Behavioral changes and the need for support in knowledge transfer: An evaluation of training in Primary Health Care

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Abstract
The training of Primary Health Care professionals in the management of Chronic Non-Communicable Diseases is essential within the context of the Brazilian Unified Health System. Despite its relevance, there is still a lack of robust evaluations on the impacts of such training. This study evaluated the effects of the QualiDCNT Program on the aforementioned training. A cross-sectional and analytical study was conducted using a structured questionnaire that included sociodemographic and work-related data, along with three validated scales: Reaction to Instructional Procedures, Psychosocial and Material Support for Training Transfer, and Self-Assessment of Impact. Data were collected at the end of the program and 30 days later, and analyzed using descriptive and inferential statistics. The sample consisted of 64 participants in the first stage and 71 in the second, recruited by convenience. Satisfaction scores showed higher averages for Reaction to Instructional Procedures, Self-Assessment of Impact presented moderate averages, and the scores for Psychosocial and Material Support for Training Transfer were the lowest. The results indicate that the Program contributed positively to participant satisfaction and perceived impact, but also highlighted challenges related to the understanding that organizational support is inseparable from the success of training initiatives for the Unified Health System.

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