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An online intervention to improve oncology health professional self-efficacy in communicating with carers: Hybrid effectiveness-implementation evaluation of the eTRIO program.
Laidsaar-Powell, Rebekah; Giunta, Sarah; Butow, Phyllis; Turner, Sandra; Costa, Daniel; Saunders, Christobel; Koczwara, Bogda; Kay, Judy; Jefford, Michael; Schofield, Penelope; Boyle, Frances; Yates, Patsy; White, Kate; Sundaresan, Puma; Varadarajan, Suganthy; Juraskova, Ilona.
Afiliação
  • Laidsaar-Powell R; Centre for Medical Psychology & Evidence-based Decision-making, University of Sydney, Australia; Psycho-Oncology Co-operative Research Group, University of Sydney, Australia; School of Psychology, University of Sydney, Australia. Electronic address: rebekah.laidsaar-powell@sydney.edu.au.
  • Giunta S; Centre for Medical Psychology & Evidence-based Decision-making, University of Sydney, Australia; Psycho-Oncology Co-operative Research Group, University of Sydney, Australia; School of Psychology, University of Sydney, Australia.
  • Butow P; Centre for Medical Psychology & Evidence-based Decision-making, University of Sydney, Australia; Psycho-Oncology Co-operative Research Group, University of Sydney, Australia.
  • Turner S; Department of Radiation Oncology, Westmead Hospital, Westmead, New South Wales, Australia; Faculty of Medicine and Health, The University of Sydney, Australia.
  • Costa D; School of Psychology, University of Sydney, Australia.
  • Saunders C; Department of Surgery, Royal Melbourne Hospital, University of Melbourne, Australia.
  • Koczwara B; Flinders Medical Centre, Adelaide, Australia; Flinders University, Adelaide, Australia.
  • Kay J; School of Computer Science, The University of Sydney, Sydney, Australia.
  • Jefford M; Department of Health Services Research, Peter MacCallum Cancer Centre, Melbourne, Australia; Sir Peter MacCallum Department of Oncology, The University of Melbourne, Parkville, Australia.
  • Schofield P; Department of Health Services Research, Peter MacCallum Cancer Centre, Melbourne, Australia; Department of Psychology, and Iverson Health Innovation Research Institute Swinburne University, Melbourne, Australia; Sir Peter MacCallum Department of Oncology, The University of Melbourne, Parkville, Aust
  • Boyle F; Faculty of Medicine and Health, The University of Sydney, Australia; Patricia Ritchie Centre for Cancer Care & Research, Mater Hospital, Sydney, Australia.
  • Yates P; Faculty of Health, Queensland University of Technology, Brisbane, Australia.
  • White K; Susan Wakil School of Nursing, The Daffodil Centre, The University of Sydney, a joint venture with Cancer Council NSW, Australia.
  • Sundaresan P; Trans Tasman Radiation Oncology Group, New South Wales, Australia; Sydney West Radiation Oncology Network, WSLHD, Sydney, Australia; Sydney Medical School, The University of Sydney, Sydney, Australia.
  • Varadarajan S; Department of Radiation Oncology, Westmead Hospital, Westmead, New South Wales, Australia; Blacktown Cancer and Haematology Centre, Blacktown Hospital, Blacktown, Australia.
  • Juraskova I; Centre for Medical Psychology & Evidence-based Decision-making, University of Sydney, Australia; Psycho-Oncology Co-operative Research Group, University of Sydney, Australia; School of Psychology, University of Sydney, Australia.
Patient Educ Couns ; 124: 108251, 2024 Jul.
Article em En | MEDLINE | ID: mdl-38626502
ABSTRACT

OBJECTIVES:

Many oncology health professionals (HPs) report communicating with carers as complex; and receive limited carer-relevant training. We developed an online HP education program for supporting and managing carer involvement (eTRIO). We aimed to assess whether HPs' self-efficacy in carer communication, knowledge, and decision-making preferences improve following eTRIO. Satisfaction and implementation potential were assessed.

METHODS:

This type 1 hybrid effectiveness-implementation study used a pre-post single arm intervention design. HPs completed baseline measures, the eTRIO online module, and measures at 1- and 12-weeks post-intervention. Measures included self-efficacy in carer communication (13-items), applied knowledge (7-items), preference for carer involvement in decisions (1-item). Fifteen of participants completed feedback interviews which underwent thematic analysis. User analytics were collected and analysed.

RESULTS:

Fifty-six HPs completed baseline measures, 42 completed post- and follow-up measures. At baseline mean self-efficacy score was 88. HPs showed a statistically significant increase in self-efficacy post-intervention (mean = 105.8, CI [12.99, 20.47]), maintained at 12-weeks (mean = 101.1, CI [8.00, 15.72]). There were no changes in knowledge or decision-making preferences. Program engagement and satisfaction were high, 86.7% participants rated eTRIO as very/extremely helpful. CONCLUSIONS AND PRACTICE IMPLICATIONS eTRIO provided HPs with confidence to effectively engage with carers and manage complex situations such as family dominance. These gains are noteworthy, as conflict with families/carers contributes to HP burnout.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Contexto em Saúde: 1_ASSA2030 Problema de saúde: 1_recursos_humanos_saude Assunto principal: Cuidadores / Comunicação / Autoeficácia Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Patient Educ Couns Ano de publicação: 2024 Tipo de documento: Article
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Contexto em Saúde: 1_ASSA2030 Problema de saúde: 1_recursos_humanos_saude Assunto principal: Cuidadores / Comunicação / Autoeficácia Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Patient Educ Couns Ano de publicação: 2024 Tipo de documento: Article