On-demand mobile hypertension training for primary health care workers in Nigeria: a pilot study.

Autor: Odu J; Resolve To Save Lives, New York, USA., Osi K; Resolve To Save Lives, New York, USA., Nguyen L; Columbia University Irving Medical Center, New York, USA., Goldstein A; Resolve To Save Lives, New York, USA., Appel LJ; Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, MD, USA., Matsushita K; Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, MD, USA., Ojji D; Department of Internal Medicine, Faculty of Clinical Sciences, University of Abuja, Abuja, Nigeria., Orji IA; Cardiovascular Research Unit, University of Abuja Teaching Hospital, Gwagwalada, Abuja, Nigeria., Alex-Okoh M; Federal Ministry of Health, Abuja, Nigeria., Odoh D; Federal Ministry of Health, Abuja, Nigeria., Toma MM; Federal Ministry of Health, Abuja, Nigeria., Elemuwa CO; National Primary Health Care Development Agency, Abuja, Nigeria., Lamorde S; National Primary Health Care Development Agency, Abuja, Nigeria., Baraya H; National Primary Health Care Development Agency, Abuja, Nigeria., Dewan MT; World Health Organization, Abuja, Nigeria., Chijioke O; World Health Organization, Abuja, Nigeria., Moran AE; Resolve To Save Lives, New York, USA.; Columbia University Irving Medical Center, New York, USA., Agogo E; Resolve To Save Lives, New York, USA., Thomas MP; Resolve To Save Lives, New York, USA. mthomas.consultant@resolvetosavelives.org.
Jazyk: angličtina
Zdroj: BMC health services research [BMC Health Serv Res] 2024 Apr 09; Vol. 24 (1), pp. 444. Date of Electronic Publication: 2024 Apr 09.
DOI: 10.1186/s12913-024-10693-x
Abstrakt: Background: Only one out of every ten Nigerian adults with hypertension has their blood pressure controlled. Health worker training is essential to improve hypertension diagnosis and treatment. In-person training has limitations that mobile, on-demand training might address. This pilot study evaluated a self-paced, case-based, mobile-optimized online training to diagnose and manage hypertension for Nigerian health workers.
Methods: Twelve hypertension training modules were developed, based on World Health Organization and Nigerian guidelines. After review by local academic and government partners, the course was piloted by Nigerian health workers at government-owned primary health centers. Primary care physician, nurse, and community health worker participants completed the course on their own smartphones. Before and after the course, hypertension knowledge was evaluated with multiple-choice questions. Learners provided feedback by responding to questions on a Likert scale.
Results: Out of 748 users who sampled the course, 574 enrolled, of whom 431 (75%) completed the course. The average pre-test score of completers was 65.4%, which increased to 78.2% on the post-test (P < 0.001, paired t-test). Health workers who were not part of existing hypertension control programs had lower pre-test scores and larger score gains. Most participants (96.1%) agreed that the training was applicable to their work, and nearly all (99.8%) agreed that they enjoyed the training.
Conclusions: An on-demand mobile digital hypertension training increases knowledge of hypertension management among Nigerian health workers. If offered at scale, such courses can be a tool to build health workforce capacity through initial and refresher training on current clinical guidelines in hypertension and other chronic diseases in Nigeria as well as other countries.
(© 2024. The Author(s).)
Databáze: MEDLINE
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