Standardizing Breast Cancer Screening at Planned Parenthood Affiliates Courtney Benedict CNM MSN Manager Medical Standards Implementation PPFA 1 The Breast Health Initiative 2 Provide direct funding for diagnostic breast services for uninsured and provide public health education ID: 728221
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The Breast Health Initiative:Standardizing Breast Cancer Screening at Planned Parenthood AffiliatesCourtney Benedict, CNM, MSNManager, Medical Standards Implementation, PPFA
1Slide2
The Breast Health Initiative2Provide direct funding for diagnostic breast services for uninsured and provide public health educationDevelop breast cancer risk assessment tool for use in young womenStandardize breast cancer screening practices nationwide among Planned Parenthood affiliates
a) National training program b) Evaluate clinician knowledge and practices
c) Evaluate curriculum componentsSlide3
The Breast Risk Screening Questionnaire (BRSQ)3Slide4
The Breast Risk Screening Questionnaire (BRSQ)4Slide5
The Breast Risk Screening Questionnaire (BRSQ)5Slide6
The Breast Risk Screening Questionnaire (BRSQ)6This is a required screening per our Medical Standards and Guidelines Uninsured client referrals to genetic counselors has been challengingEvaluation ongoing into usability and validitySlide7
Curriculum Components7Slide8
Train-the-Trainer Evaluation Objectives8Evaluate the quality of curriculum componentsDiscover which components were replicated by trainersEvaluate whether the curriculum was effective in: - increasing knowledge
- standardizing clinical practicesSlide9
Methods9Pre-training survey - baseline knowledge of breast cancer screening - baseline clinical practices - confidence providing the servicesPost-training survey (3-months)
- retention of information from TTT - which components were replicated and feedbackPost-training survey (6-months) - which components were replicated and feedback
- post-training clinical practicesSlide10
Results – Most Helpful Curriculum Components10Slide11
Results – Practice Change11PRACTICE
PRE-SCOREPOST-SCORE
Spent
3 minutes or more on CBE
56%
95%
Used circular breast
search pattern during CBE
60%
3%
Used vertical
strip breast search pattern during CBE
46%
89%Slide12
Results – Mean Knowledge Scores12Mean knowledge scores of breast cancer screening guidelines increased post-training (15.9 to 18.5)Highest increases in knowledge about: - screening recommendations for women ages 20-39 - when to initiate CBE screening
- recommendations for women with increased genetic risk for breast cancerSlide13
Results – Curriculum Replicated13>1000 clinicians were trained in some curriculum component in first six monthsMost frequently replicated training component was eLearning module completionAlmost half of the trainers were unable to replicate the use of CBE practice on standardized patientsSlide14
Conclusion14Train-the-trainer curriculum components rated “very helpful”Training improved participants knowledge, comfort, and standardization of practicesEffective training model of how to disseminate evidence-based breast cancer screening recommendationsOngoing evaluation of the BRSQ tool