Please use this identifier to cite or link to this item: https://doi.org/10.1136/bmjopen-2018-024196
Title: Is knowledge retained by healthcare providers after training? A pragmatic evaluation of drug-resistant tuberculosis management in China
Authors: Wu, S. 
Li, R.
Su, W.
Ruan, Y.
Chen, M.
Khan, M.S.
Keywords: China
drug-resistant tuberculosis
evaluation
tuberculosis
Issue Date: 2019
Publisher: BMJ Publishing Group
Citation: Wu, S., Li, R., Su, W., Ruan, Y., Chen, M., Khan, M.S. (2019). Is knowledge retained by healthcare providers after training? A pragmatic evaluation of drug-resistant tuberculosis management in China. BMJ Open 9 (3) : e024196. ScholarBank@NUS Repository. https://doi.org/10.1136/bmjopen-2018-024196
Rights: Attribution-NonCommercial-NoDerivatives 4.0 International
Abstract: Objectives Considering the urgent need of training to improve standardised management of drug-resistant infectious disease and the lack of evidence on the impact of training, this study evaluates whether training participants' knowledge on multidrug-resistant tuberculosis (MDR-TB) is improved immediately and a year after training. Setting and participants The study involved 91 MDR-TB healthcare providers (HCPs), including clinical doctors, nurses and CDC staff, who attended a new MDR-TB HCP training programme in Liaoning and Jiangxi provinces, China. Main outcome measures A phone-based assessment of participants' long-Term retention of knowledge about MDR-TB management was conducted in July 2017, approximately 1 year after training. The proportion of correct responses in the long-Term knowledge assessment was compared with a pretraining test and an immediate post-Training test using a I ‡ 2 test. Factors influencing participants' performance in the long-Term knowledge assessment were analysed using linear regression. Results Across both provinces, knowledge of definitions of drug-resistant TB, standardised MDR-TB case detection protocols and laboratory diagnosis was improved 1 year after the training by 14.5% (p=0.037), 32.4% (p<0.001) and 31% (p<0.001) relative to pretraining. However, compared with immediately after training, the knowledge of the three topics declined by 26.5% (p=0.003), 19.8% (p=0.018) and 52.7% (p<0.001) respectively in Jiangxi, while no significant decline was observed in Liaoning. Additionally, we found that obtaining a higher score in the long-Term knowledge assessment was associated with longer years of clinical experience (coefficient=0.51; 95 CI% 0.02 to 0.99; p=0.041) and attending training in Liaoning (coefficient=0.50; 95% CI 0.14 to 0.85; p=0.007). Conclusion Our study, the first to assess knowledge retention of MDR-TB HCPs 1 year after training, showed an overall positive long-Term impact of lecture-style group training on participants' knowledge. Knowledge decline 1 year after training was observed in one province, Jiangxi, and this may be partly addressed by targeted support to HCPs with fewer years of clinical experience. © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Source Title: BMJ Open
URI: https://scholarbank.nus.edu.sg/handle/10635/212478
ISSN: 2044-6055
DOI: 10.1136/bmjopen-2018-024196
Rights: Attribution-NonCommercial-NoDerivatives 4.0 International
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