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Group leaders' experiences of an online train-the-trainer programme for the Fewer Falls in multiple sclerosis
Johanna Bylinder1, Charlotte Ytterberg2, Marie Kierkegaard3
1Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Objective:
As part of a process evaluation, the aim of this mixed-method study was to gain an integrated understanding of healthcare professionals' experiences of the train-the trainer programme for the Fewer Falls intervention.
Methods:
Seven healthcare professionals were recruited as group leaders. A convergent interactive mixed methods design was employed. Quantitative data was collected at three time points (before and after the programme and after delivery of the first cycle of the Fewer Falls) by structured questionnaires. Individual semi-structured interviews were performed on two occasions (after the programme and after delivery of the first cycle of the Fewer Falls) with each group leader. Descriptive statistics was used for questionnaire data. Interview data was analysed using qualitative content analysis. Merging quantitative and qualitative data in a joint display was applied to generate an integrated understanding of the results.
Results:
Quantitative data indicated that the programme provided sufficient information, supported relevant skills, and increased group leader self-confidence. The qualitative content analysis generated three main themes: Valuing the online self-paced programme design, Preparing for the group leader role and Learning through practice and feedback. The joint display generated the following integrated understanding: The importance of practical rehearsal and The complex role of facilitating an online intervention.
Conclusion:
Our findings indicate that the participating health care professionals value an online self-paced TTT-P with various teaching methods and components in preparation for the complex role of facilitating online interventions, such as Fewer Falls. Practice and feedback are important elements in the design of TTT-Ps.
Practice Implications:
Practice, feedback and ongoing support are important aspects to consider for use in train-the-trainer programmes. An online self-paced module format is suitable when targeting healthcare professionals.
