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

基本信息

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
项目类别：
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

项目摘要

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.

项目概要：对卫生专业人员进行性卫生保健培训对于解决一个国家广泛的性问题至关重要和生殖健康问题评估性健康课程对提供者的影响。在撒哈拉以南非洲地区，这种行为是罕见的，这里是世界上艾滋病毒、性传播感染和性传播感染发病率最高的地区。性健康和生殖健康面临多重挑战，对健康学生的性健康保健培训几乎如果要广泛采用这种教育，就需要对其影响进行严格的研究。在我们的“健康专业人员培训”（THP-1）研究中，穆辛比利健康与相关科学大学在坦桑尼亚（MUHAS），我们进行了形成性研究，以确定最常见的性健康问题。然后，我们根据非洲情况为医疗保健提供者量身定制了性健康课程培训，对其效果进行了世界上第一个单盲、随机对照试验，参与者为 412 名护理人员， MUHAS 的助产士和医学生对干预组的测试后评估显示：课程在 3 个月的随访中高度可接受、适合文化、必要且可行。与对照组相比，干预组学生的性健康知识有中等到大幅增加，根据更新申请 (THP-2) 的要求，我们的长期态度得到改善，临床技能得到提高。目标仍然是“通过建立性意识来改善坦桑尼亚个人的性健康结果” 和卫生人员的生殖保健提供技能。”我们有三个新的具体目标。将评估以非洲为中心的性健康课程的中长期效果。针对候补名单控制组对课程进行单盲随机对照试验，以评估对性的影响 6、12 和 24 个月随访时的健康知识、态度和咨询技能（每组 n=155 名学生；总共 310 个）在目标 2 中，我们将制定培训师培训课程。对坦桑尼亚其他十所卫生大学的教师进行评估，开发培训材料，并试点对另外两所卫生大学的教师进行培训：多多马大学 (UDOM) 和乞力马扎罗基督教大学医学院 (KCMC) 在目标 3 中，我们将进行一项 IV 期试验。课程由他们的教师在两个新地点教授，并进行 3-6 个月和 12 个月的跟进。 KCMC 和 UDOM 是坦桑尼亚最大的卫生大学。该课程具有很大的潜力。这些结果也具有很大的指导意义。使整个非洲和非洲大陆以外的性健康课程适应其他中低收入国家。

项目成果

期刊论文数量（11）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

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
影响因子：
0
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
影响因子：
0
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。

DOI：
发表时间：
2020
期刊：
African journal of health, nursing and midwifery
影响因子：
0
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
影响因子：
0
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