Abstract:
OBJECTIVES:This study evaluated the effects of a major federal immunization continuing education course, delivered in both traditional classroom and satellite broadcast versions, on public health professionals' knowledge, agreement, self-efficacy, and adherence in practice to recommendations. METHODS:The study used a comparative time series design to determine whether the course influenced participants' knowledge, agreement, self-efficacy, and adherence in practice to general and polio-specific recommendations as measured immediately and 3 months after the course. It also compared the effects of the classroom and satellite broadcast versions and used path analysis to show how the outcomes were related to one another. RESULTS:Both versions significantly improved knowledge, agreement, self-efficacy, and adherence. Knowledge and agreement were significant predictors of self-efficacy, which directly predicted adherence. Vaccine availability and supportive clinic policies were also important adherence predictors. CONCLUSIONS:A well-designed training update can change provider knowledge, agreement, self-efficacy, and adherence. Traditional classroom and distance training can have comparable effects. The findings support incorporation of distance learning in national public health training, if the distance learning is used wisely in relation to training needs, goals, and practice contexts.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Umble KE,Cervero RM,Yang B,Atkinson WLdoi
10.2105/ajph.90.8.1218subject
Has Abstractpub_date
2000-08-01 00:00:00pages
1218-24issue
8eissn
0090-0036issn
1541-0048journal_volume
90pub_type
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pub_type: 临床试验,杂志文章,随机对照试验
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