Attitude change and increased confidence with management of chronic breathlessness following a health professional training workshop: a survey evaluation
Abstract Background Clinicians and people living with chronic breathlessness have expressed a need to better understand and manage this symptom. The aim of this study was to evaluate a 3-day health professional training workshop on the practical management of chronic breathlessness. Methods Workshop...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-03-01
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| Series: | BMC Medical Education |
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| Online Access: | http://link.springer.com/article/10.1186/s12909-020-02006-7 |
| _version_ | 1819112117839593472 |
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| author | Kylie N. Johnston Mary Young Debra Kay Sara Booth Anna Spathis Marie T. Williams |
| author_facet | Kylie N. Johnston Mary Young Debra Kay Sara Booth Anna Spathis Marie T. Williams |
| author_sort | Kylie N. Johnston |
| collection | DOAJ |
| description | Abstract Background Clinicians and people living with chronic breathlessness have expressed a need to better understand and manage this symptom. The aim of this study was to evaluate a 3-day health professional training workshop on the practical management of chronic breathlessness. Methods Workshop design and delivery were based on current understandings and clinical models of chronic breathlessness management, principles of transformative learning, and included sessions co-designed with people living with breathlessness. Registrants were invited to complete pre and post-workshop surveys. Pre and 1-week post-workshop online questionnaires assessed familiarity and confidence about workshop objectives (0[lowest]-10[highest] visual analogue scale), attitudes and practices regarding chronic breathlessness (agreement with statements on 5-point Likert scales). Post-workshop, participants were asked to describe implementation plans and anticipated barriers. Baseline familiarity and confidence were reported as mean (SD) and change examined with paired t-tests. Pre-post attitudes and practices were summarised by frequency/percentages and change examined non-parametrically (5-point Likert scale responses) or using a McNemar test of change (binary responses). Results Forty-seven of 55 registrants joined the study; 39 completed both pre and post-workshop questionnaires (35 female; 87% clinicians; median 8 years working with people with chronic breathlessness). Post-workshop, greatest gains in confidence were demonstrated for describing biopsychosocial concepts unpinning chronic breathlessness (mean change confidence = 3.2 points; 95% CI 2.7 to 4.0, p < 0.001). Respondents significantly changed their belief toward agreement that people are able to rate their breathlessness intensity on a scale (60 to 81% agreement) although only a minority strongly agreed with this statement at both time points (pre 11%, post 22%). The largest shift in attitude was toward agreement (z statistic 3.74, p < 0.001, effect size r = 0.6) that a person’s experience of breathlessness should be used to guide treatment decisions (from 43 to 73% strong agreement). Participants’ belief that cognitive behavioural strategies are effective for relief of breathlessness changed further toward agreement after the workshop (81 to 100%, McNemar test chi- square = 5.14, p = 0.02). Conclusion The focus of this training on biopsychosocial understandings of chronic breathlessness and involvement of people living with this symptom were valued. These features were identified as facilitators of change in fundamental attitudes and preparedness for practice. |
| first_indexed | 2024-12-22T04:08:25Z |
| format | Article |
| id | doaj.art-c18a4eb803c842dead98e6c12618bee5 |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-12-22T04:08:25Z |
| publishDate | 2020-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-c18a4eb803c842dead98e6c12618bee52022-12-21T18:39:34ZengBMCBMC Medical Education1472-69202020-03-0120111410.1186/s12909-020-02006-7Attitude change and increased confidence with management of chronic breathlessness following a health professional training workshop: a survey evaluationKylie N. Johnston0Mary Young1Debra KaySara Booth2Anna Spathis3Marie T. Williams4School of Health Sciences, Innovation, Implementation and Clinical Translation in Health (IIMPACT), University of South AustraliaDepartment of Thoracic Medicine, Central Adelaide Local Health NetworkCambridge Breathlessness Intervention Service, Cambridge University Hospitals NHS Foundation Trust, University of CambridgeCambridge Breathlessness Intervention Service, Cambridge University Hospitals NHS Foundation Trust, University of CambridgeSchool of Health Sciences, Innovation, Implementation and Clinical Translation in Health (IIMPACT), University of South AustraliaAbstract Background Clinicians and people living with chronic breathlessness have expressed a need to better understand and manage this symptom. The aim of this study was to evaluate a 3-day health professional training workshop on the practical management of chronic breathlessness. Methods Workshop design and delivery were based on current understandings and clinical models of chronic breathlessness management, principles of transformative learning, and included sessions co-designed with people living with breathlessness. Registrants were invited to complete pre and post-workshop surveys. Pre and 1-week post-workshop online questionnaires assessed familiarity and confidence about workshop objectives (0[lowest]-10[highest] visual analogue scale), attitudes and practices regarding chronic breathlessness (agreement with statements on 5-point Likert scales). Post-workshop, participants were asked to describe implementation plans and anticipated barriers. Baseline familiarity and confidence were reported as mean (SD) and change examined with paired t-tests. Pre-post attitudes and practices were summarised by frequency/percentages and change examined non-parametrically (5-point Likert scale responses) or using a McNemar test of change (binary responses). Results Forty-seven of 55 registrants joined the study; 39 completed both pre and post-workshop questionnaires (35 female; 87% clinicians; median 8 years working with people with chronic breathlessness). Post-workshop, greatest gains in confidence were demonstrated for describing biopsychosocial concepts unpinning chronic breathlessness (mean change confidence = 3.2 points; 95% CI 2.7 to 4.0, p < 0.001). Respondents significantly changed their belief toward agreement that people are able to rate their breathlessness intensity on a scale (60 to 81% agreement) although only a minority strongly agreed with this statement at both time points (pre 11%, post 22%). The largest shift in attitude was toward agreement (z statistic 3.74, p < 0.001, effect size r = 0.6) that a person’s experience of breathlessness should be used to guide treatment decisions (from 43 to 73% strong agreement). Participants’ belief that cognitive behavioural strategies are effective for relief of breathlessness changed further toward agreement after the workshop (81 to 100%, McNemar test chi- square = 5.14, p = 0.02). Conclusion The focus of this training on biopsychosocial understandings of chronic breathlessness and involvement of people living with this symptom were valued. These features were identified as facilitators of change in fundamental attitudes and preparedness for practice.http://link.springer.com/article/10.1186/s12909-020-02006-7(3–10): chronic breathlessnessEducationHealth professional |
| spellingShingle | Kylie N. Johnston Mary Young Debra Kay Sara Booth Anna Spathis Marie T. Williams Attitude change and increased confidence with management of chronic breathlessness following a health professional training workshop: a survey evaluation BMC Medical Education (3–10): chronic breathlessness Education Health professional |
| title | Attitude change and increased confidence with management of chronic breathlessness following a health professional training workshop: a survey evaluation |
| title_full | Attitude change and increased confidence with management of chronic breathlessness following a health professional training workshop: a survey evaluation |
| title_fullStr | Attitude change and increased confidence with management of chronic breathlessness following a health professional training workshop: a survey evaluation |
| title_full_unstemmed | Attitude change and increased confidence with management of chronic breathlessness following a health professional training workshop: a survey evaluation |
| title_short | Attitude change and increased confidence with management of chronic breathlessness following a health professional training workshop: a survey evaluation |
| title_sort | attitude change and increased confidence with management of chronic breathlessness following a health professional training workshop a survey evaluation |
| topic | (3–10): chronic breathlessness Education Health professional |
| url | http://link.springer.com/article/10.1186/s12909-020-02006-7 |
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