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乌干达针对医疗服务提供者的定制癫痫培训项目评估

Evaluation of a tailored epilepsy training program for healthcare providers in Uganda.

作者信息

Arinda Anita, Ouma Simple, Kalani Kenneth, Ramasubramanian Pratamesh, Johnson Tyler, Charles Antoinette, Newson Colby, Ratliff Olivia, Kakooza-Mwesige Angelina, Njeru Paula, Kaddumukasa Martin, Kaddumukasa Mark, Kolls Bradley, Husain Aatif, Tchapyjnikov Dmitry, Haglund Michael, Fuller Anthony, Prose Neil, Koltai Deborah

机构信息

Midmay Uganda, P.O. Box 24985, Kampala, Uganda; School of Medicine, College of Health Sciences, Makerere University, P.O. Box 7072, Kampala, Uganda.

The AIDS support Organization (TASO) Uganda, P.O. Box 10443, Kampala, Uganda.

出版信息

Epilepsy Behav. 2023 Jan;138:108977. doi: 10.1016/j.yebeh.2022.108977. Epub 2022 Nov 26.

Abstract

OBJECTIVE

This study evaluated an epilepsy training program for healthcare workers that was designed to improve their knowledge of epilepsy, its treatment, and its psychosocial effects.

METHODS

This single group, before and after survey was conducted in three regional referral hospitals in Uganda. Healthcare workers participated in a 3-day epilepsy training program and were assessed immediately prior to and following the program using a 39-item epilepsy knowledge questionnaire. Pretest to posttest changes and acceptability ratings were analyzed.

RESULTS

Twenty healthcare workers from each of our three study hospitals (N = 60) participated in the study. The average age of the participants was 39.9 years (SD = 9.6). Female participants constituted 45% of the study population. There was a significant improvement in the knowledge of healthcare workers about epilepsy following the training (t = 7.15, p < 0.001). Improvement was seen across the three sub-scores of general knowledge about epilepsy, assessment and diagnosis of epilepsy, and management of epilepsy. Subgroup analysis showed that both high and low baseline scorers showed significant training gains.

CONCLUSIONS

The study suggested that our training program was effective in improving the knowledge of health workers about epilepsy and that participants had favorable impressions of the program. Further work is needed to determine if the knowledge is retained over time and if the change in knowledge translates into a change in clinical practice.

摘要

目的

本研究评估了一项针对医护人员的癫痫培训项目,该项目旨在提高他们对癫痫及其治疗方法以及社会心理影响的认识。

方法

在乌干达的三家地区转诊医院进行了这项单组前后调查。医护人员参加了一个为期3天的癫痫培训项目,并在项目开始前和结束后立即使用一份包含39个条目的癫痫知识问卷进行评估。分析了前测到后测的变化以及可接受性评分。

结果

我们三家研究医院各有20名医护人员(N = 60)参与了该研究。参与者的平均年龄为39.9岁(标准差 = 9.6)。女性参与者占研究人群的45%。培训后,医护人员对癫痫的了解有显著改善(t = 7.15,p < 0.001)。在癫痫的一般知识、癫痫的评估与诊断以及癫痫的管理这三个子分数方面均有改善。亚组分析表明,基线得分高和低的参与者都有显著的培训收获。

结论

该研究表明,我们的培训项目有效地提高了医护人员对癫痫的认识,并且参与者对该项目有良好的印象。需要进一步开展工作来确定这些知识是否能长期保持,以及知识的变化是否会转化为临床实践的改变。

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