Qualitative evaluation of a pilot educational intervention to increase primary care HIV-testing

Background UK guidelines recommend a ‘routine offer of HIV testing’ in primary care where HIV diagnosed prevalence exceeds 2 in 1000. However, current primary care HIV testing rates are low. Efforts to increase primary care HIV testing are needed. To examine how an educational intervention to increa...

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Vydané v:BMC family practice Ročník 20; číslo 1; s. 74 - 10
Hlavní autori: Kesten, Joanna M., Davies, Charlotte F., Gompels, Mark, Crofts, Megan, Billing, Annette, May, Margaret T., Horwood, Jeremy
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: London BioMed Central 31.05.2019
BioMed Central Ltd
Springer Nature B.V
BMC
Predmet:
attitudes
behaviors
Clinical decision making
communication
Decision making
Diagnosis
Education
Educational intervention
Family Medicine
Feasibility studies
Female
General Practice
General practitioners
General Practitioners - education
Health education
HIV
HIV infections
HIV Infections - diagnosis
HIV testing
HIV tests
Human immunodeficiency virus
Humans
Infections
Intervention
Interviews
Knowledge
Life expectancy
Male
Medical personnel
Medical screening
Medical tests
Medicine
Medicine & Public Health
Nurses
Patients
Pilot Projects
Practice
Primary care
Primary Care Medicine
Primary Health Care
Qualitative Research
Research Article
United Kingdom
United Kingdom > UK
Qualitative research
HIV testing
Primary care
Educational intervention
ISSN:1471-2296, 1471-2296
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Shrnutí:Background UK guidelines recommend a ‘routine offer of HIV testing’ in primary care where HIV diagnosed prevalence exceeds 2 in 1000. However, current primary care HIV testing rates are low. Efforts to increase primary care HIV testing are needed. To examine how an educational intervention to increase HIV testing in general practice was experienced by healthcare professionals (HCPs) and to understand the perceived impacts on HIV testing. Method Qualitative interviews with general practitioners (GPs) and nurses 3-months after receiving an educational intervention developed from an adapted version of the Medical Foundation for HIV and Sexual Health (MEDFASH) HIV Testing In Practice (TIPs) online educational tool which included training on HIV associated clinical indicator conditions, why, who, and how to test. The intervention was delivered in 19 high-HIV prevalence general practices in Bristol. 27 semi-structured interviews were conducted across 13 practices with 16 GPs, 10 nurses and the sexual health clinician who delivered the intervention. Transcripts were analysed thematically informed by Normalisation Process Theory. Results HCPs welcomed the opportunity to update their HIV knowledge through a tailored, interactive session. Post-training, HCPs reported increased awareness of HIV indicator conditions, confidence to offer HIV tests and consideration of HIV tests. Continued testing barriers include perceived lack of opportunity. Conclusions This qualitative study found that HIV education is perceived as valuable in relation to perceived awareness, confidence, and consideration of HIV testing. However, repetition and support from other strategies are needed to encourage HCPs to offer HIV tests. Future interventions should consider using behaviour change theory to develop a complex intervention that addresses not only HCP capability to offer an HIV test, but also issues of opportunity and motivation.
Bibliografia:ObjectType-Article-1
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ISSN:1471-2296
1471-2296
DOI:10.1186/s12875-019-0962-3