Presser Brynne E, Katz Mira L, Shoben Abigail B, Moore Deborah, Ruffin Mack T, Paskett Electra D, Reiter Paul L
Columbus Public Health, Columbus, OH, USA.
College of Public Health, The Ohio State University, Columbus, OH, USA.
J Cancer Educ. 2018 Oct;33(5):954-959. doi: 10.1007/s13187-017-1164-0.
Human papillomavirus (HPV) self-testing is an emerging cervical cancer screening strategy, yet efforts to educate healthcare providers and staff about HPV self-testing are lacking. We report the findings of a brief education intervention about HPV self-testing for healthcare providers and staff. We conducted education sessions during 2015 with healthcare providers and staff (n = 33) from five federally qualified health centers located in Appalachian Ohio. Participants attended a one-time session and completed pre- and post-intervention surveys. Analyses for paired data assessed changes in knowledge and beliefs about HPV, HPV-related disease, and HPV self-testing. The intervention increased participants' knowledge and affected many of the beliefs examined. Participants answered an average of 4.67 of six knowledge items correctly on pre-intervention surveys and 5.82 items correctly on post-intervention surveys (p < 0.001). The proportion of participants who answered all six knowledge items correctly increased substantially (pre-intervention =9% vs. post-intervention =82%, p < 0.001). Compared to pre-intervention surveys, participants more strongly believed on post-intervention surveys that it is important to examine HPV self-testing as a potential cervical cancer screening strategy, that their female patients would be willing to use an HPV self-test at home by themselves, and that they have the knowledge to talk with their patients about HPV self-testing (all p < 0.05). A brief education intervention can be a viable approach for increasing knowledge and affecting beliefs about HPV self-testing among healthcare providers and staff. Findings will be valuable for planning and developing future HPV self-test interventions that include an education component for healthcare providers and staff.
人乳头瘤病毒（HPV）自我检测是一种新兴的宫颈癌筛查策略，但在对医疗保健提供者和工作人员进行HPV自我检测教育方面仍有所欠缺。我们报告了一项针对医疗保健提供者和工作人员开展的关于HPV自我检测的简短教育干预的结果。2015年，我们对位于俄亥俄州阿巴拉契亚地区的五家联邦合格健康中心的医疗保健提供者和工作人员（n = 33）进行了教育培训。参与者参加了一次培训课程，并完成了干预前后的调查。对配对数据的分析评估了关于HPV、HPV相关疾病和HPV自我检测的知识和信念的变化。该干预增加了参与者的知识，并影响了所考察的许多信念。在干预前调查中，参与者平均正确回答了六个知识问题中的4.67个，在干预后调查中平均正确回答了5.82个（p < 0.001）。正确回答所有六个知识问题的参与者比例大幅增加（干预前 = 9%，干预后 = 82%，p < 0.001）。与干预前调查相比，参与者在干预后调查中更坚信将HPV自我检测作为一种潜在的宫颈癌筛查策略进行考察很重要，他们的女性患者愿意在家自行使用HPV自我检测，并且他们有知识与患者谈论HPV自我检测（所有p < 0.05）。简短的教育干预可能是一种可行的方法，可增加医疗保健提供者和工作人员对HPV自我检测的知识并影响他们的信念。研究结果对于规划和开展未来的HPV自我检测干预措施具有重要价值，这些干预措施应包括针对医疗保健提供者和工作人员的教育内容。
