title: Training x Trainee Interactions in a family planning intervention.
abstract: This study investigated the effects of introducing a family planning counseling model at clinics of Peru's Ministry of Health. Providers trained in the model presented greater quality of care and longer counseling sessions than did controls. The main effects, however, were misleading. Nearly all of the quality improvements were contributed by 37% of the trained providers; they had already been better performers at the pretest and complied with the new counseling model's requirement of job aid use at the posttest. The recognition that a majority of trained providers did not profit from training posed a challenge that led to improvements in the model. Training x Trainee Interactions should be explored in evaluations.
authors.affiliation: Reproductive Health Program, Population Council's Frontiers, Peru. frleon@amauta.rcp.net.pe
authors.forename: Federico R
authors.initials: FR
authors.lastname: León
authors.forename: Alex
authors.initials: A
authors.lastname: Ríos
authors.forename: Adriana
authors.initials: A
authors.lastname: Zumarán
mesh_terms: D016022:Case-Control Studies; D003187:Compliance; D003376:Counseling / Q000193:education* / Q000379:methods / Q000592:standards; D005193:Family Planning Services / Q000193:education* / Q000379:methods / Q000592:standards; D006801:Humans; D007318:Inservice Training; D007398:Interpersonal Relations; D018802:Patient-Centered Care; D010568:Peru; D011369:Professional-Patient Relations; D015397:Program Evaluation; D011635:Public Health Administration; D011787:Quality of Health Care