Ferreira Daniel
Center for Sports Medicine, Concord Hospital , Concord, NH , USA.
Front Public Health. 2017 Mar 6;5:37. doi: 10.3389/fpubh.2017.00037. eCollection 2017.
Two 2-day continuing education seminars were developed to address the orthopedic physical therapy deficits in Guyana. Material was presented in a way to address all stages of behavior change.
Surveys evaluating preseminar and postseminar knowledge was conducted. Chart reviews to establish adherence to clinical practice guidelines were performed.
Preseminar surveys revealed minimal knowledge of clinical practice guidelines, which was consistent with preseminar chart review data. Postseminar data indicate improvements in both knowledge and adherence to guidelines.
A brief series of two 2-day seminars utilizing behavior change strategies to improve adherence to clinical practice guidelines shows promise for countries and regions that rely on international health volunteers to provide clinical instruction. Because this study is limited to one situation, further studies with longer follow-up in a variety of clinical settings are recommended to support generalizability of findings.
举办了两场为期两天的继续教育研讨会，以解决圭亚那骨科物理治疗方面的不足。材料的呈现方式涵盖了行为改变的各个阶段。
开展了评估研讨会前和研讨会后知识水平的调查。进行了图表审查以确定对临床实践指南的遵循情况。
研讨会前的调查显示对临床实践指南的了解极少，这与研讨会前的图表审查数据一致。研讨会后的数据表明在知识和对指南的遵循方面均有改善。
利用行为改变策略来提高对临床实践指南的遵循情况的一系列简短的两天研讨会，对于依赖国际健康志愿者提供临床指导的国家和地区而言显示出了前景。由于本研究仅限于一种情况，建议在各种临床环境中进行更长时间随访的进一步研究，以支持研究结果的普遍性。
