"I Have Actually not Lost any Adolescent Since I Started Engaging Them one on one:" Training Satisfaction and Subsequent Practice among Health Providers Participating in a Standardized Patient Actor Training to Improve Adolescent Engagement in HIV Care.

"I Have Actually not Lost any Adolescent Since I Started Engaging Them one on one:" Training Satisfaction and Subsequent Practice among Health Providers Participating in a Standardized Patient Actor Training to Improve Adolescent Engagement in HIV Care.
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DOI:
10.1177/23259582221075133
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发表时间:
2022-01
影响因子:
--
通讯作者:
Kohler PK
Kohler PK
中科院分区:
其他
文献类型:
--
作者:
Okinyi HM;Wachira CM;Wilson KS;Nduati MN;Onyango AD;Mburu CW;Inwani IW;Owens TL;Bukusi DE;John-Stewart GC;Wamalwa DC;Kohler PK

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背景:卫生保健工作者(HCW)与青少年的互动不良影响艾滋病毒护理的参与。我们评估了标准化的病人演员培训HCW能力在肯尼亚提供青少年艾滋病毒护理的影响。方法:我们在一项阶梯式随机试验中进行了前后横断面调查和定性退出访谈。横断面调查评估自我评价的能力,在提供青少年服务之前和之后的干预,培训的满意度。培训一年后,对HCW参与者的一部分进行深入访谈。结果如下:超过90%的HCW对培训表示满意,并且自评能力得分有显著提高(培训后平均值= 4.63 [最高可能得分为5],培训前为3.86,p < 0.001)。一年后的培训,HCWs报告使用的技能,以病人为中心的沟通和结构的青少年临床遇到。结论:这种SP培训干预措施提高了自我评价的能力,并显示出持续的感知影响HCW技能在青少年艾滋病毒服务提供一年后。
Background: Poor health care worker (HCW) interactions with adolescents negatively influence engagement in HIV care. We assessed the impact of standardized patient actor training on HCW competence in providing adolescent HIV care in Kenya. Methods: We conducted pre-post cross-sectional surveys and qualitative exit interviews during a stepped wedge randomized trial. Cross-sectional surveys assessed self-rated competence in providing adolescent services before and after the intervention, and training satisfaction. In-depth interviews with a subset of HCW participants one year after training. Results: Over 90% of HCWs reported satisfaction with the training and there was significant improvement in self-rated competence scores (mean = 4.63 [highest possible score of 5] post-training vs 3.86 pre-training, p < 0.001). One-year following training, HCWs reported using skills in patient-centered communication and structuring an adolescent clinical encounter. Conclusions: This SP training intervention improved self-rated competence and showed sustained perceived impact on HCW skills in adolescent HIV service provision one year later.
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