Predicting Clinical Practice Change: An Evaluation of Trainings on Sexually Transmitted Disease Knowledge, Diagnosis, and Treatment
| Autor: | Sharon Devine, Jami Fraze, Cornelis A. Rietmeijer, Allison Finkenbinder, Christopher Voegeli, Karen A. Wendel, Kimberly Taylor, Helen Burnside |
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| Rok vydání: | 2020 |
| Předmět: |
Microbiology (medical)
Sexually transmitted disease education Sexually Transmitted Diseases MEDLINE Dermatology Logistic regression 03 medical and health sciences 0302 clinical medicine Humans Medicine Original Study 030212 general & internal medicine skin and connective tissue diseases Medical education 030505 public health business.industry Public Health Environmental and Occupational Health Attendance Disease control Clinical Practice Infectious Diseases Organizational capacity Clinical Competence sense organs 0305 other medical science business Organizational level |
| Zdroj: | Sexually Transmitted Diseases |
| ISSN: | 1537-4521 0148-5717 |
| Popis: | We found attendance at sexually transmitted disease trainings 4 hours or more, trainees' functional role, and stated intention to change predicted actual change in sexually transmitted disease clinical practice. We also report trainees' barriers to change. Background Sexually transmitted disease clinical training for working professionals requires substantial time and resources. Understanding the predictors of change in worksite practices and barriers to change will allow educators, learners, and clinical leadership to aid in ensuring learned practices are implemented and barriers are addressed. Methods Data for this analysis come from the first standardized national evaluation of a Centers for Disease Control and Prevention–funded clinical prevention training network, including precourse registration and responses to immediate postcourse (1–3 days) and 90-day postcourse evaluations from 187 courses. Univariate statistics describe the trainees and their workplace. Bivariate statistics describe their intention to change and actual change stratified by functional role and employment setting. Logistic regression identified predictors of self-reported changes in practice. Results The strongest predictors for practice change included an intention to change and attendance at a training lasting 4 hours or more. Functional role was a weaker predictor of change in practice; employment setting did not predict change. More than half of the trainees (65.9%; n = 912) stated their intention to make a change in their practice immediately after training. At 90 days after a course, 62.4% (n = 863) reported making a practice change. Trainees that took courses lasting 4 hours or more reported making a change more often (70%) compared with trainees from shorter courses (53%). We also report on trainees’ barriers to practice change. Conclusions Results suggest that longer trainings may result in more practice change than shorter trainings, recruitment of trainees should focus on those more likely to make a change in their practice, and future trainings should focus on organizational capacity building and assessing change at the organizational level. |
| Databáze: | OpenAIRE |
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