RESUMEN
PURPOSE: AYAs with cancer have unique psychosocial needs, with reproductive health being a primary concern. The ECHO training program provides reproductive health communication training to individuals providing care for AYAs with cancer. The purpose of this project is to describe the growth of ECHO and evaluate changes in learner engagement over a 5-year period. METHODS: ECHO is an 8-week online training program offered annually, with the program including learning modules, discussion topics and reflections, and synchronous discussions. Reflection quality scores and number of words were compared between the 5 cohorts using ANOVA with a p < .05 level of significance. Descriptive statistics summarized module topics, reflections, and synchronous discussions. RESULTS: The average number of reflections per unique learner increased each year (1.4 in cohort 1 vs 4.1 in cohort 5), as did average length and quality of reflections (72.1 words in cohort 1 vs 203.4 words in cohort 5, p < .0001; score of 1.21 in cohort 1 vs 4.46 in cohort 5, p < .0001). The percentage of learners in attendance at synchronous discussions increased between cohorts 4 and 5 (4.8% of learners in cohort 4 vs 18.8% of learners cohort 5). CONCLUSIONS: The ECHO program has seen significant growth and improvement in learner engagement over a 5-year period. This is particularly important given that student learning outcomes in online courses can be predicted by the level of engagement with online content. IMPLICATIONS FOR CANCER SURVIVORS: As fertility and reproductive health remain a top life goal and discussion priority for AYAs surviving cancer, increasing clinical competencies of AHPs in oncofertility is essential.
Asunto(s)
Supervivientes de Cáncer , Preservación de la Fertilidad , Educadores en Salud , Personal de Salud , Difusión de la Información , Salud Reproductiva , Personal de Salud/educación , Salud Reproductiva/educación , Educadores en Salud/educación , Humanos , Masculino , Femenino , Adolescente , Adulto Joven , Supervivientes de Cáncer/educación , Supervivientes de Cáncer/psicologíaRESUMEN
PURPOSE: The purpose of the study was to develop diabetes care and education specialty competencies that align with the Association of Diabetes Care & Education Specialists (ADCES). METHOD: A Delphi method of consensus development was used, comprising 5 survey rounds. Interprofessional diabetes specialty experts were asked to identify and rate trends and issues important to diabetes specialists on a global scale. Use of a 5-round Delphi process allowed diabetes care and education specialty experts to refine their views considering the progress of the group's work from round to round. RESULTS: A total of 457 diabetes care and education specialists across the United States in various professions participated in the Delphi rounds to identify a final set of 130 competencies across 6 domains. CONCLUSION: Use of the Delphi method as a consensus guideline helped to identify core competencies for diabetes care and education specialists, reflecting the knowledge and skills necessary to provide evidence-based, high-quality care.
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Competencia Clínica/normas , Diabetes Mellitus , Educadores en Salud/normas , Especialización/normas , Consenso , Técnica Delphi , Educadores en Salud/educación , Humanos , Estados UnidosRESUMEN
The study purpose was to examine perceived health education competencies among those responsible for planning, implementing, and evaluating health education programs. A total of 172 obesity prevention and nutrition education professionals in the United States completed a survey measuring their perceived competency to plan, implement, and evaluate nutrition education/obesity prevention education programs based on the National Commission for Health Education Credentialing health education competencies and their endorsement of various health education approaches. Using a series of multiple hierarchical regression models, we found that those trained in health education had greater perceived competency in assessing needs (B = 1.19, t = 2.11, p = .03), planning health education programs (B = 1.63, t = 2.96, p = .004), implementing health education programs (B = 1.00, t = 2.22, p = .03), evaluating health education programs (B = 4.85, t = 3.54, p = .001), and managing health education programs (B = 1.70, t = 2.21, p = .03) than those trained in nutrition or dietetics. Additionally, those trained in health education were more likely to endorse the use of a skill-based approach to obesity prevention (B = 0.25, t = 2.53, p = .01) and less likely to endorse teaching facts and information (B = 0.24, t = 1.99, p = .05) than those trained in nutrition or dietetics. These results have implications for improving the effectiveness of health education and promotion programs and the professional preparation of health educators and dietitians alike.
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Dietética/educación , Educación Profesional/normas , Educadores en Salud/educación , Educadores en Salud/normas , Obesidad/prevención & control , Habilitación Profesional , Educación en Salud/organización & administración , Humanos , Competencia Profesional , Evaluación de Programas y Proyectos de Salud , Estados UnidosRESUMEN
PURPOSE: The Cooperative Extension System (Extension) has implemented concerted efforts toward health promotion in communities across the nation by acting as an intermediary between communities and universities. Little is known about how these intermediaries communicate and learn about existing evidence-based programming. This study serves to explore this gap by learning about information sources and channels used within Extension. DESIGN: Sequential explanatory mixed methods approach. SETTING: National Cooperative Extension System. PARTICIPANTS: Extension community-based health educators. METHODS: A nationally distributed survey with follow-up semistructured interviews. Survey results were analyzed using a Kruskal-Wallis 1-way analysis of variance test paired with Bonferroni post hoc. Transcripts were analyzed by conventional content analysis. RESULTS: One hundred twenty-one Extension educators from 33 states responded to the survey, and 18 of 20 invited participants completed the interviews. Educators' information seeking existed in 2 forms: (1) information sources for learning about programming and (2) channels by which this information is communicated. Extension educators reported contacting health specialists and other educators. Extension educators also reported using technological means of communication such as e-mail and Internet to reach information sources such as peers, specialists, academic journals, and so on. CONCLUSION: Extension state specialists were preferred as primary sources for intervention information, and technology was acknowledged as an easy contact channel. This study identifies county-based health educators' information structures and justifies the need for future research on the role of specialists in communication efforts for educators.
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Educación en Salud/métodos , Educación en Salud/estadística & datos numéricos , Educadores en Salud/educación , Educadores en Salud/estadística & datos numéricos , Promoción de la Salud/métodos , Promoción de la Salud/estadística & datos numéricos , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios , Estados UnidosRESUMEN
No intuito de reafirmar os princípios do Sistema Único de Saúde (SUS), institui-se a Política Nacional de Educação Popular em Saúde (PNEPS-SUS), tendo como estratégia um curso de educação popular em saúde para trabalhadores do SUS e movimentos sociais. Objetivou-se analisar o tema das aprendizagens com o corpo todo surgido no processo formativo dos (as) educadores (as) do curso, relacionado à produção de autonomia. A formação de educadores tem atuado na lógica de prerrogativas a serem seguidas, porém, a educação popular propõe a aprendizagem como exercício da autonomia para a responsabilidade política. Neste estudo exploratório, com base na abordagem qualitativa, ancorado no estudo de caso, produzimos os dados com entrevistas em profundidade e observação participante. O curso revelou-se tecido por aprendizagens com o corpo todo que demarcaram inovações na educação em saúde, ao incluir a corporeidade, a espiritualidade, as histórias e vulnerabilidades dos (as) educadores (as), possibilitando sua (trans) formação.(AU)
Con el objetivo de reafirmar los principios del Sistema Brasileño de Salud (SUS), se instituyó la Política Nacional de Educación Popular en Salud (PNEPS-SUS), con la estrategia de un curso de educación popular en salud para trabajadores del SUS y sus movimientos sociales. El enfoque fue analizar el tema de los aprendizajes con todo el cuerpo, surgido en el proceso formativo de los (las) educadores (as) del curso, relacionado a la producción de autonomía. La formación de formadores han actuado en la lógica de prerrogativas a seguir, pero la educación popular propone el aprendizaje como ejercicio de la autonomía para la responsabilidad política. En este estudio exploratorio con base en el abordaje cualitativo, anclado en el estudio de caso, producimos los datos con entrevistas en profundidad y observación participante. El curso se reveló tejido por aprendizajes con todo el cuerpo que demarcaron innovaciones en la educación en salud, al incluir la corporeidad, la espiritualidad, las historias y vulnerabilidades de de los (as) educadores (as) posibilitando su (trans) formación.(AU)
The PNEPS-SUS was instituted to reinforce the principles of the Brazilian National Health System (SUS), having as strategy a popular health education course for workers of the SUS and social movements. The objective of this study was to analyze the subject of learning with the whole body that emerged in the formative process of the course' educators related to the production of autonomy. The formation of educators acted following a logic of prerogatives to be followed. Instead, popular education proposes learning as an exercise of autonomy for political responsibility. In this exploratory study, based on the qualitative approach, anchored in the case study, we produced the data with in-depth interviews and participant observation. The course proved to be interwoven by whole-body learning that singled out innovations in health education, by including the corporeity, spirituality, histories and vulnerabilities of the educators, enabling their (trans) formation.(AU)
Asunto(s)
Humanos , Agentes Comunitarios de Salud , Aprendizaje Basado en Problemas , Educadores en Salud/educación , Integralidad en Salud , Sistema Único de Salud , Política de SaludRESUMEN
OBJECTIVE: Our aim in this study was to evaluate the feasibility of a home-based diabetes prevention program, delivered by interdisciplinary certified diabetes educators (CDEs), and customized for postpartum women with recent gestational diabetes mellitus (GDM). METHODS: This pilot randomized trial recruited women with GDM from 24 to 40 weeks gestation from 4 centres, and trained 10 CDEs in behaviour coaching, physical activity (PA) and low glycemic index education. Women were randomized after 3 months postpartum to standard care (1 visit) or 1 of 3 24-week coaching interventions (1 visit and 12 telephone calls): i) PA and diet, ii) PA only or iii) diet only. Feasibility outcomes included recruitment, retention, adherence and satisfaction. RESULTS: Of 1,342 eligible patients, 392 were actively invited (29.3%) and 227 (16.9%) consented. Of these, 149 (65.6%) were randomized postpartum, of whom 131 (87.9%) started the program and 105 (70.5%) attended the final assessment. Intervention arm participants completed a median 75% (interquartile range, 50% to 92%) of telephone calls. Visit and call duration were a mean 71.4 (standard deviation, 13.8) and 18.1 (standard deviation, 6.5) minutes, respectively. Participants reported excellent/very good satisfaction 73% of the time, and 87% would recommend the program to others. CONCLUSIONS: A home-based diabetes prevention program customized for postpartum women with GDM can be feasibly delivered by CDEs, and it is associated with >70% retention, adherence and satisfaction.
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Diabetes Gestacional/rehabilitación , Ejercicio Físico , Educación en Salud , Educadores en Salud , Prevención Secundaria , Adulto , Estudios de Factibilidad , Femenino , Educadores en Salud/educación , Implementación de Plan de Salud , Humanos , Satisfacción del Paciente/estadística & datos numéricos , Proyectos Piloto , EmbarazoRESUMEN
Intrauterine contraceptive devices (IUCD) are a safe and cost-effective contraceptive method for medically eligible women. Despite this, the utilisation rate for IUCDs is relatively low in many high-income countries, including Australia. Provision of education and training regarding IUCDs to healthcare providers, including nurses and midwives, is one approach to overcome some of the barriers that may prevent wider uptake of IUCDs. This study aims to explore the types and impact of IUCD insertion training for healthcare providers. A systematic review was undertaken in January 2017 to determine the effectiveness of IUCD training for healthcare providers in relation to provision of IUCDs to women. The databases MEDLINE, EMBASE, CINAHL, COCHRANE and SCOPUS were searched to identify studies from high-income countries relating to IUCD training for healthcare providers and relevant outcomes. A total of 30 studies were included in the review. IUCD training for healthcare providers contributed to increased knowledge and improved positive attitudes towards IUCDs, high rates of successful insertions, low complication rates, and increased provision of IUCDs. Successful insertions and low complication rates were similar across different healthcare provider types. No notable differences between provider types in terms of knowledge increase or insertion outcomes were observed. Different training programs for healthcare providers were found to be effective in improving knowledge and successful provision of IUCDs. Increasing the number of healthcare providers skilled in IUCD insertions in high-income countries, including nurses and midwives, will enhance access to this method of contraception and allow women greater contraceptive choice.
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Anticoncepción/métodos , Anticoncepción/estadística & datos numéricos , Ginecología/educación , Personal de Salud/educación , Dispositivos Intrauterinos/efectos adversos , Actitud del Personal de Salud , Competencia Clínica , Anticoncepción/efectos adversos , Países Desarrollados , Educación Médica Continua/métodos , Educación Continua en Enfermería/métodos , Femenino , Educadores en Salud/educación , Conocimientos, Actitudes y Práctica en Salud , Humanos , Internado y ResidenciaRESUMEN
Understanding the advocacy and public policy training needs of our future health promotion workforce is crucial if we are to prepare them to meet their professional responsibilities. The purpose of this study was to examine health promotion students' advocacy/public policy involvement, training, and perceptions. Electronic surveys were disseminated nationwide to college students in health education and closely related programs. Of 477 student respondents, the most frequently indicated advocacy/public policy activity engaged in was voting (56%). The greatest benefit to advocacy was indicated as creating public awareness, while the most prevalent barrier reported was lack of familiarity with the legislation process. Less than one third of students reported receiving any training; however, training and the number of training sources were associated with greater involvement (p < .05). Comparisons by academic classification indicated that graduate students participated in more advocacy activities and reported significantly more benefits, barriers, knowledge, and self-efficacy compared with undergraduates. Regression analysis indicated that knowledge, self-efficacy, perceived benefits, and total number of training sources were significant predictors of advocacy involvement in both graduate and undergraduate student models, with age also contributing significantly to the graduate student model. Findings emphasize the need for increased training at earlier education levels to increase knowledge, self-efficacy, and advocacy/public policy involvement.
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Defensa del Consumidor , Educadores en Salud/educación , Política Pública , Estudiantes/psicología , Adolescente , Adulto , Concienciación , Femenino , Humanos , Conocimiento , Masculino , Política , Autoeficacia , Factores Socioeconómicos , Adulto JovenRESUMEN
This paper highlights the use of an adapted Office of Minority Health (OMH) Preconception Health Peer Educator program to address persistent infant mortality health disparities. The community-based Attack Infant Mortality (AIM Escambia) initiative was established to increase preconception health knowledge among African American women at risk for adverse birth outcomes. Participants (N = 122) attended a 6-h AIM peer educator training, completed pretest and posttest questionnaires about their health knowledge, health attitudes, and planned engagement in health behaviors. Study results support the use of preconception health education training to inform health knowledge, health attitudes, and planned health sharing behaviors. Multidisciplinary collaborations and targeted interventions should be considered when seeking to improve community health conditions and increase health knowledge and health literacy for minority populations.
Asunto(s)
Negro o Afroamericano/educación , Educadores en Salud/educación , Conocimientos, Actitudes y Práctica en Salud , Grupo Paritario , Atención Preconceptiva/organización & administración , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Estudios Transversales , Femenino , Florida , Alfabetización en Salud , Humanos , Masculino , Persona de Mediana Edad , Factores Socioeconómicos , Adulto JovenRESUMEN
Introducción: El estudio de la didáctica en ciencias de la salud ha sido abordado principalmente a través de las innovaciones en metodologías de enseñanza y evaluación. Sin embargo, no se ha realizado una discusión teórico-empírica sobre la naturaleza de la didáctica que constituyen las diversas disciplinas en el área de la salud. Sujetos y métodos: Estudio cualitativo, basado en la teoría fundamentada. Participaron 31 docentes de seis carreras de ciencias de la salud, a los cuales se seleccionó según el criterio de máxima variación. Los docentes fueron contactados personalmente, previo proceso de consentimiento informado. Se realizaron entrevistas semiestructuradas y grupos focales diseñados por los investigadores. El plan de análisis se realizó a partir del método de comparación constante hasta llegar al nivel de codificación selectiva, utilizando el Caqdas Atlas-ti 7.5.2. Resultados: El fenómeno se configura en un contexto sociopolítico particular, con condiciones de las carreras de la salud, en un paradigma científico hegemónico. Antecedentes causales: falta de delimitación del objeto de estudio, sus dimensiones y concepciones curriculares. Estrategias de acción: diseño de objetivos, organización de contenidos, metodologías de enseñanza y evaluación, habilidades del docente. Factores intervinientes: rol docente, funcionamiento curricular, características de la disciplina, clima educativo. Consecuencias: positivas y negativas en diseños curriculares, progresión de los aprendizajes y consciencia didáctica. Conclusión: Los resultados obtenidos evidencian la necesidad de reflexionar acerca de la educación médica, ya que permiten discutir la naturaleza científica y didáctica de las carreras de salud en Chile
Introduction: The study of didactics in Health Sciences has been approached mainly through innovations in teaching and evaluation methodologies. However, there has not been a theoretical-empirical discussion on the nature of the didactics that constitute the various disciplines in the area of health. Subjects and methods: Qualitative study, based on the Grounded Theory. Thirty-one teachers from six health sciences courses participated and were selected according to the criteria of maximum variation. Teachers were contacted in person after the informed consent process. Semi-structured interviews and researchers-designed focus groups were conducted. The analysis plan was carried out from the constant comparison method up to the selective coding level, using the Caqdas Atlas-ti 7.5.2. Results: The phenomenon is configured in a particular socio-political context, with conditions of health careers, in a hegemonic scientific paradigm. Causal background: lack of delimitation of the object of study, its dimensions and curricular conceptions. Action strategies: design of objectives, organization of contents, teaching and evaluation methodologies, teacher skills. Intervening factors: Teaching role, curricular functioning, characteristics of the discipline, educational climate. Consequences: positive and negative in curricular design, progression of learning, didactic awareness. Conclusion: The results obtained show the need to reflect on medical education, since they allow us to discuss the scientific and didactic nature of health careers in Chile
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Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Anciano , Educadores en Salud/estadística & datos numéricos , Evaluación Educacional , Educación Profesional , Educadores en Salud/educación , Investigación Cualitativa , Chile , Personal Docente/organización & administración , Personal Docente/estadística & datos numéricosRESUMEN
ABSTRACT Objective The objective of this quasi-experimental study was to determine the impact of the Promotora Model (PM) as an educational strategy to increase oral health knowledge in parents/caregivers of children aged 2-5 years at high risk for dental caries. Materials and Methods Sixty-three caregivers who provided informed consent were included in the study. A structured 37-item survey was administered prior to conducting the Promotora educational intervention (PEI) that covered oral health topics and behaviors. Three (3) months after the PEI session, during their child's next dental visit, the same instrument was administered to 46 of the parents/caregivers that had completed the first instrument. Results Most caregivers were Hispanic (73.9%) and 50% reported completing high school. Before PEI, 56.5% of participants scored as having "good" general knowledge. Three months after PEI, 82.6% achieved that score (paired sample T-test, p< 0.00001). Conclusion Based on the results, it was concluded that the PM significantly increased caregivers' oral health knowledge.(AU)
RESUMEN Objetivo El propósito de este estudio cuasi-experimental fue determinar el impacto del Modelo Promotora (MP) como estrategia educacional para mejorar el conocimiento sobre salud oral de los padres y/o cuidadores de niños con edades comprendidas entre 2-5 años con alto riesgo de sufrir caries dental. Métodos Sesenta y tres padres y/o cuidadores quienes dieron el consentimiento fueron incluidos en el estudio. Se administró un cuestionario estructurado de 37 preguntas antes de la intervención educativa (IE) con el Modelo Promotora (IEP) el cual cubría tópicos sobre salud oral y conductas. Tres (3) meses después de la sesión de IEP, en la próxima visita dental del niño, el mismo cuestionario fue administrado a 46 padres y/o cuidadores que habían completado el primer cuestionario. Resultados La mayoría de los padres y/o cuidadores eran Hispanos (73,9%) y 50% reporto tener bachillerato completo. Antes del IEP, 56,5% de los participantes presentó un nivel general de conocimiento "Bueno." Tres meses después de la aplicación del IEP, 82,6% obtuvieron el mismo nivel de conocimiento (T-test, p<0.00001). Conclusión Se concluye que el MP mejora considerablemente el conocimiento sobre salud bucal de los padres y/o cuidadores.(AU)
Asunto(s)
Humanos , Salud Bucal/educación , Caries Dental/prevención & control , Educadores en Salud/educación , Encuestas de Salud Bucal/instrumentación , Responsabilidad Parental , Cuidadores/educaciónRESUMEN
In this Career Development commentary, the author highlights the benefits of attending the Society for Public Health Education Advocacy Summit in Washington, D.C. Advocacy is an increasingly necessary skill that allows health educators to advance both the field of public health and their own career development as professionals. Students and practitioners from diverse health education settings get to connect with other professionals, attend skill-building workshops, and increase their ability to influence health policy. From a career development perspective, the Summit provides opportunities to develop professional networks, gain experience and continuing education in several areas of responsibility for health education specialists, and share lessons learned with colleagues in health education and public health.
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Educación en Salud/organización & administración , Educadores en Salud/educación , Equidad en Salud , Educación Continua , Política de Salud , Humanos , Salud Pública/educación , Estudiantes , WashingtónRESUMEN
Liz Branscombe describes what the role is and how it can help improve breed health for pedigree dogs.
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Cruzamiento , Perros , Medicina Veterinaria/tendencias , Animales , Educadores en Salud/educación , Educadores en Salud/tendencias , HumanosRESUMEN
BACKGROUND: We describe an interprofessional educator development program, designed intentionally, that was implemented at an academic healthcare centre. In 2014, we purposefully adapted our pre-existing educator development program to be able to include all interprofessional educators at our institution. The program's goals were to enhance educator skills, a common need due to requirements of accreditation, and to create a local interprofessional community of teachers. The framework of the program was based upon adult learning principles, reflective practice, experiential learning and peer groups, all key characteristics of faculty development programs. It was also longitudinal and immersive. Kirkpatrick's program evaluation model was used for identifying results; participants' self-reported evaluation forms were collected and their narrative comments were analyzed. RESULTS: After we opened our educator program to all interprofessional staff, our number of program participants increased. The interprofessional participants included, but was not limited to, physicians, physician trainees, nurses, physician assistants, audiologists, perfusionists, and basic science researchers. Our number of program sessions and program faculty were expanded. Our interprofessional participants reported that they were able to learn essential knowledge, skills and attitudes for their growth and development as educators, in the context of an interprofessional community, while also appreciating the diversity of their peers. DISCUSSION: We share our insights with the redesign and implementation of an interprofessional educator program so that others can learn from our experiences. Key takeaways include using a conceptual framework for teaching effectiveness, involving interprofessional stakeholders and obtaining their perspectives, reviewing interprofessional literature and competencies, and highlighting best practices across the disciplines.
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Comunicación , Educadores en Salud/educación , Relaciones Interprofesionales , Desarrollo de Personal/métodos , Educación/métodos , Humanos , Grupo Paritario , Evaluación de Programas y Proyectos de Salud/métodos , Desarrollo de Personal/tendencias , Encuestas y CuestionariosRESUMEN
BACKGROUND: US unintended pregnancy rates remain high, and contraceptive providers are not universally trained to offer intrauterine devices and implants to women who wish to use these methods. OBJECTIVE: We sought to measure the impact of a provider training intervention on integration of intrauterine devices and implants into contraceptive care. STUDY DESIGN: We measured the impact of a continuing medical education-accredited provider training intervention on provider attitudes, knowledge, and practices in a cluster randomized trial in 40 US health centers from 2011 through 2013. Twenty clinics were randomly assigned to the intervention arm; 20 offered routine care. Clinic staff participated in baseline and 1-year surveys assessing intrauterine device and implant knowledge, attitudes, and practices. We used a difference-in-differences approach to compare changes that occurred in the intervention sites to changes in the control sites 1 year later. Prespecified outcome measures included: knowledge of patient eligibility for intrauterine devices and implants; attitudes about method safety; and counseling practices. We used multivariable regression with generalized estimating equations to account for clustering by clinic to examine intervention effects on provider outcomes 1 year later. RESULTS: Overall, we surveyed 576 clinic staff (314 intervention, 262 control) at baseline and/or 1-year follow-up. The change in proportion of providers who believed that the intrauterine device was safe was greater in intervention (60% at baseline to 76% at follow-up) than control sites (66% at both times) (adjusted odds ratio, 2.48; 95% confidence interval, 1.13-5.4). Likewise, for the implant, the proportion increased from 57-77% in intervention, compared to 61-65% in control sites (adjusted odds ratio, 2.57; 95% confidence interval, 1.44-4.59). The proportion of providers who believed they were experienced to counsel on intrauterine devices also increased in intervention (53-67%) and remained the same in control sites (60%) (adjusted odds ratio, 1.89; 95% confidence interval, 1.04-3.44), and for the implant increased more in intervention (41-62%) compared to control sites (48-50%) (adjusted odds ratio, 2.30; 95% confidence interval, 1.28-4.12). Knowledge scores of patient eligibility for intrauterine devices increased at intervention sites (from 0.77-0.86) 6% more over time compared to control sites (from 0.78-0.80) (adjusted coefficient, 0.058; 95% confidence interval, 0.003-0.113). Knowledge scores of eligibility for intrauterine device and implant use with common medical conditions increased 15% more in intervention (0.65-0.79) compared to control sites (0.67-0.66) (adjusted coefficient, 0.15; 95% confidence interval, 0.09-0.21). Routine discussion of intrauterine devices and implants by providers in intervention sites increased significantly, 71-87%, compared to in control sites, 76-82% (adjusted odds ratio, 1.97; 95% confidence interval, 1.02-3.80). CONCLUSION: Professional guidelines encourage intrauterine device and implant competency for all contraceptive care providers. Integrating these methods into routine care is important for access. This replicable training intervention translating evidence into care had a sustained impact on provider attitudes, knowledge, and counseling practices, demonstrating significant changes in clinical care a full year after the training intervention.
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Actitud del Personal de Salud , Competencia Clínica , Anticonceptivos Femeninos/administración & dosificación , Educación Continua/métodos , Educadores en Salud/educación , Dispositivos Intrauterinos , Anticoncepción Reversible de Larga Duración , Obstetricia/educación , Adulto , Implantes de Medicamentos , Educación Médica Continua/métodos , Educación Continua en Enfermería/métodos , Femenino , Humanos , Federación Internacional para la Paternidad Responsable , Masculino , Persona de Mediana Edad , Análisis Multivariante , Enfermeras Obstetrices/educación , Enfermeras Practicantes/educación , Oportunidad Relativa , Asistentes Médicos/educación , Análisis de Regresión , Adulto JovenRESUMEN
PURPOSE: Genomics services have the potential to reduce incidence and mortality of diseases by providing individualized, family health history (FHH)-based prevention strategies to clients. These services may benefit from the involvement of community health workers (CHWs) in the provision of FHH-based genomics education and services, as CHWs are frontline public health workers and lay health educators, who share similar ethnicities, languages, socioeconomic statuses, and life experiences with the communities they serve. We developed, implemented, and evaluated the FHH-based genomics training program for CHWs. METHODS: This theory- and evidence-based FHH-focused genomics curriculum was developed by an interdisciplinary team. Full-day workshops in English and Spanish were delivered to 145 Texas CHWs (91.6% were Hispanic/black). Preworkshop, postworkshop, and 3-month follow-up data were collected. RESULTS: CHWs significantly improved their attitudes, intention, self-efficacy, and knowledge regarding adopting FHH-based genomics into their practice after the workshops. At 3-month follow-up, these scores remained higher, and there was a significant increase in CHWs' genomics practices. CONCLUSION: This FHH-based genomics training successfully educated Texas CHWs, and the outcomes were promising. Dissemination of training to CHWs in and outside of Texas is needed to promote better access to and delivery of personalized genomics services for the lay and underserved communities.
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Agentes Comunitarios de Salud/educación , Educación/métodos , Educadores en Salud/educación , Adulto , Curriculum , Femenino , Genómica/educación , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , TexasRESUMEN
BACKGROUND: Training for healthcare professionals (HCPs) in Europe who care for children and young people (CYP) with type 1 diabetes and their families is variable depending on the country. Building on the work of SWEET (Better control in Pediatric and Adolescent diabeteS: Working to crEate CEnTers of Reference) and using the German Certified Diabetes Educators (CDEs) curriculum, a European collaboration of pediatric diabetes experts aimed to (1) establish current core elements that should be included in a pediatric diabetes education training course and (2) create a template for a European CDE's training curriculum. METHODS: A qualitative methodology incorporating a survey questionnaire, focus group discussions, individual semi-structured interviews and workshops was employed to explore participants' experiences and opinions. HCPs-pediatric consultants, diabetes nurses, dietitians and psychologists, national and local diabetes leads, academic and education leads and children, and young people with diabetes and families took part in the study. The total number of participants equaled 186. RESULTS: A template for a European Certified Diabetes Educator Curriculum (EU-CDEC) was developed based on the themes that emerged from the participants' expertise and experiences. This provides a model for HCPs' pediatric diabetes training provision. CONCLUSIONS: There is a severe shortage of high quality, standardized training for HCPs across the majority of European countries. Lack of trained HCPs for CYP with diabetes will result in the delivery of suboptimal care and impact on health, wellbeing and clinical and psychological outcomes. The EU-CDEC template can be used to increase access to high quality training provision for all HCPs across Europe and worldwide.