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Ready for SDM: evaluating a train-the-trainer program to facilitate implementation of SDM training in Norway

Permanent lenke
https://hdl.handle.net/10037/21586
DOI
https://doi.org/10.1186/s12911-021-01494-x
Thumbnail
Åpne
article.pdf (1.128Mb)
Publisert versjon (PDF)
Dato
2021-04-30
Type
Journal article
Tidsskriftartikkel
Peer reviewed

Forfatter
Kienlin, Simone Maria; Poitras, Marie-Eve; Stacey, Dawn; Nytrøen, Kari; Kasper, Jürgen
Sammendrag
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.

Er en del av
Kienlin, S.M. (2025). Ready for Shared decision making: Development of a meta-curriculum for training healthcare professionals in shared decision making. (Doctoral thesis). https://hdl.handle.net/10037/36918
Forlag
Springer
Sitering
Kienlin, Poitras, Stacey, Nytrøen, Kasper. Ready for SDM: evaluating a train-the-trainer program to facilitate implementation of SDM training in Norway. BMC Medical Informatics and Decision Making. 2021;21
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  • Artikler, rapporter og annet (helse- og omsorgsfag) [842]
Copyright 2021 The Author(s)

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