Integration of sex and gender in a continuing professional development course on diabetes and depression: a mixed methods feasibility study

Abstract

ObjectivesAssess the feasibility and impact of a continuous professional development (CPD) course on type 2 diabetes and depression on health professionals’ intention to include sex and gender considerations in patient care.Design and settingIn collaboration with CPD organisations and patient-partners, we conducted a mixed-methods feasibility controlled trial with postintervention measures in three Canadian provinces.ParticipantsOf 178 eligible health professionals, 127 completed questionnaires and 67 participated in semistructured group discussions.Intervention and comparatorAn interactive 1 hour CPD course, codesigned with patient-partners, on diabetes and depression that included sex and gender considerations (innovation) was compared with a similar course that did not include them (comparator).OutcomesFeasibility of recruitment and retention of CPD organisations and patient-partners throughout the study; adherence to planned activities; health professionals’ intention to include sex and gender considerations in patient care as measured by the CPD-Reaction questionnaire; and barriers and facilitators using the Theoretical Domains Framework.ResultsAll recruited CPD organisations and patient-partners remained engaged throughout the study. All planned CPD courses occurred. Overall, 71% of eligible health professionals participated (63% under 44 years old; 79.5% women; 67.7% practising in French; 66.9% practising in Quebec; 78.8% in urban practice). After training, mean intention scores for the innovation (n=49) and control groups (n=78) were 5.65±0.19 and 5.19±0.15, respectively. Mean difference was −0.47 (CI −0.95 to 0.01; p=0.06). Adjusted for age, gender and practice settings, mean difference was −0.57 (CI −1.09 to −0.05; p=0.03). We identified eight theoretical domains related to barriers and six related to facilitators for providing sex-adapted and gender-adapted diabetes and depression care.ConclusionsCPD training on diabetes and depression that includes sex and gender considerations is feasible and, compared with CPD training that does not, may prompt health professionals to modify their care. Addressing identified barriers and facilitators could increase intention.Trial registration numberNCT03928132 with ClinicalTrials.gov; Post-results.

Impact of a team-based versus individual clinician-focused training approach on primary healthcare professionals’ intention to have serious illness conversations with patients: a theory informed process evaluation of a cluster randomized trial

“…These criteria and their subcategories were linked to the TDF domains, along with their associated barriers or facilitators (S2 Fig) (50). The COM-B model further proposes nine intervention functions, aligned with TDF domains, that are capable of promoting behaviour change, namely education, persuasion, incentivization, coercion, training, restriction, environmental restructuring, modeling, and enablement (18,28,51,52). By discerning which intervention functions corresponded to our results, we identified and selected behaviour change techniques associated with the relevant functions to derive our recommendations (18).…”