ELLICSR Cancer Rehabilitation and Survivorship Program, Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Dalla Lana School of Public Health and Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, Canada.
Support Care Cancer. 2021 Mar;29(3):1235-1244. doi: 10.1007/s00520-020-05586-8. Epub 2020 Jul 2.
Cancer navigation improves access to support and reduces barriers to care; however, appropriate training of navigators is essential. We developed the TrueNTH Peer Navigation Training Program (PNTP), a competency-based, blended online/in-person course. In this study, we evaluate the feasibility, acceptability, and effectiveness of the PNTP among prostate cancer (PC) survivors (patients, caregivers).
We employed an explanatory mixed method study design consisting of course usage data, pre-/post-questionnaires, and focus groups informed by the Kirkpatrick framework and self-efficacy theory.
Three cohorts in two Canadian cities (n = 26) received the PNTP. Participants were motivated to support others like themselves (n = 20), fill a gap (n = 7), pay it forward (n = 6), and offer expertise (n = 4). Recruitment, retention, and questionnaire completion were 96.7%, 89.6%, and 92%. Participants contributed a total of 426 posts to the online forums (2 to 3 posts per participant/module). Satisfaction was 9.4/10 (SD = 0.7) and usability was 84.5/100 (SD = 10.1). All learning outcomes increased: understanding of learning objectives t(23) = - 6.12, p < 0.0001; self-efficacy to perform competencies t(23) = - 4.8, p < 0.0001; and eHealth literacy t(23) = - 4.4, p < 0.0001. Participants viewed the PTNP as intensive but manageable, improving knowledge and confidence and enhancing listening skills. Participants valued the flexibility of online learning, interactive online learning, in-person interactions for relationship building, and authentic role-playing for skill development.
A facilitated online training program with in-person components is a highly acceptable and effective format to train PC survivors to become peer navigators. This competency-based peer navigator training program and delivery format may serve as a useful model for other cancer volunteer programs.
癌症导航可改善获得支持的机会并减少护理障碍；但是，导航员的适当培训至关重要。我们开发了基于能力的混合式在线/现场 TrueNTH 同伴导航培训计划 (PNTP)。在这项研究中，我们根据柯克帕特里克框架和自我效能理论，评估了前列腺癌 (PC) 幸存者 (患者、护理人员) 对 PNTP 的可行性、可接受性和有效性。
我们采用了解释性混合方法研究设计，包括课程使用数据、预/后调查问卷和焦点小组，这些小组受柯克帕特里克框架和自我效能理论的启发。
两个加拿大城市的三个队列 (n = 26) 接受了 PNTP。参与者有动机像支持自己一样支持他人 (n = 20)、填补空白 (n = 7)、传递爱心 (n = 6) 和提供专业知识 (n = 4)。招募、保留和问卷完成率分别为 96.7%、89.6%和 92%。参与者总共在在线论坛上发布了 426 个帖子(每个参与者/模块 2 到 3 个帖子)。满意度为 9.4/10(SD = 0.7)，可用性为 84.5/100(SD = 10.1)。所有学习成果均增加：对学习目标的理解 t(23) = -6.12，p < 0.0001；执行能力的自我效能 t(23) = -4.8，p < 0.0001；和电子健康素养 t(23) = -4.4，p < 0.0001。参与者认为 PNTP 虽然密集但可以管理，提高了知识和信心，并增强了倾听技巧。参与者重视在线学习的灵活性、在线互动学习、建立人际关系的面对面互动以及技能发展的真实角色扮演。
具有现场内容的在线培训计划是培训 PC 幸存者成为同伴导航员的一种高度可接受且有效的方式。这种基于能力的同伴导航员培训计划和交付模式可能为其他癌症志愿者计划提供有用的模型。
