Is knowledge retained by healthcare providers after training? A pragmatic evaluation of drug-resistant tuberculosis management in China
| Autor: | Yunzhou Ruan, Shishi Wu, Renzhong Li, Mishal S Khan, Wei Su, Mingting Chen |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
China Health Knowledge Attitudes Practice Tuberculosis Health Personnel education Antitubercular Agents Training (civil) 03 medical and health sciences 0302 clinical medicine Phone Tuberculosis Multidrug-Resistant Medicine Humans Learning 030212 general & internal medicine Knowledge assessment evaluation business.industry Drug resistant tuberculosis Research drug-resistant tuberculosis General Medicine Medical Education and Training medicine.disease Test (assessment) Pilots tuberculosis Family medicine Education Medical Continuing Clinical Competence Educational Measurement business Healthcare providers 030217 neurology & neurosurgery |
| Zdroj: | BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | ObjectivesConsidering the urgent need of training to improve standardised management of drug-resistant infectious disease and the lack of evidence on the impact of training, this study evaluates whether training participants’ knowledge on multidrug-resistant tuberculosis (MDR-TB) is improved immediately and a year after training.Setting and participantsThe study involved 91 MDR-TB healthcare providers (HCPs), including clinical doctors, nurses and CDC staff, who attended a new MDR-TB HCP training programme in Liaoning and Jiangxi provinces, China.Main outcome measuresA phone-based assessment of participants’ long-term retention of knowledge about MDR-TB management was conducted in July 2017, approximately 1 year after training. The proportion of correct responses in the long-term knowledge assessment was compared with a pretraining test and an immediate post-training test using a χ2 test. Factors influencing participants’ performance in the long-term knowledge assessment were analysed using linear regression.ResultsAcross both provinces, knowledge of definitions of drug-resistant TB, standardised MDR-TB case detection protocols and laboratory diagnosis was improved 1 year after the training by 14.5% (p=0.037), 32.4% (pConclusionOur study, the first to assess knowledge retention of MDR-TB HCPs 1 year after training, showed an overall positive long-term impact of lecture-style group training on participants’ knowledge. Knowledge decline 1 year after training was observed in one province, Jiangxi, and this may be partly addressed by targeted support to HCPs with fewer years of clinical experience. |
| Databáze: | OpenAIRE |
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