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Web-based instrument to assess skills in visual inspection of the cervix among healthcare providers.
- Source :
-
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2016 Jul; Vol. 134 (1), pp. 107-13. Date of Electronic Publication: 2016 Apr 08. - Publication Year :
- 2016
-
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.<br />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.<br />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).<br />Conclusion: Web-based training for VIA/VILI is feasible and can identify healthcare workers who are proficient in this technique.<br /> (Copyright © 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.)
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 1879-3479
- Volume :
- 134
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
- Publication Type :
- Academic Journal
- Accession number :
- 27126908
- Full Text :
- https://doi.org/10.1016/j.ijgo.2015.11.024