Training interventions for healthcare providers offering group-based patient education. A scoping review

Kristjánsdóttir, Ólöf Birna; Vågan, André; Svavarsdóttir, Margrét Hrönn; Børve, Hilde Blindheim; Hvinden, Kari; Duprez, Veerle; Hecke, Ann Van; Heyn, Lena Günterberg; Strømme, Hilde; Stenberg, Una

doi:10.1016/j.pec.2020.12.006

Cited by 9 publications

(6 citation statements)

References 58 publications

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“…Similarly, investing in enhancing Healthcare providers' capabilities and attitudes contributes to improved behaviours, attitudes, skills and knowledge to deliver high skills and expertise towards safe patient-centered care that prioritises patients' needs, values and satisfaction (38)(39)(40). Other studies have also agreed that supporting Healthcare providers is an effective tool for improving the quality of care and improving patient health-seeking behaviours necessary to establish patient motivation, trust, and con dence in seeking medical attention and complying with appointments (41,42). Consequently, a supported workforce delivers compassionate and effective quality care, improving positive health outcomes.…”

Section: Developing Stakeholder Relationships: Key Endeavors For Impl...mentioning

confidence: 99%

Using an experience-based co-design approach to identify touchpoints and develop strategies for implementing an intravenous iron intervention for pregnant women with moderate and severe anaemia in Malawi

Mamani-Mategula,

Von-Dinklage,

Sanabovic

et al. 2024

Preprint

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Background In low- and middle-income countries, women experiencing anaemia during pregnancy are recommended to take 30 mg to 60 mg of oral iron daily throughout pregnancy. However, oral iron tablets are often poorly tolerated, resulting in low adherence. An alternative to oral iron is intravenous (IV) iron, which is commonly used in high-income countries to enable the rapid restoration of the body’s iron stores. A randomised controlled trial in Malawi is underway to investigate the effectiveness and safety of IV iron compared to standard of care oral iron supplementation to pregnant women with moderate and severe anaemia in in the third trimester (REVAMP-TT). However, strategies for informing the successful implementation of REVAMP-TT trial remain largely unknown. This study used a co-design approach to address this gap. Methodology: The co-design process involved two phases: 1) Information gathering—which included conducting interviews with key informants and gathering previous findings from a qualitative formative study on the perceptions and experiences of IV iron treatment for pregnant women experiencing anaemia in Malawi (n = 52) to identify the touchpoints; 2) Two co-design workshops with end-users (n = 20) and healthcare providers (n = 20) to develop strategies for the implementation of REVAMP-TT trial. We mapped the touchpoints to the Consolidated Framework for Implementation Research 2.0 (CFIR 2.0) and matched the strategies to Expert Recommendations for Implementing Change (ERIC) according to the CFIR-ERIC matching tool. Results The following touchpoints were identified: cost of IV iron, lack of available resources and knowledge, local attitudes including myths and misconceptions of IV iron, local conditions affecting access to antenatal care, lack of political will and buy-in from high-level leaders, lack of capability from healthcare providers to deliver IV iron and lack of male involvement to support pregnant women accessing care. The suggested strategies included: providing financial strategies, developing stakeholder relationships, training and educating stakeholders, supporting clinicians, and engaging end-users. Conclusion We found that the ability of pregnant women in Malawi to access anaemia screening and treatment depends on the ability to address the perceived obstacles. We developed information, education and communication materials about the risks and consequences of anaemia during pregnancy and treatment to improve the recruitment of pregnant women with anaemia in REVAMP-TT trial. Engaging end-users and relevant stakeholders ensured that the IV iron intervention is tailored to meet their needs, and the implementation strategies are culturally appropriate.

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Section: Developing Stakeholder Relationships: Key Endeavors For Impl...mentioning

confidence: 99%

Using an experience-based co-design approach to identify touchpoints and develop strategies for implementing an intravenous iron intervention for pregnant women with moderate and severe anaemia in Malawi

Mamani-Mategula,

Von-Dinklage,

Sanabovic

et al. 2024

Preprint

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“…A study of Norwegian HLCs [21] found that heterogeneous groups with a variety of individual challenges were led through somewhat standardised programmes, which, to some degree, created a barrier to user involvement in goal setting. Studies have also found that HPs report a lack of training in self-management techniques, such as goal setting and group facilitation [28,41]. The group format challenges traditional HP communication styles, which are based on providing advice and recommendations to the group and the individual actors.…”

Section: Participation Affected By Ambiguity In the Goal-setting Processmentioning

confidence: 99%

“…The group format challenges traditional HP communication styles, which are based on providing advice and recommendations to the group and the individual actors. A scoping review found that HPs struggled to adapt to new approaches and easily fell back on traditional approaches, such as standard PowerPoint presentations, leading to standardised programmes [41]. Throughout the observations, the researcher perceived miscommunication in several situations, which may also indicate that the intervention was not necessarily aligned with the actual needs of the service users-a phenomenon known to undermine participation in interventions in different settings [42,43].…”

Section: Participation Affected By Ambiguity In the Goal-setting Processmentioning

confidence: 99%

Ambiguous Facilitation: An Ethnographic Study of the Contextual Aspects of Participation in Group Activities in a Norwegian Healthy Life Centre

2023

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Background: Participation is essential in health promotion initiatives such as the Norwegian Healthy Life Centres (HLCs) which offer lifestyle-related guidance to people with lifestyle-related diseases or at risk for such diseases. While participation has been studied in this setting from the perspectives of health personnel or service users, no studies have been conducted on the contextual aspects of participation through studying the interactions between the actors involved in group activities within the service. To lead group activities requires competency in facilitation of learning in groups. The aim of this study is to explore participation in group activities in the context of a Norwegian HLC by studying the interaction between the various actors involved in the activities there. Methods: An ethnographic study was designed based on participant observation of physical activity groups and a healthy nutrition group in a Norwegian HLC over a period of three months. Findings: The findings suggest that (1) the multiple roles of the Health Professional (HP), (2) the process of goal setting, and (3) time frames and the physical context are central contextual aspects of participation in this setting, leading to an ambiguous facilitation of group activities.

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“…In training, several methods are used, such as lectures, discussions, role plays, and experiential feedback. The theoretical framework for the training itself is often not stated explicitly, but various training methods suggest using different learning theories (Kristjansdottir et al, 2021), Closed-loop Continuous System Model (Gunawan et al, 2020. The purpose of using the training model is its effectiveness.…”

Section: Introductionmentioning

confidence: 99%

The Importance of Social Competence Training Model Development to Improve the Performance of Elementary School Teacher Working Group

Siruwa,

Hamid,

Lukman

2023

jiecr

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The purpose of this study is to determine the form of need for a social competency training model to improve the performance of elementary school teachers. This research uses the Research Development method with a research and development design at the preliminary study stage as a needs and content analysis, the source of the data is the working group of elementary school teachers in Takalar Regency which amounts to 32 people. The results showed that: Training in communicating orally, in writing, and/or gestures; Training uses communication and information technology functionally and implements ethics, values, and norms that apply in the community in the need category. The training applies the principles of fraternity and the spirit of togetherness on average 3.82 or very much need. This means that the four indicators of teacher social competence require a training model to improve teacher performance. The results of this study contribute to providing information to educational institutions and working groups of elementary school teachers as input in conducting training and references for subsequent research.

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Training interventions for healthcare providers offering group-based patient education. A scoping review

Cited by 9 publications

References 58 publications

Using an experience-based co-design approach to identify touchpoints and develop strategies for implementing an intravenous iron intervention for pregnant women with moderate and severe anaemia in Malawi

Using an experience-based co-design approach to identify touchpoints and develop strategies for implementing an intravenous iron intervention for pregnant women with moderate and severe anaemia in Malawi

Ambiguous Facilitation: An Ethnographic Study of the Contextual Aspects of Participation in Group Activities in a Norwegian Healthy Life Centre

The Importance of Social Competence Training Model Development to Improve the Performance of Elementary School Teacher Working Group

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