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Ready for SDM: evaluating a train-the-trainer program to facilitate implementation of SDM training in Norway.
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- Author(s): Kienlin S;Kienlin S;Kienlin S;Kienlin S; Poitras ME; Poitras ME; Stacey D; Stacey D; Stacey D; Nytrøen K; Nytrøen K; Kasper J; Kasper J; Kasper J
- Source:
BMC medical informatics and decision making [BMC Med Inform Decis Mak] 2021 Apr 30; Vol. 21 (1), pp. 140. Date of Electronic Publication: 2021 Apr 30.- Publication Type:
Journal Article; Observational Study; Research Support, Non-U.S. Gov't- Language:
English - Source:
- Additional Information
- Source: Publisher: BioMed Central Country of Publication: England NLM ID: 101088682 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6947 (Electronic) Linking ISSN: 14726947 NLM ISO Abbreviation: BMC Med Inform Decis Mak Subsets: MEDLINE
- Publication Information: Original Publication: London : BioMed Central, [2001-
- Subject Terms:
- Abstract: Background: Healthcare providers need training to implement shared decision making (SDM). In Norway, we developed "Ready for SDM", a comprehensive SDM curriculum tailored to various healthcare providers, settings, and competence levels, including a course targeting interprofessional healthcare teams. The overall aim was to evaluate a train-the-trainer (TTT) program for healthcare providers wanting to offer this course within their hospital trust.
Methods: Our observational descriptive design was informed by Kirkpatrick´s Model of Educational Outcomes. The South-Eastern Regional Health Authority invited healthcare providers from all health trusts in its jurisdiction to attend. The TTT consisted of a one-day basic course with lectures on SDM, exercises and group reflections followed by a two-day advanced course including an SDM observer training. Immediately after each of the two courses, reaction and learning (Kirkpatrick levels 1 and 2) were assessed using a self-administered questionnaire. After the advanced course, observer skills were operationalized as accuracy of the participants' assessment of a consultation compared to an expert assessment. Within three months post-training, we measured number of trainings conducted and number of healthcare providers trained (Kirkpatrick level 3) using an online survey. Qualitative and quantitative descriptive analysis were performed.
Results: Twenty-one out of 24 (basic) and 19 out of 22 (advanced) healthcare providers in 9 health trusts consented to participate. The basic course was evaluated as highly acceptable, the advanced course as complex and challenging. Participants identified a need for more training in pedagogical skills and support for planning implementation of SDM-training. Participants achieved high knowledge scores and were positive about being an SDM trainer. Observer skills regarding patient involvement in decision-making were excellent (mean of weighted t = .80). After three months, 67% of TTT participants had conducted more than two trainings each and trained a total of 458 healthcare providers.
Conclusion: Findings suggest that the TTT is a feasible approach for supporting large-scale training in SDM. Our study informed us about how to improve the advanced course. Further research shall investigate the efficacy of the training in the context of a comprehensive multifaceted strategy for implementing SDM in clinical practice.
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Biometrics. 1977 Mar;33(1):159-74. (PMID: 843571) - Contributed Indexing: Keywords: Communication skills; Complex intervention; Curriculum; Education; Shared decision-making; Train-the-trainer
- Publication Date: Date Created: 20210501 Date Completed: 20210607 Latest Revision: 20231111
- Publication Date: 20240105
- Accession Number: PMC8086335
- Accession Number: 10.1186/s12911-021-01494-x
- Accession Number: 33931046
- Source:
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