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- Title
Impact of a Clinical Educational Effort in Driving Transformation in Health Care.
- Authors
Atwood, Katharine A.; Shamblen, Stephen R.; Gaudet, Tracy; Rindfleisch, Adam; Collins, David A.; Milovani, Christine; Greenfield, Russell; Kiefer, David; Rakel, David
- Abstract
<bold>Background and Objectives: </bold>The purpose of this study was to assess whether a 2.5 day clinical education course focused on integrative medicine (IM), complementary health (CH), and patient-centered care strategies delivered to staff at Veteran Health Administration (VHA) facilities resulted in changes in attitudes, self-efficacy, preparedness, intentions, and self-reported use of IM strategies. The study also assessed whether there were differential impacts by participant characteristics.<bold>Methods: </bold>The study used a pre-post intervention group-only design with participants who completed self-report pre, post, and 2-month follow-up surveys. The course was delivered to 15 VHA facilities, reaching a total of 655 participants with 407 participants completing the 2-month follow-up survey (65% response rate).<bold>Results: </bold>Findings suggest that the clinical course was associated with changes in all outcomes at the 2-month follow-up, including attitudes, self-efficacy to engage in IM strategies, institutional support, perceived preparedness to discuss non-pharmaceutical approaches to care, intentions to engage in IM strategies, and greater engagement in IM behaviors during clinical encounters. Differential impacts were found for younger participants, longer tenured staff, non-nursing compared to nursing staff, and among those who volunteered as opposed to those who were required to attend.<bold>Discussion and Conclusions: </bold>The study found significant positive changes in all outcomes measured at the 2-month follow-up. Positive impacts were found across a variety of participant characteristics. Findings suggest that this brief experiential course, designed to be a foundational strategy in driving transformation is effective in shifting attitudes, self-efficacy, preparedness, intentions, and self-reported use of IM strategies.
- Subjects
UNITED States; MEDICAL education; CONTINUING education; HEALTH attitudes; INTENTION; HEALTH self-care; SELF-efficacy; UNITED States. Dept. of Veterans Affairs; LABELING theory; INTEGRATIVE medicine; PATIENT-centered care
- Publication
Family Medicine, 2016, Vol 48, Issue 9, p711
- ISSN
0742-3225
- Publication type
journal article