A short educational intervention on communication skills improves the quality of screening for Chlamydia in GPs in Belgium: a cluster randomised controlled trial
Abstract
An accurate algorithm for screening for chlamydial infections is available in general practice, but GPs experience numerous barriers to sexually transmitted infections (STI) counselling. In this study we assessed if a short educational package, under the form of a commented video footage on communication skills, was helpful in implementing the screening strategy. A cluster randomised controlled trial was carried out in 36 general practitioners in Antwerp, Belgium. Main outcome measures were: number of patients included in the risk assessment, number of patients tested, and proportion of appropriately tested patients. The results show that GPs in the intervention group did not include more patients overall, but that the quality of the screening process was significantly better (81.6% versus 56.2% appropriate tests, P = 0.02). Conclusively, GPs who participated in a short educational package on communication skills, selected eligible candidates for screening more accurately and decreased the risk of overscreening.
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Twenty-three of the included studies had been included in the previous version of the review, but three studies from that review were excluded because their interventions were not assessed as meeting the criteria for tailoring.
“Twenty‐three of the studies had been included in the previous version of the review, but we excluded three studies from that review because the interventions were not assessed on this occasion as meeting the criteria for tailoring (Davies 2002; Sehgal 2002; Verhoeven 2005).”
From Tailored interventions to address determinants of practice (2015) · cites this paper as Verhoeven 2005
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Baker, R., Camosso-Stefinovic, J., Gillies, C., Shaw, E. J., Cheater, F., Flottorp, S., & Robertson, N. (2010) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005470.pub2 · Cited by 1,003 · see citing works
Tailored interventions to address determinants of practice
Baker, R., Camosso-Stefinovic, J., Gillies, C., Shaw, E. J., Cheater, F., Flottorp, S., Robertson, N., Wensing, M., Fiander, M., Eccles, M. P., et al. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005470.pub3 · Cited by 711 · see citing works
- Authors
- Verhoeven, V., Avonts, D., Vermeire, E., Debaene, L., & Royen, P. V.
- Affiliations
- University of Antwerp (BE)
- ORCID
- Royen, Paul Van
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2005-04
- Volume
- 57
- Issue
- 1
- Pages
- 101-105
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W2087976638
- Cited by
- 26
- References
- 20
- Citations by year
- 2019: 1 · 2018: 1 · 2017: 1 · 2015: 2 · 2014: 2 · 2013: 3 · 2012: 2
- FWCI
- 3.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- chlamydia screening, sexually transmitted infections, general practitioners, communication skills, educational intervention, video-based training, screening quality, overscreening, risk assessment, primary care
- MeSH terms
- Adult, Algorithms, Analysis of Variance, Belgium, Chlamydia Infections, Clinical Competence, Communication, Decision Trees, Education, Medical, Continuing, Female, Health Services Needs and Demand, Humans, Male, Mass Screening, Middle Aged, Pamphlets, Physician-Patient Relations, Physician's Role, Physicians, Family, Teaching Materials, Videotape Recording, Cluster Analysis, Chi-Square Distribution, Outcome Assessment, Health Care, Total Quality Management, Risk Assessment, Patient Selection
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