Lynn Brenna M, Barrows Jennifer A, Lam Vivian W Y, Curran Vernon R
Faculty of Medicine, Division of Continuing Professional Development (UBC CPD), University of British Columbia, Vancouver, Canada.
Faculty of Medicine, Division of Population Health and Applied Health Sciences, Faculty of Medicine, Division of Continuing Professional Development, Memorial University of Newfoundland, University of British Columbia, Vancouver, Canada.
AIDS Res Ther. 2024 Dec 19;21(1):93. doi: 10.1186/s12981-024-00688-3.
Many persons are unaware of HIV infection until they present in an advanced stage of the disease. Diagnosing HIV infection in its earliest stages reduces morbidity and mortality and contributes to improved public health. Increased testing for HIV is critical for prevention, and primary care providers play an essential role in early HIV screening. However, lack of knowledge and confidence are barriers to the adoption of screening practices. Continuing professional development (CPD) may enhance greater HIV testing uptake amongst primary care providers by improving awareness and comfort. This paper aims to report on the impact of a multimodal CPD initiative to increase HIV screening and test ordering across primary care settings in British Columbia, Canada.
The 'HIV Testing Initiative in Family Practice' was designed as a multimodal education strategy to encourage family physicians to adopt routine HIV testing in their practices. The initiative encompassed a variety of core and supplementary educational activities, including interactive in-person CPD workshops, practice resources, and patient education materials. An interrupted time series study was undertaken to evaluate the effect on HIV test ordering before and after workshop participation. Participants also completed post-workshop surveys to assess satisfaction.
In total, 316 individuals participated in the core educational activities of the initiative. The number of HIV tests ordered increased significantly amongst participants following workshop participation (p < .001). HIV test ordering increased for both rural and urban providers with no significant difference (p = .075) on the number of tests ordered between these groups. Participants were very satisfied with workshop participation, with an overall mean satisfaction rating of 4.78 (out of 5) and reported high satisfaction with the format (4.64 out of 5) and interactivity (4.76 out of 5) features across the workshops.
The findings suggest that the introduction of a multimodal CPD intervention may have effected change in family physicians' HIV testing practices. The HIV testing rates of physicians who had participated in CPD workshops increased significantly, and participant evaluation data indicated a greater understanding of the rationale for routine HIV testing, as well as an increase in comfort with recommending HIV tests to patients.
许多人直到疾病发展到晚期才意识到自己感染了艾滋病毒。在艾滋病毒感染的最早阶段进行诊断可降低发病率和死亡率，并有助于改善公共卫生状况。增加艾滋病毒检测对于预防至关重要，初级保健提供者在早期艾滋病毒筛查中发挥着重要作用。然而，知识的缺乏和信心不足是采用筛查做法的障碍。持续专业发展（CPD）可能通过提高认识和舒适度来增强初级保健提供者对艾滋病毒检测的接受度。本文旨在报告一项多模式CPD倡议对增加加拿大不列颠哥伦比亚省初级保健机构中艾滋病毒筛查和检测订单的影响。
“家庭医疗中的艾滋病毒检测倡议”被设计为一种多模式教育策略，以鼓励家庭医生在其诊疗中采用常规艾滋病毒检测。该倡议包括各种核心和补充教育活动，包括面对面的互动式CPD研讨会、诊疗资源和患者教育材料。进行了一项中断时间序列研究，以评估参加研讨会前后对艾滋病毒检测订单的影响。参与者还完成了研讨会后的调查以评估满意度。
共有316人参加了该倡议的核心教育活动。参加研讨会后，参与者中订购的艾滋病毒检测数量显著增加（p < 0.001）。农村和城市提供者的艾滋病毒检测订单均增加，两组之间的检测订单数量无显著差异（p = 0.075）。参与者对参加研讨会非常满意，总体平均满意度评分为4.78（满分5分），并对研讨会的形式（4.64分）和互动性（4.76分）表示高度满意。
研究结果表明，引入多模式CPD干预可能改变了家庭医生的艾滋病毒检测做法。参加CPD研讨会的医生的艾滋病毒检测率显著提高，参与者评估数据表明对常规艾滋病毒检测的理由有了更深入的理解，并且向患者推荐艾滋病毒检测的舒适度有所提高。
