The Role of Practitioner Self-Efficacy, Training, Program and Workplace Factors on the Implementation of an Evidence-Based Parenting Intervention in Primary Care

2011 ◽  
Vol 32 (2) ◽  
pp. 95-112 ◽  
Author(s):  
Karen M. T. Turner ◽  
Jan M. Nicholson ◽  
Matthew R. Sanders
Keyword(s):  
Primary Care ◽  
Training Program ◽  
Self Efficacy ◽  
Parenting Intervention ◽  
Evidence Based ◽  
Workplace Factors

scholarly journals Training Needs of Practice Facilitators When Implementing An Opioid Improvement Initiative in Primary Care

2021 ◽  
Author(s):  
Michael L. Parchman ◽  
Brooke Ike ◽  
Katie Osterhage ◽  
Ashley Johnson ◽  
Laura-Mae Baldwin
Keyword(s):  
Primary Care ◽  
Training Program ◽  
Peer Relationships ◽  
Qualitative Content Analysis ◽  
Medication Management ◽  
Building Blocks ◽  
Training Needs ◽  
Evidence Based ◽  
Structured Interviews ◽  
Evidence Based Programs

Abstract Background: Practice facilitation is a commonly employed strategy to implement evidence-based programs into primary care settings. Preparing facilitators for this role requires an understanding of their training needs and support. Here we report on the experiences of facilitators who participated in a training program to support efforts to improve opioid medication management in primary care.Methods: Trainees with prior QI experience were recruited for the six-month training program. Each trainee recruited a clinic for which they would serve as an external facilitator to implement the Six Building Blocks program. At the end of the six-months, we conducted two semi-structured interviews with each trainee. The interviews focused on facilitators and barriers that the trainees experienced during the training and support provided. Qualitative content analysis was used to analyze the transcribed interviews.Results: Three of the five trainees completed the program. In addition to the in-depth understanding of the Six BB program, trainees valued the opportunity to build peer relationships which provided a supportive peer support group. They valued the availability of more experienced facilitators who supported and mentored them. They also mentioned the importance of providing helpful tools and resources and the availability of a clinical expert. Barriers focused on factors internal to the trainees’ clinical setting, the trainees limited clinical knowledge about chronic pain, and difficulty maintaining momentum for change due to the flexible timeline of the program itself.Conclusions: In addition to training on the content of an evidence-based programs, facilitators valued work with supportive peers and the mentoring of more experienced facilitators. Primary care improvement initiatives employing practice facilitators should consider these training needs and the resources required for this supportive infrastructure.

scholarly journals The Role of Primary Care in the Organization of Evidence-based Preventive Measures

2018 ◽  
Vol 0 (5) ◽  
pp. 27-31
Author(s):  
В. М. Лехан ◽  
Л. В. Крячкова ◽  
В. І. Колесник ◽  
Л. О. Гриценко
Keyword(s):  
Primary Care ◽  
Preventive Measures ◽  
Evidence Based

scholarly journals Primary Care Residents' Knowledge, Attitudes, Self-Efficacy, and Perceived Professional Norms Regarding Obesity, Nutrition, and Physical Activity Counseling

2015 ◽  
Vol 7 (3) ◽  
pp. 388-394 ◽  
Author(s):  
Samantha Smith ◽  
Eileen L. Seeholzer ◽  
Heidi Gullett ◽  
Brigid Jackson ◽  
Elizabeth Antognoli ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Training Program ◽  
Self Efficacy ◽  
Multiple Chronic Conditions ◽  
Perceived Norms ◽  
Professional Norms ◽  
Effective Counseling ◽  
Nutrition And Physical Activity ◽  
Program Characteristics

ABSTRACT Background Obesity and being overweight are both significant risk factors for multiple chronic conditions. Primary care physicians are in a position to provide health behavior counseling to the majority of US adults, yet most report insufficient training to deliver effective counseling for obesity. Objective To assess the degree to which residents training in adult primary care programs are prepared to provide obesity, nutrition, and physical activity (ONPA) counseling. Methods Senior residents (postgraduate year [PGY]-3 and PGY-4) from 25 Ohio family medicine, internal medicine, and obstetrics and gynecology programs were surveyed regarding their knowledge about obesity risks and effective counseling, as well as their attitudes, self-efficacy, and perceived professional norms toward ONPA counseling. We examined summary scores, and used regression analyses to assess associations with resident demographics and training program characteristics. Results A total of 219 residents participated (62% response rate). Mean ONPA counseling knowledge score was 50.8 (± 15.6) on a 0 to 100 scale. Specialty was associated with counseling self-efficacy (P < .001) and perceived norms (P = .002). Residents who reported having engaged in an elective rotation emphasizing ONPA counseling had significantly higher self-efficacy and more positive attitudes and professional norms scores. Conclusions Our findings suggest that primary care residents' knowledge of ONPA assessment and management strategies has room for improvement. Attitudes, self-efficacy, and perceived norms also are low and vary by training program characteristics. A deeper understanding of curricula associated with improved performance in these domains could inform interventions to enhance residents' ONPA counseling skills and prevent chronic disease.

scholarly journals Relationship Between Clinician-Level Attributes and Implementation Outcomes From The Pathways To Comorbidity Care Training Program

2021 ◽  
Author(s):  
Eva Louie ◽  
Vicki Giannopoulos ◽  
Andrew Baillie ◽  
Gabriela Uribe ◽  
Katie Wood ◽  
...  
Keyword(s):  
Training Program ◽  
Self Efficacy ◽  
Evidence Based Practice ◽  
Readiness To Change ◽  
The Other ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Implementation Outcomes ◽  
Gender Education ◽  
Drug And Alcohol

Abstract Background A more nuanced understanding of the interrelationships between clinician-level factors and implementation outcomes may enhance the utility of evidence-based practice implementation strategies. The Pathways to Comorbidity Care (PCC) training program [1] aimed to facilitate integrated management of comorbid drug and alcohol and mental disorders amongst drug and alcohol clinicians. We hypothesised that implementation outcomes would be associated with clinician-level: (i) demographics (gender, education, experience), (ii) attitudes (evidence-based practice, therapist manuals, counselling self-efficacy), and (iii) organisational readiness to change. Methods Twenty clinicians participated in the 9-month PCC training program. Attitudes towards evidence-based practices and psychotherapist manuals, self-efficacy, and organisational readiness to change, along with demographics, were measured at baseline. At follow-up, change in Comorbidity Practice (CoP) scores related to integrated comorbidity management were obtained using a file audit checklist and categorised into high (at least 60% increase in CoP), medium or low (a decrease of -20% or less in CoP). Clinician-level characteristics were examined across the implementation categories. Results There were no significant differences found between implementation groups on sociodemographic variables (p’s > 0.30), attitudes to evidence-based practices, attitudes to therapist manuals, and self-efficacy (p’s > 0.52). The high implementation group demonstrated significantly higher scores on leadership practices aspect of organisational readiness to change relative to the low and medium implementation group ((F(2, 16) = 3.63, p = 0.05; Cohen’s d = .31) but not on the other subscales (p’s > 0.07). Conclusions Confidence that leadership will play a positive role in the implementation process may improve effectiveness of comorbidity training programs for drug and alcohol clinicians. On the other hand, contrary to our hypothesis, counselling self-efficacy, evidence-based practice attitudes, attitudes towards therapist manuals, gender, education and experience were not distinguishing factors.

scholarly journals Primary Care Screening, Brief Intervention, and Referral to Treatment for Adolescent Substance Use in Lebanon: A National Cross-sectional Study

2021 ◽  
Vol 15 ◽  
pp. 117822182199460
Author(s):  
Nour Alayan ◽  
Hady Naal ◽  
Melissa Makhoul ◽  
Tamar Avedissian ◽  
Ghada Assaf ◽  
...  
Keyword(s):  
Primary Care ◽  
Substance Use ◽  
Brief Intervention ◽  
Self Efficacy ◽  
Healthcare Professionals ◽  
Adolescent Substance Use ◽  
Evidence Based ◽  
Cross Sectional ◽  
Adolescent Substance ◽  
Nurses And Physicians

Introduction: Substance use among adolescents is on the rise globally. Adolescents rarely seek help for problematic substance use and healthcare professionals can easily fail to identify adolescents with risky substance use. There is therefore a significant global need for substance use screening by healthcare professionals followed by appropriate intervention. Screening, brief intervention, and referral to treatment (SBIRT) is an evidence-based practice that enables clinicians to determine adolescents’ risk for substance use and intervene accordingly. However, little effort has been placed on empowering primary care clinicians to use it in Lebanon. We explored the attitudes, perceptions, and practices of primary care nurses and physicians regarding adolescent SBIRT use. Methods: The study used a cross-sectional multisite survey design targeting urban and rural areas in Lebanon. A national sample of 140 physicians and nurses was recruited using random sampling stratified by governorate. Participants completed mailed or online surveys addressing their practices, attitudes, role perceptions, and self-efficacy regarding SBIRT use. Results: This study revealed that 57.8% of healthcare professionals were not familiar with the SBIRT model and that 76.2% did not practice SBIRT in their setting. The majority addressed the problem of substance use through educating and counseling adolescents about the dangers of substance use (84.2%) and encouraged them to stop (82%) but only 2% reported using standardized instruments for substance use screening. Most participants (88.1%) reported their willingness to use SBIRT in their clinical practice and 92.4% expressed an interest in receiving SBIRT training. Overall, the results showed positive attitudes ( M = 4.38, SD = 0.89) and role responsibility ( M = 4.47, SD = 1.62) toward addressing substance use in adolescents, in addition to a high level of perceived self-efficacy in addressing substance use ( M = 4.04, SD = 0.92). Our results showed minimal differences between nurses’ and physicians’ perceptions and self-efficacy regarding SBIRT use. Conclusions: Our study confirms the lack of a standardized approach toward adolescent substance use screening and intervention by primary healthcare providers in Lebanon but revealed the readiness and willingness to receive training and proper support to adopt an evidence-based approach such as SBIRT.

scholarly journals Evidence-Based Practice in Teacher Education: The Mediating Role of Self-Efficacy Beliefs and Practical Knowledge

2020 ◽  
Vol 5 ◽  
Author(s):  
Despoina Georgiou ◽  
Sog Yee Mok ◽  
Frank Fischer ◽  
Jan D. Vermunt ◽  
Tina Seidel
Keyword(s):  
Teacher Education ◽  
Self Efficacy ◽  
Teacher Educators ◽  
Practical Knowledge ◽  
Strong Predictor ◽  
Efficacy Beliefs ◽  
Evidence Based ◽  
Research Experience ◽  
Mediating Role

European educational reforms call for the implementation of evidence-based teaching (EBT) in universities. Based on the evidence-based research paradigm in medical education, this study investigates the relationship between teacher educators' research experience, practical knowledge, self-efficacy beliefs, and frequency of EBT implementation. We report on survey data from N = 243 teacher educators from Germany, Austria, Switzerland, and the United Kingdom. A set of mediation analyses were run to identify the mediating role of self-efficacy beliefs and practical knowledge in the interplay among teacher educators' research experience and frequency of research evidence implementation. The results indicate that self-efficacy beliefs are a strong predictor of how frequently teacher educators implement EBT. Implications about the role of self-efficacy beliefs in teacher educators' professional learning and development along with future steps that are necessary to increase the implementation of EBT practices in teacher education will be discussed.

scholarly journals Integrating a parenting intervention into pediatric primary care: A qualitative pilot study of stakeholders’ perspectives

2020 ◽  
Author(s):  
Ana Baumann ◽  
Meagan Pilar ◽  
Callie Walsh-Bailey
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Problems ◽  
Parenting Intervention ◽  
Health Problems ◽  
Pediatric Primary Care ◽  
Evidence Based ◽  
Primary Care Settings ◽  
Parent Interventions ◽  
Inner Setting

Abstract Background In the U.S., children as early as two years old are being diagnosed with depression and other mental health problems. Children with chronic diseases also struggle with mental health problems. Evidence-based parent interventions can support these families by improving parenting practices. Pediatric primary care practices are ideal settings to provide parent interventions, as they can have broader reach, decrease stigma and improve health and mental health outcomes. There is currently no clear guidance as to how to integrate these interventions.Methods With the scientific premise that primary care settings can be a powerful place to reach families, this study examined barriers and facilitators of implementing an evidence-based parenting intervention within a primary care practice-based network.Results Semi-structured interviews were conducted with 16 community pediatricians in a Midwestern Practice-Based Research Network. The interview guide was developed based on the Consolidated Framework for Implementation Research (CFIR), with a particular emphasis on intervention characteristics and the organization’s inner setting. A codebook was developed using CFIR. Interview transcripts were coded by two independent raters (kappa = 0.93). Data were analyzed using directed content analysis.Conclusions Themes at the outer and inner setting were identified as determinants. Using theory and stakeholder input will help adapt the intervention as well as its strategies to implement parent interventions in primary care settings.

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