Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Primary Care
Published in: BMC Primary Care 1/2018

Open Access 01-12-2018 | Research article

Development and evaluation of a blended educational programme for general practitioners’ trainers to stimulate proactive HIV testing

Authors: Ivo Kim Joore, Jan E. A. M. van Bergen, Gerben ter Riet, A. van der Maat, N. van Dijk

Published in: BMC Primary Care | Issue 1/2018

Login to get access

Abstract

Background

In the Netherlands, a substantial proportion of newly diagnosed HIV patients present late for care, therefore, we investigated the effectiveness of a blended educational programme for trainers of GPs designed to stimulate proactive HIV testing.

Methods

GP trainers at the Academic Medical Center in Amsterdam were invited to participate in a two days training programme incorporating evidence-based practice guidelines and multiple teaching strategies, including interactive lectures, discussion groups, e-learning and quality improvement targets. The GP trainers completed questionnaires before and after the programme to evaluate the effect of the programme. We also used six-monthly cumulative laboratory data from 2010 to 2015 to compare the participating GPs’ HIV tests to the general trend in testing among non-participating GPs.

Results

150 GP trainers attended the first session, and 74 completed the questionnaires for both sessions. GPs median score on achieving their quality improvement targets was high and the quality of the programme highly appreciated. Between 2010 and 2013, the mean annual number of laboratory-documented HIV tests decreased by 9.1% in the 624 GPs in the control group, and by 13.0% for 11 GPs in the intervention group. After the programme, the annual decreases were 2.3% and 1.8%, respectively. Before the programme, the GPs in the intervention group had 50% more laboratory-documented HIV tests than GPs in the control group. After the programme, GPs in the intervention group had twice as many laboratory-documented HIV tests as the controls.

Conclusions

We provided a detailed description of a programme based on educational and clinical evidence. We could not retrieve laboratory-documented HIV testing data for the majority of GPs in both the intervention and control groups. Therefore, the limited results should be interpreted with caution as our findings may not be representative of all participants. The blended educational programme appears to have stabilized – at a higher level – the initially stronger downward trend in testing for 11 GPs undergoing the intervention, indicating that the programme may have had an impact on their HIV testing behaviour.
Appendix
Available only for authorised users
Literature
1.
Op de Coul EL, Schreuder I, Conti S, van Sighem A, Xiridou M, Van Veen MG, Heijne JC. Changing patterns of undiagnosed HIV infection in the Netherlands: who benefits most from intensified HIV test and treat policies? PLoS One. 2015;10(7):e0133232.CrossRefPubMedPubMedCentral
2.
3.
Cohen MS, Chen YQ, McCauley M, Gamble T, Hosseinipour MC, Kumarasamy N, Hakim JG, Kumwenda J, Grinsztejn B, Pilotto JH, et al. Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med. 2011;365(6):493–505.CrossRefPubMedPubMedCentral
4.
Cohen MS, Chen YQ, McCauley M, Gamble T, Hosseinipour MC, Kumarasamy N, Hakim JG, Kumwenda J, Grinsztejn B, Pilotto JH, et al. Antiretroviral therapy for the prevention of HIV-1 transmission. N Engl J Med. 2016;375(9):830–9.CrossRefPubMedPubMedCentral
5.
Lundgren JD, Babiker AG, Gordin F, Emery S, Grund B, Sharma S, Avihingsanon A, Cooper DA, Fatkenheuer G, Llibre JM, et al. Initiation of antiretroviral therapy in early asymptomatic HIV infection. N Engl J Med. 2015;373(9):795–807.CrossRefPubMed
6.
Danel C, Moh R, Gabillard D, Badje A, Le Carrou J, Ouassa T, Ouattara E, Anzian A, Ntakpe JB, Minga A, et al. A trial of early Antiretrovirals and isoniazid preventive therapy in Africa. N Engl J Med. 2015;373(9):808–22.CrossRefPubMed
7.
van den Broek IV, Verheij RA, van Dijk CE, Koedijk FD, van der Sande MA, van Bergen JE. Trends in sexually transmitted infections in the Netherlands, combining surveillance data from general practices and sexually transmitted infection centers. BMC Fam Pract. 2010;11:39.CrossRefPubMedPubMedCentral
8.
Joore IK, Reukers DF, Donker GA, van Sighem AI, Op de Coul EL, Prins JM, Geerlings SE, Barth RE, van Bergen JE, van den Broek IV. Missed opportunities to offer HIV tests to high-risk groups during general practitioners' STI-related consultations: an observational study. BMJ Open. 2016;6(1):e009194.CrossRefPubMedPubMedCentral
9.
10.
11.
Grol R, Braspenning J, Dijkstra R, Hulscher M, W M. Implementatie van NHG-Standaarden: succes of probleem? Huisarts Wet. 2010;53(1):42–6.CrossRef
12.
Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients' care. Lancet. 2003;362(9391):1225–30.CrossRefPubMed
13.
Grol R, Wensing M. Implementatie, effectieve verandering in de patiëntenzorg. 3e druk. Maarsen: Elsevier Gezondheidszorg; 2006.
14.
Pillay TD, Mullineux J, Smith CJ, Matthews P. Unlocking the potential: longitudinal audit finds multifaceted education for general practice increases HIV testing and diagnosis. Sex Transm Infect. 2013;89(3):191–6.CrossRefPubMed
15.
Cook DA, Levinson AJ, Garside S, Dupras DM, Erwin PJ, Montori VM. Internet-based learning in the health professions: a meta-analysis. JAMA. 2008;300(10):1181–96.CrossRefPubMed
16.
Ruiz JG, Mintzer MJ, Leipzig RM. The impact of E-learning in medical education. Acad Med. 2006;81(3):207–12.CrossRefPubMed
17.
Hugenholtz NI, Sluiter JK, van Dijk FJ, Nieuwenhuijsen K. EBM E-learning: feasible and effective for occupational physicians in different countries. Safety and health at work. 2012;3(3):199–208.CrossRefPubMedPubMedCentral
18.
te Pas E, Meinema JG, Visser MR, van Dijk N. Blended learning in CME: the perception of GP trainers. Educ Prim Care. 2016;27(3):217–24.CrossRefPubMed
19.
20.
21.
Increasing the uptake of HIV testing to reduce undiagnosed infection and prevent transmission among black African communities living in England. Public Health Guidance, 33. National Institute for Health and Care Excellence (NICE); 2011. Available at https://​www.​nice.​org.​uk/​guidance/​ph33 (accessed Oct 2016).
22.
Increasing the uptake of HIV testing to reduce undiagnosed infection and prevent transmission among men who have sex with men. Public Health Guidance, 34. National Institute for Health and Care Excellence (NICE); 2011. Available at https://​www.​nice.​org.​uk/​guidance/​ph34 (accessed Oct 2016).
23.
24.
Knowles MS, et al. Andragogy in action: applying modern principles of adult education. San Fransicso, CA: Jossey Bass; 1984.
25.
26.
Joore IK, van Roosmalen SL, van Bergen JE, van Dijk N. General practitioners' barriers and facilitators towards new provider-initiated HIV testing strategies: a qualitative study. Int J STD AIDS. 2016;28(5):459–66.CrossRefPubMedPubMedCentral
27.
Domino FJ, Chopra S, Seligman M, Sullivan K, Quirk ME. The impact on medical practice of commitments to change following CME lectures: a randomized controlled trial. Med Teach. 2011;33(9):e495–500.CrossRefPubMed
28.
Dolcourt JL. Commitment to change: a strategy for promoting educational effectiveness. J Contin Educ Heal Prof. 2000;20(3):156–63.CrossRef
29.
Albarracin D, Johnson BT, Fishbein M, Muellerleile PA. Theories of reasoned action and planned behavior as models of condom use: a meta-analysis. Psychol Bull. 2001;127(1):142–61.CrossRefPubMedPubMedCentral
30.
Verstappen WH, van der Weijden T, Sijbrandij J, Smeele I, Hermsen J, Grimshaw J, et al. Effect of a practice-based strategy on test ordering performance of primary care physicians: a randomized trial. JAMA. 2003;289(18):2407–12.CrossRefPubMed
31.
32.
33.
Metadata
Title
Development and evaluation of a blended educational programme for general practitioners’ trainers to stimulate proactive HIV testing
Authors
Ivo Kim Joore
Jan E. A. M. van Bergen
Gerben ter Riet
A. van der Maat
N. van Dijk
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Primary Care / Issue 1/2018
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/s12875-018-0723-8

Other articles of this Issue 1/2018

BMC Primary Care 1/2018 Go to the issue

Research article

Substitution of care for chronic heart failure from the hospital to the general practice: patients’ perspectives

Research article

Risk of opioid misuse in chronic non-cancer pain in primary care patients - a cross sectional study

Research article

RETRACTED ARTICLE: Al Kharj diabetic patients’ perception about diabetes mellitus using revised-illness perception questionnaire (IPQ-R)

Research article

Multimorbidity: can general practitioners identify the health conditions most important to their patients? Results from a national cross-sectional study in Switzerland

Research article

Analytical typology of multiprofessional primary care models

Research article

An online survey of Irish general practitioner experience of and attitude toward managing problem alcohol use