Sustainability of change with quality general practitioner education in adolescent health: a 5-year follow-up
Objective To determine whether improvements gained in general practitioners' (GPs') self‐perceived competency, attitudes and knowledge after an intervention in adolescent health care designed with evidence‐based strategies in continuing medical education, are maintained longterm, 5 years...
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| Veröffentlicht in: | Medical education 2005-06, Vol.39 (6), p.557-560 |
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| creator | Sanci, Lena Coffey, Carolyn Patton, George Bowes, Glenn |
| description | Objective To determine whether improvements gained in general practitioners' (GPs') self‐perceived competency, attitudes and knowledge after an intervention in adolescent health care designed with evidence‐based strategies in continuing medical education, are maintained longterm, 5 years post intervention. The intervention was designed with evidence‐based strategies in continuing medical education.
Design We carried out a follow‐up postal survey of the cohort of metropolitan Australian GPs trained in the intervention 5 years previously.
Measures Subsets of the original measures, used in the randomised controlled trial of the intervention, were selected to re‐assess the GPs by postal survey. Self‐perceived competency, attitude and knowledge were measured. Doctors were also asked about further training in adolescent health over the 5 years since the intervention and about self‐reported practice.
Results A total of 46 of 54 (85%) of the original intervention group returned a questionnaire. Scores at 5 years were all higher than at baseline (P |
| doi_str_mv | 10.1111/j.1365-2929.2005.02172.x |
| format | Article |
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Design We carried out a follow‐up postal survey of the cohort of metropolitan Australian GPs trained in the intervention 5 years previously.
Measures Subsets of the original measures, used in the randomised controlled trial of the intervention, were selected to re‐assess the GPs by postal survey. Self‐perceived competency, attitude and knowledge were measured. Doctors were also asked about further training in adolescent health over the 5 years since the intervention and about self‐reported practice.
Results A total of 46 of 54 (85%) of the original intervention group returned a questionnaire. Scores at 5 years were all higher than at baseline (P < 0.01) and improvements were sustained in all measures from 12 months to 5 years after the intervention. In all, 25/46 (54%) doctors had received further training in related areas over the 5 years, but this did not improve sustainability. A total of 45/46 (98%) reported maintaining their clinical approach to youth and 22/46 (46%) reported maintaining practices to address systemic barriers to adolescent health care access.
Conclusions Quality education designed according to evidence‐based strategies of effectiveness has advantages for longterm sustainability.</description><identifier>ISSN: 0308-0110</identifier><identifier>EISSN: 1365-2923</identifier><identifier>DOI: 10.1111/j.1365-2929.2005.02172.x</identifier><identifier>PMID: 15910430</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Adolescent ; Adolescent Health Services - standards ; Australia ; Clinical Competence - standards ; continuing/standards ; Curriculum subjects: programmes and methods ; education ; Education, Medical, Graduate - standards ; Educational sciences ; Evidence-Based Medicine - standards ; evidence-based medicine/ methods ; Family Practice - education ; Family Practice - standards ; Humans ; medical ; Medical and paramedical education ; questionnaires ; Teaching methods ; Victoria</subject><ispartof>Medical education, 2005-06, Vol.39 (6), p.557-560</ispartof><rights>2005 INIST-CNRS</rights><rights>Copyright Blackwell Publishing Jun 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4632-c39e4ec8c56529a05dd76cc9996af38ff6371e0b00beba30782ce2f440f0cf873</citedby><cites>FETCH-LOGICAL-c4632-c39e4ec8c56529a05dd76cc9996af38ff6371e0b00beba30782ce2f440f0cf873</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2929.2005.02172.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2929.2005.02172.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16784067$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15910430$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sanci, Lena</creatorcontrib><creatorcontrib>Coffey, Carolyn</creatorcontrib><creatorcontrib>Patton, George</creatorcontrib><creatorcontrib>Bowes, Glenn</creatorcontrib><title>Sustainability of change with quality general practitioner education in adolescent health: a 5-year follow-up</title><title>Medical education</title><addtitle>Med Educ</addtitle><description>Objective To determine whether improvements gained in general practitioners' (GPs') self‐perceived competency, attitudes and knowledge after an intervention in adolescent health care designed with evidence‐based strategies in continuing medical education, are maintained longterm, 5 years post intervention. The intervention was designed with evidence‐based strategies in continuing medical education.
Design We carried out a follow‐up postal survey of the cohort of metropolitan Australian GPs trained in the intervention 5 years previously.
Measures Subsets of the original measures, used in the randomised controlled trial of the intervention, were selected to re‐assess the GPs by postal survey. Self‐perceived competency, attitude and knowledge were measured. Doctors were also asked about further training in adolescent health over the 5 years since the intervention and about self‐reported practice.
Results A total of 46 of 54 (85%) of the original intervention group returned a questionnaire. Scores at 5 years were all higher than at baseline (P < 0.01) and improvements were sustained in all measures from 12 months to 5 years after the intervention. In all, 25/46 (54%) doctors had received further training in related areas over the 5 years, but this did not improve sustainability. A total of 45/46 (98%) reported maintaining their clinical approach to youth and 22/46 (46%) reported maintaining practices to address systemic barriers to adolescent health care access.
Conclusions Quality education designed according to evidence‐based strategies of effectiveness has advantages for longterm sustainability.</description><subject>Adolescent</subject><subject>Adolescent Health Services - standards</subject><subject>Australia</subject><subject>Clinical Competence - standards</subject><subject>continuing/standards</subject><subject>Curriculum subjects: programmes and methods</subject><subject>education</subject><subject>Education, Medical, Graduate - standards</subject><subject>Educational sciences</subject><subject>Evidence-Based Medicine - standards</subject><subject>evidence-based medicine/ methods</subject><subject>Family Practice - education</subject><subject>Family Practice - standards</subject><subject>Humans</subject><subject>medical</subject><subject>Medical and paramedical education</subject><subject>questionnaires</subject><subject>Teaching methods</subject><subject>Victoria</subject><issn>0308-0110</issn><issn>1365-2923</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU-P0zAQxSMEYsvCV0AWEtwSxnbiJByQoCxbpALiz2qP1sSxty5u0rUTtf32ONvCSpzwxWP7N0_P85KEUMhoXK_XGeWiSFnN6owBFBkwWrJs_yCZ_XngD5MZcKhSoBTOkichrAGgLPLqcXJGi5pCzmGWbH6MYUDbYWOdHQ6kN0StsLvRZGeHFbkd8e76RnfaoyNbj2qwg-3jkeh2VDjVxHYE297poHQ3kJVGN6zeECRFetDoiemd63fpuH2aPDLogn522s-Tq48XP-eLdPn18tP83TJVueAsVbzWuVaVKkTBaoSibUuhVF3XAg2vjBG8pBoagEY3yKGsmNLM5DkYUKYq-Xny6qi79f3tqMMgNzZ6cw473Y9BirISJQURwRf_gOt-9F30Jhmwmle04hGqjpDyfQheG7n1doP-ICnIKQ-5ltPY5ZSHnPKQd3nIfWx9ftIfm41u7xtPAUTg5QnAoNAZj52y4Z6LTnMQ04_eHrmddfrw3wbk54sPV1MZBdKjgA2D3v8VQP8rToOXhbz-cinfL-bfltdiIb_z32Iktj8</recordid><startdate>200506</startdate><enddate>200506</enddate><creator>Sanci, Lena</creator><creator>Coffey, Carolyn</creator><creator>Patton, George</creator><creator>Bowes, Glenn</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200506</creationdate><title>Sustainability of change with quality general practitioner education in adolescent health: a 5-year follow-up</title><author>Sanci, Lena ; Coffey, Carolyn ; Patton, George ; Bowes, Glenn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4632-c39e4ec8c56529a05dd76cc9996af38ff6371e0b00beba30782ce2f440f0cf873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adolescent Health Services - standards</topic><topic>Australia</topic><topic>Clinical Competence - standards</topic><topic>continuing/standards</topic><topic>Curriculum subjects: programmes and methods</topic><topic>education</topic><topic>Education, Medical, Graduate - standards</topic><topic>Educational sciences</topic><topic>Evidence-Based Medicine - standards</topic><topic>evidence-based medicine/ methods</topic><topic>Family Practice - education</topic><topic>Family Practice - standards</topic><topic>Humans</topic><topic>medical</topic><topic>Medical and paramedical education</topic><topic>questionnaires</topic><topic>Teaching methods</topic><topic>Victoria</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sanci, Lena</creatorcontrib><creatorcontrib>Coffey, Carolyn</creatorcontrib><creatorcontrib>Patton, George</creatorcontrib><creatorcontrib>Bowes, Glenn</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Medical education</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sanci, Lena</au><au>Coffey, Carolyn</au><au>Patton, George</au><au>Bowes, Glenn</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sustainability of change with quality general practitioner education in adolescent health: a 5-year follow-up</atitle><jtitle>Medical education</jtitle><addtitle>Med Educ</addtitle><date>2005-06</date><risdate>2005</risdate><volume>39</volume><issue>6</issue><spage>557</spage><epage>560</epage><pages>557-560</pages><issn>0308-0110</issn><eissn>1365-2923</eissn><abstract>Objective To determine whether improvements gained in general practitioners' (GPs') self‐perceived competency, attitudes and knowledge after an intervention in adolescent health care designed with evidence‐based strategies in continuing medical education, are maintained longterm, 5 years post intervention. The intervention was designed with evidence‐based strategies in continuing medical education.
Design We carried out a follow‐up postal survey of the cohort of metropolitan Australian GPs trained in the intervention 5 years previously.
Measures Subsets of the original measures, used in the randomised controlled trial of the intervention, were selected to re‐assess the GPs by postal survey. Self‐perceived competency, attitude and knowledge were measured. Doctors were also asked about further training in adolescent health over the 5 years since the intervention and about self‐reported practice.
Results A total of 46 of 54 (85%) of the original intervention group returned a questionnaire. Scores at 5 years were all higher than at baseline (P < 0.01) and improvements were sustained in all measures from 12 months to 5 years after the intervention. In all, 25/46 (54%) doctors had received further training in related areas over the 5 years, but this did not improve sustainability. A total of 45/46 (98%) reported maintaining their clinical approach to youth and 22/46 (46%) reported maintaining practices to address systemic barriers to adolescent health care access.
Conclusions Quality education designed according to evidence‐based strategies of effectiveness has advantages for longterm sustainability.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>15910430</pmid><doi>10.1111/j.1365-2929.2005.02172.x</doi><tpages>4</tpages></addata></record> |
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| ispartof | Medical education, 2005-06, Vol.39 (6), p.557-560 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Education Source |
| subjects | Adolescent Adolescent Health Services - standards Australia Clinical Competence - standards continuing/standards Curriculum subjects: programmes and methods education Education, Medical, Graduate - standards Educational sciences Evidence-Based Medicine - standards evidence-based medicine/ methods Family Practice - education Family Practice - standards Humans medical Medical and paramedical education questionnaires Teaching methods Victoria |
| title | Sustainability of change with quality general practitioner education in adolescent health: a 5-year follow-up |
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