Health Knowledge, Attitudes, Practice Clinical Trial
— THP-2Official title:
Evaluating the Effects of Reproductive Health Training on Provider Behavior
The goal of this randomized, controlled, single blinded trial is to evaluate the medium to long-term effects of an Afrocentric sexual health curriculum on health professional students' knowledge, attitudes, and clinical skills in providing sexual health in Tanzania.
Status | Not yet recruiting |
Enrollment | 310 |
Est. completion date | September 2026 |
Est. primary completion date | September 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - A health student studying at MUHAS and verified by being registered as a pre-final year midwifery, nursing or medical student (or its equivalent). - "Pre-final" year is defined as a student who is just about to enter year 3 of nursing, or year 4 of midwifery or medicine. - Living or studying in Tanzania - Experienced, operationalized as having worked at least 100 hours as a health worker in a clinic, hospital or community setting so students can discuss what happens in the clinical setting - Able to speak English and Kiswahili. Exclusion Criteria: - Students who will not be able to attend all days of the seminar at their health institution or be on their campus for the follow-up. - Students who express any reservations about attending (e.g., due to religious objections) - Students who express a fear of violence due to attending (e.g., from a spouse or relative). - Students who attended the sexual health seminar (e.g., during THP-1 or at another site). This is to prevent a student participating more than once. |
Country | Name | City | State |
---|---|---|---|
Tanzania | Muhimbili University of Health and Allied Sciences | Dar Es Salaam |
Lead Sponsor | Collaborator |
---|---|
University of Minnesota | Johns Hopkins University, Muhimbili University of Health and Allied Sciences |
Tanzania,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in Sexual Health Knowledge Score | Sexual health knowledge was assessed using 16 multichoice items created by the research team. The items covered female sexual health concerns (2 items), sexual development and masturbation (3 items), sexual orientation (3 items), sexual violence (3 items), sexuality in middle age (3 items), sexual history taking and sexual counseling (2 items). Total scores were used for analysis (maximum total score of 16). Participants get one point for every item answer correctly. Because there are 16 items in this section, participants can have a minimum total score of 0 and a maximum total score of 16. A higher score signifies better sexual health knowledge. | Baseline, 6-month follow-up, 12-month follow-up, and 24-month follow-up. | |
Primary | Change in Sexual Health Attitudes: Confidence in Ability to Discuss | Confidence in their ability to discuss the sexual health of patients, and confidence in their ability to discuss their patients' sexual health concerns were assessed using the Sexual Health Education for Professionals Scale (SHEPS). This section consists of 37 items where participants rate their confidence from (1) very unconfident to (5) confident. Because there are 37 items in this section, participants can have a minimum total score of 37 and a maximum total score of 185. A higher value signifies better confidence in the ability to discuss sexual health topics. | Baseline, 6-month follow-up, 12-month follow-up, and 24-month follow-up. | |
Primary | Change in Sexual Health Attitudes: Confidence in Having Knowledge | Confidence in their knowledge to assess the sexual health of patients, and confidence in their ability to discuss their patient's sexual health concerns were assessed using the Sexual Health Education for Professionals Scale (SHEPS). This section consists of 37 items where participants rate their confidence from (1) very unconfident to (5) confident. Because there are 37 items in this section, participants can have a minimum total score of 37 and a maximum total score of 185. A higher value signifies better confidence in having knowledge of sexual health topics. | Baseline, 6-month follow-up, 12-month follow-up, and 24-month follow-up. | |
Primary | Change in Sexual Counseling Skills: Interpersonal Communications | Skills were assessed by faculty raters assessing two videos (per each time point) of student counseling blind to whether the participant was in the intervention or control group and whether the assessment was at baseline or follow-up. Each participant was rated on 10 items assessing their interpersonal communication (IC) abilities. Each item was on a 3-point scale (0=not done; 1=partially done; 2=done). The scale has a minimum score of 0 and a maximum score of 20 per video. The investigators aggregated scores for each time point by summing the two videos at each time point. Therefore, the minimum total score is 0 and the maximum total score is 40. A higher score value signifies better interpersonal communication skills. | Baseline, 6-month follow-up, 12-month follow-up, and 24-month follow-up. | |
Primary | Change in Sexual Counseling Skills: Medical History Taking | Skills were assessed by faculty raters assessing the two videos (per time point) of student counseling blind to whether the participant was in the intervention or control group and whether the assessment was at baseline or follow-up. Medical history taking (MHT) was rated by six key pieces of information on a 2-point scale, where 0=not obtained information and 1=obtained information. The scale has a minimum score of 0 and a maximum score or 6 per video. The investigators aggregated scores for each time point by summing the two videos at each time point. Therefore, the minimum total score is 0 and the maximum total score is 12. | Baseline, 6-month follow-up, 12-month follow-up, and 24-month follow-up. | |
Primary | Change in Sexual Health Beliefs | The SHEPS Attitudes section comprises 27 items. Participants rate their level of agreement (1=strongly agree; 5=strongly disagree), with 13 items being reverse coded. Because there are 27 items in this section, participants can have a minimum total score of 27 and a maximum total score of 135. Low scores correspond to "liberal" views and high scores correspond to "conservative" views. | Baseline, 6-month follow-up, 12-month follow-up, and 24-month follow-up. |
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