An evaluation of the facilitator training to implement ‘Taking charge of my life and health’, a peer-led group program to promote self-care and patient empowerment in Veteran participants |
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| Institution: | 1. Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC;2. Department of Medicine, Duke University School of Medicine, Durham, NC;3. Duke University School of Nursing, Durham, NC;4. Ahmanson-UCLA Cardiomyopathy Center, Ronald Reagan UCLA Medical Center, Los Angeles, CA;5. Cleveland Clinic, Cleveland, OH;6. Division of Cardiovascular Medicine, Brigham and Women''s Hospital, Boston, MA;7. Department of Medicine, University of Mississippi Medical Center, Jackson, MS;8. Wayne State University and Detroit Medical Center, Detroit, MI;9. Division of Cardiology, Veterans Affairs Palo Alto Healthcare System, Palo Alto, CA;10. Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado School of Medicine, Aurora, CO;11. Division of Cardiology, Northwestern University, Chicago, IL;12. Department of Heart Failure and Transplantation, Inova Heart and Vascular Institute, Falls Church, VA;13. Centennial Heart, Nasheville, TN;14. Department of Medicine, Cardiovascular Division, and Henry Ford Heart and Vascular Institute, Henry Ford Hospital, Detroit, MI;15. Beth Israel Deaconess Medical Center, Boston, MA;p. American College of Cardiology;q. Center for Advanced Hindsight, Duke University, Durham, NC |
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| Abstract: | ObjectiveWe developed a peer-led group program for Veterans called Taking Charge of My Life and Health (TCMLH) that emphasizes patient education, goal setting, shared decision making, and whole person care. Our aim was to conduct an evaluation of a facilitator training course to deliver TCMLH in VA sites.MethodsRepeated measures ANOVA models were used to examine change over three timepoints (pre-test, post-test, and two-month follow-up) in outcomes of attitudes, knowledge, skills, and self-efficacy related to patient empowerment, skills acquisition, self-care strategies, and curriculum facilitation. Qualitative data analysis of participant feedback was used to identify potential training adaptations and barriers to TCMLH delivery.ResultsOur sample comprised 70 trainees who completed all three assessments. Participants reported high levels of training satisfaction, quality, and utility, and sustained improvements in knowledge of Whole Health, self-efficacy for group facilitation, and self-efficacy for using Whole Health concepts and tools. Implementation barriers included challenges related to group management and site logistics.ConclusionThe facilitator training course improved knowledge and self-efficacy associated with successful peer-led program delivery and identified opportunities to improve the training course and TCMLH dissemination.Practice Implications: Findings provide insights on the design and implementation of training models to support peer-led programs. |
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| Keywords: | Peer support Peer-Led Group-Delivered program Veterans Whole health Patient education Patient centered care Self-Care Training models Health promotion Health education |
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