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A randomized pragmatic feasibility trial to promote student perspective-taking on client physical activity level: a
Lisa B Hoplock1, Michelle M Lobchuk2, Shaelyn M Strachan3
1College of Nursing, University of Manitoba, Winnipeg, MB R3T 2N2, Canada.
Pilot and Feasibility Studies
|September 28, 2024
Summary
This pilot study found that a perspective-taking intervention is feasible, appropriate, and acceptable for health-care students. Recommendations are provided for improving future implementation and online delivery of this communication skills training.
Area of Science:
- Health Professions Education
- Communication Skills Training
- Behavior Change Interventions
Background:
- Effective health-care practitioner-client conversations are crucial for promoting behavior change.
- Empathic communication skills are essential for successful health behavior change discussions.
- A theoretically informed intervention was developed to enhance health-care students' perspective-taking abilities.
Purpose of the Study:
- To assess the feasibility, acceptability, and appropriateness of a novel perspective-taking intervention for health-care students.
- To evaluate the impact of a perspective-taking workshop on communication skills for behavior change.
- To identify areas for improvement in intervention delivery and participant recruitment.
Main Methods:
- A randomized mixed-methods parallel two-arm trial involving 163 health-care students (Respiratory Therapy, Physical Therapy, Occupational Therapy, Nurse Practitioner, Kinesiology).
- Participants were assigned to either a full intervention (workshop + practice before dialogue) or partial intervention (workshop after dialogue) group.
- Feasibility and appropriateness were assessed via recruitment rates and protocol adherence; acceptability was evaluated through exit interviews.
Main Results:
- Recruitment targets were narrowly missed, particularly in Occupational Therapy, indicating a need for refined recruitment strategies.
- Protocol adherence varied, with some participants unable to practice perspective-taking before the in-lab dialogue.
- Psychometric outcomes generally met criteria, though one measure showed ceiling effects and low reliability.
Conclusions:
- The perspective-taking intervention demonstrates significant feasibility, appropriateness, and acceptability for health-care students.
- Further refinement is recommended, including strategies for enhancing recruitment, improving adherence to practice, and optimizing online delivery.
- The findings support conducting a subsequent pilot study to incorporate suggested improvements.
