Effectiveness of a training program in improving knowledge and skills about selected common neurological disorders among primary healthcare doctors: The Karnataka Brain Health Initiative (KaBHI) in India.

Autor:	Mailankody P; Department of Neurology, National Institute of Mental Health and Neurosciences, Karnataka, India., Parthasarathy R; Department of Health and Family Welfare, Government of Karnataka, Karnataka, India., Randeep D; Department of Health and Family Welfare, Government of Karnataka, Karnataka, India., Rao GN; Center for Public Health, National Institute of Mental Health and Neurosciences, Karnataka, India., Paplikar A; Department of Speech and Language Studies, Dr. S. R. Chandrasekhar Institute of Speech and Hearing, Karnataka, India., Johnson ANV; Department of Neurology, National Institute of Mental Health and Neurosciences, Karnataka, India., Varghese F; Department of Neurology, National Institute of Mental Health and Neurosciences, Karnataka, India., Govindaraj S; Department of Neurology, National Institute of Mental Health and Neurosciences, Karnataka, India., Shahed R; Department of Neurology, National Institute of Mental Health and Neurosciences, Karnataka, India., Vasudev A; Department of Neurology, National Institute of Mental Health and Neurosciences, Karnataka, India., Boopalan D; Department of Neurology, National Institute of Mental Health and Neurosciences, Karnataka, India., Kulkarni GB; Department of Neurology, National Institute of Mental Health and Neurosciences, Karnataka, India., Kalkonde Y; Public Health Neurologist and Researcher, Sangwari, Ambikapur, Chhattisgarh, India., Sinha S; Department of Neurology, National Institute of Mental Health and Neurosciences, Karnataka, India., Alladi S; Department of Neurology, National Institute of Mental Health and Neurosciences, Karnataka, India.
Jazyk:	angličtina
Zdroj:	Journal of family medicine and primary care [J Family Med Prim Care] 2024 Sep; Vol. 13 (9), pp. 3719-3729. Date of Electronic Publication: 2024 Sep 11.
DOI:	10.4103/jfmpc.jfmpc_1984_23
Abstrakt:	Introduction: Neurological disorders are the leading causes of death and disability globally. In low-middle-income countries such as India, there is a wide treatment gap for neurological disorders. To address this gap, an initiative known as the Karnataka Brain Health Initiative (KaBHI) was developed in collaboration with the public health system of the state of Karnataka in India. Method: A structured hybrid training program was conducted for 120 medical doctors working in the Primary Health Centers (PHCs) in the public health system in three districts of Karnataka. Pre- and post-training evaluation was conducted to assess physicians' knowledge and skills for evaluating patients with common neurological conditions. Results: Of 120 PHC doctors, 111 (92%) scored below the passing score of 50 points out of 100 before the training program. After the training, all trainees scored above this cut-off. The study found a significant improvement in knowledge and skills after the training (before training: 40.48 ± 7.92, after training: 66.28 ± 8.98 ( P < 0.001) mean difference = 25.81), and was comparable among the PHC doctors in all three districts. Conclusions: Our study shows the feasibility of training primary care doctors in the public health system to manage selected common neurological disorders. The training program can potentially help to reduce the treatment gap for neurological disorders in India. Competing Interests: There are no conflicts of interest. (Copyright: © 2024 Journal of Family Medicine and Primary Care.)
Databáze:	MEDLINE
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