Laying the Groundwork: A Pilot Study Exploring Improved Endometriosis Management Strategies in Primary Healthcare

Öberg Westin M, Wikberg C, Björkelund C, Ariai N, Lindahl AC, Hange D
2024 · W6983080918
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A Swedish pilot study demonstrated that an educational workshop improved primary care staff knowledge of endometriosis and a patient questionnaire was deemed feasible, potentially facilitating earlier detection of the condition.

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This pilot study evaluated a brief educational intervention for primary healthcare staff in Sweden to determine if it could sustainably improve knowledge regarding endometriosis symptoms. The researchers also assessed the feasibility of implementing a short questionnaire for women presenting with common gynecological symptoms at three primary care centers. Results indicated that the workshop successfully improved or maintained staff knowledge levels after three months, while over ninety percent of patients found the screening questionnaire adequate and understandable. This combined approach is proposed as a method to enhance clinical awareness and facilitate earlier detection among women seeking care. This paper is centrally about endometriosis — specifically focusing on diagnostic strategies and educational interventions within primary healthcare settings.

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Abstract

Maria Öberg Westin,1 Carl Wikberg,1,2 Cecilia Björkelund,1 Nashmil Ariai,1 Ann-Christine Lindahl,1 Dominique Hange1,2 1Primary Health Care/School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; 2Research, Education, Development & Innovation, Primary Health Care, Region Västra Götaland, Gothenburg, SwedenCorrespondence: Carl Wikberg, Primary Health Care/School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, Tel +46703821660, Email [email protected]: To evaluate if a brief educational intervention for primary health care staff regarding endometriosis gives sustainable knowledge of endometriosis symptoms and if a brief questionnaire for women seeking care for common symptoms is feasible in the Swedish primary care context.Design: Pilot study.Setting: 3 primary care centres (PCCs) in Sweden. Exploring knowledge among staff about endometriosis at baseline and 3 months after an information workshop. Evaluation of feasibility of a brief questionnaire for women seeking care for common symptoms For PCC personnel: knowledge about endometriosis at baseline and after 3 months. For patient questionnaire: whether adequate, understandable, acceptable, and feasible.Participants: Females in primary care centre waiting room, and staff members at participating PCCs.Results: The knowledge level of endometriosis was improved or sustained after 3 months compared to baseline among staff at PCCs. Over 90% of the patients stated that the questionnaire was adequate, understandable, acceptable, and feasible.Conclusion: We found that an educational programme improved the staff’s knowledge about endometriosis. The programme together with the patient questionnaire could be a way to enhance knowledge about endometriosis among PCCs. This combined effort might facilitate earlier detection and treatment of women with endometriosis.Keywords: endometriosis, primary care, diagnosis, educational intervention
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International Journal of General Medicine (Apr 2024) Laying the Groundwork: A Pilot Study Exploring Improved Endometriosis Management Strategies in Primary Healthcare Abstract Maria Öberg Westin,1 Carl Wikberg,1,2 Cecilia Björkelund,1 Nashmil Ariai,1 Ann-Christine Lindahl,1 Dominique Hange1,2 1Primary Health Care/School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; 2Research, Education, Development & Innovation, Primary Health Care, Region Västra Götaland, Gothenburg, SwedenCorrespondence: Carl Wikberg, Primary Health Care/School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, Tel +46703821660, Email [email protected]: To evaluate if a brief educational intervention for primary health care staff regarding endometriosis gives sustainable knowledge of endometriosis symptoms and if a brief questionnaire for women seeking care for common symptoms is feasible in the Swedish primary care context.Design: Pilot study.Setting: 3 primary care centres (PCCs) in Sweden. Exploring knowledge among staff about endometriosis at baseline and 3 months after an information workshop. Evaluation of feasibility of a brief questionnaire for women seeking care for common symptoms For PCC personnel: knowledge about endometriosis at baseline and after 3 months. For patient questionnaire: whether adequate, understandable, acceptable, and feasible.Participants: Females in primary care centre waiting room, and staff members at participating PCCs.Results: The knowledge level of endometriosis was improved or sustained after 3 months compared to baseline among staff at PCCs. Over 90% of the patients stated that the questionnaire was adequate, understandable, acceptable, and feasible.Conclusion: We found that an educational programme improved the staff’s knowledge about endometriosis. The programme together with the patient questionnaire could be a way to enhance knowledge about endometriosis among PCCs. This combined effort might facilitate earlier detection and treatment of women with endometriosis.Keywords: endometriosis, primary care, diagnosis, educational intervention

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