Providing comprehensive and standardized breast health training in reproductive health centers: Results from a Planned Parenthood train-the-trainer program

Background/Significance  When the Komen Foundation cut funding to Planned Parenthood in 2012, an outpouring of public support occurred and the Breast Health Initiative was established funding exams, diagnostic services, and education/outreach. A train-the-trainer program was also developed. Clinicians from over 70 health centers were trained on best practices in risk assessment, exam technique, documentation, and interpretation of breast imaging results, and were tasked with training others to enhance breast health services nationwide.

Objective/Purpose  The objective was to evaluate the program’s impact on participants and the overall reach of their subsequent training activities.

Methods  Participants completed a survey at baseline and at three and six months post-training. Items assessed participant knowledge, practices, confidence providing exams and referrals, and subsequent training. Of 95 participants completing the baseline survey, 69 completed the six-month survey.

Results  Mean knowledge scores increased from 15.9 to 18.5 (out of 23) at three months post-training (p<.05). Comfort discussing breast screening recommendations with high-risk clients, discussing breast cancer risks, and referring clients for genetic counseling significantly increased from baseline to six months. The proportion of respondents spending three or more minutes performing breast exams increased, from 56.1% to 95.5% at six months (p <.01). Participants trained over 1,000 other professionals within six months post-training.

Discussion/Conclusions  The training program was associated with improved participant knowledge, comfort, and practices. Family planning providers play a crucial role in promoting breast health. Education and training is important to ensure that a comprehensive and standardized approach is used when providing breast health care.