Training Health Professionals in Tanzania: Effects of an Afrocentric Sexual Health Education Curriculum for Medical, Nursing and Midwifery Students (Randomized Controlled Trial Data)
2023-08-31
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2022-09-02
2022-09-02
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Training Health Professionals in Tanzania: Effects of an Afrocentric Sexual Health Education Curriculum for Medical, Nursing and Midwifery Students (Randomized Controlled Trial Data)
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2023-08-31
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Rosser, B. R. Simon
rosser@umn.edu
rosser@umn.edu
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Survey Data-Quantitative
Experimental Data
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Abstract
"Training for Health Professionals” was a randomized, controlled, single-blind, trial conducted at Muhimbili University of Health and Allied Sciences (MUHAS) in Dar es Salaam, Tanzania. As part of the study, 412 medical, nursing and midwifery students were stratified by discipline, completed baseline assessments, then randomized to attend a 4-day sexual health workshop (intervention, n=206) or to a waitlist control (n=206). The workshop curriculum covered sexual health across the lifespan, male and female sexual dysfunctions, key populations (LGBT), sexual violence, clinical skills building, ethics, policy writing, and cultural considerations. Primary outcomes were sexual health knowledge, attitudes, and clinical skills.
The primary outcomes of sexual health knowledge and attitudes were assessed at baseline, post-intervention (intervention group only), and 3-month follow-up via a quantitative survey. This survey also included demographic information, education background, and evaluation of the sexual health workshop.
The primary outcome of clinical skills was assessed at baseline and 3-month follow-up via videotaped standardized patient (SP) interviews. Each of the videos (2 at baseline, 2 at follow-up) was independently rated by an expert (a faculty member) and the patient (the SP actor). After each interview participants completed a survey reflecting on their performance as a student clinician. At the end of the follow-up videos, participants completed a survey evaluating the standardized patient experience (SPE).
In sum, this record includes an Excel file with the data codebook (also provided as six separate CSV files for accessibility) and five CSV data files covering the above outcomes. The responses were de-identified as described below in the README file.
Description
PARTICIPANTS.
Eligibility criteria for this study were: (a) Current student at MUHAS in midwifery, nursing, or medicine; (b) in their 3rd or 4th year (for medical students) or 2nd or 3rd year (nursing and midwifery students) so they would have sustained patient contact in the three months following the seminar and be on campus for the follow-up; (c) able to attend the full 4-day training during the first week of student vacation; (d) fluent in English (the language of instruction at MUHAS) and Kiswahili (the lingua franca in Tanzania); and (e) willing to volunteer and complete all evaluation procedures.
QUANTITATIVE SURVEY.
All participants were required to complete the online Qualtrics baseline survey on tablets at the study office. The survey took about 60 minutes to complete and covered demographic information, educational background, sexual health knowledge, and attitudes toward sexual health topics.
Immediately after the training, intervention arm participants completed a Qualtrics post-test survey that covered the same sexual health knowledge and attitudes toward sexual health topic items and asked participants to evaluate the sexual health training workshop (90 minutes).
Three to four months later, both intervention and control group participants completed an online follow-up survey that assessed their sexual health knowledge and attitudes toward sexual health topics (90 minutes).
Note, the waitlist control group also had the opportunity to participate in and evaluate the sexual health workshop after the completion of the randomized control trial.
All the survey data from baseline, post-test, and follow-up data collection were combined into one CSV file (Quantitative_Survey_Data; 597KB). Only the quantitative responses from the survey are included in this record.
STANDARDIZED PATIENT EXPERIENCE (SPE) SURVEYS.
After completing the baseline survey, participants completed two SP interviews. The interviews involved actors role-playing one of four sexual health-related patient scenarios developed by the team. Participants had 10 minutes per scenario to interview the patient and discuss a treatment plan. The four SP cases were: a) a woman who had been physically and sexually assaulted (Sexual Violence; SV), b) a heterosexually married man with situational erectile dysfunction and past homosexual experience (Erectile Dysfunction; ED), c) a 16-year-old girl who is worried she is pregnant from her older “sugar daddy” boyfriend (Adolescent Pregnancy; AP), and d) a young heterosexual man with penile discharge, groin pain, and a history of paying for sex (Penile Drip; PD). The participants were randomly assigned two of the four scenarios which they completed at baseline. Then they completed the remaining two scenarios at follow-up.
> Faculty Ratings. In their videotaped SP scenarios, participants were rated on their interpersonal communication (IC) skills and their ability to uncover a patient’s medical history (MH). Each of the SP scenarios was rated by one MUHAS faculty member who was part of the research team. Ratings were collected via an online Qualtrics survey.
> SP Ratings. Participants were also rated on their interpersonal communication (IC) skills and their ability to uncover a patient’s medical history (MH). by the SP actor that they interviewed. Ratings were collected via an online Qualtrics survey.
> Student Clinician (SC) Items. After each video interview, participants completed an online Qualtrics survey reflecting on how they performed as a student clinician (SC).
> Evaluation of the Standardized Patient Experience (ESPE) Items. At the end of follow-up data collection, participants completed an online Qualtrics survey evaluating the SPE.
All the survey responses and ratings for the SPE were combined across baseline and follow-up data collection but separated into four separate CSV files: faculty ratings (178KB), SP ratings (171KB), SC items (70KB), and ESPE items (11KB). The quantitative responses and ratings from the SPE are included in this record.
Referenced by
Massae, A., Mgopa, L., Bonilla, Z.E., Mohammed, I., Mushy S.E., Gadiel, G., Rosser, B.R.S., Mkonyi, E., Mwakawanga, D., Ross, M.W., Leshabari, S., Wadley, J., Trent, M. (In Review, 2023). Sexual health problems in Tanzania: Perceived barriers among midwifery, nursing and medical students and providers in the Training for Health Professionals study. Culture, Health and Sexuality.
Rosser, B.R.S., PhD,1 Mkoka, D.A., Trent, M., Mgopa, L.R., Kohli, N., Lukumay, G.G., Rohloff, C., Mkonyi, E., Ross, M.W., Mushy, S.E., Mohammed, I., MPH,1 Massawe, A. F., Mwakawanga, D.L. (In Review, 2023). Effects of an Afrocentric sexual health education curriculum for medical, nursing and midwifery students in Tanzania: A single blinded randomized controlled phase 3 trial. British Medical Journal (BMJ) Open.
Mwakawanga, D.L, Massae, A.F., Lukumay, G.G., Mushy, S.E., Mkoka, D.A., Kohli, N., Mgopa, L.R., Rohloff, C.T., Mkonyi, E., Trent, M., Ross, M.W., Rosser, B.R.S., Connor, J. (In Review, 2023). The need for, acceptability and feasibility of a curriculum to train nursing and medical students in the sexual health care of patients with female genital mutilation/circumcision in Tanzania: A Mixed-methods study. Biomedical Central (BMC) Women's Health.
Mushy, S.E., Mkoka, D.A., Lukumay, G.G., Massae, A.F., Mark, K., Rohloff, C.T., Mgopa, L.R., Mwakawanga, D.L., Kohli, N., Ross, M.W., Trent, M., Athuman, K., Rosser, B.R.S. (In Review, 2023). The need for, acceptability of a cancer curriculum training for nursing and medical doctor students in Tanzania: Results from the Training for Health Professionals needs assessment. Journal of Cancer Education.
Mushy, S.E., Lukumay, G.G., Massae, A.F., Mkoka, D.A., Rohloff, C., Mgopa, L.R., Mwakawanga, D.L., Mkonyi, E., Kohli, N., Rosds, M.W., Trent, M., Rosser, B.R.S. (In Review, 2023). Knowledge of mandatory reporting laws and recording of patients’ confidential information on child sexual abuse: Effects of a sexual health training for health students in Tanzania. Child Abuse & Neglect.
Mgopa, L.R., Ross M.W., Massae, A., Trent, M. Lukumay, G.G., Mushy, S., Mwakawanga, D., Rohloff, C.T., Mkoka,D. A., Kohli, N., Mkonyi, E. Rosser, B.R.S. (In Review, 2023). Health students’ awareness, comfort and perception when treating sexual and gender minority patients: A mixed methods study from Tanzania. International Medical Education.
Lukumay, G.G., Maticka-Tyndale, E., Mgopa, L.R., Rosser, B.R.S. Mkoka, D.A. (2022). Researching sexual health in Africa: Cultural, ethical and legal considerations. Symposium of the International Academy of Sex Research Annual Meeting, Reykjavik, Iceland, July 6-9.
Mkoka, D.A. (2022). Researching sexual health in Africa: Cultural, ethical and legal considerations. Symposium of the International Academy of Sex Research Annual Meeting, Reykjavik, Iceland, July 6-9.
Rosser BRS, Mkoka DA, Trent M, et al. The effects of an Afrocentric sexual health curriculum on medical, nursing and midwifery students' knowledge, attitudes and clinical skills: Early results from the "Training for Health Professionals" randomized controlled trial in Dar es Salaam, Tanzania July 6-9. International Academy of Sex Research Annual Meeting; 2022; Reykjavik, Iceland.
Rosser BRS, Mkoka DA, Trent M, et al. (2023). The effects of an Afrocentric sexual health curriculum on medical, nursing and midwifery students' knowledge, attitudes and clinical skills: Early results from the "Training for Health Professionals" randomized controlled trial in Dar es Salaam, Tanzania. U of MN Epidemiology & Community Health Departmnetal Seminar; April 14, 2023, Minneapolis MN (and virtual).
Trent, M., Mkonyi, E., Rohloff, C.T., Lukumay, G.G., Ross, M.W., Kohli, N. Mgopa, L.R., Massae, A.F., Mohammend, I., Mushy, S.E., Mwakawanga, D.L., Mkoka, D.A., Rosser, B.R.S. (2023) Simulations with Standardized Patients Improve Sexual Health-Related Interpersonal Communication Health Medical History Taking for Health Professional Students: Results from the Tanzanian Health Professionals Trial. STI/HIV World Conference, Chicago, July 24-27.
Rosser, B.R.S., Mkoka, D.A., Trent, M., Mgopa, L.R., Kohli, N., Lukumay, G.G., Rohloff, C., Mkonyi, E., Ross, M.W., Mushy, S.E., Mohammed, I., MPH,1 Massawe, A. F., Mwakawanga, D.L. Effects of an Afrocentric sexual health education curriculum for medical, nursing and midwifery students in Tanzania: A single blinded randomized controlled phase 3 trial. AIDS Impact Conference, Stockholm, Sweden, June 12-15.
Rosser, B.R.S., Mkoka, D.A., Trent, M., Mgopa, L.R., Kohli, N., Lukumay, G.G., Rohloff, C., Mkonyi, E., Ross, M.W., Mushy, S.E., Mohammed, I., MPH,1 Massawe, A. F., Mwakawanga, D.L. Trent, M. (2023). Effects of training medical, nursing, and midwifery students in a comprehensive sexual health curriculum tailored for Africa: Results of the “Training for Health Professionals” Randomized, Controlled, Single-Blind Trial. World Association for Sexual Health
Rosser, B.R.S., PhD,1 Mkoka, D.A., Trent, M., Mgopa, L.R., Kohli, N., Lukumay, G.G., Rohloff, C., Mkonyi, E., Ross, M.W., Mushy, S.E., Mohammed, I., MPH,1 Massawe, A. F., Mwakawanga, D.L. (In Review, 2023). Effects of an Afrocentric sexual health education curriculum for medical, nursing and midwifery students in Tanzania: A single blinded randomized controlled phase 3 trial. British Medical Journal (BMJ) Open.
Mwakawanga, D.L, Massae, A.F., Lukumay, G.G., Mushy, S.E., Mkoka, D.A., Kohli, N., Mgopa, L.R., Rohloff, C.T., Mkonyi, E., Trent, M., Ross, M.W., Rosser, B.R.S., Connor, J. (In Review, 2023). The need for, acceptability and feasibility of a curriculum to train nursing and medical students in the sexual health care of patients with female genital mutilation/circumcision in Tanzania: A Mixed-methods study. Biomedical Central (BMC) Women's Health.
Mushy, S.E., Mkoka, D.A., Lukumay, G.G., Massae, A.F., Mark, K., Rohloff, C.T., Mgopa, L.R., Mwakawanga, D.L., Kohli, N., Ross, M.W., Trent, M., Athuman, K., Rosser, B.R.S. (In Review, 2023). The need for, acceptability of a cancer curriculum training for nursing and medical doctor students in Tanzania: Results from the Training for Health Professionals needs assessment. Journal of Cancer Education.
Mushy, S.E., Lukumay, G.G., Massae, A.F., Mkoka, D.A., Rohloff, C., Mgopa, L.R., Mwakawanga, D.L., Mkonyi, E., Kohli, N., Rosds, M.W., Trent, M., Rosser, B.R.S. (In Review, 2023). Knowledge of mandatory reporting laws and recording of patients’ confidential information on child sexual abuse: Effects of a sexual health training for health students in Tanzania. Child Abuse & Neglect.
Mgopa, L.R., Ross M.W., Massae, A., Trent, M. Lukumay, G.G., Mushy, S., Mwakawanga, D., Rohloff, C.T., Mkoka,D. A., Kohli, N., Mkonyi, E. Rosser, B.R.S. (In Review, 2023). Health students’ awareness, comfort and perception when treating sexual and gender minority patients: A mixed methods study from Tanzania. International Medical Education.
Lukumay, G.G., Maticka-Tyndale, E., Mgopa, L.R., Rosser, B.R.S. Mkoka, D.A. (2022). Researching sexual health in Africa: Cultural, ethical and legal considerations. Symposium of the International Academy of Sex Research Annual Meeting, Reykjavik, Iceland, July 6-9.
Mkoka, D.A. (2022). Researching sexual health in Africa: Cultural, ethical and legal considerations. Symposium of the International Academy of Sex Research Annual Meeting, Reykjavik, Iceland, July 6-9.
Rosser BRS, Mkoka DA, Trent M, et al. The effects of an Afrocentric sexual health curriculum on medical, nursing and midwifery students' knowledge, attitudes and clinical skills: Early results from the "Training for Health Professionals" randomized controlled trial in Dar es Salaam, Tanzania July 6-9. International Academy of Sex Research Annual Meeting; 2022; Reykjavik, Iceland.
Rosser BRS, Mkoka DA, Trent M, et al. (2023). The effects of an Afrocentric sexual health curriculum on medical, nursing and midwifery students' knowledge, attitudes and clinical skills: Early results from the "Training for Health Professionals" randomized controlled trial in Dar es Salaam, Tanzania. U of MN Epidemiology & Community Health Departmnetal Seminar; April 14, 2023, Minneapolis MN (and virtual).
Trent, M., Mkonyi, E., Rohloff, C.T., Lukumay, G.G., Ross, M.W., Kohli, N. Mgopa, L.R., Massae, A.F., Mohammend, I., Mushy, S.E., Mwakawanga, D.L., Mkoka, D.A., Rosser, B.R.S. (2023) Simulations with Standardized Patients Improve Sexual Health-Related Interpersonal Communication Health Medical History Taking for Health Professional Students: Results from the Tanzanian Health Professionals Trial. STI/HIV World Conference, Chicago, July 24-27.
Rosser, B.R.S., Mkoka, D.A., Trent, M., Mgopa, L.R., Kohli, N., Lukumay, G.G., Rohloff, C., Mkonyi, E., Ross, M.W., Mushy, S.E., Mohammed, I., MPH,1 Massawe, A. F., Mwakawanga, D.L. Effects of an Afrocentric sexual health education curriculum for medical, nursing and midwifery students in Tanzania: A single blinded randomized controlled phase 3 trial. AIDS Impact Conference, Stockholm, Sweden, June 12-15.
Rosser, B.R.S., Mkoka, D.A., Trent, M., Mgopa, L.R., Kohli, N., Lukumay, G.G., Rohloff, C., Mkonyi, E., Ross, M.W., Mushy, S.E., Mohammed, I., MPH,1 Massawe, A. F., Mwakawanga, D.L. Trent, M. (2023). Effects of training medical, nursing, and midwifery students in a comprehensive sexual health curriculum tailored for Africa: Results of the “Training for Health Professionals” Randomized, Controlled, Single-Blind Trial. World Association for Sexual Health
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Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
National Institutes of Health (NIH, Grant number: 1 R01 HD092655)
National Institutes of Health (NIH, Grant number: 1 R01 HD092655)
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Rosser, B. R. Simon; Mkoka, Dickson A.; Leshabari, Sebalda; Kohli, Nidhi; Lukumay, Gift G.; Rohloff, Corissa T.; Trent, Maria; Mgopa, Lucy R.; Mkonyi, Ever; Ross, Michael W.; Mushy, Stella E.; Mohammed, Inari; Massae, Agnes F.; Zhang, Ziwei; Mwakawanga, Dorkasi L.. (2023). Training Health Professionals in Tanzania: Effects of an Afrocentric Sexual Health Education Curriculum for Medical, Nursing and Midwifery Students (Randomized Controlled Trial Data). Retrieved from the Data Repository for the University of Minnesota (DRUM), https://doi.org/10.13020/S565-YX03.
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Quantitative_Survey_Data.csv
Data from the quantitative surveys administered at baseline, post-test (intervention group only), and follow-up. Includes demographic information, education background, sexual health knowledge outcomes, sexual health attitude outcomes, and evaluation of the sexual health workshop.
(574.18 KB)
SPE_Surveys_ESPE_Items.csv
Data from the SPE surveys given at baseline and follow-up. This specific file contains data from the Evaluation of the Standardized Patient Experience (ESPE) items where participants reflected on the SP study activity (at follow-up only).
(10.46 KB)
SPE_Surveys_Faculty_Ratings.csv
Data from the SPE surveys given at baseline and follow-up to all participants. This specific file contains ratings from the faculty members for each participant SPE video (at baseline and follow-up).
(173.54 KB)
SPE_Surveys_SC_Items.csv
Data from the SPE surveys given at baseline and follow-up to all participants. This specific file contains data from the Student Clinician (SC) items where participants reflected on each SP video that they completed (at baseline and follow-up).
(68.03 KB)
SPE_Surveys_SP_Ratings.csv
Data from the SPE surveys given at baseline and follow-up to all participants. This specific file contains ratings from the SPs for each participant SPE video (at baseline and follow-up).
(167.07 KB)
Data_Codebook.xlsx
Excel document with a worksheet for each dataset included in this record. Lists all variables included in each dataset, a description of the variable, and the value labels. Also includes notes about administration of the surveys corresponding to each dataset and how the content relates across the datasets/variables.
(188.53 KB)
Data_Codebooks_CSVformat.zip
Data codebooks in CSV format (duplicates of Data_Codebook.xlsx)
(21.41 KB)
Data_Codebook_Section_Key.csv
Corresponds to the “Section Key” worksheet from Data_Codebook.xlsx. Includes notes about administration of the surveys corresponding to each dataset and how the content relates across the datasets/variables.
(3.47 KB)
Data_Codebook_Quantitative_Survey_Data.csv
Corresponds to the “Quantitative_Survey_Data” worksheet from Data_Codebook.xlsx. Lists all variables included in the Quantitative Survey data, a description of the variables, and the value labels.
(90.31 KB)
Data_Codebook_SPE_Surveys_ESPE_Items.csv
Corresponds to the “SPE_Surveys_ESPE_Items” worksheet from Data_Codebook.xlsx. Lists all the ESPE items included in the SPE Survey data, a description of the variables, and the value labels.
(18.78 KB)
Data_Codebook_SPE_Surveys_Faculty_Ratings.csv
Corresponds to the “SPE_Surveys_Faculty_Ratings” worksheet from Data_Codebook.xlsx. Lists all the faculty ratings items included in the SPE Survey data, a description of the variables, and the value labels.
(18.55 KB)
Data_Codebook_SPE_Surveys_SC_Items.csv
Corresponds to the “SPE_Surveys_SC_Items” worksheet from Data_Codebook.xlsx. Lists all the SC items included in the SPE Survey data, a description of the variables, and the value labels.
(19.99 KB)
Data_Codebook_SPE_Surveys_SP_Ratings.csv
Corresponds to the “SPE_Surveys_SP_Ratings” worksheet from Data_Codebook.xlsx. Lists all the SP ratings items included in the SPE Survey data, a description of the variables, and the value labels.
(18.51 KB)
Readme_file.txt
README file
(28.01 KB)
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