Knowledge Item: CA-Training Impact: Systems Change-04
Training Impact on Systems Change 04:
Relationship Between Trainee Characteristics and Systems Change After Training
In a cross-cutting telephone study involving 218
service providers who were interviewed an average of eight months after HIV/AIDS training,
system-level changes in HIV care were observed. Trainee background characteristics (e.g.,
trainee age, gender, job characteristics), controlling for project site, predicted whether
or not a specific example of system change was provided for eight
possible areas of change.
Program administrators, physicians, and nurses
(along nurse practitioners and dentists) were much more likely to offer concrete system
change examples for most assessed areas. For example, program administrators
were much more likely to provide system change examples for questions regarding how
they
provide specific care to patients, how they make referrals, how the system in general
provides care, and how they establish collaborations among service networks. Direct
service providers tended to be less likely to provide system change examples for most
areas of care.
Note: A related
set of Knowledge Items assess how the training affected the
patient care at the agencies of the individuals trained.
The coding
of systems level change was done by Harold Henderson, M.D., of the
University of Mississippi Medical School, Victor German, M.D., of the
University of Texas Medical School, and Catherine Rohweder, M.P.H., of
the State University of New York using open-ended responses to
questions in the training follow up semi-structured interview
conducted by The Measurement Group.
Knowledge Item Citation: Huba, G. J., Panter, A. T., Melchior, L. A., and the HRSA/HAB SPNS Cooperative Agreement Steering Committee (1998-2001). Knowledge Item: CA-Training Impact: Systems Change-04
from HRSA/HAB's SPNS Cooperative Agreements on Innovative Models of Care, The Measurement Group Knowledge Base on HIV/AIDS Care, Online at www.TheMeasurementGroup.com.
Last Updated:
March 25, 2005; data through June 15, 1999; analyses conducted June
1999.
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