TY - JOUR
T1 - An online intervention to improve oncology health professional self-efficacy in communicating with carers
T2 - Hybrid effectiveness-implementation evaluation of the eTRIO program
AU - Laidsaar-Powell, Rebekah
AU - Giunta, Sarah
AU - Butow, Phyllis
AU - Turner, Sandra
AU - Costa, Daniel
AU - Saunders, Christobel
AU - Koczwara, Bogda
AU - Kay, Judy
AU - Jefford, Michael
AU - Schofield, Penelope
AU - Boyle, Frances
AU - Yates, Patsy
AU - White, Kate
AU - Sundaresan, Puma
AU - Varadarajan, Suganthy
AU - Juraskova, Ilona
PY - 2024/7
Y1 - 2024/7
N2 - 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.
AB - 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.
KW - Communication skills training
KW - Family carers
KW - Health professional
KW - Oncology
KW - Online education
UR - http://www.scopus.com/inward/record.url?scp=85190330293&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2024.108251
DO - 10.1016/j.pec.2024.108251
M3 - Article
AN - SCOPUS:85190330293
SN - 0738-3991
VL - 124
JO - Patient Education and Counseling
JF - Patient Education and Counseling
M1 - 108251
ER -