domains was statistically significant (P < .05). There was no change in the role legitimacy domain.Implementation of a primary care-based MOUD service line positively affected provider and staff motivation, attitudes, satisfaction, sense of safety, role support, and adequacy when working with patients with OUD. This highlights the benefits of MOUD-specific clinical support to optimize care delivery within primary care.

Cross-sectional study of the association of respiratory diseases health risk with environmental pollutants and climate change in Saudi Arabia.

Saudi Arabia is known for its dry climate. This arid climate of the region makes its ecosystems highly susceptible, with limited water resources and vulnerable agricultural fields. Therefore, it is crucial to comprehend the public's awareness and perceptions of environmental issues and climate change that have an impact on their health and immune system. This study employed a cross-sectional survey to examine the knowledge, attitudes, and practices (KAP) and related health impact of environmental pollutants and climate change in Saudi Arabia. The participants were chosen randomly from various regions across the kingdom. In this study, a total of 437 respondents were selected using convenience sampling (80.78% female and 19.22% male). Participants have fair knowledge on immunological and health effect of environmental pollution and climate change (94.3% and 87.5%, respectively). Participants are well aware of influence of environmental pollutants and climate change on spread of infectious diseases 51-94%. Significant correlation exists between participants of private sector in attitude domain of KAP (P = 0.003, χ2 = 5.139). Significant correlation exists between participants of private sector in attitude domain of KAP (P = 0.003, χ2 = 5.139. Participants are well aware of influence of environmental pollutants and climate change on spread of infectious diseases (51-94%). In conclusion, the health mission in Saudi Arabia has integrated order to manage the diseases that are related to climate change. It is crucial to enhance the knowledge and skills of general public regarding climate change and its impact on health.

Analisis Kualitas Instrumen Penilaian Berbasis Kelas untuk Mengukur Kompetensi Literasi Sains Peserta Didik SMA pada Materi Energi Terbarukan

The aim of this research is to analyze the quality of class-based instruments in the domains of knowledge, attitudes and skills to measure scientific literacy competency. This research uses a limited ADDIE research design consisting of Analyze, Design and Development stages. Data was collected using test and questionnaire methods. This research was tested on 30 Unesa Physics Education Study Program students. Theoretical validity results show that the assessment instrument prepared meets the valid category. The theoretical validity results were obtained from validation by 3 expert validators, namely 2 Unesa Physics Education lecturers and 1 MBI Amanatul Ummah Pacet Mojokerto teacher. Empirical validity was obtained from testing the assessment instrument on 30 active Unesa Physics Education students with a total of 15 questions. Then, the question item was declared valid with an rcount of 0.922 and an rtable of 0.361.

Development of Valid and Reliable Questionnaire to Evaluate Knowledge, Attitude, and Practices (KAP) of Lifestyle Medicine Domains.

To develop and test the validity and reliability of a questionnaire that measures the level of knowledge, attitude, and practice (KAP) of LM domains among medical trainees through practicing physicians. The KAP questionnaire sections covered the nine domains of LM. The validation process included face and content validity. A total of 151 individuals from the medical field residing in Saudi Arabia were recruited through a convenient sampling technique to participate in the study. Item response theory (IRT) was applied to validate the knowledge domain, while exploratory factor analysis (EFA) was used to assess attitude and practice. Cronbach's alpha was performed to test the reliability of the three sections. The questionnaire contained 37 items of knowledge, 45 attitudes, and 28 practice items. According to the IRT analysis, 27 items of knowledge were within the acceptable range of difficulty and discrimination. The EFA analysis resulted in 6 factors, including all the items in the attitude domain, and 4 factors, for a total of 27 items in the practice domain, with satisfactory factor loading (>0.4). The Cronbach's alpha for the three domains was very high (≥0.88). The KAP questionnaire for LM is valid and reliable across a spectrum, from medical trainees to practicing physicians. This tool could serve as an instrument to evaluate and develop adequate educational programs for medical doctors.

Coercion in psychiatry: psychometric validation of the Portuguese Staff Attitudes to Coercion Scale (SACS)

BackgroundThere is a growing recognition that staff attitudes toward coercion in mental health care may influence its application. This study presents the psychometric properties of the Portuguese version of the Staff Attitudes towards Coercion Scale (SACS) and describes mental health professionals’ attitudes towards coercion in Portugal.MethodsMental health professionals working in five Portuguese mental health services in urban and rural regions of Portugal were invited to complete a questionnaire comprising the SACS and a socio-demographic form. Psychometric analyses including construct validity and internal consistency were carried out using R software.ResultsA total of 91 out of 119 questionnaires completed were valid for analysis. Fifty-seven (62.64%) respondents were female, with an age range of 24 to 69 years (M = 39.33; SD = 11.09). More than half of them were nurses (52.75%, n = 48), and a third were psychiatrists (36.26%, n = 33). A three-factor structure was confirmed and showed the best fit compared to previously proposed models with a cumulative explained variance of 59%. The Portuguese SACS exhibited adequate internal consistency for both the full-scale and subscales. The highest mean score was in the pragmatic attitude domain (20.60; SD = 3.37). A negative correlation was observed between the critical attitude domain and both age and years of experience (p < 0.05).ConclusionA three-factor structure was confirmed and showed the best fit compared to previously proposed models. The Portuguese SACS showed excellent psychometric properties and is acceptable for assessing staff attitudes towards coercion.

Utilization of Telemedicine to Supervise Medical Students in the Post-Acute/Long-Term Care Setting

ObjectivesTelemedicine has become a widely accepted alternative to face-to-face patient encounters. Although there have been several peer-reviewed journal articles on incorporating telemedicine into the medical school curriculum, particularly during the COVID-19 pandemic, assessments of the effectiveness of remote supervision of medical students have not been reported. This prospective cohort study of student subjects using observational survey data evaluated the efficacy of telemedicine as an educational resource by comparing learning outcomes between osteopathic medical students receiving direct (physically present) supervision with a group who received remote (telemedicine) supervision by clinical faculty within a post-acute/long-term care (PA/LTC) setting. Learning outcomes in the domains of patient rapport, attitudes, knowledge, and behavior were measured using standardized survey instruments. DesignProspective cohort study of student subjects using observational survey data. Setting and ParticipantsA total of 167 fourth-year osteopathic medical students at a teaching nursing home (TNH). MethodsA total of 167 fourth-year osteopathic medical students (OMS-4s) were randomly assigned face-to-face PA/LTC patient encounters at the TNH. The encounters were follow-up visits to residents of the TNH that were supervised by faculty geriatricians. Half were accompanied by the physician and the other half were supervised by the physician through telemedicine. Evaluation using validated survey instruments measured patient rapport, verbal communication, and physical examination skills as well as attitudes, knowledge, and behaviors of the student/subjects. ResultsA nonparametric statistical analysis of 4 dependent variables measuring patient rapport, attitudes, knowledge and behavior showed no significant difference between the 2 teaching modalities. Conclusions and ImplicationsThe results of this prospective cohort study indicate that telemedicine supervision is comparable (noninferior) to direct supervision of medical student trainees in a PA/LTC setting.

Evaluation experts: Relations between ability emotional intelligence and attitude strength indicators.

New efforts to understand the processes involved in ability-related emotional intelligence (ability EI) could reinvigorate this area of scholarship and research. It is proposed that participants with higher levels of ability EI are evaluation experts, which should be evident in the attitude domain. Study 1 (n = 148) probed for affective, cognitive, and behavioral reactions to a diverse set of attitude objects. In addition, attitude certainty ratings were collected. Higher levels of ability EI, but not self-reports of EI, were linked to attitudes that were more extreme, certain, and structurally integrated. In Study 2 (n = 602), participant employees completed standard personality and job satisfaction assessments. Higher levels of ability EI were predictive of greater polarization (as assessed in extremity-related terms) in both domains. The individual differences assessed by ability EI, these results suggest, also tend to support attitudes and opinions with stronger features. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Learning Indonesian History of the Colonial Period: An Ecopedagogical Perspective

This article aims to analyze and describe the implementation of ecopedagogic-based history learning in the Colonial Indonesian History course. This research uses this qualitative research method, and the data analysis model used is an interactive analysis model. Starting from the stages of data condensation, data presentation, and conclusion and verification. The results showed that the history learning process carried out in sixteen face-to-face meetings had been carried out by integrating elements or main pillars in ecopedagogic-based learning, namely historical environmental literacy, cultural literacy, and utilization. This research is relevant to Bloom's competency domain, namely the competency domain of knowledge, attitudes, and skills. Previous research related to ecopedagogy only focused on the natural environment and its relevance to biology and social studies learning. Meanwhile, this research focuses on historical environments such as forts, museums, and monuments and their relevance to learning history. Ecopedagogic-based history learning is one of the solutions to monotonous history learning and is associated with the negative connotation that history learning is a boring memorization lesson.

Development and validation of Adolescent Sexual and Reproductive Health- Knowledge, Attitude, and Self-Efficacy Questionnaires (ASRH-KASeQ).

The tools to measure knowledge, attitudes, and self-efficacy related to adolescent sexual and reproductive health have been developed, but with adolescent subjects over 15 years old and with specific topics. The needs and focus of SRH education in adolescents are different from those of young adults. This study aimed to develop a valid and reliable tool to measure adolescents' knowledge, attitude, and self-efficacy regarding SRH. A total of 100 items were developed based on a literature search, focus group discussion, and expert panel encompassing three domains: knowledge, attitude, and self-efficacy. The Adolescent Sexual andReproductive Health- Knowledge, Attitude, and Self-Efficacy Questionnaires (ASRH-KASeQ) then underwent a validation process that included content validity, face validity, and internal consistency reliability. This study was conducted on adolescents aged 12-15 years in secondary school in Yogyakarta, Indonesia. All statistical methods were analyzed using STATA software. The average content validity (S-CVI/Ave) and face validity (S-FVI/Ave) for knowledge, attitude, and self-efficacy demonstrated good validity with scores of 0.93 and 0.94, 0.92 and 0.96, and 0.95 and 0.96, respectively. The internal consistency reliability using Cronbach's alpha for the knowledge, attitude, and self-efficacy domains exceeded 0.6, with results of 0.7, 0.81, and 0.89, which were considered acceptable. The final set of ASRH-KASeQ consisted of 100 items measuring knowledge (40 items), attitude (30 items), and self-efficacy (30 items) of adolescents SRH. ASRH-KASeQ was shown to be a reliable and valid tool for Indonesian adolescents, especially those aged 12-15 years.

Appraisal Analysis of Attitude Type in Instagram Residential Advertisement

Housing developers compete to promote their houses through different media platforms because of the positive prospects in the housing sector. Instagram is a social media site commonly utilized for marketing different types of houses. Housing advertising posts employ taglines to convey the advertiser's perspective on their residential properties. The attitude domain of appraisal theory, as described by Martin &amp; White (2005), is utilized to differentiate between various sorts of attitudes found in housing adverts. The taglines of housing commercials were analyzed using the qualitative descriptive method. The findings indicate that home advertising taglines employ attitudes of judgement, affect, and appreciation, as well as a mix of affect-judgement and affect-appreciation attitudes. Housing advertisement taglines utilize the judgment to express social esteem attributes such as normality and tenacity. The judgement attitude is the predominant perspective utilized in housing advertising taglines. Moreover, advertisers employ the power of emotion to evoke a sense of joy in potential buyers when promoting housing. Moreover, the house that is being promoted is evaluated based on its appreciation.

PENGARUH MODEL PEMBELAJARAN PROBLEM BASED LEARNING TERHADAP HASIL BELAJAR DAN KEAKTIFAN DISKUSI PESERTA DIDIK KELAS X

A research study was conducted with the aim of determining the cognitive learning outcomes and discussion activity (affective) of students on the topic of Material and its changes by implementing the Problem-Based Learning (PBL) model supplemented with Student Worksheets (LKPD). This research is a qualitative descriptive study consisting of stages such as situational analysis, challenges, obstacles, improvement efforts, and research outcomes. The research subjects were male and female students of X TAB 3. Data were collected through diagnostic, formative, and summative assessments, interviews, observations, and documentation. Data collection techniques involved tests (cognitive domain), Peer Assessment (attitude domain), and non-tests (interviews and surveys). Based on the research findings, it is evident that the innovative PBL model can improve students' cognitive learning outcomes, as assessed by the summative assessment (post-Test) with the PBL model supplemented with LKPD categorized as good, achieving a mastery rate of 90% compared to the pre-test results of only 55%. Moreover, there was an increased participation during task completion discussions (LKPD), where in the discussion of LKPD 1, 70% of students received an Excellent (SB) predicate and 30% received a Good (B) predicate. Similarly, in the discussion of LKPD 2, 85% of students received an Excellent (SB) predicate and 15% received a Good (B) predicate.

Educational Institutions and Youth Contributing towards Meeting the Vision of Viksit Bharat

Abstract In developing nations, resources of the country are being exploited in a limited manner, and there is an indispensable need to optimize material and human resources for the development of human society. Right now, the resources which are utilized are the employees whose number is limited. Apart from this, the human resources which can be utilized for welfare of nation are youth, and they will prove to be valuable assets in welfare of developing country like India. If we can use youth as a resource person with the knowledge of their stream, we can do miracle and contribute to make our country as Viksit Bharat in a fastest way. If the approach of education is 2-dimensional, it will be horizontal in nature with surface learning by students, but when the 3-dimensional approach is introduced, one can explore space and in-depth knowledge and understanding. To cater this, we are proposing a “Modified Attitude-Ethics-Communication (AETCOM) Model”, wherein interdisciplinary integration i.e. humanity, attitude, ethics and communication domains will be there and this will be the only tool which will make them disciplined healthy human resources workforce. In conclusion, the youth of today can act as either co-learner or as a human resource who can contribute their own knowledge and perspectives in the development of the society. In-fact, it won’t be wrong to state that their contribution in meeting the national vision of Viksit Bharat has immense potential.

(Mis)matched direct and moderating relationships among pro-environmental attitudes, environmental efficacy, and pro-environmental behaviors across and within 11 countries.

Pro-environmental behaviors are influenced by individuals' pro-environmental attitudes and environmental efficacy, among many other factors. However, attitude-behavior models are inconsistent on whether and how attitudes, efficacy, and behaviors should match in specificity or generality, and on the moderation effect of efficacy. This study first tests a simple model including direct and moderating relationships between pro-environmental attitudes, environmental efficacy, and pro-environmental behaviors. Then it examines relationships among subscales matched or mismatched in their respective specific or general domain of environmental attitudes (concern, values), environmental efficacy (self, collective), and pro-environmental behaviors (private, public). Secondary data come from an overall sample of 11,000 respondents across 11 countries, with n = 1,000 from each country. Pro-environmental attitudes and efficacy have direct relationships with pro-environmental behavior, but efficacy has little moderation effect. Different combinations of (mis)matched measures produce slightly different results, with the most variance explained, counter to hypotheses, by two mismatched models. Results are generally consistent across countries.