Abstract：
OBJECTIVE: Many oncology health professionals (HPs) report communicating with carers as complex; and receive limited carer-relevant training. We developed an online HP education program for supporting and managing carer involvement (eTRIO). We aimed to assess whether HPs\' self-efficacy in carer communication, knowledge, and decision-making preferences improve following eTRIO. Satisfaction and implementation potential were assessed.
METHODS: This type 1 hybrid effectiveness-implementation study used a pre-post single arm intervention design. HPs completed baseline measures, the eTRIO online module, and measures at 1- and 12-weeks post-intervention. Measures included: self-efficacy in carer communication (13-items), applied knowledge (7-items), preference for carer involvement in decisions (1-item). Fifteen of participants completed feedback interviews which underwent thematic analysis. User analytics were collected and analysed.
RESULTS: Fifty-six HPs completed baseline measures, 42 completed post- and follow-up measures. At baseline mean self-efficacy score was 88. HPs showed a statistically significant increase in self-efficacy post-intervention (mean = 105.8, CI [12.99, 20.47]), maintained at 12-weeks (mean = 101.1, CI [8.00, 15.72]). There were no changes in knowledge or decision-making preferences. Program engagement and satisfaction were high, 86.7% participants rated eTRIO as very/extremely helpful.
CONCLUSIONS: eTRIO provided HPs with confidence to effectively engage with carers and manage complex situations such as family dominance. These gains are noteworthy, as conflict with families/carers contributes to HP burnout.
METHODS: This type 1 hybrid effectiveness-implementation study used a pre-post single arm intervention design. HPs completed baseline measures, the eTRIO online module, and measures at 1- and 12-weeks post-intervention. Measures included: self-efficacy in carer communication (13-items), applied knowledge (7-items), preference for carer involvement in decisions (1-item). Fifteen of participants completed feedback interviews which underwent thematic analysis. User analytics were collected and analysed.
RESULTS: Fifty-six HPs completed baseline measures, 42 completed post- and follow-up measures. At baseline mean self-efficacy score was 88. HPs showed a statistically significant increase in self-efficacy post-intervention (mean = 105.8, CI [12.99, 20.47]), maintained at 12-weeks (mean = 101.1, CI [8.00, 15.72]). There were no changes in knowledge or decision-making preferences. Program engagement and satisfaction were high, 86.7% participants rated eTRIO as very/extremely helpful.
CONCLUSIONS: eTRIO provided HPs with confidence to effectively engage with carers and manage complex situations such as family dominance. These gains are noteworthy, as conflict with families/carers contributes to HP burnout.
摘要：
目的：许多肿瘤学健康专业人员（HP）报告称与护理人员的沟通很复杂；并且接受有限的护理人员相关培训。我们开发了一个在线HP教育计划，用于支持和管理护理人员的参与（eTRIO）。我们的目的是评估医护人员在沟通中的自我效能感，知识,和决策偏好改善遵循ETRIO。评估了满意度和实施潜力。
方法：这项1型混合有效性-实施研究使用了一种前后单臂干预设计。HP已完成基线测量，eTRIO在线模块，以及干预后1周和12周的措施。措施包括：照顾者沟通中的自我效能感(13项)，应用知识(7项)，对护理人员参与决策的偏好(1项)。15名参与者完成了反馈访谈，并进行了主题分析。收集并分析了用户分析。
结果：56个HP完成了基线测量，42已完成的后期和后续措施。基线时自我效能平均得分为88分。HPs显示干预后自我效能感的统计学显着增加（平均值=105.8，CI[12.99，20.47]），维持12周（平均值=101.1，CI[8.00，15.72]）。知识或决策偏好没有变化。项目参与度和满意度很高，86.7％的参与者认为eTRIO非常/非常有帮助。
结论：eTRIO为HP提供了信心，使其能够有效地与护理人员互动并管理复杂的情况，例如家庭支配。这些收获是值得注意的，因为与家庭/看护人的冲突会导致惠普倦怠。
方法：这项1型混合有效性-实施研究使用了一种前后单臂干预设计。HP已完成基线测量，eTRIO在线模块，以及干预后1周和12周的措施。措施包括：照顾者沟通中的自我效能感(13项)，应用知识(7项)，对护理人员参与决策的偏好(1项)。15名参与者完成了反馈访谈，并进行了主题分析。收集并分析了用户分析。
结果：56个HP完成了基线测量，42已完成的后期和后续措施。基线时自我效能平均得分为88分。HPs显示干预后自我效能感的统计学显着增加（平均值=105.8，CI[12.99，20.47]），维持12周（平均值=101.1，CI[8.00，15.72]）。知识或决策偏好没有变化。项目参与度和满意度很高，86.7％的参与者认为eTRIO非常/非常有帮助。
结论：eTRIO为HP提供了信心，使其能够有效地与护理人员互动并管理复杂的情况，例如家庭支配。这些收获是值得注意的，因为与家庭/看护人的冲突会导致惠普倦怠。
