An online intervention to improve oncology health professional self-efficacy in communicating with carers: Hybrid effectiveness-implementation evaluation of the eTRIO program
- Author(s)
- Laidsaar-Powell, R; Giunta, S; Butow, P; Turner, S; Costa, D; Saunders, C; Koczwara, B; Kay, J; Jefford, M; Schofield, P; Boyle, F; Yates, P; White, K; Sundaresan, P; Varadarajan, S; Juraskova, I;
- Journal Title
- Patient Education and Counseling
- Publication Type
- Research article
- 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.
- Publisher
- Elsevier
- Keywords
- Humans; *Self Efficacy; Female; Male; *Caregivers/psychology; *Communication; Adult; Middle Aged; Health Personnel/psychology; Program Evaluation; Decision Making; Internet-Based Intervention; Medical Oncology; Communication skills training; Family carers; Health professional; Oncology; Online education
- Department(s)
- Health Services Research
- Publisher's Version
- https://doi.org/10.1016/j.pec.2024.108251
- Terms of Use/Rights Notice
- Refer to copyright notice on published article.
Creation Date: 2024-07-11 06:58:36
Last Modified: 2024-07-11 07:07:57