Abadi Melissa H, Drake Connor, Richard Bonnie O, Schweinhart April, Rychener David, Shamblen Stephen R, Grimsgaard Sara N
Pacific Institute for Research and Evaluation, 401 W. Main St., Suite 2100, Louisville, KY 40202, USA.
Duke Center for Personalized Health Care, School of Medicine, Duke University, Durham, NC, USA; Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Patient Educ Couns. 2020 Jun 21. doi: 10.1016/j.pec.2020.06.014.
We developed a peer-led group program for Veterans called Taking Charge of My Life and Health (TCMLH) that emphasizes patient education, goal setting, shared decision making, and whole person care. Our aim was to conduct an evaluation of a facilitator training course to deliver TCMLH in VA sites.
Repeated measures ANOVA models were used to examine change over three timepoints (pre-test, post-test, and two-month follow-up) in outcomes of attitudes, knowledge, skills, and self-efficacy related to patient empowerment, skills acquisition, self-care strategies, and curriculum facilitation. Qualitative data analysis of participant feedback was used to identify potential training adaptations and barriers to TCMLH delivery.
Our sample comprised 70 trainees who completed all three assessments. Participants reported high levels of training satisfaction, quality, and utility, and sustained improvements in knowledge of Whole Health, self-efficacy for group facilitation, and self-efficacy for using Whole Health concepts and tools. Implementation barriers included challenges related to group management and site logistics.
The facilitator training course improved knowledge and self-efficacy associated with successful peer-led program delivery and identified opportunities to improve the training course and TCMLH dissemination.
Findings provide insights on the design and implementation of training models to support peer-led programs.
我们为退伍军人开发了一个由同伴主导的团体项目，名为“掌控我的生活与健康”（TCMLH），该项目强调患者教育、目标设定、共同决策和全人护理。我们的目的是对在退伍军人事务部（VA）场所开展TCMLH的 facilitator 培训课程进行评估。
使用重复测量方差分析模型来检验在三个时间点（预测试、后测试和两个月随访）与患者赋权、技能获取、自我护理策略和课程促进相关的态度、知识、技能和自我效能结果的变化。对参与者反馈进行定性数据分析，以确定TCMLH实施的潜在培训调整和障碍。
我们的样本包括70名完成了所有三项评估的学员。参与者报告了高水平的培训满意度、质量和实用性，并且在整体健康知识、团体促进自我效能以及使用整体健康概念和工具的自我效能方面持续改善。实施障碍包括与团体管理和场所后勤相关的挑战。
facilitator 培训课程提高了与成功的同伴主导项目实施相关的知识和自我效能，并确定了改进培训课程和TCMLH传播的机会。
研究结果为支持同伴主导项目的培训模型的设计和实施提供了见解。
