“:” Training Satisfaction and Subsequent Practice among Health Providers Participating in a Standardized Patient Actor Training to Improve Adolescent Engagement in HIV Care
Background: Poor health care worker (HCW) interactions with adolescents negatively influence engagement in HIV care. We assessed the impact of standardized patient actor training on HCW competence in providing adolescent HIV care in Kenya. Methods: We conducted pre-post cross-sectional surveys and q...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-01-01
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| Series: | Journal of the International Association of Providers of AIDS Care |
| Online Access: | https://doi.org/10.1177/23259582221075133 |
| _version_ | 1818715606342434816 |
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| author | Hellen M. Okinyi BSN Cyrus M. Wachira MPH, MBchB Kate S. Wilson PhD, MPH Margaret N. Nduati BA Alvin D. Onyango BSN Caren W. Mburu MBchB, Mmed Irene W. Inwani MBchB, Mmed Tamara L. Owens PhD, MA David E. Bukusi MBchB, Mmed Grace C. John-. Stewart MD, PhD Dalton C. Wamalwa MBchB, Mmed Pamela K. Kohler PhD, MPH, RN |
| author_facet | Hellen M. Okinyi BSN Cyrus M. Wachira MPH, MBchB Kate S. Wilson PhD, MPH Margaret N. Nduati BA Alvin D. Onyango BSN Caren W. Mburu MBchB, Mmed Irene W. Inwani MBchB, Mmed Tamara L. Owens PhD, MA David E. Bukusi MBchB, Mmed Grace C. John-. Stewart MD, PhD Dalton C. Wamalwa MBchB, Mmed Pamela K. Kohler PhD, MPH, RN |
| author_sort | Hellen M. Okinyi BSN |
| collection | DOAJ |
| description | Background: Poor health care worker (HCW) interactions with adolescents negatively influence engagement in HIV care. We assessed the impact of standardized patient actor training on HCW competence in providing adolescent HIV care in Kenya. Methods: We conducted pre-post cross-sectional surveys and qualitative exit interviews during a stepped wedge randomized trial. Cross-sectional surveys assessed self-rated competence in providing adolescent services before and after the intervention, and training satisfaction. In-depth interviews with a subset of HCW participants one year after training. Results: Over 90% of HCWs reported satisfaction with the training and there was significant improvement in self-rated competence scores (mean = 4.63 [highest possible score of 5] post-training vs 3.86 pre-training, p < 0.001). One-year following training, HCWs reported using skills in patient-centered communication and structuring an adolescent clinical encounter. Conclusions: This SP training intervention improved self-rated competence and showed sustained perceived impact on HCW skills in adolescent HIV service provision one year later. |
| first_indexed | 2024-12-17T19:06:02Z |
| format | Article |
| id | doaj.art-5540b5b16e184daf9e3445e56b6bd899 |
| institution | Directory Open Access Journal |
| issn | 2325-9582 |
| language | English |
| last_indexed | 2024-12-17T19:06:02Z |
| publishDate | 2022-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of the International Association of Providers of AIDS Care |
| spelling | doaj.art-5540b5b16e184daf9e3445e56b6bd8992022-12-21T21:36:00ZengSAGE PublishingJournal of the International Association of Providers of AIDS Care2325-95822022-01-012110.1177/23259582221075133“:” Training Satisfaction and Subsequent Practice among Health Providers Participating in a Standardized Patient Actor Training to Improve Adolescent Engagement in HIV CareHellen M. Okinyi BSN0Cyrus M. Wachira MPH, MBchB1Kate S. Wilson PhD, MPH2Margaret N. Nduati BA3Alvin D. Onyango BSN4Caren W. Mburu MBchB, Mmed5Irene W. Inwani MBchB, Mmed6Tamara L. Owens PhD, MA7David E. Bukusi MBchB, Mmed8Grace C. John-. Stewart MD, PhD9Dalton C. Wamalwa MBchB, Mmed10Pamela K. Kohler PhD, MPH, RN11 , Nairobi, Kenya , Seattle, Washington, USA , Seattle, Washington, USA , Nairobi, Kenya , Nairobi, Kenya , Nairobi, Kenya , Nairobi, Kenya , Washington DC, USA , Nairobi, Kenya , Seattle, Washington, USA , Nairobi, Kenya , Seattle, Washington, USABackground: Poor health care worker (HCW) interactions with adolescents negatively influence engagement in HIV care. We assessed the impact of standardized patient actor training on HCW competence in providing adolescent HIV care in Kenya. Methods: We conducted pre-post cross-sectional surveys and qualitative exit interviews during a stepped wedge randomized trial. Cross-sectional surveys assessed self-rated competence in providing adolescent services before and after the intervention, and training satisfaction. In-depth interviews with a subset of HCW participants one year after training. Results: Over 90% of HCWs reported satisfaction with the training and there was significant improvement in self-rated competence scores (mean = 4.63 [highest possible score of 5] post-training vs 3.86 pre-training, p < 0.001). One-year following training, HCWs reported using skills in patient-centered communication and structuring an adolescent clinical encounter. Conclusions: This SP training intervention improved self-rated competence and showed sustained perceived impact on HCW skills in adolescent HIV service provision one year later.https://doi.org/10.1177/23259582221075133 |
| spellingShingle | Hellen M. Okinyi BSN Cyrus M. Wachira MPH, MBchB Kate S. Wilson PhD, MPH Margaret N. Nduati BA Alvin D. Onyango BSN Caren W. Mburu MBchB, Mmed Irene W. Inwani MBchB, Mmed Tamara L. Owens PhD, MA David E. Bukusi MBchB, Mmed Grace C. John-. Stewart MD, PhD Dalton C. Wamalwa MBchB, Mmed Pamela K. Kohler PhD, MPH, RN “:” Training Satisfaction and Subsequent Practice among Health Providers Participating in a Standardized Patient Actor Training to Improve Adolescent Engagement in HIV Care Journal of the International Association of Providers of AIDS Care |
| title | “:” Training Satisfaction and Subsequent Practice among Health Providers Participating in a Standardized Patient Actor Training to Improve Adolescent Engagement in HIV Care |
| title_full | “:” Training Satisfaction and Subsequent Practice among Health Providers Participating in a Standardized Patient Actor Training to Improve Adolescent Engagement in HIV Care |
| title_fullStr | “:” Training Satisfaction and Subsequent Practice among Health Providers Participating in a Standardized Patient Actor Training to Improve Adolescent Engagement in HIV Care |
| title_full_unstemmed | “:” Training Satisfaction and Subsequent Practice among Health Providers Participating in a Standardized Patient Actor Training to Improve Adolescent Engagement in HIV Care |
| title_short | “:” Training Satisfaction and Subsequent Practice among Health Providers Participating in a Standardized Patient Actor Training to Improve Adolescent Engagement in HIV Care |
| title_sort | training satisfaction and subsequent practice among health providers participating in a standardized patient actor training to improve adolescent engagement in hiv care |
| url | https://doi.org/10.1177/23259582221075133 |
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