Effectiveness of instructional videos for enhancing healthcare provider competencies for hypertension management – a pre-post study in primary healthcare settings, Tanzania
Abstract Background Inadequate adherence to hypertension (HT) clinical standards by healthcare providers is one of the major barriers for HT management. We examined the effectiveness of four short instructional training videos on HT management. Methods Eighteen primary health care facilities were ra...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-022-08064-5 |
| _version_ | 1828330711617110016 |
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| author | Anbrasi Edward Gibson B. Kagaruki Frank Manase Lawrence J. Appel Kunihiro Matsushita |
| author_facet | Anbrasi Edward Gibson B. Kagaruki Frank Manase Lawrence J. Appel Kunihiro Matsushita |
| author_sort | Anbrasi Edward |
| collection | DOAJ |
| description | Abstract Background Inadequate adherence to hypertension (HT) clinical standards by healthcare providers is one of the major barriers for HT management. We examined the effectiveness of four short instructional training videos on HT management. Methods Eighteen primary health care facilities were randomly selected using systematic sampling from five districts in the Dar es Salaam region, Tanzania. Pre-post provider knowledge assessments were conducted six months after training and provider performance was measured using patient observations on 8-10 consecutive adult patients per facility. A Screening Quality Index (SQI), comprised of ten HT screening standards, was used to measure adherence. Results Pre-post knowledge scores improved significantly, for, time between blood pressure (BP) readings (28.1% to 72.7%, p=0.01), BP threshold for patients with complications (21.2% to 97.0%, p<0.001), and lifestyle/dietary counseling (from 36.4% to 97.0%, p<0.001). SQI was significantly higher following the training for all provider groups; Nurses (3.0±3.5 to 8.4±1.0, p<0.001), Assistant Medical Officers and Medical Officers (3.5±4.1 to 7.6±2.4, p<0.001), and Assistant Clinical Officers and Clinical Officers (5.4±3.8 to 8.4±2.0, p<0.001). After training, significantly higher adherence was evident for key aspects of managing patients with HT: e.g., counseling on medication (62.1% to 92.7%, p=0.002), side effects (41.4% to 56.1%, p=0.009), reducing caloric intake (69.0 % to 95.1%, p=0.003), reducing cooking salt (65.5% to 97.6%, p<0.01), increasing physical activity (55.2% to 92.7% p<0.001), stopping/reducing cigarette smoking (24.1% to 63.4%, p=0.001), and reducing alcohol consumption (24.1% to 68.3%, p<0.001). SQI was significantly associated with number of years of provider experience (more than 2 years), type of primary healthcare facility (public facility), and exposure to the training intervention. Conclusion Training with short instructional videos can improve provider competency and clinical performance for HT management. The strategy has the potential to enhance effective implementation of HT control strategies in primary care clinics in Tanzania and elsewhere. |
| first_indexed | 2024-04-13T20:43:31Z |
| format | Article |
| id | doaj.art-64d47afc6d994752b0d512ac537bc494 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-13T20:43:31Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-64d47afc6d994752b0d512ac537bc4942022-12-22T02:30:47ZengBMCBMC Health Services Research1472-69632022-05-0122111410.1186/s12913-022-08064-5Effectiveness of instructional videos for enhancing healthcare provider competencies for hypertension management – a pre-post study in primary healthcare settings, TanzaniaAnbrasi Edward0Gibson B. Kagaruki1Frank Manase2Lawrence J. Appel3Kunihiro Matsushita4Department of International Health, Johns Hopkins Bloomberg School of Public HealthNational Institute for Medical Research, Tukuyu Medical Research CentreCommunity Center for Preventive MedicineDepartments of Epidemiology and International Health, Johns Hopkins Bloomberg School of Public HealthDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public HealthAbstract Background Inadequate adherence to hypertension (HT) clinical standards by healthcare providers is one of the major barriers for HT management. We examined the effectiveness of four short instructional training videos on HT management. Methods Eighteen primary health care facilities were randomly selected using systematic sampling from five districts in the Dar es Salaam region, Tanzania. Pre-post provider knowledge assessments were conducted six months after training and provider performance was measured using patient observations on 8-10 consecutive adult patients per facility. A Screening Quality Index (SQI), comprised of ten HT screening standards, was used to measure adherence. Results Pre-post knowledge scores improved significantly, for, time between blood pressure (BP) readings (28.1% to 72.7%, p=0.01), BP threshold for patients with complications (21.2% to 97.0%, p<0.001), and lifestyle/dietary counseling (from 36.4% to 97.0%, p<0.001). SQI was significantly higher following the training for all provider groups; Nurses (3.0±3.5 to 8.4±1.0, p<0.001), Assistant Medical Officers and Medical Officers (3.5±4.1 to 7.6±2.4, p<0.001), and Assistant Clinical Officers and Clinical Officers (5.4±3.8 to 8.4±2.0, p<0.001). After training, significantly higher adherence was evident for key aspects of managing patients with HT: e.g., counseling on medication (62.1% to 92.7%, p=0.002), side effects (41.4% to 56.1%, p=0.009), reducing caloric intake (69.0 % to 95.1%, p=0.003), reducing cooking salt (65.5% to 97.6%, p<0.01), increasing physical activity (55.2% to 92.7% p<0.001), stopping/reducing cigarette smoking (24.1% to 63.4%, p=0.001), and reducing alcohol consumption (24.1% to 68.3%, p<0.001). SQI was significantly associated with number of years of provider experience (more than 2 years), type of primary healthcare facility (public facility), and exposure to the training intervention. Conclusion Training with short instructional videos can improve provider competency and clinical performance for HT management. The strategy has the potential to enhance effective implementation of HT control strategies in primary care clinics in Tanzania and elsewhere.https://doi.org/10.1186/s12913-022-08064-5Hypertension ManagementHealthcare Provider CompetencyInstructional Video TrainingTanzania |
| spellingShingle | Anbrasi Edward Gibson B. Kagaruki Frank Manase Lawrence J. Appel Kunihiro Matsushita Effectiveness of instructional videos for enhancing healthcare provider competencies for hypertension management – a pre-post study in primary healthcare settings, Tanzania BMC Health Services Research Hypertension Management Healthcare Provider Competency Instructional Video Training Tanzania |
| title | Effectiveness of instructional videos for enhancing healthcare provider competencies for hypertension management – a pre-post study in primary healthcare settings, Tanzania |
| title_full | Effectiveness of instructional videos for enhancing healthcare provider competencies for hypertension management – a pre-post study in primary healthcare settings, Tanzania |
| title_fullStr | Effectiveness of instructional videos for enhancing healthcare provider competencies for hypertension management – a pre-post study in primary healthcare settings, Tanzania |
| title_full_unstemmed | Effectiveness of instructional videos for enhancing healthcare provider competencies for hypertension management – a pre-post study in primary healthcare settings, Tanzania |
| title_short | Effectiveness of instructional videos for enhancing healthcare provider competencies for hypertension management – a pre-post study in primary healthcare settings, Tanzania |
| title_sort | effectiveness of instructional videos for enhancing healthcare provider competencies for hypertension management a pre post study in primary healthcare settings tanzania |
| topic | Hypertension Management Healthcare Provider Competency Instructional Video Training Tanzania |
| url | https://doi.org/10.1186/s12913-022-08064-5 |
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