Training family doctors and primary care nurses in evidence-based prevention, screening and management of cardiovascular risks in Western Ukraine: A longitudinal study

Abstract

IntroductionThe Ukrainian primary healthcare programme of preventive and screening recommendations has not been evidence-based. The traditional system of continuous medical education in Ukraine places participants in the role of passive listeners. This study explored the effects of an interactive training course on evidence-based prevention and screening of cardiovascular risks, on changes in Ukrainian family doctors’ (FDs) and primary care nurses’ (PCNs) knowledge and readiness to change practice over time.MethodsThree hundred and seven FDs and PCNs participated in the study. Changes in participants’ knowledge were assessed with 20 multiple choice questions, and their readiness to change practice with a five-item questionnaire. These were administered before, immediately after, three and twelve months after training.ResultsThe mean pre-course knowledge score was 6.1 (SD 1.8) out of 20, increasing to 14.9 (SD 2.3) immediately afterwards (p<0.001). Three months later it was 10.2 (SD 3.2) and at one year it was 10.4 (SD 3.3), both of which were significantly higher than the pre-training level (p<0.005). The percentage of participants that were highly motivated to change their practice increased from 18.4% before the training to 62.3% immediately afterwards (p<0.001). Three months later, this fell to 40.4%. At 12 months it further reduced to 27.4%, but was still significantly higher than the baseline level (p<0.001).ConclusionsThe interactive training was effective in increasing both participants’ knowledge and their readiness to change their clinical practice. The impact of the training diminished over time, but was still evident a year later.

Interactive Training as a Method to Change the Attitude to the Vaccination at the Example of COVID-19 Vaccine

“…Медичне реформування сприяло практичному оволодінню лікарями медичних інформаційних систем. Тому метою блоку було навчити [24]…”

Steps towards implementing evidence-based screening in family medicine in Ukraine: SWOT-analysis of an approach of multidimensional empowerment

“…FD's knowledge was evaluated and changes in their attitudes towards implementing EBS in their clinical practice were assessed, using a score to indicate the degree of motivation to change (low =1-10, moderate =11-20, > 20 = high). Both questionnaires were administered to FDs before, immediately after, 3 and 12 months after the training [20].…”

“…The training of FD on EBS aimed to assess their knowledge of EBS and their motivation to use it in their clinical practice [20]. The average level of knowledge was low before training with a mean of correct answers 6.1 (S.D.…”

“…Study A highlighted that the interactive training of FDs appeared an effective method that significantly increased knowledge and motivation of FDs to adopt the evidencebased strategy of prevention and cardiovascular risks screening into their clinical practice just after training [20].…”

Interactive Training and Electronic Web Resource as Method to Increase the Level of Family Physicians Knowledge Concerning Implementation of Evidence-based Recommendations for Cardiovascular Risks Screening into Clinical Practice

“…Безперервний медичний розвиток сприяє удосконаленню рівня знань медиків, більш високому рівню надання медичної допомоги та покращенню можливого прогнозу для пацієнтів [8]. Рівень засвоєння знань є вищим за умови використання інтерактивних навчальних методик [9], зокрема і під час проведення навчальних тренінгів [10,11]. Не менш важливу та актуальну роль для навчання медиків, особливо в умовах світової пандемії COVID-19, відіграють і інтернет-ресурси [12].…”