1. Web-based instrument to assess skills in visual inspection of the cervix among healthcare providers.
- Author
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Negulescu RA, Catarino R, De Vuyst H, Undurraga-Malinverno M, Meyer-Hamme U, Alec M, Campana A, Vassilakos P, and Petignat P
- Subjects
- Acetic Acid analysis, Adult, Aged, Colposcopy education, Cross-Sectional Studies, Female, Humans, Internationality, Iodides analysis, Logistic Models, Male, Middle Aged, Multivariate Analysis, Surveys and Questionnaires, World Health Organization, Young Adult, Clinical Competence standards, Early Detection of Cancer methods, Health Personnel education, Internet statistics & numerical data, Mass Screening methods, Uterine Cervical Neoplasms diagnosis, Uterine Cervical Dysplasia diagnosis
- Abstract
Objective: To validate a web-based instrument for assessing healthcare providers' skills in visual inspection with acetic acid or Lugol iodine (VIA/VILI) for the diagnosis and management of cervical intraepithelial neoplasia., Methods: An observational cross-sectional study enrolled healthcare providers in a web-based assessment of VIA/VILI skills between August and November 2014. Participants participated in a four-module training course, followed by a multiple-choice test with 70 questions based on cervical photographs of HPV-positive women participating in cervical screening. Logistic regression was used to identify relationships between independent variables and success on the test., Results: Overall, 255 participants completed the test and 99 (38.8%) passed. No correlation was found between age or sex and test performance. Compared with other healthcare workers, physicians (odds ratio [OR] 1.91, 95% confidence interval [CI] 1.01-3.63; P=0.048), and participants with more colposcopy experience (OR 3.62, 95% CI 1.91-6.85; P<0.001) and postgraduate VIA/VILI training (OR 1.95, 95% CI 1.16-3.29; P=0.012) were more likely to pass the test. Participants who repeated the test (31/255 [12.2%]) were five times more likely to succeed on their second repeat (OR 5.89, 95% CI 1.46-23.73; P=0.013)., Conclusion: Web-based training for VIA/VILI is feasible and can identify healthcare workers who are proficient in this technique., (Copyright © 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.)
- Published
- 2016
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