Evaluating the effects of reproductive health training on provider behavior

评估生殖健康培训对提供者行为的影响

• 批准号: 10731807
• 负责人: Dickson Ally Mkoka
• 金额: $ 65.01万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-15 至 2028-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10731807
• 关键词: Address; Adopted; Adoption; Africa; Africa South of the Sahara; African; Ally; Attitude; Behavior; Caring; Clinical Skills; Communities; Controlled Study; Counseling; Country; Development; Discipline of Nursing; Education; Educational Curriculum; Educational process of instructing; Effectiveness; Environment; Erectile dysfunction; Evaluation; Faculty; Focus Groups; Grant; HIV; HIV/STD; Health; Health Personnel; Health Professional; Health Services; Healthcare; Individual; Intervention; Interview; Knowledge; Laws; Lesbian Gay Bisexual Transgender; Long-Term Effects; Longterm Follow-up; Manuscripts; Measures; Medical; Medical Students; Midwife; Midwifery; Morbidity - disease rate; Needs Assessment; Nurses; Observational Study; Outcome; Paper; Participant; Patients; Peer Review; Persons; Phase; Population; Privatization; Productivity; Provider; Randomized; Randomized, Controlled Trials; Recording of previous events; Reporting; Reproductive Health; Research; Resources; Schools; Science; Self Assessment; Sexual Health; Single-Blind Study; Site; Standardization; Students; Surveys; Tanzania; Teacher Professional Development; Teenagers; Testing; Trainers Training; Training; Universities; Waiting Lists; arm; blind; comparison control; early pregnancy; effectiveness evaluation; evaluation/testing; follow-up; health care delivery; health communication; health knowledge; health training; improved; intervention effect; low and middle-income countries; male; medical schools; mortality; phase III trial; phase IV trial; post intervention; programs; provider behavior; routine care; sexual violence; single-blind trial; skill acquisition; skills; student training; tool; transmission process; treatment arm; unintended pregnancy

PROJECT SUMMARY: Training of health professionals in sexual health care is critical to address a broad array of a nation’s sexual and reproductive health concerns. Research evaluating the effects of sexual health curricula on provider behavior is rare. In sub-Saharan Africa, an environment with the world’s highest rates of HIV, STIs, and multiple sexual and reproductive health challenges, training of health students in sexual health care is almost non-existent. Consequently, a rigorous study of its effects is needed if such education is to be widely adopted. In our “Training for Health Professionals” (THP-1) study, at Muhimbili University of Health and Allied Sciences (MUHAS) in Tanzania, we conducted formative research to identify the most common sexual health concerns. We then tailored a sexual health curriculum training for healthcare providers to the African context and conducted the world’s first single-blind, randomized controlled trial of its effects. Participants were 412 nursing, midwifery, and medical students at MUHAS. Post-test evaluations with the intervention arm showed the curriculum to be highly acceptable, culturally appropriate, needed, and feasible. At 3-month follow-up, as compared to controls, intervention arm students had moderate-to-large increases in sexual health knowledge, improved attitudes, and improved clinical skills. As required in a renewal application (THP-2), our long-term objective remains “to improve the sexual health outcomes for individuals in Tanzania by building the sexual and reproductive healthcare delivery skills of the health workforce.” We have three new specific aims. Aim 1 will assess the medium and long-term effectiveness of an African-centric, sexual health curriculum. We will conduct a single-blinded RCT of the curriculum against a waitlist control arm, to assess the effects on sexual health knowledge, attitudes, and counseling skills at 6-, 12- and 24-month follow-up (n=155 students per arm; 310 in total). In Aim 2, we will develop a train-the-trainer curriculum. We will conduct a training needs assessment of faculty at the ten other health universities in Tanzania, develop training materials, and pilot the training to faculty at two other health universities: University of Dodoma (UDOM) and Kilimanjaro Christian Medical College (KCMC). In Aim 3, we will conduct a Phase IV trial. This will be an observational study of the curriculum being taught by their faculty at the two new sites with 3- 6- and 12-month follow-up. MUHAS, KCMC, and UDOM are the largest health universities in Tanzania. This curriculum has high potential to be widely adopted as a new standard of training across Tanzania. These results also have high potential to inform the adaptation of sexual health curricula across Africa and beyond the continent, to other LMICs.

项目摘要： 在性卫生保健领域的卫生专业人员培训对于解决一系列国家的性行为至关重要 和生殖健康问题。研究评估性健康课程对提供者的影响 行为很少。在撒哈拉以南非洲，一个世界上艾滋病毒，性传播感染率最高的环境 多种性和复制性健康挑战，对健康学生的培训几乎是 不存在。因此，如果要广泛采用这种教育，则需要对其影响进行严格的研究。 在我们的“卫生专业人员培训”（THP-1）研究中 （Muhas）在坦桑尼亚，我们进行了形成性研究，以确定最常见的性健康问题。 然后，我们针对非洲背景下为医疗保健提供者定制了性健康课程培训， 进行了世界上第一个对其效果的单盲随机对照试验。参与者是412名护士， 助产士和穆哈斯的医学生。带有干预臂的测试后评估显示 课程是高度可接受的，在文化上适当的，必需的和可行的。在3个月的随访中， 与对照组相比，干预部门学生的性健康知识中等至一大增加， 提高与会者并提高了临床技能。根据续订申请（THP-2）的要求，我们的长期 目标仍然是“通过建立性行为来改善坦桑尼亚个人的性健康结果 卫生劳动力的生殖医疗保健交付技巧。“我们有三个新的特定目标。目标1 将评估以非洲为中心的性健康课程的中等和长期有效性。我们将 对候补控制臂进行课程的单叶RCT，以评估对性的影响 健康知识，参加和咨询技能在6个，12个月和24个月的随访中（n = 155名学生； 总共310）。在AIM 2中，我们将开发一项培训培训课程。我们将实现培训需求 评估坦桑尼亚其他十所卫生大学的教职员工，开发培训材料，并试行 在另外两所健康大学的教职员工培训：多达玛大学（UDOR）和乞力马扎罗基督教徒 医学院（KCMC）。在AIM 3中，我们将进行IV期试验。这将是对 他们的教师在两个新站点进行了3-6个和12个月的随访。 muhas， KCMC和UDOR是坦桑尼亚最大的健康大学。该课程具有很高的潜力 在坦桑尼亚广泛采用的新培训标准。这些结果也具有很高的潜力来告知 整个非洲和整个非洲大陆的性健康课程适应其他LMIC。

项目成果

Evaluating the History-Taking Process of Sexual Reproductive Health Problems in Tanzania: Lessons from a Study of Health Students and Practitioners.

评估坦桑尼亚性生殖健康问题的历史记录过程：健康学生和从业者研究的教训。

• DOI: 10.37284/eajhs.6.1.1239
• 发表时间: 2023
• 期刊: East African journal of health and science
• 作者: Mkonyi,Ever;Trent,Maria;Mwakawanga,DorkasiL;Massae,AgnesFredrick;Ross,MichaelW;Bonilla,ZobeidaE;Mohammed,InariS;Lukumay,GiftGadiel;Mushy,StellaEmmanuel;Mgopa,LucyRaphael;Wadley,James;Mkoka,DicksonAlly;SimonRosser,BrianR
• 通讯作者: SimonRosser,BrianR

Would you offer contraception to a 14-year-old girl? Perspectives of health students and professionals in Dar es Salaam, Tanzania.

• DOI: 10.1186/s12978-021-01294-6
• 发表时间: 2021-12-11
• 期刊: Reproductive health
• 影响因子: 3.4
• 作者: Mwakawanga DL;Mkonyi E;Mushy SE;Trent M;Bonilla Z;Massae AF;Lukumay GG;Mgopa LR;Mohammed I;Wadley J;Ross MW;Leshabari S;Rosser BRS
• 通讯作者: Rosser BRS

Not Lost in Translation: The Use of Standardized Patients Technology among Health Professional Students in Tanzania.

不迷失在翻译中：坦桑尼亚卫生专业学生对标准化患者技术的使用。

• DOI: 10.37284/eajhs.6.1.1243
• 发表时间: 2023
• 期刊: East African journal of health and science
• 作者: Mkonyi,Ever;Silla,NdeyeBoury;Rohloff,CorissaT;Lukumay,GiftGadiel;Ross,MichaelW;Kohli,Nidhi;Mgopa,LucyRaphael;Massae,AgnesFredrick;Mohammed,InariS;Mushy,StellaEmmanuel;Mwakawanga,DorkasiL;Rosser,BrianRobertSimon;Trent,Ma
• 通讯作者: Trent,Ma

Legal and Ethical Considerations in the Delivery of Sexual Health Care in Tanzania.

坦桑尼亚提供性保健的法律和道德考虑。

• 发表时间: 2020
• 期刊: African journal of health, nursing and midwifery
• 作者: Rosser,BRSimon;Mgopa,Lucy;Leshabari,Sebalda;Ross,MichaelW;Lukumay,GiftGadiel;Massawe,Agnes;Mkonyi,Ever;Mohammed,Inari;Mushy,Stella;Mwakawanga,Dorkas;Trent,Maria;Wadley,James
• 通讯作者: Wadley,James

Clinical Care of Victims of Interpersonal Violence and Rape in Tanzania: A Qualitative Investigation.

• DOI: 10.2147/ijwh.s301804
• 发表时间: 2021
• 期刊: International journal of women's health
• 作者: Mgopa LR;Rosser BRS;Ross MW;Mohammed I;Lukumay GG;Massae AF;Mushy SE;Mwakawanga DL;Mkonyi E;Trent M;Bonilla ZE;Wadley J;Leshabari S
• 通讯作者: Leshabari S