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Predicting Clinical Practice Change: An Evaluation of Trainings on Sexually Transmitted Disease Knowledge, Diagnosis, and Treatment

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 imple...

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Autores principales: Voegeli, Christopher, Fraze, Jami, Wendel, Karen, Burnside, Helen, Rietmeijer, Cornelis A., Finkenbinder, Allison, Taylor, Kimberly, Devine, Sharon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7737854/
https://www.ncbi.nlm.nih.gov/pubmed/33315783
http://dx.doi.org/10.1097/OLQ.0000000000001282
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author Voegeli, Christopher
Fraze, Jami
Wendel, Karen
Burnside, Helen
Rietmeijer, Cornelis A.
Finkenbinder, Allison
Taylor, Kimberly
Devine, Sharon
author_facet Voegeli, Christopher
Fraze, Jami
Wendel, Karen
Burnside, Helen
Rietmeijer, Cornelis A.
Finkenbinder, Allison
Taylor, Kimberly
Devine, Sharon
author_sort Voegeli, Christopher
collection PubMed
description 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.
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spelling pubmed-77378542020-12-22 Predicting Clinical Practice Change: An Evaluation of Trainings on Sexually Transmitted Disease Knowledge, Diagnosis, and Treatment Voegeli, Christopher Fraze, Jami Wendel, Karen Burnside, Helen Rietmeijer, Cornelis A. Finkenbinder, Allison Taylor, Kimberly Devine, Sharon Sex Transm Dis Original Study 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. Lippincott Williams & Wilkins 2021-01 2020-09-09 /pmc/articles/PMC7737854/ /pubmed/33315783 http://dx.doi.org/10.1097/OLQ.0000000000001282 Text en Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Sexually Transmitted Diseases Association. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Original Study
Voegeli, Christopher
Fraze, Jami
Wendel, Karen
Burnside, Helen
Rietmeijer, Cornelis A.
Finkenbinder, Allison
Taylor, Kimberly
Devine, Sharon
Predicting Clinical Practice Change: An Evaluation of Trainings on Sexually Transmitted Disease Knowledge, Diagnosis, and Treatment
title Predicting Clinical Practice Change: An Evaluation of Trainings on Sexually Transmitted Disease Knowledge, Diagnosis, and Treatment
title_full Predicting Clinical Practice Change: An Evaluation of Trainings on Sexually Transmitted Disease Knowledge, Diagnosis, and Treatment
title_fullStr Predicting Clinical Practice Change: An Evaluation of Trainings on Sexually Transmitted Disease Knowledge, Diagnosis, and Treatment
title_full_unstemmed Predicting Clinical Practice Change: An Evaluation of Trainings on Sexually Transmitted Disease Knowledge, Diagnosis, and Treatment
title_short Predicting Clinical Practice Change: An Evaluation of Trainings on Sexually Transmitted Disease Knowledge, Diagnosis, and Treatment
title_sort predicting clinical practice change: an evaluation of trainings on sexually transmitted disease knowledge, diagnosis, and treatment
topic Original Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7737854/
https://www.ncbi.nlm.nih.gov/pubmed/33315783
http://dx.doi.org/10.1097/OLQ.0000000000001282
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