ScreenEQUAL: Informed Cervical Screening Participation for People with Intellectual Disability - Substudy for Healthcare Providers

This project aims to evaluate the effectiveness of a trauma-informed online training module for healthcare providers (GPs and nurses) to support their cervical screening practice for people with intellectual disability. Health professionals (N=433) will be invited into a single-arm pre-post study. Immediately after completing their pre-intervention online survey (via Redcap), they will receive access to the online training via the intervention website. Specifically, health professionals will receive an email generated through Redcap with a link to the intervention website together with lay information about how to navigate the intervention website, Participants will have access to a single online training module hosted on the intervention website, which participants can work through at their own pace and in their own time over a four-month exposure period. The module will take up to 60-minutes to complete. The online training module has been accredited with the Australian College of Rural and Remote Medicine and healthcare providers can self-record their 1 hour of Continuing Professional Development. The single online training module was co-designed specifically for this study by the project team, partner organisations and people with intellectual disability in an earlier stage of the ScreenEQUAL project. and includes information about: - the importance of cervical screening for people with intellectual disability, - practice tips for optimising care, - the role of support people, rapid rapport building, - strategies to enhance communication and ' - person centred-care - managing consent - background information about HPV infection and cervical disease, - eligibility, - comparing clinician collection and self-collection of a cervical screening test, - a cervical screening checklist, - preparing for a colposcopy referral and additional resources. In addition to the online training module, participants will also have access to an 'All About Me' resource to support rapid rapport building with patients with intellectual disability and videos demonstrating optimal cervical screening practice with a patient with intellectual disability. A detailed outline of the healthcare provider training content was reviewed and approved by the University of Sydney HREC. During the 4-month intervention period, healthcare providers will also receive up to 4 automated text-message reminders, delivered once a month, for 4-months, using a professional and encrypted paid text-messaging software approved by the University of Sydney HREC and the Clinical Trials Risk and Governance Team at the University of Sydney (e.g https://www.clicksend.com/au/. These text-messages were included in the intervention to maintain participant's engagement with the online training module and clinician resources, over the study period. Intervention text-messages will include an initial welcome message to participants within 1-week of receiving access to the intervention website (message 1), a brief summary of key highlights of the online training materials (message 2), a reminder about their upcoming post-intervention survey invitation (message 3) and an end of intervention thank you message at the end of the intervention (4-months after receiving access to the intervention). Fidelity will be assessed in the post-intervention survey, through participants' self-report about whether they completed (all or some) of the online training module. If the participant endorses completing only 'some' of the module, Redcap will automatically trigger a follow-up question inviting participants to self-report which of the topics they completed. All participants will also be invited to self-report which (if any) of the additional healthcare provider resources they engaged with including the cervical screening checklist (part of the training module), All About Me resource and practitioner videos.