From rural beginnings to statewide roll‐out: Evaluation of facilitator training for a group‐based diabetes prevention program
- 24 March 2010
- journal article
- research article
- Published by Wiley in Australian Journal of Rural Health
- Vol. 18 (2), 59-65
- https://doi.org/10.1111/j.1440-1584.2010.01126.x
Abstract
Objective: To evaluate the approach used to train facilitators for a large-scale group-based diabetes prevention program developed from a rural implementation research project. Participants: Orientation day was attended by 224 health professionals; 188 submitted the self-learning task; 175 achieved the satisfactory standard for the self-learning task and attended the workshop; 156 completed the pre- and post-training questionnaires. Main outcome measures: Two pre- and post-training scales were developed to assess knowledge and confidence in group-based diabetes prevention program facilitation. Principal component analysis found four factors for measuring training effectiveness: knowledge of diabetes prevention, knowledge of group facilitation, confidence to facilitate a group to improve health literacy and confidence in diabetes prevention program facilitation. Self-learning task scores, training discontinuation rates and satisfaction scores were also assessed. Results: There was significant improvement in all four knowledge and confidence factors from pre- to post-training (P < 0.001). The self-learning task mean test score was 88.7/100 (SD = 7.7), and mean assignment score was 72.8/100 (SD = 16.1). Satisfaction with training scores were positive and 'previous training' interacted with 'change in knowledge of diabetes prevention program facilitation' but not with change in 'confidence to facilitate.' Conclusions: The training program was effective when analysed by change in facilitator knowledge and confidence and the positive mean satisfaction score. Learning task scores suggest tasks were manageable and the requirement contributed to facilitator self-selection. Improvement in confidence scores in facilitating a group-based diabetes prevention program, irrespective of previous training and experience, show that program-specific skill development activities are necessary in curriculum design.Keywords
This publication has 9 references indexed in Scilit:
- Prevention of Type 2 Diabetes by lifestyle intervention in an Australian primary health care setting: Greater Green Triangle (GGT) Diabetes Prevention ProjectBMC Public Health, 2007
- Pharmacological and lifestyle interventions to prevent or delay type 2 diabetes in people with impaired glucose tolerance: systematic review and meta-analysisBMJ, 2007
- The dilemma of patient responsibility for lifestyle change: Perceptions among primary care physicians and nursesScandinavian Journal of Primary Health Care, 2007
- Sustained reduction in the incidence of type 2 diabetes by lifestyle intervention: follow-up of the Finnish Diabetes Prevention StudyThe Lancet, 2006
- The Adult LearnerPublished by Taylor & Francis Ltd ,2005
- Health Psychological Theory in Promoting Population Health in P{per thousand}ij{per thousand}t-H{per thousand}me, Finland: First Steps toward a Type 2 Diabetes Prevention StudyJournal of Health Psychology, 2004
- Assessing the Competencies and Training Needs for Public Health Professionals Managing Chronic Disease Prevention ProgramsJournal of Public Health Management and Practice, 2003
- Education and training towards competency for cardiac rehabilitation nurses in the United KingdomJournal of Clinical Nursing, 2000
- Changing risk behaviors and adopting health behaviors: The role of self-efficacy beliefsPublished by Cambridge University Press (CUP) ,1995