Building a patient-centered and interprofessional training program with patients, students and care professionals: study protocol of a participatory design and evaluation study.

Autor: Vijn TW; Scientific Center for Quality of Healthcare, Radboud Institute of Health Sciences, Radboud University Medical Center, 114, PO Box 9101, 6500, HB, Nijmegen, The Netherlands. thomas.vijn@radboudumc.nl., Wollersheim H; Scientific Center for Quality of Healthcare, Radboud Institute of Health Sciences, Radboud University Medical Center, 114, PO Box 9101, 6500, HB, Nijmegen, The Netherlands., Faber MJ; Scientific Center for Quality of Healthcare, Radboud Institute of Health Sciences, Radboud University Medical Center, 114, PO Box 9101, 6500, HB, Nijmegen, The Netherlands., Fluit CRMG; Radboudumc Health Academy, Department for Research in Learning and Education, Radboud University Medical Center, 43, PO Box 9101, 6500, HB, Nijmegen, The Netherlands., Kremer JAM; Scientific Center for Quality of Healthcare, Radboud Institute of Health Sciences, Radboud University Medical Center, 114, PO Box 9101, 6500, HB, Nijmegen, The Netherlands.
Jazyk: angličtina
Zdroj: BMC health services research [BMC Health Serv Res] 2018 May 30; Vol. 18 (1), pp. 387. Date of Electronic Publication: 2018 May 30.
DOI: 10.1186/s12913-018-3200-0
Abstrakt: Background: A common approach to enhance patient-centered care is training care professionals. Additional training of patients has been shown to significantly improve patient-centeredness of care. In this participatory design and evaluation study, patient education and medical education will be combined by co-creating a patient-centered and interprofessional training program, wherein patients, students and care professionals learn together to improve patient-centeredness of care.
Methods: In the design phase, scientific literature regarding interventions and effects of student-run patient education will be synthesized in a scoping review. In addition, focus group studies will be performed on the preferences of patients, students, care professionals and education professionals regarding the structure and content of the training program. Subsequently, an intervention plan of the training program will be constructed by combining these building blocks. In the evaluation phase, patients with a chronic disease, that is rheumatoid arthritis, diabetes and hypertension, and patients with an oncologic condition, that is colonic cancer and breast cancer, will learn together with medical students, nursing students and care professionals in training program cycles of three months. Process and effect evaluation will be performed using the plan-do-study-act (PDSA) method to evaluate and optimize the training program in care practice and medical education. A modified control design will be used in PDSA-cycles to ensure that students who act as control will also benefit from participating in the program.
Discussion: Our participatory design and evaluation study provides an innovative approach in designing and evaluating an intervention by involving participants in all stages of the design and evaluation process. The approach is expected to enhance the effectiveness of the training program by assessing and meeting participants' needs and preferences. Moreover, by using fast PDSA cycles and a modified control design in evaluating the training program, the training program is expected to be efficiently and rapidly implemented into and adjusted to care practice and medical education.
Databáze: MEDLINE
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