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Ready for SDM: evaluating a train-the-trainer program to facilitate implementation of SDM training in Norway
Simone Kienlin1,2,3, Marie-Eve Poitras4, Dawn Stacey5,6
1Department of Health and Caring Sciences, Faculty of Health Sciences, University of Tromsø, Postbox 6050, Langnes, Norway. simone.kienlin@gmail.com.
BMC Medical Informatics and Decision Making
|May 1, 2021
Summary
A train-the-trainer program effectively equipped healthcare providers to deliver shared decision making (SDM) training. This approach proved feasible for large-scale SDM implementation, with participants successfully training hundreds of colleagues.
Area of Science:
- Healthcare education
- Medical training
- Patient-centered care
Background:
- Healthcare providers require training to effectively implement shared decision making (SDM).
- A comprehensive SDM curriculum, "Ready for SDM", was developed in Norway for diverse healthcare settings and professionals.
- A train-the-trainer (TTT) program was designed to enable healthcare providers to deliver this SDM course within their organizations.
Purpose of the Study:
- To evaluate the effectiveness of a train-the-trainer (TTT) program for implementing shared decision making (SDM) training.
- To assess participant reactions, learning, and the subsequent implementation of SDM training by those who attended the TTT program.
Main Methods:
- An observational descriptive study design based on Kirkpatrick's Model of Educational Outcomes.
- A one-day basic and a two-day advanced TTT course were delivered, followed by immediate assessments of reaction and learning (Kirkpatrick levels 1 & 2).
- Observer skills were assessed post-training, and the number of trainings conducted and participants trained (Kirkpatrick level 3) were measured via online survey within three months.
Main Results:
- The basic TTT course was highly acceptable; the advanced course was perceived as complex but participants achieved high knowledge scores and demonstrated excellent observer skills.
- Participants expressed a need for enhanced pedagogical skills training and implementation support.
- Within three months, 67% of TTT participants conducted multiple trainings, reaching a total of 458 healthcare providers.
Conclusions:
- The TTT program is a feasible strategy for large-scale implementation of shared decision making (SDM) training in healthcare.
- The study identified areas for improvement in the advanced course, particularly regarding pedagogical support.
- Further research is recommended to investigate the efficacy of this training within broader SDM implementation strategies.
Keywords:
Communication skillsComplex interventionCurriculumEducationShared decision-makingTrain-the-trainerMore Related Videos
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