A chlamydia education and training program for general practice nurses: Reporting the effect on chlamydia testing uptake

Anna Wood*, Sabine Braat, Meredith Temple-Smith, Rebecca Lorch, Alaina Vaisey, Rebecca Guy, Jane Hocking

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

The long-term health consequences of untreated chlamydia are an increased risk of pelvic inflammatory disease, ectopic pregnancies and infertility among women. To support increased chlamydia testing, and as part of a randomised controlled trial of a chlamydia intervention in general practice, a chlamydia education and training program for general practice nurses (GPN) was developed. The training aimed to increase GPNs' chlamydia knowledge and management skills. We compared the difference in chlamydia testing between general practices where GPNs received training to those who didn't and evaluated acceptability. Testing rates increased in all general practices over time. Where GPNs had training, chlamydia testing rates increased (from 8.3% to 19.9% (difference = 11.6%; 95% CI 9.4-13.8)) and where GPNs did not have training (from 7.4% to 18.0% (difference = 10.6%; 95% CI 7.6-13.6)). By year 2, significantly higher testing rates were seen in practices where GPNs had training (treatment effect = 4.9% (1.1-8.7)), but this difference was not maintained in year 3 (treatment effect = 1.2% (-2.5-4.9)). Results suggest a GPN chlamydia education and training program can increase chlamydia testing up to 2 years; however, further training is required to sustain the increase beyond that time.

Original languageEnglish
Pages (from-to)36-42
Number of pages7
JournalAustralian Journal of Primary Health
Volume27
Issue number1
DOIs
Publication statusPublished - Feb 2021
Externally publishedYes

Bibliographical note

Funding Information:
We thank the ACCEPt research officers, general practice staff and GPNs who participated in ACCEPt. The Health Workforce Rural Communities Chlamydia Pilot was funded by the Australian Government Department of Health. ACCEPt has been supported by funding from the Australian Government Department of Health, the National Health and Medical Research Council (NHMRC), NSW Health and Department of Health, Victoria.

Publisher Copyright:
© 2021 La Trobe University.

Keywords

  • chlamydia testing
  • general practice
  • general practice nurse
  • training

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