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TB Notes 2, 1999

Updates from the Communications and Education Branch

Interviewing and Communication Course | Web-Based Self-Study Modules | Preparedness Workshop in Tanzania | MDR TB in the Baltics

TB Interviewing and Communication Course

Health departments and health care providers have inquired about the availability of a course on communication skills for conducting contact investigations and patient education. In the past, DTBE conducted a TB Interviewing and Communication course. This course contained many elements from the original Interviewing, Investigating, and Influencing course, including instruction in effective communication skills for interviewing TB patients and following up on contacts. The TB Interviewing and Communication course has not been conducted since October 1994.

In order to meet the recent demands, the TB Interviewing and Communication course will be revised to include recent patient-provider communication strategies, as well as strategies for doing contact investigations, providing patient education, and dealing with special populations. The course will provide education and training materials for TB workers and supervisors responsible for patient education, contact investigation, directly observed therapy, and other outreach services in the clinic or field.

The revision of the course will be based on (1) focus group interviews with persons who have taken and taught the current version of the course; (2) reviews of the following training materials and studies:

  • The Effective TB Interview Course I;

  • The Effective TB Interview Course II;

  • The content from the Contact Investigation and Adherence supplemental self-study modules (being developed);

  • The preliminary findings from the study on "Exploring Patient-Provider Communication during Contact Investigation," conducted by the Research and Evaluation Branch (REB) Prevention Effectiveness Section (PES); from the study on "Outcomes of TB Contact Investigation," also conducted by REB/PES; and from the Surveillance and Epidemiology Branch (SEB) study on "Evaluation of Contact Investigations of TB Cases";

  • The findings from the "Atlanta TB Patient Education Project" on cultivating patient engagement skills;

  • The NJ Model Center’s standardized patient approach to teaching interviewing techniques to medical students;

  • Contact investigation training courses developed by local TB programs, e.g., NYC and Texas; and

  • Communications/interviewing techniques taught in the CDC’s STD course and in the HIV Counseling and Testing course.

Pilot testing of this new course will begin in late 1999 or early 2000.

—Reported by Maria Fraire, MPH, CHES
Division of TB Elimination



Interviewing and Communication Course | Web-Based Self-Study Modules | Preparedness Workshop in Tanzania | MDR TB in the Baltics

Web-Based Self-Study Modules on Tuberculosis

The Web-based version of the Self-Study Modules on Tuberculosis is an interactive TB training course for health care workers that provides a base level of TB knowledge accessible world-wide through the Internet. The Web-based course builds upon existing products: the print-based Self-Study Modules on Tuberculosis and the Satellite Primer on Tuberculosis. The Web-based Self-Study Modules on Tuberculosis course was developed to maintain consistency with past media (print-based and satellite products) while incorporating enhancements that lend themselves to Web-based instruction including: 1) interactive animations; 2) multicolored graphics and figures; 3) interactive study questions and case studies; 4) hypertext links between the modules and to other TB resources; and 5) on-line continuing education. The Web-based Self-Study Modules on Tuberculosis course has several additional benefits:

  • Provides an innovative approach to TB education and training

  • Provides far-reaching potential as access to Web-based training (WBT) increases

  • Provides access to new target audiences as management of TB shifts to nontraditional providers outside of health departments, such as managed care staff and private physicians, as well as nursing and medical students.

  • Allows quick access to TB education and training materials for geographically diverse and isolated populations with access to the World Wide Web. With increasing commitments to address the global TB problem, accessibility and distribution of TB training materials through the Internet will take on increased significance.

The final version of the course was released in June 1999. Participants can earn 24 continuing nursing education contact hours (CNEs) or 2.0 continuing education units (CEUs) through the on-line continuing education component of the course. The Web address for the Web-based Self-Study Modules on Tuberculosis course is as follows:

—Reported by Nickolas DeLuca
Division of TB Elimination



Interviewing and Communication Course | Web-Based Self-Study Modules | Preparedness Workshop in Tanzania | MDR TB in the Baltics

NCHSTP Collaborates with NCID and CARE for a Regional Prevention Through Preparedness Workshop in Tanzania

TB accounts for nearly one fourth of all preventable adult deaths in developing countries, and Africa has one of the highest infectious pulmonary TB rates in the world. The impact of TB can be lessened by teaching prevention and control strategies to health professionals.

As part of the CARE-CDC Health Initiative (CCHI), scientists and health educators from the National Center for HIV, STD, and TB Prevention (NCHSTP) and the National Center for Infectious Diseases (NCID) conducted a workshop for 16 people consisting of CARE staff members, district medical officers, and ministry of health representatives from seven Anglophone African countries. The workshop, entitled Prevention through Preparedness, was held February 8 - 13, 1999, in Mwanza, the United Republic of Tanzania, with the assistance of local facilitators. It focused on building the capacity of health professionals in epidemic preparedness, infection control of viral hemorrhagic fevers (VHFs), and prevention and control of cholera and TB. The CDC team included Sherif Zaki, Infectious Disease Pathology Activity, NCID; Rob Quick, Foodborne and Diarrheal Diseases Branch, NCID; Kathy Cavallaro, Amy Corneli, and Helen Perry, Special Pathogens Branch, NCID; and Eugene McCray, Surveillance and Epidemiology Branch, DTBE, NCHSTP, and Rose Pray, Communications and Education Branch, DTBE, NCHSTP.

During the TB portion of the workshop, participants learned about the global TB situation, TB transmission and pathogenesis, diagnosis and treatment, and practical techniques to reduce the risk of TB transmission within African health facilities. The workshop facilitators used case studies, discussion sessions, and site visits to reinforce classroom presentations of the TB topics.

Workshop participants also learned how to suspect a case of VHF, use locally-available supplies for limiting disease transmission in a health facility, manage VHF outbreaks, and use data more effectively in recognizing and responding to epidemics of cholera to prevent unnecessary morbidity and to reduce mortality.

—Reported by Rose Pray, RN, MS
Division of TB Elimination



Interviewing and Communication Course | Web-Based Self-Study Modules | Preparedness Workshop in Tanzania | MDR TB in the Baltics

Training Course on Multidrug-Resistant TB in the Baltics

To address the problem of multidrug-resistant TB (MDR TB) in Russia and the Baltic states, a pilot training course was conducted in Tartu, Estonia, March 15-17, 1999. Physicians, laboratory directors, and health care administrators from Russia, Estonia, Latvia, and Lithuania attended the course held in the TB hospital in Tartu.

Because some participants did not speak English, and some of the instructors did not speak Russian, simultaneous translation (Russian/English) of presentations and questions and answers was provided. Faculty for the course included Drs. Michael Iseman of the National Jewish Center for Immunology and Respiratory Medicine; Sven Hoffner of the Swedish Institute for Infectious Disease Control; Richard Zaleskis, World Health Organization; and Peter Cegielski, Nancy Binkin, and Wanda Walton of DTBE.

Course topics related to MDR TB included diagnosis, laboratory testing, evolution of MDR TB, medication, surgery, case management, infection control, and adherence. Class participants also presented cases for discussion with faculty and other class members.

At the end of the course, participants were asked to complete evaluation forms regarding the benefit of each subject covered, as well as their suggestions for changes, other topics to add to the course, and what they planned to do differently in their own program as a result of attending the course. In regard to what participants planned to do differently, responses included plans to change treatment regimens, to change the management of MDR TB patients; to increase the use of DOT; to collect data on MDR TB patients; and to share course information with colleagues. Comments also indicated that the course was beneficial to all attendees.

Follow-up plans include the revision of course materials based on both faculty and participant comments. Materials (including translated materials) will be made available to other health care providers for duplication of the course.

—Reported by Wanda Walton, M.Ed.
Division of TB Elimination


Released October 2008
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