Interactive workshops increase chlamydia testing in primary care--a controlled study
| Autor: | Chris Foy, Andre Charlett, Stuart Smellie, John Sloss, Charles Buckley, Joanne Bowen, Mike Thomas, Cliodna A. M. McNulty, David Gelb |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Program evaluation medicine.medical_specialty Pediatrics Education Continuing Adolescent Attitude of Health Personnel Population Psychological intervention Chlamydia trachomatis Disease cluster Lower risk law.invention Age Distribution Randomized controlled trial law medicine Humans Prospective Studies Practice Patterns Physicians' education Vaginal Smears education.field_of_study Chlamydia business.industry Chlamydia Infections medicine.disease United Kingdom Family medicine Practice Guidelines as Topic Population study Female Forms and Records Control Family Practice business Program Evaluation |
| Zdroj: | Family Practice. 25:279-286 |
| ISSN: | 1460-2229 0263-2136 |
| Popis: | Primary care clinicians suggest that staff education is needed to increase chlamydia testing appropriately.To determine if interactive workshops and modified laboratory request forms could increase testing and case detection.Prospective cluster randomized controlled study, using modified Zelen's design, examining the effect of workshops and modified request forms on primary care clinicians' chlamydia specimen submission and case positivity rate.82 general practices in six geographical clusters within five primary care trusts (PCTs) in Gloucestershire and County Durham and Darlington.Practices within geographical clusters were randomly assigned to workshops on chlamydia or a control consisting of comparable workshops on the management of urinary symptoms, held in PCT-protected learning time. Half the practices were randomized to receive modified laboratory request forms. Staff were unaware that they were part of a study.Interactive workshops increased chlamydia testing in 16- to 24-year-old women by 33% in intervention practices compared to controls with effect persisting at 10 months (P = 0.003). No associated rise in the number of chlamydia infections was detected (P = 0.91), suggesting that increased testing may have occurred in a lower risk population. Modified forms did not change test submission (P = 0.75).Interactive workshops for general practices can be used to successfully increase chlamydia-testing rates. Chlamydia detection rates will need to be monitored as this type of educational programme may not increase absolute numbers of chlamydia infections detected, if patients at lower risk of infection are inappropriately tested. Other interventions may need to be combined with the workshops, to reach sufficiently high chlamydia screening rates to significantly reduce prevalence of chlamydial infection. |
| Databáze: | OpenAIRE |
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