The Vulvodynia Primary Care Toolkit: results of a mixed-method evaluation with community-based family physicians in British Columbia.

IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Katherine E Hunker, Melanie Altas, Kaitlyn M Goldsmith, Janine E Farrell, Katrina N Bouchard
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引用次数: 0

Abstract

Background: Healthcare providers often lack awareness, knowledge, and confidence in managing vulvodynia, which can lead to difficulties with diagnosis and treatment for individuals with the condition.

Objective: To develop and test an educational online toolkit tailored to supporting community-based primary care providers with diagnosis, treatment, and patient support for vulvodynia.

Methods: A sample of 19 community-based family physicians completed online surveys before and after testing the Vulvodynia Primary Care Toolkit (the toolkit hereafter) in their practice for 6 months. Nine physicians also completed a semi-structured interview to describe their experiences using the toolkit.

Results: The toolkit was adopted into clinical care, being used an average of 4.1 times per physician (SD = 2.7) during the test period. The toolkit demonstrated high acceptability, as evidenced by a high level of reported satisfaction with the toolkit and the amount of information it contained. The toolkit increased self-reported knowledge and confidence in diagnosing (P = .003), treating (P < .001), and supporting (P < .001) patients with vulvodynia. Through reflexive thematic analysis, we generated five themes from interview data that represented physicians' experiences: (i) There are facilitators and barriers to toolkit use in practice, (ii) the toolkit is valued by family physicians, (iii) the toolkit is educational, (iv) the toolkit is empowering, and (v) the toolkit improves vulvodynia management and referrals.

Conclusion: An online educational toolkit tailored to community-based primary care settings supports the management of patients with vulvodynia by family physicians. Our findings lay the foundation for the upscaling of this tool.

外阴痛初级保健工具包:不列颠哥伦比亚省社区家庭医生混合方法评估的结果。
背景:医疗保健提供者往往缺乏认识,知识和信心,在管理外阴痛,这可能导致困难的诊断和治疗个人与条件。目的:开发和测试一个在线教育工具包,为社区初级保健提供者提供外阴痛的诊断、治疗和患者支持。方法:对19名社区家庭医生进行为期6个月的外阴痛初级保健工具包(以下简称工具包)测试前后的在线调查。九名医生还完成了一项半结构化的访谈,以描述他们使用工具包的经历。结果:该工具包被纳入临床护理,在测试期间平均每位医生使用4.1次(SD = 2.7)。该工具包显示了高可接受性,正如对工具包报告的高水平满意度及其包含的信息量所证明的那样。该工具包提高了外阴痛患者在诊断(P = 0.003)、治疗(P < 0.001)和支持(P < 0.001)方面的自我报告知识和信心。通过反身性主题分析,我们从访谈数据中生成了五个代表医生经验的主题:(i)在实践中使用工具包存在促进因素和障碍,(ii)工具包受到家庭医生的重视,(iii)工具包具有教育意义,(iv)工具包具有授权作用,(v)工具包改善外阴痛管理和转诊。结论:为社区初级保健机构量身定制的在线教育工具包支持家庭医生对外阴痛患者的管理。我们的发现为这一工具的升级奠定了基础。
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来源期刊
Family practice
Family practice 医学-医学:内科
CiteScore
4.30
自引率
9.10%
发文量
144
审稿时长
4-8 weeks
期刊介绍: Family Practice is an international journal aimed at practitioners, teachers, and researchers in the fields of family medicine, general practice, and primary care in both developed and developing countries. Family Practice offers its readership an international view of the problems and preoccupations in the field, while providing a medium of instruction and exploration. The journal''s range and content covers such areas as health care delivery, epidemiology, public health, and clinical case studies. The journal aims to be interdisciplinary and contributions from other disciplines of medicine and social science are always welcomed.
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