Julianne Keane M Pascual, Arianna Maever Loreche, Regine Ynez H De Mesa, Noleen Marie C Fabian, Josephine T Sanchez, Janelle Micaela S Panganiban, Mia P Rey, Carol Stephanie C Tan-Lim, Mark Anthony U Javelosa, Ramon Pedro P Paterno, Ray U Casile, Leonila F Dans, Antonio L Dans
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Evidence-based training modules for healthcare providers were administered in Sorsogon and Bataan from the years 2018 to 2021. Module topics were selected based on common health conditions encountered by providers in rural and remote settings. This program aimed to evaluate the effectiveness of training in increasing provider knowledge.</p><p><strong>Methods: </strong>A series of training workshops were conducted among 184 remote- and 210 rural-based primary care providers [nurses, midwives, barangay or village health workers (BHWs)]. They covered four modules: essential intrapartum and newborn care (EINC), integrated management of childhood illness (IMCI), non-communicable diseases (NCD), and geriatrics. A decision support system (UpToDate) was provided as a supplementary resource for all participants. We administered pre-tests and post-tests consisting of multiple-choice questions on common health conditions. Data was analyzed using paired one-tailed t-test, with an alpha of 0.05.</p><p><strong>Results: </strong>The knowledge of nurses, midwives, and BHWs improved after the training workshops were conducted. The largest increase from pre-test to post-test scores were observed among the midwives, with a mean difference (MD) of 32.9% (95% CI 23.9 to 41.9) on the EINC module, MD of 25.0% (95% CI 16.6 to 33.4) in the geriatrics module, and MD of 13.5% (95% CI 6.9 to 20.1) in the NCDs module. The nurses had the greatest improvement in the IMCI module (MD 10.8%, 95% CI 2.5 to 19.1). The knowledge of BHWs improved in all participated modules, with greatest improvement in the NCD module (MD 9.0%, 95% CI 5.77 to 12.14).</p><p><strong>Conclusions: </strong>Primary care workshops, even if conducted as single-sessions and on a short-term basis, are effective in improving short-term knowledge of providers. However, this may not translate to long-term knowledge and application in practice. Furthermore, comparisons across provider categories cannot be made as participant composition for each training workshop varied. Ultimately, this study shows enhancing provider knowledge and competence in primary care will therefore require regular and diverse learning interventions and access to clinical decision support tools.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"59 1","pages":"66-72"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11779662/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effect of a Brief Training Program on the Knowledge of Filipino Primary Care Providers in a Rural and a Remote Setting: a Before and After Study.\",\"authors\":\"Julianne Keane M Pascual, Arianna Maever Loreche, Regine Ynez H De Mesa, Noleen Marie C Fabian, Josephine T Sanchez, Janelle Micaela S Panganiban, Mia P Rey, Carol Stephanie C Tan-Lim, Mark Anthony U Javelosa, Ramon Pedro P Paterno, Ray U Casile, Leonila F Dans, Antonio L Dans\",\"doi\":\"10.47895/amp.vi0.8869\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background and objective: </strong>Primary care providers are key players in providing quality care to patients and advancing Universal Health Care (UHC). 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They covered four modules: essential intrapartum and newborn care (EINC), integrated management of childhood illness (IMCI), non-communicable diseases (NCD), and geriatrics. A decision support system (UpToDate) was provided as a supplementary resource for all participants. We administered pre-tests and post-tests consisting of multiple-choice questions on common health conditions. Data was analyzed using paired one-tailed t-test, with an alpha of 0.05.</p><p><strong>Results: </strong>The knowledge of nurses, midwives, and BHWs improved after the training workshops were conducted. The largest increase from pre-test to post-test scores were observed among the midwives, with a mean difference (MD) of 32.9% (95% CI 23.9 to 41.9) on the EINC module, MD of 25.0% (95% CI 16.6 to 33.4) in the geriatrics module, and MD of 13.5% (95% CI 6.9 to 20.1) in the NCDs module. The nurses had the greatest improvement in the IMCI module (MD 10.8%, 95% CI 2.5 to 19.1). 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引用次数: 0
摘要
背景和目的:初级保健提供者是向患者提供优质保健和推进全民卫生保健(UHC)的关键参与者。然而,有效和高质量的医疗保健服务可能会受到知识不足和提供者未能遵守循证指南的影响。菲律宾初级保健研究(PPCS)是一个为期五年的项目,对旨在加强该国初级保健系统的干预措施进行试点测试。2018年至2021年,在索索贡和巴丹为医疗保健提供者提供了循证培训模块。模块主题是根据农村和偏远地区提供者遇到的常见健康状况选择的。该计划旨在评估培训在增加提供者知识方面的有效性。方法:在184个偏远地区和210个农村初级保健提供者(护士、助产士、村卫生工作者)中开展了一系列培训讲习班。它们包括四个模块:基本的分娩和新生儿护理(EINC)、儿童疾病综合管理(IMCI)、非传染性疾病和老年病学。提供决策支持系统(UpToDate)作为所有参与者的补充资源。我们进行了前测试和后测试,包括关于常见健康状况的多项选择题。数据分析采用配对单侧t检验,alpha值为0.05。结果:开展培训后,护士、助产士和bhw的知识水平均有提高。从检测前到检测后评分的最大增幅出现在助产士中,EINC模块的平均差异(MD)为32.9% (95% CI 23.9至41.9),老年医学模块的MD为25.0% (95% CI 16.6至33.4),非传染性疾病模块的MD为13.5% (95% CI 6.9至20.1)。护士在IMCI模块上的改善最大(MD 10.8%, 95% CI 2.5 ~ 19.1)。在所有参与的模块中,bhw的知识都得到了改善,其中NCD模块的改善最大(MD为9.0%,95% CI为5.77至12.14)。结论:初级保健讲习班,即使是单次和短期的,在提高提供者的短期知识方面是有效的。然而,这可能不会转化为长期的知识和在实践中的应用。此外,由于每个培训讲习班的参加者组成各不相同,因此无法对不同类别的提供者进行比较。最终,本研究表明,因此,提高初级保健提供者的知识和能力将需要定期和多样化的学习干预,并获得临床决策支持工具。
Effect of a Brief Training Program on the Knowledge of Filipino Primary Care Providers in a Rural and a Remote Setting: a Before and After Study.
Background and objective: Primary care providers are key players in providing quality care to patients and advancing Universal Health Care (UHC). However, effective and quality healthcare delivery may be affected by inadequate knowledge and failure to adhere to evidence-based guidelines among providers. The Philippine Primary Care Studies (PPCS) is a five-year program that pilot tested interventions aimed at strengthening the primary care system in the country. Evidence-based training modules for healthcare providers were administered in Sorsogon and Bataan from the years 2018 to 2021. Module topics were selected based on common health conditions encountered by providers in rural and remote settings. This program aimed to evaluate the effectiveness of training in increasing provider knowledge.
Methods: A series of training workshops were conducted among 184 remote- and 210 rural-based primary care providers [nurses, midwives, barangay or village health workers (BHWs)]. They covered four modules: essential intrapartum and newborn care (EINC), integrated management of childhood illness (IMCI), non-communicable diseases (NCD), and geriatrics. A decision support system (UpToDate) was provided as a supplementary resource for all participants. We administered pre-tests and post-tests consisting of multiple-choice questions on common health conditions. Data was analyzed using paired one-tailed t-test, with an alpha of 0.05.
Results: The knowledge of nurses, midwives, and BHWs improved after the training workshops were conducted. The largest increase from pre-test to post-test scores were observed among the midwives, with a mean difference (MD) of 32.9% (95% CI 23.9 to 41.9) on the EINC module, MD of 25.0% (95% CI 16.6 to 33.4) in the geriatrics module, and MD of 13.5% (95% CI 6.9 to 20.1) in the NCDs module. The nurses had the greatest improvement in the IMCI module (MD 10.8%, 95% CI 2.5 to 19.1). The knowledge of BHWs improved in all participated modules, with greatest improvement in the NCD module (MD 9.0%, 95% CI 5.77 to 12.14).
Conclusions: Primary care workshops, even if conducted as single-sessions and on a short-term basis, are effective in improving short-term knowledge of providers. However, this may not translate to long-term knowledge and application in practice. Furthermore, comparisons across provider categories cannot be made as participant composition for each training workshop varied. Ultimately, this study shows enhancing provider knowledge and competence in primary care will therefore require regular and diverse learning interventions and access to clinical decision support tools.