Development and evaluation of tailored, theory-informed training to support the implementation of an outcome measure: an explanatory sequential mixed method study.
Purpose: We aimed to describe the development of a tailored, theory-informed training session for an outcome measure (the Mayo-Portland Adaptability Inventory), and evaluate the session's impact on clinician reactions, learning, and behavioural intent. Materials and methods: We developed the trainin...
| Publicado en: | Disability & Rehabilitation Vol. 47; no. 19; pp. 5142 - 5156 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Sep2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187949790&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187949790 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638288 B73 jtl: Disability & Rehabilitation issn: 09638288 maglogo: Y pubinfo: dt: Sep2025 vid: 47 iid: 19 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 187949790 183152324 187949790 187949790 10.1080/09638288.2025.2462196 187949790 ppf: 5142 ppct: 14 formats: tig: atl: Development and evaluation of tailored, theory-informed training to support the implementation of an outcome measure: an explanatory sequential mixed method study. aug: au: Ataman, Rebecca Ahmed, Sara Allegue, Dorra Rakia Filali-Mouhim, Ali Misana, Alice Auger, Claudine McKerral, Michelle Berta, Whitney Thomas, Aliki affil: School of Physical and Occupational Therapy, McGill University, Montréal, Québec, Canada sug: subj: Outcome Assessment Education Health Personnel Education Educational Theory Scales Program Development Program Implementation Program Evaluation Funding Source Quebec Human Multimethod Studies Implementation Science Stroke Rehabilitation Outpatients Questionnaires Interviews Content Analysis Odds Ratio Attitude of Health Personnel Commitment Needs Assessment Education, Continuing Open-Ended Questionnaires Summated Rating Scaling Descriptive Statistics Models, Statistical Analysis of Variance Repeated Measures Data Analysis Software Semi-Structured Interview Interview Guides Male Female Adult Middle Age Professional Knowledge Confidence Health Personnel Psychosocial Factors Learning Methods Thematic Analysis Intention Decision Making, Clinical Skill Acquisition Rehabilitation Centers Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Purpose: We aimed to describe the development of a tailored, theory-informed training session for an outcome measure (the Mayo-Portland Adaptability Inventory), and evaluate the session's impact on clinician reactions, learning, and behavioural intent. Materials and methods: We developed the training session using an integrated knowledge translation approach with stroke outpatient rehabilitation clinicians in Québec, Canada. We conducted a mixed-method explanatory sequential evaluation informed by the New World Kirkpatrick Model (reaction, learning, behavioural intent) composed of three surveys followed by interviews. We analyzed survey data using cumulative link mixed models, and interviews using directed content analysis. Results: Eighty clinicians attended the training session, of which 51 responded to the surveys and 6 participated in interviews. Odds ratios indicate that individuals were more likely to rate themselves higher post-training on most outcomes. During the interviews, participants indicated that: they experienced positive reactions, learning and behavioural impacts from the session, negative attitudes and commitment were due to perceived limitations in the outcome measure, and training impacts were affected by contextual factors including a provincial mandate for the measure. Conclusion: Implementation teams could adapt this training design process to their context. Further research to understand how educational strategies work would produce more robust guidance. IMPLICATIONS FOR REHABILITATION: Outcome measures are underused in rehabilitation settings such that their expected benefits are not being realized. Theory-informed educational strategies could be leveraged to facilitate the uptake of outcome measures into practice. In this study, we identified the specific theory-informed components of the training session that produced positive impacts on clinicians' learning and behavioural intent up to 8-weeks post-training. The theory-informed components of the training session that had positive effects (i.e., those linked to competence including demonstration of the behaviour and behavioural practice) could be adapted by others implementing outcome measures in their setting. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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