Promoting Family-Centered Care: A Provider Training Effectiveness Study.

Importance: Although family-centered care (FCC) is a best practice in pediatrics, health care providers report challenges in translating FCC from theory to practice. Objective: To measure the effectiveness of the Better Together (BT) training to enhance providers' changes in FCC practice and self-ef...

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Publicado en:American Journal of Occupational Therapy Vol. 76; no. 3; pp. 1 - 9
Autores principales: Gafni-Lachter, Liat, Ben-Sasson, Ayelet
Formato: research tables/charts Journal Article
Publicado: American Occupational Therapy Association May/Jun2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May/Jun2022
      vid: 76
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        10.5014/ajot.2022.044891
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        atl: Promoting Family-Centered Care: A Provider Training Effectiveness Study.
      aug:
        au:
          Gafni-Lachter, Liat
          Ben-Sasson, Ayelet
        affil: Liat Gafni-Lachter, PhD, OTD, OTR/L, is Teaching and Research Fellow, University of Haifa, Haifa, Israel, and Lecturer, Boston University, Boston, MA
      sug:
        subj:
          Family Centered Care
          Health Personnel Education
          Self-Efficacy
          Program Implementation
          Health Promotion
          Human
          Pretest-Posttest Design
          Quasi-Experimental Studies
          Effect Size
          Attitude of Health Personnel
          Questionnaires
          Health Knowledge
          Multivariate Analysis of Variance
          Descriptive Statistics
          Exploratory Research
          Occupational Therapists
      ab: Importance: Although family-centered care (FCC) is a best practice in pediatrics, health care providers report challenges in translating FCC from theory to practice. Objective: To measure the effectiveness of the Better Together (BT) training to enhance providers' changes in FCC practice and self-efficacy. Design: Pretest–posttest quasi-experimental design. Setting: Continuing education centers in Israel. Participants: Eighty-two participants—occupational therapists, speech-language pathologists, physical therapists, and art therapists—working in outpatient or school-based pediatric practices. Intervention: We developed BT on the basis of adult learning theory to prepare providers to implement best practices in FCC. The training was delivered as six consecutive in-person workshops (30-hr total over 10 wk). Outcomes and Measures: We used the Measure of Processes of Care (MPOC) Service Provider and Confidence versions to measure providers' perceptions of how they used specific aspects of FCC in their practice and their related self-efficacy. Results: Observed changes included improved reports of FCC implementation and increased self-efficacy in all MPOC domains, with medium effect sizes. These outcomes were positively interrelated. Before the training, providers in outpatient settings who had more years of experience reported higher FCC use than less experienced participants in other settings; these differences disappeared by the end of the training. Conclusions and Relevance: BT training can enhance health care providers' perceptions of FCC implementation and self-efficacy and minimize differences in FCC implementation by providers across expertise levels and practice settings. This study can inform the development of future FCC training interventions for providers, managers, educators, and researchers. What This Article Adds: Intensive training can improve both the way practitioners work with families and their self-efficacy in doing so. This study highlights the importance of self-efficacy in promoting knowledge translation. The Better Together training program can enhance providers' perceptions of the extent to which they implement aspects of family-centered care and their related self-efficacy and minimize differences in implementation across expertise levels and practice settings.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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