Effect of Interpersonal Communication Training Program on Knowledge, Attitude, and Reinforcing/Support Skills of Anti-retroviral Therapy Providers in Gombe State Hospitals

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DOI: 10.21522/TIJPH.2013.11.01.Art024

Authors : Suraj Abdulkarim A, Bappah Lawan, Stephen John, Olutayo F. Martins

Abstract:

Evidence from the developed world suggests that healthcare practitioners with greater Interpersonal communication (IPC) skills have better health outcomes after IPC training. There is less evidence from developing nations. This study examined the impact of an IPC training program on the knowledge, attitude, and reinforcing/supporting skills of ART practitioners at public ART hospitals in Gombe state, Nigeria. The study used a quasi-experimental design with two groups and two stages, as well as a multi-stage sampling approach. The knowledge disposition, attitude, and reinforcing and supporting IPC skills of 120 ART practitioners from six randomly selected hospitals were assessed. Then three weeks later, a 2-day IPC training using a self-administered structured questionnaire was carried out. SPSS Software (v. 22) was used to perform descriptive and inferential analyses on the data. At baseline, the Chi-Square test indicated no association between the groups on any of the demographic factors. The pre-intervention mean knowledge score was significantly higher (p = 0.019) in the experimental group than in the control group, although there were no significant differences in attitude (p=0.32) or reinforcing and support skills (p=0.786). After the IPC skills training program, significant differences were noticed between the experimental and control groups in terms of knowledge (p=.000) and attitude (p=0.006), but not in terms of reinforcing and support skills (p=.119). Training in interpersonal communication skills influences the knowledge and attitude of ART health providers in Gombe State. As a result, in-service IPC training is suggested for ART Health Providers in the State.

Keywords: Anti-retroviral therapy (ART), Interpersonal communication (IPC), Reinforcing and supporting skills.

References:

[1] Siamian, H., Bagheri-Nesami, H., Darvish, .RN, Reza, F.N., Akbari, H., Balaghafari, H., Vahdei, M., 2014, Assessment of interpersonal communication skills among sari health centers’ staff. Mater Sociomed, 26(5), 324-32,8. https://pubmed.ncbi.nlm.nih.gov/25568632/.

[2] Brown L. D., De Negri B., Hernandez, O., Dominguez L, Sanchack JH, Roter D., 2000, An evaluation of the impact of training Honduran health care providers in interpersonal communication. International Journal for Quality in Health Care, 12(6), 495-501, https://pubmed.ncbi.nlm.nih.gov/11202603/.

[3] Skovdal, M., Wringe, A., Seeley, J., 2017, Using theories of practice to understand HIV-positive persons varied engagement with HIV services: a qualitative study in six Sub-Saharan African countries. Sexually Transmitted Infections, 93(3), 44-55., https://pubmed.ncbi.nlm.nih.gov/28736396/.

[4] Roemer, M. I., Montoya-Aguilar, C., 1988., Quality assessment and assurance in primary health care. Geneva: WHO Offset Publication, https://apps.who.int/iris/handle/10665/40663.

[5] Loevinsohn, B. P., 1990, Health Education Interventions in Developing Countries: A Methodological Review of Published Articles. International Journal of Epidemiology, 19(4), 788-794, https://pubmed.ncbi.nlm.nih.gov/2084004/.

[6] Hall, J., Rote,r D., and Katz, N., 1988, Correlates of provider behavior: a meta-analysis. Medical Care 26(1), 657-675, https://pubmed.ncbi.nlm.nih.gov/3292851/.

[7] Stein, T., Frankel, R. M., Krupat, E., 2005, Enhancing clinician communication skills in a large healthcare organization: a longitudinal case study. Patient Education and Counseling, 58 (1), 4-12, https://pubmed.ncbi.nlm.nih.gov/15950831/.

[8] Stewart, M., Brown, J.B., Boon, H., Galajda ,J., Meredith, L., Sangster, M., 1999, Evidence on patient-doctor communication. Cancer Prevention and Control, 3(1), 25-30, https://pubmed.ncbi.nlm.nih.gov/10474749/.

[9] Levinson, W., Roter, D.L., Mullooly, J.P., Dull, V.T., Frankel, R.M., 1997, Physician-patient communication: the relationship with malpractice claims among primary case physicians and surgeons. J Am Med Assoc, 277(1), 553-559, https://pubmed.ncbi.nlm.nih.gov/9032162/.

[10] City Population., 2022., Gombe State in Nigeria. https://citypopulation.de/en/nigeria/admin/NGA016_gombe/.

[11] McGilton, K.S., Boscart, V., Fox, M., Sidani, S., Rochon, E., Sorin-Peters, R. A., 2009, Systematic review of the effectiveness of communication interventions for health care providers caring for patients in residential care settings. Worldviews Evid Based Nurs. 6 (1), 149–159, https://pubmed.ncbi.nlm.nih.gov/19523033.

[12] Dickson, D.A. 1989, Interpersonal communication in the health professions: A focus on training. Counselling Psychology Quarterly, 2(3):345-366, https://www.tandfonline.com/doi/abs/10.1080/09515078908256688.

[13] John Hopkins University, J.H.U., 2008, An Interpersonal and counselling (IPC/C) skills training manual for health facility support staff, https://ccp.jhu.edu/documents/IPC%20Skills%20Training%20Manual%20Facilty%20Support%20Staff.pdf.

[14] Abdullahi, S.A., Smelyanskaya, M., John, S., 2020, Providing TB and HIV outreach services to internally displaced populations in Northeast Nigeria: Results of a controlled intervention study. PLoS medicine, 17(9)14-21, https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1003218.

[15] Garland, M.E., 2006, Assessing the Impact of the Interpersonal Communication Course. “Master’s Thesis, University of Tennessee, https://trace.tennessee.edu/utk_gradthes/4488.

[16] Hibbard, J.H., 2003, Engaging health care consumers to improve the quality of care. Medical care. 199(1), I61-I70, https://www.researchgate.net/publication/10935728_Engaging_Health_Care_Consumers_to_Improve_the_Quality_of_Care.

[17] Kagan C, Evans J, Kay B. Manual of Interpersonal Skills for Nurses: An Experiential approach. J Nurse Edu. 2002; 123(5):32- 38, https://old.amu.ac.in/emp/studym/100016913.pdf.

[18] Garland, M.E., 2006, Assessing the Impact of the Interpersonal Communication Course. “Master’s Thesis, University of Tennessee, https://trace.tennessee.edu/utk_gradthes/4488.

[19] Brown, B., Crawford, P., Carter, R., 2006, Evidence-based Health Communication: Interpersonal communication. Jadvnurse, 29(1), 53-60, https://www.researchgate.net/publication/286459012_Evidence_based_health_communication.

[20] Bérengère, N., Lori, B,, Orlando, H., Julia, R,, Debra, R., 2000, Quality Assurance Methodology Refinement Series. Improving Interpersonal Communication Between Health Care Providers and Clients, online 102(12), 43-49. http://qam.ipcbhpac.org/content/168/6/721.