Adaptation, Implementation Plan, and Evaluation of an Online Tobacco Cessation Training Program for Health Care Professionals in Three Spanish-Speaking Latin American Countries: Protocol of the Fruitful Study

Martínez, Cristina; Guillen, Olga; Margalef, Mercè; Arrien, Martha Alicia; Sánchez, Claudia; León, Paula Cáceres de; Fernández, Esteve

doi:10.2196/resprot.6487

Cited by 5 publications

(3 citation statements)

References 39 publications

(50 reference statements)

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“…The results presented here are related to the curriculum development process in similarity with previous papers published in the literature (for example, [38]). A previous study comparing online and in-person educational strategies concludes that both initiatives were effective in generating readiness to practice in the field of alcohol and other drugs [39].…”

Section: Discussionsupporting

confidence: 85%

Massive open online course for Brazilian healthcare providers working with substance use disorders: curriculum design

2020

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Background: Interpersonal and technical skills are required for the care of people living with substance use disorders. Considering the applicability and usability of online courses as continuing professional education initiatives, this study aimed to describe the content design process of an introductory-level healthcare-centered Massive Open Online Course (MOOC). Methods: The content of the course was informed through needs assessment, by using three sources: (a) narrative literature review, (b) Delphi health experts panel consensus, and (c) focus groups conducted with people living with substance use disorders. The data from the empirical research phases were analyzed through qualitative Thematic Analysis. Results: The product of this research project is the introductory-level Massive Open Online Course "Healthcare: Developing Relational Skills for the Assistance of People Living with Substance Use Disorders" which approaches health communication and empathetic relational professional skills as a means of reducing stigmatization of people living with substance use disorders. Conclusions: Diverse strategies for designing distance education initiatives have to consider different views on the subject being approached in such courses. The product presented in this paper has the potential to be an educational tool for topics traditionally not addressed in Brazilian continuing education and can be used as a model to the design of online courses directed to the development of work-related skills for the healthcare professions.

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Section: Discussionsupporting

confidence: 85%

Massive open online course for Brazilian healthcare providers working with substance use disorders: curriculum design

2020

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“…The Web-based training would also be a time-saving learning resource that is also potentially flexible in terms of learning [ 39 ] for health professionals from diverse backgrounds of Internet use habits and computer skills. Further, the content of the iSARAH can be adapted [ 19 ] for language and cultural differences to assist wider implementation. Thus, it would open opportunities to disseminate the SARAH program among therapists across the world who have limited or no access to the SARAH training.…”

Section: Discussionmentioning

confidence: 99%

A Web-Based Training Resource for Therapists to Deliver an Evidence-Based Exercise Program for Rheumatoid Arthritis of the Hand (iSARAH): Design, Development, and Usability Testing

Srikesavan¹,

Williamson²,

Eldridge³

et al. 2017

J Med Internet Res

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BackgroundThe Strengthening and Stretching for Rheumatoid Arthritis of the Hand (SARAH) is a tailored, progressive exercise program for people having difficulties with wrist and hand function due to rheumatoid arthritis (RA). The program was evaluated in a large-scale clinical trial and was found to improve hand function, was safe to deliver, and was cost-effective. These findings led to the SARAH program being recommended in the UK National Institute for Health and Care Excellence guidelines for the management of adults with RA. To facilitate the uptake of this evidence-based program by clinicians, we proposed a Web-based training program for SARAH (iSARAH) to educate and train physiotherapists and occupational therapists on delivering the SARAH program in their practice. The overall iSARAH implementation project was guided by the 5 phases of the analysis, design, development, implementation, and evaluation (ADDIE) system design model.ObjectiveThe objective of our study was to conduct the first 3 phases of the model in the development of the iSARAH project.MethodsFollowing publication of the trial, the SARAH program materials were made available to therapists to download from the trial website for use in clinical practice. A total of 35 therapists who downloaded these materials completed an online survey to provide feedback on practice trends in prescribing hand exercises for people with RA, perceived barriers and facilitators to using the SARAH program in clinical practice, and their preferences for the content and Web features of iSARAH. The development and design of iSARAH were further guided by a team of multidisciplinary health professionals (n=17) who took part in a half-day development meeting. We developed the preliminary version of iSARAH and tested it among therapists (n=10) to identify and rectify usability issues and to produce the final version.ResultsThe major recommendations made by therapists and the multidisciplinary team were having a simple Web design and layout, clear exercise pictures and videos, and compatibility of iSARAH on various browsers and devices. We rectified all usability issues in the preliminary version to develop the final version of iSARAH, which included 4 short modules and additional sections on self-assessment, frequently asked questions, and a resource library.ConclusionsThe use of the ADDIE design model and engagement of end users in the development and evaluation phases have rendered iSARAH a convenient, easy-to-use, and effective Web-based learning resource for therapists on how to deliver the SARAH program. There is also huge potential for adapting iSARAH across different cultures and languages, thus opening more opportunities for wider uptake and application of the SARAH program into practice.

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“…It focuses on enhancing clinicians' knowledge, skills, and confidence in implementing cessation treatment, and uses evidence‐based information in a series of cases and problem‐solving exercises (Carson et al., ; Fiore & Baker, ; Trinite et al., ). Module 1 provides the epidemiologic data on the tobacco epidemic in Spain and Catalonia; Module 2 explains how to ask, advise, and assess smoking dependence; Module 3 describes levels of assisting in smoking cessation; and Module 4 explains how to use approved medications for treating tobacco dependence and how to arrange a follow‐up (Martínez et al., ). The online training provides ongoing education credits and is free of cost.…”

Section: Methodsmentioning

confidence: 99%

Impact of an Online Training Program in Smoking Cessation Interventions in Hospitals

Martı́nez¹,

Castellano

Andrés

et al. 2019

J of Nursing Scholarship

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Purpose To assess changes in the self‐reported performance of smoking cessation interventions according to the 5A's model (Ask; Advise; Assess; Assist; and Arrange follow‐up) among clinicians; and to identify the main barriers and facilitators in smoking cessation implementation before and after an online smoking cessation training program. Design Pre‐post evaluation. Methods We assessed self‐reported smoking cessation interventions in the implementation of the 5A's model among clinicians working in Catalan hospitals (Spain). In addition, we assessed individual‐, behavioral‐, and organizational‐level factors that act as barriers and facilitators in the implementation of the 5A's model. We used a questionnaire of 63 items reflecting each of the 5A's performance (scored from 0 = none to 10 = most possible). The questionnaire was completed both immediately before and 6 months after the training. We analyzed the data of those participants who had a clinical role and answered pre‐ and post‐questionnaires. We used the nonparametric test for paired data (Wilcoxon) to examine changes in scores. Findings A total of 127 clinicians completed the pre‐post questionnaire; 63.0% were registered nurses, 17.3% were nursing assistants, 7.9% were physicians, and 11.8% were other professionals (p < .001). Overall, there were significant increases in the implementation of the assist component (from a score of 4.5 to 5.2; p < .003) and arrange a follow‐up component (from 3.6 to 4.5; p < .001) of the intervention. Scores in the perception of the level of overall preparation, preparedness in using smoking cessation drugs, level of competence, and organizational recognition improved (p < .001) at the follow‐up; however, the score in the perception that implementing smoking cessation is part of their job decreased (from 6.3 to 4.4; p < .001). Conclusions The online training had a positive impact on the implementation of assist and arrange follow‐up components. Although self‐preparedness in the management of smokers increased, the motivation and involvement of key professionals decreased. Organizational factors related to the incorporation of resources (such as protocols, records, etc.) should be improved for the correct progression of smoking cessation interventions within the institutions. Clinical Relevance Smoking cessation training programs should incorporate some motivational content to increase the engagement of health professionals in smoking cessation interventions in their clinical practice.

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Adaptation, Implementation Plan, and Evaluation of an Online Tobacco Cessation Training Program for Health Care Professionals in Three Spanish-Speaking Latin American Countries: Protocol of the Fruitful Study

Cited by 5 publications

References 39 publications

Massive open online course for Brazilian healthcare providers working with substance use disorders: curriculum design

Massive open online course for Brazilian healthcare providers working with substance use disorders: curriculum design

A Web-Based Training Resource for Therapists to Deliver an Evidence-Based Exercise Program for Rheumatoid Arthritis of the Hand (iSARAH): Design, Development, and Usability Testing

Impact of an Online Training Program in Smoking Cessation Interventions in Hospitals

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