RT Journal Article
SR Electronic
T1 Qualitative impact assessment of an educational workshop on primary care practitioner attitudes to NICE HIV testing guidelines
JF BJGP Open
JO BJGP Open
FD Royal College of General Practitioners
SP bjgpopen18X101433
DO 10.3399/bjgpopen18X101433
A1 Rosalie L Allison
A1 Ellie J Ricketts
A1 Thomas Hartney
A1 Anthony Nardone
A1 Katy Town
A1 Claire Rugman
A1 Kate Folkard
A1 J Kevin Dunbar
A1 Cliodna AM McNulty
YR 2018
UL http://bjgpopen.org/content/early/2018/03/06/bjgpopen18X101433.abstract
AB Background In 2013, Public Health England piloted the ‘3Cs (chlamydia, contraception, condoms) and HIV (human immunodeficiency virus)’ educational intervention in 460 GP surgeries. The educational HIV workshop aimed to improve the ability and confidence of staff to offer HIV testing in line with national guidelines.Aim To qualitatively assess the impact of an educational workshop on GP staff’s attitudes to NICE HIV testing guidelines.Design & setting Qualitative interviews with GP staff across England before and after an educational HIV workshop.Method Thirty-two GP staff (15 before and 17 after educational HIV workshop) participated in interviews exploring their views and current practice of HIV testing. Interview transcripts were thematically analysed and examined, using the components of the theory of planned behaviour (TPB) and normalisation process theory (NPT) as a framework.Results GPs reported that the educational HIV workshop resulted in increased knowledge of, and confidence to offer, HIV tests based on indicator conditions. However, overall participants felt they needed additional HIV training around clinical care pathways for offering tests, giving positive HIV results, and current treatments and outcomes. Participants did not see a place for point-of-care testing in general practice.Conclusion Implementation of national HIV guidelines will require multiple educational sessions, especially to implement testing guidelines for indicator conditions in areas of low HIV prevalence. Additional role-play or discussions around scripts suggesting how to offer an HIV test may improve participants’ confidence and facilitate increased testing. Healthcare assistants (HCAs) may need specific training to ensure that they are skilled in offering HIV testing within new patient checks.