Development and evaluation of an online continuing education course to increase healthcare provider self-efficacy to make strong HPV vaccine recommendations to East African immigrant families

IF 4.7 Q1 VIROLOGY

Tumour Virus Research Pub Date : 2021-06-01 DOI:10.1016/j.tvr.2021.200214

SarahAnn M. McFadden , Linda K. Ko , Megha Shankar , Anisa Ibrahim , Debra Berliner , John Lin , Farah B. Mohamed , Fanaye Amsalu , Ahmed A. Ali , Sou Hyun Jang , Rachel L. Winer

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引用次数: 13

Abstract

Objective

To develop and evaluate an online continuing education (CE) course designed to improve healthcare provider self-efficacy to make strong adolescent HPV vaccine recommendations to East African immigrant families.

Methods

Focus groups with providers and East African immigrant mothers informed course development. Providers serving East African immigrant families were recruited to view the course and complete pre-/post-test and two-month follow-up surveys. Pre-/post differences were compared with paired t-tests.

Results

202 providers completed the course and pre-/post-test; 158 (78%) completed two-month follow-up. Confidence to make strong HPV vaccine recommendations to East African families increased from 68% pre-test to 98% post-test. Confidence to address common parental concerns also increased: safety, 54% pre-test, 92% post-test; fertility, 55% pre-test, 90% post-test; child too young, 68% pre-test, 92% post-test; and pork gelatin in vaccine manufacturing, 38% pre-test, 90% post-test. Two-month follow-up scores remained high (97% for overall confidence, 94%–97% for addressing parental concerns). All pre-/post-test and pre-test/two-month follow-up comparisons were statistically significant (p < 0.05).

Conclusions

The online CE course focused on culturally appropriate strategies for making strong recommendations and addressing specific parental concerns was effective for increasing provider self-efficacy to recommend HPV vaccination to East African families. Similar courses could be tailored to other priority populations.

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开发和评估在线继续教育课程，以提高医疗保健提供者的自我效能，向东非移民家庭提出强有力的HPV疫苗建议

目的开发和评估在线继续教育(CE)课程，旨在提高医疗保健提供者的自我效能，向东非移民家庭提供强有力的青少年HPV疫苗建议。方法与提供者和东非移民母亲进行焦点小组讨论，了解课程的发展情况。为东非移民家庭提供服务的提供者被招募来观看课程，并完成测试前/测试后和两个月的随访调查。前后差异采用配对t检验比较。结果202名提供者完成了课程和前后测试;158例(78%)完成了2个月的随访。向东非家庭提出强有力的人乳头瘤病毒疫苗建议的信心从检测前的68%增加到检测后的98%。解决家长常见问题的信心也有所增加:安全，测试前为54%，测试后为92%;生育能力，检测前55%，检测后90%;儿童年龄太小，68%为前测，92%为后测;猪肉明胶在疫苗生产中的比例，38%是前测，90%是后测。两个月的随访得分仍然很高(总体信心为97%，解决父母担忧为94%-97%)。所有测试前/测试后和测试前/两个月随访比较均有统计学意义(p <0.05)。结论在线CE课程侧重于文化上适当的策略，以提出强有力的建议和解决父母的具体问题，有效地提高了提供者向东非家庭推荐HPV疫苗接种的自我效能。类似的课程也可以针对其他优先人群。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Tumour Virus Research Medicine-Infectious Diseases

CiteScore

6.50

自引率

2.30%

发文量

审稿时长

56 days