Improving adrenaline autoinjector adherence: A psychologically informed training for healthcare professionals
Abstract Background Clinicians draw on instructional approaches when training patients with anaphylaxis to use adrenaline autoinjectors, but patient use is poor. Psychological barriers to these behaviours exist but are not considered routinely when training patients to use autoinjectors. Health Psyc...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2019-09-01
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| Series: | Immunity, Inflammation and Disease |
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| Online Access: | https://doi.org/10.1002/iid3.264 |
| _version_ | 1818408238254653440 |
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| author | Béré Mahoney Elaine Walklet Eleanor Bradley Steve O'Hickey |
| author_facet | Béré Mahoney Elaine Walklet Eleanor Bradley Steve O'Hickey |
| author_sort | Béré Mahoney |
| collection | DOAJ |
| description | Abstract Background Clinicians draw on instructional approaches when training patients with anaphylaxis to use adrenaline autoinjectors, but patient use is poor. Psychological barriers to these behaviours exist but are not considered routinely when training patients to use autoinjectors. Health Psychology principles suggest exploring these factors with patients could improve their autoinjector use. Objective To evaluate the impact of a 90‐minute workshop training clinicians in strategies and techniques for exploring and responding to psychological barriers to autoinjector use with patients. Attendees’ knowledge, confidence and likelihood of using the strategies were expected to improve. Methods Impact was evaluated using a longitudinal mixed‐method design. Twenty‐nine clinicians (general and specialist nurses, general practitioners, and pharmacists) supporting patients with anaphylaxis in UK hospitals and general practice attended. Self‐rated knowledge, confidence, and likelihood of using the strategies taught were evaluated online 1 week before, 1 to 3, and 6 to 8 weeks after the workshop. Clinicians were invited for telephone interview after attending to explore qualitatively the workshop impact. Results χ2 analyses were significant in most cases (P < .05), with sustained (6‐8 weeks) improvements in knowledge, confidence, and likelihood of using the strategies taught. Thematic analysis of interview data showed the workshop enhanced attendees’ knowledge of the care pathway, understanding of patient's experience of anaphylaxis as psychological not purely physical, and altered their communication with this and other patient groups. However, interviewees perceived lack of time and organisational factors as barriers to using the strategies and techniques taught in clinical contexts. Conclusion Training clinicians in psychologically informed strategies produce sustained improvements in their confidence and knowledge around patient autoinjector education, and their likelihood of using strategies in clinical practice. Clinical Relevance Exploring psychological barriers should be part of training patients with anaphylaxis in autoinjector use. |
| first_indexed | 2024-12-14T09:40:33Z |
| format | Article |
| id | doaj.art-750a9313358044b0bb972ae8b097e68b |
| institution | Directory Open Access Journal |
| issn | 2050-4527 |
| language | English |
| last_indexed | 2024-12-14T09:40:33Z |
| publishDate | 2019-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Immunity, Inflammation and Disease |
| spelling | doaj.art-750a9313358044b0bb972ae8b097e68b2022-12-21T23:07:48ZengWileyImmunity, Inflammation and Disease2050-45272019-09-017321422810.1002/iid3.264Improving adrenaline autoinjector adherence: A psychologically informed training for healthcare professionalsBéré Mahoney0Elaine Walklet1Eleanor Bradley2Steve O'Hickey3School of Psychology University of Worcester Worcester UKSchool of Psychology University of Worcester Worcester UKSchool of Psychology University of Worcester Worcester UKSchool of Psychology University of Worcester Worcester UKAbstract Background Clinicians draw on instructional approaches when training patients with anaphylaxis to use adrenaline autoinjectors, but patient use is poor. Psychological barriers to these behaviours exist but are not considered routinely when training patients to use autoinjectors. Health Psychology principles suggest exploring these factors with patients could improve their autoinjector use. Objective To evaluate the impact of a 90‐minute workshop training clinicians in strategies and techniques for exploring and responding to psychological barriers to autoinjector use with patients. Attendees’ knowledge, confidence and likelihood of using the strategies were expected to improve. Methods Impact was evaluated using a longitudinal mixed‐method design. Twenty‐nine clinicians (general and specialist nurses, general practitioners, and pharmacists) supporting patients with anaphylaxis in UK hospitals and general practice attended. Self‐rated knowledge, confidence, and likelihood of using the strategies taught were evaluated online 1 week before, 1 to 3, and 6 to 8 weeks after the workshop. Clinicians were invited for telephone interview after attending to explore qualitatively the workshop impact. Results χ2 analyses were significant in most cases (P < .05), with sustained (6‐8 weeks) improvements in knowledge, confidence, and likelihood of using the strategies taught. Thematic analysis of interview data showed the workshop enhanced attendees’ knowledge of the care pathway, understanding of patient's experience of anaphylaxis as psychological not purely physical, and altered their communication with this and other patient groups. However, interviewees perceived lack of time and organisational factors as barriers to using the strategies and techniques taught in clinical contexts. Conclusion Training clinicians in psychologically informed strategies produce sustained improvements in their confidence and knowledge around patient autoinjector education, and their likelihood of using strategies in clinical practice. Clinical Relevance Exploring psychological barriers should be part of training patients with anaphylaxis in autoinjector use.https://doi.org/10.1002/iid3.264adrenaline autoinjectoranaphylaxisclinician trainingpatient adherence |
| spellingShingle | Béré Mahoney Elaine Walklet Eleanor Bradley Steve O'Hickey Improving adrenaline autoinjector adherence: A psychologically informed training for healthcare professionals Immunity, Inflammation and Disease adrenaline autoinjector anaphylaxis clinician training patient adherence |
| title | Improving adrenaline autoinjector adherence: A psychologically informed training for healthcare professionals |
| title_full | Improving adrenaline autoinjector adherence: A psychologically informed training for healthcare professionals |
| title_fullStr | Improving adrenaline autoinjector adherence: A psychologically informed training for healthcare professionals |
| title_full_unstemmed | Improving adrenaline autoinjector adherence: A psychologically informed training for healthcare professionals |
| title_short | Improving adrenaline autoinjector adherence: A psychologically informed training for healthcare professionals |
| title_sort | improving adrenaline autoinjector adherence a psychologically informed training for healthcare professionals |
| topic | adrenaline autoinjector anaphylaxis clinician training patient adherence |
| url | https://doi.org/10.1002/iid3.264 |
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