Online behaviour change technique training to support healthcare staff 'Make Every Contact Count'.


Journal

BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677

Informations de publication

Date de publication:
07 May 2020
Historique:
received: 22 07 2019
accepted: 28 04 2020
entrez: 9 5 2020
pubmed: 10 5 2020
medline: 21 11 2020
Statut: epublish

Résumé

National Health Service (NHS) staff support service users to change health-related behaviours such as smoking, alcohol consumption, diet and physical activity. It can be challenging to discuss behaviour changes with service users hence training is needed to equip staff with up-to-date, evidence-based behaviour change skills. In order to identify how training may help to improve health professional skills in this area, this study evaluated change in professionals' behavioural determinants following an online behaviour change skills module as part of Making Every Contact Count (MECC) training. This evaluation comprised a within-subject design in which staff from one Northwest England NHS Trust completed a 9-item survey immediately before and after training. This prospective survey identified behavioural determinants regarding adhering to MECC recommendations to hold health conversations with service users and provided written comments about their training experiences. Individuals working within the Trust in clinical or non-clinical roles were eligible to take part and were invited to contribute to the evaluation upon uptake of their usual NHS staff online training programmes. Of participants completing the evaluation (n=206), 12 professional cadres accessed the module, most being female (91%), nurses/midwives (43%), working in children and family services (48%), aged 22 - 62 years. Eight behavioural determinants increased significantly following training, with effect sizes ranging from sizes ranging from 0.27 to 0.51; 'identity' did not change. Content analysis of written feedback (n=256) indicates that training enhanced staff behaviour change skills, modelled a productive and specific method of adopting a patient-led approach to behaviour change conversations, and identified that staff may require further support with embedding skills in practice. Behaviour change science can be translated into useful learning for NHS staff. Online training can engage staff in learning about behaviour change skills and increase their behavioural determinants to adopt these skills in practice.

Sections du résumé

BACKGROUND BACKGROUND
National Health Service (NHS) staff support service users to change health-related behaviours such as smoking, alcohol consumption, diet and physical activity. It can be challenging to discuss behaviour changes with service users hence training is needed to equip staff with up-to-date, evidence-based behaviour change skills. In order to identify how training may help to improve health professional skills in this area, this study evaluated change in professionals' behavioural determinants following an online behaviour change skills module as part of Making Every Contact Count (MECC) training.
METHODS METHODS
This evaluation comprised a within-subject design in which staff from one Northwest England NHS Trust completed a 9-item survey immediately before and after training. This prospective survey identified behavioural determinants regarding adhering to MECC recommendations to hold health conversations with service users and provided written comments about their training experiences. Individuals working within the Trust in clinical or non-clinical roles were eligible to take part and were invited to contribute to the evaluation upon uptake of their usual NHS staff online training programmes.
RESULTS RESULTS
Of participants completing the evaluation (n=206), 12 professional cadres accessed the module, most being female (91%), nurses/midwives (43%), working in children and family services (48%), aged 22 - 62 years. Eight behavioural determinants increased significantly following training, with effect sizes ranging from sizes ranging from 0.27 to 0.51; 'identity' did not change. Content analysis of written feedback (n=256) indicates that training enhanced staff behaviour change skills, modelled a productive and specific method of adopting a patient-led approach to behaviour change conversations, and identified that staff may require further support with embedding skills in practice.
CONCLUSIONS CONCLUSIONS
Behaviour change science can be translated into useful learning for NHS staff. Online training can engage staff in learning about behaviour change skills and increase their behavioural determinants to adopt these skills in practice.

Identifiants

pubmed: 32380982
doi: 10.1186/s12913-020-05264-9
pii: 10.1186/s12913-020-05264-9
pmc: PMC7206818
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

390

Subventions

Organisme : Lancashire Care NHS Foundation Trust
ID : N/A

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Auteurs

Anna Chisholm (A)

Department of Psychological Sciences, University of Liverpool, Liverpool, L69 7ZA, UK. anna.chisholm@liverpool.ac.uk.

Lucie Byrne-Davis (L)

Division of Medical Education, University of Manchester, Manchester, M13 9PT, UK.

Sarah Peters (S)

Division of Psychology & Mental Health, University of Manchester, Manchester, M13 9PL, UK.

Jane Beenstock (J)

Lancashire Care NHS Foundation Trust, Preston, PR5 6AW, UK.
Health Research, Lancaster University, Lancaster, LA1 4YW, UK.

Suzanne Gilman (S)

Lancashire Care NHS Foundation Trust, Preston, PR5 6AW, UK.

Jo Hart (J)

Division of Medical Education, University of Manchester, Manchester, M13 9PT, UK.

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