Regan Preston, Eric Lim, Shirley McGough, Glenn Boardman, Karen Heslop
{"title":"从教育到行动——丙型肝炎微消除教育对医疗保健提供者信心和护理联系的影响：一项准实验研究","authors":"Regan Preston, Eric Lim, Shirley McGough, Glenn Boardman, Karen Heslop","doi":"10.1002/hsr2.71039","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background and Aim</h3>\n \n <p>Micro-elimination education can improve access to life-saving treatments for patients with hepatitis C, co-occurring mental health conditions, and alcohol and other drug use disorders. The Hepatitis C virus (HCV) is disproportionately prevalent among people with mental health conditions and alcohol and other drug issues, reducing their life expectancy. Although hepatitis C is a curable condition, this population frequently remains untested and untreated. Micro-elimination programs are necessary to enhance hepatitis C virus screening and treatment rates. This study aims to evaluate the impact of micro-elimination education on healthcare providers' confidence in identifying high-risk HCV populations, conducting HCV screenings and treatments, and managing comorbid substance use disorders. Additionally, it will assess referrals to a nurse-led HCV treatment clinic.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A quasi-experimental pre-posttest intervention design was used. The intervention was an education program targeted at HCV micro-elimination and linkage to care.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Questionnaires were administered to (<i>n</i> = 101) healthcare providers to measure changes in confidence in screening and treating HCV in people with comorbid mental health conditions and alcohol and other drug disorders pre- and post-intervention. Pre-intervention, healthcare providers reported the highest confidence levels in treating mental health conditions. A significant increase in post-education confidence in screening and treating the HCV across all healthcare provider roles was observed (<i>p</i> < 0.05). Twenty-three referrals were received at the nurse-led hepatitis C virus treatment clinic, with the majority (<i>n</i> = 11) of referrals received from nurses.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>This study underscores the significance of micro-elimination education programs in enhancing healthcare provider confidence in treating hepatitis C. Leveraging the mental health nursing workforce to connect high-risk populations with hepatitis C care will expand timely access to life-saving treatments and optimize healthcare outcomes. Targeted hepatitis C micro-elimination education will further accelerate progress toward the 2030 elimination goals, enhancing the overall well-being of vulnerable populations.</p>\n </section>\n </div>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 7","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hsr2.71039","citationCount":"0","resultStr":"{\"title\":\"From Education to Action—The Impact of Hepatitis C Micro-Elimination Education on Healthcare Provider Confidence and Linkage to Care: A Quasi-Experimental Study\",\"authors\":\"Regan Preston, Eric Lim, Shirley McGough, Glenn Boardman, Karen Heslop\",\"doi\":\"10.1002/hsr2.71039\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background and Aim</h3>\\n \\n <p>Micro-elimination education can improve access to life-saving treatments for patients with hepatitis C, co-occurring mental health conditions, and alcohol and other drug use disorders. The Hepatitis C virus (HCV) is disproportionately prevalent among people with mental health conditions and alcohol and other drug issues, reducing their life expectancy. Although hepatitis C is a curable condition, this population frequently remains untested and untreated. Micro-elimination programs are necessary to enhance hepatitis C virus screening and treatment rates. This study aims to evaluate the impact of micro-elimination education on healthcare providers' confidence in identifying high-risk HCV populations, conducting HCV screenings and treatments, and managing comorbid substance use disorders. Additionally, it will assess referrals to a nurse-led HCV treatment clinic.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A quasi-experimental pre-posttest intervention design was used. The intervention was an education program targeted at HCV micro-elimination and linkage to care.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Questionnaires were administered to (<i>n</i> = 101) healthcare providers to measure changes in confidence in screening and treating HCV in people with comorbid mental health conditions and alcohol and other drug disorders pre- and post-intervention. Pre-intervention, healthcare providers reported the highest confidence levels in treating mental health conditions. A significant increase in post-education confidence in screening and treating the HCV across all healthcare provider roles was observed (<i>p</i> < 0.05). Twenty-three referrals were received at the nurse-led hepatitis C virus treatment clinic, with the majority (<i>n</i> = 11) of referrals received from nurses.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>This study underscores the significance of micro-elimination education programs in enhancing healthcare provider confidence in treating hepatitis C. Leveraging the mental health nursing workforce to connect high-risk populations with hepatitis C care will expand timely access to life-saving treatments and optimize healthcare outcomes. Targeted hepatitis C micro-elimination education will further accelerate progress toward the 2030 elimination goals, enhancing the overall well-being of vulnerable populations.</p>\\n </section>\\n </div>\",\"PeriodicalId\":36518,\"journal\":{\"name\":\"Health Science Reports\",\"volume\":\"8 7\",\"pages\":\"\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-07-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hsr2.71039\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Science Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/hsr2.71039\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Science Reports","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/hsr2.71039","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
From Education to Action—The Impact of Hepatitis C Micro-Elimination Education on Healthcare Provider Confidence and Linkage to Care: A Quasi-Experimental Study
Background and Aim
Micro-elimination education can improve access to life-saving treatments for patients with hepatitis C, co-occurring mental health conditions, and alcohol and other drug use disorders. The Hepatitis C virus (HCV) is disproportionately prevalent among people with mental health conditions and alcohol and other drug issues, reducing their life expectancy. Although hepatitis C is a curable condition, this population frequently remains untested and untreated. Micro-elimination programs are necessary to enhance hepatitis C virus screening and treatment rates. This study aims to evaluate the impact of micro-elimination education on healthcare providers' confidence in identifying high-risk HCV populations, conducting HCV screenings and treatments, and managing comorbid substance use disorders. Additionally, it will assess referrals to a nurse-led HCV treatment clinic.
Methods
A quasi-experimental pre-posttest intervention design was used. The intervention was an education program targeted at HCV micro-elimination and linkage to care.
Results
Questionnaires were administered to (n = 101) healthcare providers to measure changes in confidence in screening and treating HCV in people with comorbid mental health conditions and alcohol and other drug disorders pre- and post-intervention. Pre-intervention, healthcare providers reported the highest confidence levels in treating mental health conditions. A significant increase in post-education confidence in screening and treating the HCV across all healthcare provider roles was observed (p < 0.05). Twenty-three referrals were received at the nurse-led hepatitis C virus treatment clinic, with the majority (n = 11) of referrals received from nurses.
Conclusion
This study underscores the significance of micro-elimination education programs in enhancing healthcare provider confidence in treating hepatitis C. Leveraging the mental health nursing workforce to connect high-risk populations with hepatitis C care will expand timely access to life-saving treatments and optimize healthcare outcomes. Targeted hepatitis C micro-elimination education will further accelerate progress toward the 2030 elimination goals, enhancing the overall well-being of vulnerable populations.
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