STRIPE training data set

Objective: To assess the impact of an interprofessional case-based
training program to enhance clinical knowledge and confidence among
clinicians working in high HIV-burden settings in sub-Saharan Africa (SSA)
Setting: Health professions training institutions and their affiliated
clinical training sites in 12 high HIV-burden countries in SSA.
Participants: Cohort comprising pre-service and in-service learners, from
diverse health professions, engaged in HIV service delivery. Intervention:
A standardized, interprofessional, case-based curriculum designed to
enhance HIV clinical competency, implemented between October 2019 and
April 2020. Main outcome measures: The primary outcomes measured were
knowledge and clinical confidence related to topics addressed in the
curriculum.  These outcomes were assessed using a
standardized online assessment, completed before and after course
completion.  A secondary outcome was knowledge retention
at least six months post-intervention, measured using the same
standardized assessment, six months after training completion. We also
sought to determine what lessons could be learned from this training
program to inform interprofessional training in other contexts. Results:
Data from 3027 learners were collected: together nurses (n=1145, 37.9%)
and physicians (n=902, 29.8%) constituted the majority of participants;
58.1% were pre-service learners (n=1755) and 24.1% (n=727) had graduated
from training within the prior year. Knowledge scores were significantly
higher, post -participation compared to pre-participation, across all
content domains, regardless of training level and cadre (all
p<0.05). Among 188 learners (6.2%) who retook the test at >6
months, knowledge and self-reported confidence scores were greater
compared to pre-course scores (all p<0.05).  Conclusion:
To our knowledge this is the largest interprofessional, multi-country
training program established to improve HIV knowledge and clinical
confidence among HCP workers in SSA. The findings are notable given the
size and geographical reach and demonstration of sustained confidence and
knowledge retention post course completion. The findings highlight the
utility of interprofessional approaches to enhance clinical training in
SSA.