基于网络的参与式教育模块对医学生预防艾滋病毒和性传播感染能力的影响：单臂干预研究。

Effect of Participative Web-Based Educational Modules on HIV and Sexually Transmitted Infection Prevention Competency Among Medical Students: Single-Arm Interventional Study.

作者信息

Grant William, Adan Matthew A, Samurkas Christina A, Quigee Daniela, Benitez Jorge, Gray Brett, Carnevale Caroline, Gordon Rachel J, Castor Delivette, Zucker Jason, Sobieszczyk Magdalena E

机构信息

Duke University School of Medicine, Duke University, Durham, NC, United States.

Vagelos College of Physicians & Surgeons, Columbia University, New York, NY, United States.

出版信息

JMIR Med Educ. 2023 Jan 24;9:e42197. doi: 10.2196/42197.

DOI:10.2196/42197

PMID:36692921

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9906317/

Abstract

BACKGROUND

The number of new HIV diagnoses in the United States continues to slowly decline; yet, transgender women and men who have sex with men remain disproportionately affected. Key to improving the quality of prevention services are providers who are comfortable broaching the subjects of sexual health and HIV prevention with people across the spectrum of gender identities and sexual orientations. Preservice training is a critical point to establish HIV prevention and sexual health education practices before providers' practice habits are established.

OBJECTIVE

The study aimed to develop participative web-based educational modules and test their impact on HIV prevention knowledge and awareness in future providers.

METHODS

Sexual health providers at an academic hospital, research clinicians, community engagement professionals, and New York City community members were consulted to develop 7 web-based educational modules, which were then piloted among medical students. We assessed knowledge of HIV and sexually transmitted infection prevention and comfort assessing the prevention needs of various patients via web-based questionnaires administered before and after our educational intervention. We conducted exploratory factor analysis of the items in the questionnaire.

RESULTS

Pre- and postmodule surveys were completed by 125 students and 89 students, respectively, from all 4 years of training. Before the intervention, the majority of students had heard of HIV pre-exposure prophylaxis (122/123, 99.2%) and postexposure prophylaxis (114/123, 92.7%). Before the training, 30.9% (38/123) of the students agreed that they could confidently identify a patient who is a candidate for pre-exposure prophylaxis or postexposure prophylaxis; this increased to 91% (81/89) after the intervention.

CONCLUSIONS

Our findings highlight a need for increased HIV and sexually transmitted infection prevention training in medical school curricula to enable future providers to identify and care for diverse at-risk populations. Participative web-based modules offer an effective way to teach these concepts.

摘要

背景

美国新确诊的艾滋病毒感染人数持续缓慢下降；然而，跨性别女性和男男性行为者受影响的比例仍然过高。提高预防服务质量的关键在于，医疗服务提供者能够自如地与不同性别认同和性取向的人群探讨性健康和艾滋病毒预防问题。职前培训是在医疗服务提供者的执业习惯形成之前，确立艾滋病毒预防和性健康教育实践的关键环节。

目的

本研究旨在开发基于网络的参与式教育模块，并测试其对未来医疗服务提供者的艾滋病毒预防知识和意识的影响。

方法

咨询了一家学术医院的性健康服务提供者、研究临床医生、社区参与专业人员以及纽约市社区成员，以开发7个基于网络的教育模块，然后在医学生中进行试点。我们通过在教育干预前后进行的基于网络的问卷调查，评估了艾滋病毒和性传播感染预防知识，以及评估不同患者预防需求的能力。我们对问卷中的项目进行了探索性因素分析。

结果

来自所有4年培训阶段的125名学生和89名学生分别完成了模块前和模块后的调查。在干预前，大多数学生听说过艾滋病毒暴露前预防（122/123，99.2%）和暴露后预防（114/123，92.7%）。在培训前，30.9%（38/123）的学生表示他们能够自信地识别出适合接受暴露前预防或暴露后预防的患者；干预后这一比例增至91%（81/89）。