APHA 1996 Abstract: Educating Rural Providers to Improve HIV
Prevention, Health Promotion and Early Intervention Service: A Comparative Study of Three
Educational Methodologies
Presented at: American Public Health Association 124th Annual Meeting,
November 1996
Educating Rural Providers to Improve HIV Prevention, Health Promotion
and Early Intervention Service: A Comparative Study of Three Educational Methodologies.
Sara J. Martin, M.P.H., Donna G. Anderson, Ph.D. M.P.H. and Carol P. Vojir, Ph.D. Rural
health care providers have the opportunity to impact the epidemic through targeted
prevention, health promotion and early intervention activities for at-risk and
HIV-infected individuals. At the same time, rural providers face unique barriers to HIV
education and need increased access to effective training programs in rural areas. This
project evaluates the relative efficacy of three education methods in increasing rural
physicians', physician assistants' and nurses' knowledge, ability and willingness to
provide HIV-related services in rural areas. Developed in response to needs identified by
rural providers, the standardized HIV prevention, health promotion and early intervention
curriculum was implemented in 1) a self-instruction format, 2) satellite audio-visual
teleconferencing, and 3) rural outreach team training to 1600 rural providers in eight
states of the Rocky Mountain and western Great Plains region. All participants were
administered case study-based evaluation instruments pre- and post-intervention and at
four months follow-up. During the same period, a control group completed identical
instruments at 0 and 4 months. Results of the relative effectiveness of the three
methodologies on rural health care providers' knowledge, ability and willingness to
provide HIV-related services will be presented.
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