Background
A public health student service was set up by the French government in 2018 with the aim of increasing awareness of primary health promotion among the 47,000 students of medicine and other health professions. It is an annual program involving community-based actions nutrition, physical activity, addiction or sexuality. Our objective was to evaluate its implementation at local level and the different experiences of the stakeholders.
Methods
A quasi-experimental study using process evaluation was performed in a Faculty of Medicine in Paris. Quantitative and qualitative data were collected from medical students who carried out preventive health actions, in the institutions in which the actions took place and from a subsample of beneficiaries.
Results
One hundred and eight actions were carried out by 341 students in 23 educational or social institutions, mostly high schools (n=12, 52%). Two thirds of the students did not feel sufficiently prepared to deliver preventive health interventions (65.7%, 224/341); however the beneficiaries found that the interventions were good (278/280, 99,2%). Nineteen (83%) of the host institutions agreed to welcome health service students again, of which 9 required some modifications. For students, the reporting of a satisfactory health service experience was associated with the reporting of skills or knowledge acquisition (p<0.01). Delivering actions in high schools and to a medium-sized number of beneficiaries per week was associated with students’ satisfaction. No effect of gender or theme of prevention was observed. For 248/341 (72.7%) students, the public health service program prompts them to address prevention issues in the future.
Conclusion
The public health service undertaken by medical students through the program is a feasible and acceptable means of delivering preventive actions. Reinforcement of training and closer interaction with the host institutions would improve results.
This is a list of supplementary files associated with this preprint. Click to download.
Supplementary material 1 Title: TIDIeR checklist of health service intervention. Description: Description of the health service program (studied intervention) and details on its local implementation.
Supplementary material 2 Title: Figure of the percentage of students satisfied of their experience of health service relating to the numbers of positive impacts of health service they reported. Description: Percentage of students satisfied of their experience of health service relating to the numbers of positive impacts of health service they reported (willingness to change behavior; acquisition of knowledge on the theme of the action, acquisition of new skills in prevention, ease of addressing prevention issues in the future).
Loading...
Posted 01 Oct, 2020
On 26 Nov, 2020
Received 23 Nov, 2020
On 22 Sep, 2020
Received 27 Aug, 2020
On 07 Aug, 2020
Invitations sent on 04 Aug, 2020
On 12 Jul, 2020
On 11 Jul, 2020
On 11 Jul, 2020
On 10 Jul, 2020
Posted 01 Oct, 2020
On 26 Nov, 2020
Received 23 Nov, 2020
On 22 Sep, 2020
Received 27 Aug, 2020
On 07 Aug, 2020
Invitations sent on 04 Aug, 2020
On 12 Jul, 2020
On 11 Jul, 2020
On 11 Jul, 2020
On 10 Jul, 2020
Background
A public health student service was set up by the French government in 2018 with the aim of increasing awareness of primary health promotion among the 47,000 students of medicine and other health professions. It is an annual program involving community-based actions nutrition, physical activity, addiction or sexuality. Our objective was to evaluate its implementation at local level and the different experiences of the stakeholders.
Methods
A quasi-experimental study using process evaluation was performed in a Faculty of Medicine in Paris. Quantitative and qualitative data were collected from medical students who carried out preventive health actions, in the institutions in which the actions took place and from a subsample of beneficiaries.
Results
One hundred and eight actions were carried out by 341 students in 23 educational or social institutions, mostly high schools (n=12, 52%). Two thirds of the students did not feel sufficiently prepared to deliver preventive health interventions (65.7%, 224/341); however the beneficiaries found that the interventions were good (278/280, 99,2%). Nineteen (83%) of the host institutions agreed to welcome health service students again, of which 9 required some modifications. For students, the reporting of a satisfactory health service experience was associated with the reporting of skills or knowledge acquisition (p<0.01). Delivering actions in high schools and to a medium-sized number of beneficiaries per week was associated with students’ satisfaction. No effect of gender or theme of prevention was observed. For 248/341 (72.7%) students, the public health service program prompts them to address prevention issues in the future.
Conclusion
The public health service undertaken by medical students through the program is a feasible and acceptable means of delivering preventive actions. Reinforcement of training and closer interaction with the host institutions would improve results.
This is a list of supplementary files associated with this preprint. Click to download.
Supplementary material 1 Title: TIDIeR checklist of health service intervention. Description: Description of the health service program (studied intervention) and details on its local implementation.
Supplementary material 2 Title: Figure of the percentage of students satisfied of their experience of health service relating to the numbers of positive impacts of health service they reported. Description: Percentage of students satisfied of their experience of health service relating to the numbers of positive impacts of health service they reported (willingness to change behavior; acquisition of knowledge on the theme of the action, acquisition of new skills in prevention, ease of addressing prevention issues in the future).
Loading...