<abstract xmlns="http://www.w3.org/1999/xhtml">


<sec id="j_sjph-2020-0029_s_006">
<h3>Introduction</h3>
<p>The Ukrainian primary healthcare programme of preventive and screening recommendations has not been evidence-based. The traditional system of continuous medical education in Ukraine places participants in the role of passive listeners. This study explored the effects of an interactive training course on evidence-based prevention and screening of cardiovascular risks, on changes in Ukrainian family doctors’ (FDs) and primary care nurses’ (PCNs) knowledge and readiness to change practice over time.</p></sec>
<sec id="j_sjph-2020-0029_s_007">
<h3>Methods</h3>
<p>Three hundred and seven FDs and PCNs participated in the study. Changes in participants’ knowledge were assessed with 20 multiple choice questions, and their readiness to change practice with a five-item questionnaire. These were administered before, immediately after, three and twelve months after training.</p></sec>
<sec id="j_sjph-2020-0029_s_008">
<h3>Results</h3>
<p>The mean pre-course knowledge score was 6.1 (SD 1.8) out of 20, increasing to 14.9 (SD 2.3) immediately afterwards (p&lt;0.001). Three months later it was 10.2 (SD 3.2) and at one year it was 10.4 (SD 3.3), both of which were significantly higher than the pre-training level (p&lt;0.005). The percentage of participants that were highly motivated to change their practice increased from 18.4% before the training to 62.3% immediately afterwards (p&lt;0.001). Three months later, this fell to 40.4%. At 12 months it further reduced to 27.4%, but was still significantly higher than the baseline level (p&lt;0.001).</p></sec>
<sec id="j_sjph-2020-0029_s_009">
<h3>Conclusions</h3>
<p>The interactive training was effective in increasing both participants’ knowledge and their readiness to change their clinical practice. The impact of the training diminished over time, but was still evident a year later.</p></sec></abstract>

Introduction
The Ukrainian primary healthcare programme of preventive and screening recommendations has not been evidence-based. The traditional system of continuous medical education in Ukraine places participants in the role of passive listeners. This study explored the effects of an interactive training course on evidence-based prevention and screening of cardiovascular risks, on changes in Ukrainian family doctors’ (FDs) and primary care nurses’ (PCNs) knowledge and readiness to change practice over time.

Methods
Three hundred and seven FDs and PCNs participated in the study. Changes in participants’ knowledge were assessed with 20 multiple choice questions, and their readiness to change practice with a five-item questionnaire. These were administered before, immediately after, three and twelve months after training.

Results
The mean pre-course knowledge score was 6.1 (SD 1.8) out of 20, increasing to 14.9 (SD 2.3) immediately afterwards (p<0.001). Three months later it was 10.2 (SD 3.2) and at one year it was 10.4 (SD 3.3), both of which were significantly higher than the pre-training level (p<0.005). The percentage of participants that were highly motivated to change their practice increased from 18.4% before the training to 62.3% immediately afterwards (p<0.001). Three months later, this fell to 40.4%. At 12 months it further reduced to 27.4%, but was still significantly higher than the baseline level (p<0.001).

Conclusions
The interactive training was effective in increasing both participants’ knowledge and their readiness to change their clinical practice. The impact of the training diminished over time, but was still evident a year later.

Training family doctors and primary care nurses in evidence-based prevention, screening and management of cardiovascular risks in Western Ukraine: A longitudinal study

Slovenian Journal of Public Health

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Usposabljanje specialistov družinske medicine in medicinskih sester v osnovnem zdravstvenem varstvu za preventivo, ki temelji na dokazih, presejanje in obvladovanje kardiovaskularnih tveganj v Zahodni Ukrajini: Longitudinalna študija

Introduction
The Ukrainian primary healthcare programme of preventive and screening recommendations has not been evidence-based. The traditional system of...

Training family doctors and primary care nurses in evidence-based prevention, screening and management of cardiovascular risks in Western Ukraine: A longitudinal study

Article Category: Research Article

Published Online: Oct 18, 2020

Page range: 227 - 235

Received: Nov 09, 2019

Accepted: Sep 12, 2020

DOI: https://doi.org/10.2478/sjph-2020-0029

Keywords
continuing medical education, readiness to change practice, motivation, screening

© 2020 National Institute of Public Health, Slovenia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Training family doctors and primary care nurses in evidence-based prevention, screening and management of cardiovascular risks in Western Ukraine: A longitudinal study

Article Category: Research Article

Published Online: Oct 18, 2020

Page range: 227 - 235

Received: Nov 09, 2019

Accepted: Sep 12, 2020

DOI: https://doi.org/10.2478/sjph-2020-0029

Keywordscontinuing medical education, readiness to change practice, motivation, screening

© 2020 National Institute of Public Health, Slovenia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
continuing medical education, readiness to change practice, motivation, screening