Is knowledge retained by healthcare providers after training? A pragmatic evaluation of drug-resistant tuberculosis management in China

Autor: Wu, Shishi; Li, Renzhong; Su, Wei; Ruan, Yunzhou; Chen, Mingting; Khan, Mishal S
Sprache: Englisch
Veröffentlicht: 2019
Quelle: PubMed Central (PMC)
Online Zugang: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6475142/
http://www.ncbi.nlm.nih.gov/pubmed/30904847
http://dx.doi.org/10.1136/bmjopen-2018-024196
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6475142/
https://doi.org/10.1136/bmjopen-2018-024196
Erfassungsnummer: ftpubmed:oai:pubmedcentral.nih.gov:6475142
id ftpubmed:oai:pubmedcentral.nih.gov:6475142
bisp-collection base
recordtype bispbase
url http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6475142/
http://www.ncbi.nlm.nih.gov/pubmed/30904847
http://dx.doi.org/10.1136/bmjopen-2018-024196
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6475142/
https://doi.org/10.1136/bmjopen-2018-024196
url-type primary
primary
primary
pmc
info
spelling Medical Education and Training
Is knowledge retained by healthcare providers after training? A pragmatic evaluation of drug-resistant tuberculosis management in China
publishDate 2019
publishDate_facet 2019
baseCollectionName PubMed Central (PMC)
baseCountry us
title Is knowledge retained by healthcare providers after training? A pragmatic evaluation of drug-resistant tuberculosis management in China
spellingShingle Is knowledge retained by healthcare providers after training? A pragmatic evaluation of drug-resistant tuberculosis management in China
title_short Is knowledge retained by healthcare providers after training? A pragmatic evaluation of drug-resistant tuberculosis management in China
title_sort Is knowledge retained by healthcare providers after training? A pragmatic evaluation of drug-resistant tuberculosis management in China
author2 Wu, Shishi
Li, Renzhong
Su, Wei
Ruan, Yunzhou
Chen, Mingting
Khan, Mishal S
author_facet Wu, Shishi
Li, Renzhong
Su, Wei
Ruan, Yunzhou
Chen, Mingting
Khan, Mishal S
author2-role Autor
Autor
Autor
Autor
Autor
Autor
abstract OBJECTIVES: Considering 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 PARTICIPANTS: The 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 MEASURES: A 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 χ(2) test. Factors influencing participants’ performance in the long-term knowledge assessment were analysed using linear regression. RESULTS: Across 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% (p<0.001) and 31% (p<0.001) relative to pretraining. However, compared with immediately after training, the knowledge of the three topics declined by 26.5% (p=0.003), 19.8% (p=0.018) and 52.7% (p<0.001) respectively in Jiangxi, while no significant decline was observed in Liaoning. Additionally, we found that obtaining a higher score in the long-term knowledge assessment was associated with longer years of clinical experience (coefficient=0.51; 95 CI% 0.02 to 0.99; p=0.041) and attending training in Liaoning (coefficient=0.50; 95% CI 0.14 to 0.85; p=0.007). CONCLUSION: Our 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 ...
abstract_type general
abstract_lang eng
language eng
publisher BMJ Publishing Group
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score 13,538224