Disability training for health workers: A global evidence synthesis |
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| Institution: | 1. Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Woodstock Road, Oxford, OX2 6GG, United Kingdom;2. International Centre for Evidence in Disability, London School of Hygiene and Tropical Medicine, United Kingdom;3. Medical Sciences Division, University of Oxford, United Kingdom;4. Cumming School of Medicine, University of Calgary, Canada;5. Centre for Evidence-Based Medicine, University of Oxford, United Kingdom;6. Faculty of Health, Psychology, and Social Care, Manchester Metropolitan University, United Kingdom;1. The Lurie Institute for Disability Policy, The Heller School for Social Policy and Management, Brandeis University, USA;2. Institute for Health and Aging, University of California San Francisco, USA;1. Department of Health Services Research, Management and Policy, University of Florida, Gainesville, FL, USA;2. Department of Epidemiology, University of Florida, Gainesville, FL, USA;1. Institute on Development and Disability, Oregon Health & Science University, Portland, OR, USA;2. Center for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR, USA;3. Institute for Health and Disability Policy Studies, University of Kansas, Lawrence, KS, USA;4. Michigan Department of Health and Human Services, Lansing, MI, USA;5. Institute on Disability, University of New Hampshire, Durham, NH, USA;6. Public Policy Center, University of Iowa, Iowa City, IA, USA;7. New York State Department of Health, Albany, NY, USA;8. Eunice Kennedy Shriver Center, University of Massachusetts Medical School, Shrewsbury, MA, USA;9. Commonwealth Medicine, University of Massachusetts Medical School, Shrewsbury, MA, USA;10. Montana Department of Public Health & Human Services, Helena, MT, USA;11. National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, USA;12. School of Public Health & Health Policy, City University of New York, New York, NY, USA;1. Department of Rehabilitation, Faculty of Medicine, Université Laval, Quebec City, Canada;2. Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale-Nationale (CIUSSS-CN), Quebec City, Canada;1. Medical-Surgical Dentistry Research Group (OMEQUI), Health Research Institute of Santiago de Compostela (IDIS), University of Santiago de Compostela (USC), Santiago de Compostela, Spain;2. Department of Statistics and Operations Research, University of Vigo, Vigo, Spain |
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| Abstract: | BackgroundHealth worker training on disability is a recognized component of achieving high standards of health for people with disabilities, given that health worker’s lack of knowledge, stigma, and negative attitudes towards people with disabilities act as barriers to high quality health care.ObjectiveTo understand the published literature on training health workers about disability.MethodsWe searched five databases for relevant peer-reviewed articles published between January 2012 and January 2021. Studies that focused on training health care workers to improve knowledge, confidence, self-efficacy, and competence to support people with physical, sensory, or intellectual impairments were included. Data about the details of the intervention (setting, participants, format, impact assessments, etc.) and its effects were extracted.ResultsThere is an array of highly local tools to train health workers across stages of their training and careers (preservice, in-service, and continuing professional development). Studies involving people with disabilities in the training, community placements, simulations, or interactive sessions were found to be most effective in improving knowledge, confidence, competency, and self-efficacy.ConclusionsAs part of initiatives to build inclusive health systems and improve health outcomes for people with disabilities, health workers around the world need to receive appropriate and evidence-based training that combines multiple methods and involves people with disabilities. To monitor progress on the impact of training, there should also be a standardized measure of impact on core outcomes. |
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| Keywords: | Medical education Health worker training Disability training |
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