Educational Intervention in Primary Care Residents' Knowledge and Performance of Hepatitis B Vaccination in Patients with Diabetes Mellitus. (Downloadable article, 2015) [WorldCat.org]
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Educational Intervention in Primary Care Residents' Knowledge and Performance of Hepatitis B Vaccination in Patients with Diabetes Mellitus.

Author: Saowanee NgamruengphongJennifer L Horsley-SilvaStephanie L HinesSurakit PungpapongTushar C PatelAll authors
Publisher: [Philadelphia, Pa.] : Lippincott, Williams & Wilkins, 2015.
Edition/Format:   Downloadable article : Document   Computer File : English
Publication:Southern medical journal
Summary:
Abstract : Objectives: Although guidelines recommend hepatitis B virus (HBV) immunization for adults with diabetes mellitus (DM), vaccination rates remain low. Our aim was to evaluate knowledge and practice regarding HBV and to assess the effectiveness of a multifaceted educational program. Methods: Primary care residents (n = 244) at three academic institutions were surveyed about various aspects of HBV. Residents  Read more...
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Details

Material Type: Document
Document Type: Article, Computer File
All Authors / Contributors: Saowanee Ngamruengphong; Jennifer L Horsley-Silva; Stephanie L Hines; Surakit Pungpapong; Tushar C Patel; Andrew P Keaveny
ISSN:0038-4348
OCLC Number: 1018183507
Notes: In: Southern medical journal, Vol. 108, no. 9 (Sept. 2015), p.-
Description: 1 online resource

Abstract:

Abstract : Objectives: Although guidelines recommend hepatitis B virus (HBV) immunization for adults with diabetes mellitus (DM), vaccination rates remain low. Our aim was to evaluate knowledge and practice regarding HBV and to assess the effectiveness of a multifaceted educational program. Methods: Primary care residents (n = 244) at three academic institutions were surveyed about various aspects of HBV. Residents at one training program were then randomly assigned to an educational intervention (E) (n = 20) and control group (C) (n = 19). The E group received a focused didactic lecture and periodic e-mail reminders with immediate feedback. We compared knowledge scores before and after the intervention. Chart audits were conducted to evaluate the residents' behavior. Results: A total of 103 (42%) residents responded to the survey. The survey indicated that residents lacked the necessary knowledge and risk assessment skills concerning HBV in patients with DM. In the controlled trial of the E intervention, both groups had similar baseline knowledge scores. The E group had a significant increase in the immediate postintervention knowledge scores from a mean of 29% at baseline to 70% (P <0.001) that was sustained 6 months postintervention (65%; P <0.001). In the C group, 6-month postintervention scores were not different from baseline (38% vs 29%). No significant differences were observed in documentation skills. Conclusions: A combined educational program was effective in enhancing knowledge about HBV and vaccination in DM but had limited influence on physicians' practice. Further study incorporating system changes along with educational initiatives is required to improve clinical practice. Abstract : This study consisted of two phases: a survey of knowledge of primary care residents at three academic centers and the subsequent development and implementation of a strategy to improve the knowledge deficit of these providers. Physician understanding of disease processes and knowledge of appropriate testing are critical for successful implementation of disease prevention guidelines. The authors demonstrated that improvements in knowledge gaps can be achieved with relatively simple educational efforts. This focused educational intervention offered another way of teaching a complicated topic to medical residents and could be easily incorporated into medical education curricula. Supplemental digital content is available in the text.

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