Páez Yuliana Domínguez, Brown Mackenzie, Jabri Assem, Lui Geyanne, Hui Wai-Kwong, Hernandez Noelia, Parks Michael, Della-Valle Alejandro Gonzalez, Goodman Susan, Mandl Lisa A, Safford Monika M, Navarro-Millán Iris
Department of Medicine, Weill Cornell Medicine, New York, New York, USA.
Albert Einstein College of Medicine, New York, New York, USA.
ACR Open Rheumatol. 2024 Dec;6(12):846-855. doi: 10.1002/acr2.11734. Epub 2024 Sep 10.
The objective of this study is to outline the training of peer coaches in the Moving Well intervention, which was designed to reduce anxiety, depression, and pain catastrophizing in patients before and after total knee replacement (TKR).
Selected peer coaches had a history of knee osteoarthritis (KOA), a TKR of 12 months or more before training, and were 60 or older. Training was primarily conducted virtually, with a later addition of one in-person session. Training centered on developing skills in motivational interviewing (MoI), encompassing techniques like open-ended questions, affirmations, reflective listening, and summarization. It also covered the MoI processes of engagement, focus, evocation, and planning. Coaches were required to discuss at least 90% of session-specific topics, which were monitored using checklists for each certification, and to complete individual MoI training, which was not graded. The evaluation of peer coach training involved surveys and a focus group.
Three women and two men, averaging 75 years in age, completed the peer coach training for the Moving Well intervention. An in-person training session was added to address technology and MoI skill concerns, greatly enhancing their grasp of MoI skills and their ability to guide others through the program effectively. Peer coaches stressed the importance of live feedback, in-person training, and incorporating personal experiences into the program content during their training.
To effectively train older adults as peer coaches for the Moving Well intervention, flexibility in learning formats, personalized guidance, peer support, and regular evaluations were essential in building the necessary MoI competencies to guide research participants in the program.
本研究的目的是概述“行动自如”干预措施中同伴教练的培训情况，该干预措施旨在减轻全膝关节置换术（TKR）前后患者的焦虑、抑郁和疼痛灾难化思维。
选定的同伴教练有膝关节骨关节炎（KOA）病史，在培训前12个月或更长时间进行了TKR手术，且年龄在60岁及以上。培训主要通过线上方式进行，后来增加了一次面对面培训。培训重点是培养动机性访谈（MoI）技能，包括开放式问题、肯定、反思性倾听和总结等技巧。培训还涵盖了参与、聚焦、唤起和规划等MoI流程。要求教练讨论至少90%的特定课程主题，通过每个认证的清单进行监测，并完成个人MoI培训，该培训不评分。对同伴教练培训的评估包括调查和焦点小组。
三名女性和两名男性，平均年龄75岁，完成了“行动自如”干预措施的同伴教练培训。增加了一次面对面培训课程，以解决技术和MoI技能方面的问题，极大地提高了他们对MoI技能的掌握程度以及有效指导他人参与该项目的能力。同伴教练在培训过程中强调了实时反馈、面对面培训以及将个人经历融入项目内容的重要性。
为了有效地将老年人培训成为“行动自如”干预措施的同伴教练，学习形式的灵活性、个性化指导、同伴支持和定期评估对于培养必要的MoI能力以指导项目中的研究参与者至关重要。
