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减少患者和医务人员知识差距:社区知情丙型肝炎在线课程评估。

Reducing patient and provider knowledge gaps: An evaluation of a community informed hepatitis C online course.

机构信息

British Columbia Centre for Disease Control (BCCDC); School of Nursing, University of British Columbia (UBC), Vancouver, Canada.

British Columbia Centre for Disease Control (BCCDC); School of Nursing, University of British Columbia (UBC), Vancouver, Canada.

出版信息

Patient Educ Couns. 2018 Jun;101(6):1095-1102. doi: 10.1016/j.pec.2018.01.008. Epub 2018 Jan 10.

Abstract

OBJECTIVES

Hepatitis C (HCV) knowledge gaps are associated with lower levels of engagement in (HCV) care which contributes to HCV-related morbidity and mortality. Knowledge gaps may be exacerbated by rapid changes in HCV care/treatment. Cost-effective, timely and easy-to-implement education is needed to address knowledge gaps and foster HCV engagement.

METHODS

We developed a free, one-hour, online course for patients and providers. Online and facilitated course events were evaluated. Outcome measures included: pre/post-scores, perceived knowledge gains and increased capacity to educate/encourage engagement in HCV care.

RESULTS

Total pre-post-test gains were significant (p < .001) across groups. Over 50% of participants reported: perceived knowledge gains of "A lot" or higher; the course increased their capacity to educate and encourage client engagement in care by "A lot" or higher.

CONCLUSIONS

The evaluation confirmed ongoing patient and provider HCV knowledge gaps, significantly reduced those gaps, and increased provider's capacity to educate and encourage client engagement in HCV care.

PRACTICE IMPLICATIONS

The course is an effective tool to address knowledge gaps that might lower engagement in care. It is available to patients to use in the privacy of their own home or for providers for their personal use, to use with individuals or patient groups.

摘要

目的

丙型肝炎 (HCV) 知识差距与参与 (HCV) 护理的水平较低有关,而这会导致 HCV 相关发病率和死亡率的增加。HCV 护理/治疗的快速变化可能会加剧知识差距。需要经济有效、及时且易于实施的教育来解决知识差距并促进 HCV 的参与。

方法

我们为患者和提供者开发了一个免费的、时长为一小时的在线课程。对在线和促进课程活动进行了评估。评估指标包括:前后测分数、感知到的知识收益以及增加 HCV 护理教育和鼓励参与的能力。

结果

各小组的前后测总得分均有显著差异(p < .001)。超过 50%的参与者报告:感知到的知识收益“很多”或更高;该课程大大提高了他们教育和鼓励患者参与护理的能力。

结论

评估证实了患者和提供者持续存在的 HCV 知识差距,大大减少了这些差距,并提高了提供者教育和鼓励患者参与 HCV 护理的能力。

实践意义

该课程是解决可能降低护理参与度的知识差距的有效工具。它可供患者在自己的家中私下使用,也可供提供者个人使用,或者与个人或患者群体一起使用。

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