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Evaluating a train-the-trainer model for scaling-up Healthy Conversation Skills training: a pre-post survey using the Theoretical Domains Framework

Evaluating a train-the-trainer model for scaling-up Healthy Conversation Skills training: a pre-post survey using the Theoretical Domains Framework
Evaluating a train-the-trainer model for scaling-up Healthy Conversation Skills training: a pre-post survey using the Theoretical Domains Framework

Objectives: Healthy Conversation Skills (HCS) training is an established method of upskilling health professionals in person-centred behaviour change communication. A Train-the-Trainer (TtT) model was adopted to scale-up delivery of HCS training. This study examined the impact of the TtT course on new Trainers' perceived barriers and enablers to delivering HCS training using the Theoretical Domains Framework (TDF).

Methods: the TtT course was delivered in 2019-2020. Pre-training (T1) and post-training (T2) surveys collected data on barriers and enablers to delivering HCS training based on 10 TDF domains. Data were summarised using descriptive statistics, and differences between pre- and post-training scores analysed using paired t-tests.

Results: forty-six trainees participated, including 43 women and 10 Aboriginal people. Scores for nine domains increased post-training, including knowledge, skills, social and professional role/identity, beliefs about capabilities, intentions, goals, environmental context and resources, social influences, and behavioural regulation. Knowledge, beliefs about consequences and intentions were no longer barriers to delivering HCS training after participating in the TtT course.

Conclusions: the TtT model supports new Trainers by addressing barriers to delivering HCS training.

Practice implications: the HCS TtT model builds healthcare workforce capacity for person-centred approaches to behaviour change. The findings facilitate the refinement of the TtT course.

Communication, Female, Health Personnel, Humans, Professional Role, Surveys and Questionnaires
0738-3991
3078-3085
Hollis, Jenna L.
8ae2d5f1-9340-4516-9d0e-35280318eedb
Seward, Kirsty
d0782bcd-1006-4e1a-81da-f2e1fbe907cd
Kocanda, Lucy
e2986157-edc7-4ff5-a80c-4195b8cc9afb
Collins, Clare E.
b3644bdf-fadc-4563-8ceb-900ad4c57b98
Tully, Belinda
c71db967-18cd-432d-81c4-8f36a1c0ded5
Brett, Katie
ebc4f0be-aa86-476f-8bcc-3f2fa23a9651
Hunter, Mandy
b2d0aafa-d7d8-4106-a6c3-59578fe98ae7
Foureur, Maralyn
65f79c34-4fea-4d87-9390-7aa09506665d
Schumacher, Tracy
4960b193-046f-4a85-b71f-f76a79ff0b81
Lawrence, Wendy
e9babc0a-02c9-41df-a289-7b18f17bf7d8
MacDonald-Wicks, Lesley
3ce698d3-b66d-4b2b-a643-e1b7b05de062
Hollis, Jenna L.
8ae2d5f1-9340-4516-9d0e-35280318eedb
Seward, Kirsty
d0782bcd-1006-4e1a-81da-f2e1fbe907cd
Kocanda, Lucy
e2986157-edc7-4ff5-a80c-4195b8cc9afb
Collins, Clare E.
b3644bdf-fadc-4563-8ceb-900ad4c57b98
Tully, Belinda
c71db967-18cd-432d-81c4-8f36a1c0ded5
Brett, Katie
ebc4f0be-aa86-476f-8bcc-3f2fa23a9651
Hunter, Mandy
b2d0aafa-d7d8-4106-a6c3-59578fe98ae7
Foureur, Maralyn
65f79c34-4fea-4d87-9390-7aa09506665d
Schumacher, Tracy
4960b193-046f-4a85-b71f-f76a79ff0b81
Lawrence, Wendy
e9babc0a-02c9-41df-a289-7b18f17bf7d8
MacDonald-Wicks, Lesley
3ce698d3-b66d-4b2b-a643-e1b7b05de062

Hollis, Jenna L., Seward, Kirsty, Kocanda, Lucy, Collins, Clare E., Tully, Belinda, Brett, Katie, Hunter, Mandy, Foureur, Maralyn, Schumacher, Tracy, Lawrence, Wendy and MacDonald-Wicks, Lesley (2022) Evaluating a train-the-trainer model for scaling-up Healthy Conversation Skills training: a pre-post survey using the Theoretical Domains Framework. Patient Education and Counseling, 105 (10), 3078-3085. (doi:10.1016/j.pec.2022.06.011).

Record type: Review

Abstract

Objectives: Healthy Conversation Skills (HCS) training is an established method of upskilling health professionals in person-centred behaviour change communication. A Train-the-Trainer (TtT) model was adopted to scale-up delivery of HCS training. This study examined the impact of the TtT course on new Trainers' perceived barriers and enablers to delivering HCS training using the Theoretical Domains Framework (TDF).

Methods: the TtT course was delivered in 2019-2020. Pre-training (T1) and post-training (T2) surveys collected data on barriers and enablers to delivering HCS training based on 10 TDF domains. Data were summarised using descriptive statistics, and differences between pre- and post-training scores analysed using paired t-tests.

Results: forty-six trainees participated, including 43 women and 10 Aboriginal people. Scores for nine domains increased post-training, including knowledge, skills, social and professional role/identity, beliefs about capabilities, intentions, goals, environmental context and resources, social influences, and behavioural regulation. Knowledge, beliefs about consequences and intentions were no longer barriers to delivering HCS training after participating in the TtT course.

Conclusions: the TtT model supports new Trainers by addressing barriers to delivering HCS training.

Practice implications: the HCS TtT model builds healthcare workforce capacity for person-centred approaches to behaviour change. The findings facilitate the refinement of the TtT course.

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More information

Accepted/In Press date: 19 June 2022
e-pub ahead of print date: 21 June 2022
Published date: 30 August 2022
Additional Information: Funding Information: Funding for this study was received from Hunter Medical Research Institute (Jennie Thomas Research Grant); and the Visiting Research Fellow Scheme (Faculty of Health and Medicine), New Course Initiative Scheme, and Teaching Innovation Investment Scheme (TI 2 ) at the University of Newcastle , Australia. The funders played no role in analysing the data, interpreting the findings or writing this manuscript. Funding Information: JLH is supported by the Prevention Research Support Program, funded by the New South Wales Ministry of Health. LK is supported by an Australian Government Research Training Program Scholarship.
Keywords: Communication, Female, Health Personnel, Humans, Professional Role, Surveys and Questionnaires

Identifiers

Local EPrints ID: 484934
URI: http://eprints.soton.ac.uk/id/eprint/484934
ISSN: 0738-3991
PURE UUID: 9f6a41fe-000d-4e16-982d-c00096e17d8d
ORCID for Wendy Lawrence: ORCID iD orcid.org/0000-0003-1264-0438

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Date deposited: 24 Nov 2023 17:41
Last modified: 17 Mar 2024 02:54

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Contributors

Author: Jenna L. Hollis
Author: Kirsty Seward
Author: Lucy Kocanda
Author: Clare E. Collins
Author: Belinda Tully
Author: Katie Brett
Author: Mandy Hunter
Author: Maralyn Foureur
Author: Tracy Schumacher
Author: Wendy Lawrence ORCID iD
Author: Lesley MacDonald-Wicks

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