Feasibility of a Peer Mentor Training Program for Patients Receiving Hemodialysis: An Educational Program Evaluation.
Feasibility of a Peer Mentor Training Program for Patients Receiving Hemodialysis: An Educational Program Evaluation.
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DOI：
10.1016/j.xkme.2023.100630
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发表时间：
2023-05
期刊：
影响因子：
3.9
通讯作者：
Cavanaugh, Kerri L.
中科院分区：
文献类型：
--
作者：
Golestaneh, Ladan;Golovey, Rimon;Navarro-Torres, Mariela;Roach, Christopher;Lantigua-Reyes, Naomy;Umeukeje, Ebele M.;Fox, Aaron;Melamed, Michal L.;Cavanaugh, Kerri L.
“PEER-HD”多中心研究测试了同伴指导对减少接受维持性血液透析患者住院的有效性。在这项研究中，我们描述了导师培训计划的可行性，有效性和可接受性。教育项目评估包括以下几个方面：（1）培训内容的描述;（2）培训项目可行性和可接受性的定量分析;（3）培训项目传授知识和自我效能的事前事后定量分析。使用基线临床和社会人口统计学问卷从在纽约州布朗克斯和田纳西州纳什维尔招募的导师参与者中收集数据，这些参与者本身接受维持性血液透析。结果变量如下：（1）通过培训模块出勤率和完成率测量的可行性，（2）通过肾脏知识和自我效能调查测量的传授知识和自我效能的计划的有效性，以及（3）通过对培训师表现和模块内容的11项调查测量的可接受性。PEER-HD培训计划包括4个2小时的模块，涵盖透析特定知识和指导技能等主题。在16名导师参与者中，14人完成了培训方案。所有培训模块都有完整的出席率，尽管有些患者需要灵活安排时间和形式。培训后测验的表现与高知识一致（平均得分范围为82.0%-90.0%正确）。培训后平均透析特定知识评分倾向于高于基线，但该差异无统计学显著性（90.0% vs 78.1%; P = 0.1）。平均自我效能得分没有变化，从培训前到培训后，导师参与者（P = 0.2）。程序评价的可接受性评估是有利的[每个模块内所有患者评分（0-4）的平均值范围为3.43-3.93]。样本量小。PEER-HD导师培训计划需要适应患者的时间表，但可行。参与者对该计划的评价是有利的，尽管计划后和计划前的知识评估表现比较显示了知识的吸收，但这并不具有统计学意义。
The ‘PEER-HD’ multicenter study tests the effectiveness of peer mentorship to reduce hospitalizations in patients receiving maintenance hemodialysis. In this study, we describe the feasibility, efficacy, and acceptability of the mentor training program. Educational program evaluation including the following aspects: (1) description of training content, (2) quantitative analysis of feasibility and acceptability of the program, and (3) quantitative pre-post analysis of efficacy of the training to impart knowledge and self-efficacy. Data were collected using baseline clinical and sociodemographic questionnaires from mentor participants enrolled in Bronx, NY, and Nashville, TN, themselves receiving maintenance hemodialysis. The outcome variables were the following: (1) feasibility measured by training module attendance and completion, (2) efficacy of the program to impart knowledge and self-efficacy measured by kidney knowledge and self-efficacy surveys, and (3) acceptability as measured by an 11-item survey of trainer performance and module content. The PEER-HD training program included 4 2-hour modules that covered topics including dialysis-specific knowledge and mentorship skills. Of the 16 mentor participants, 14 completed the training program. There was complete attendance to all training modules, though some patients required flexibility in scheduling and format. Performance on posttraining quizzes was consistent with high knowledge (mean scores ranged from 82.0%-90.0% correct). Mean dialysis-specific knowledge scores trended higher post training than at baseline though this difference was not statistically significant (90.0% vs 78.1%; P = 0.1). No change in mean self-efficacy scores was demonstrated from before to after training, among mentor participants (P = 0.2). Program evaluation assessments of acceptability were favorable [mean of all patient scores (0-4) within each module ranged from 3.43-3.93]. Small sample size. The PEER-HD mentor training program required accommodation to patients’ schedules but was feasible. Participants rated the program favorably, and although the comparison of performance on knowledge assessments post- and pre-program showed uptake of knowledge, this was not statistically significant.
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影响因子：
3.9
作者：
Umeukeje EM;Ngankam D;Beach LB;Morse J;Prigmore HL;Stewart TG;Lewis JB;Cavanaugh KL
通讯作者：
Cavanaugh KL
影响因子：
1.6
作者：
Bennett, Paul N.;Russell, Jennifer St Clair;Schiller, Brigitte
通讯作者：
Schiller, Brigitte
DOI：
10.2215/cjn.04580908
发表时间：
2009-05-01
影响因子：
9.8
作者：
Cavanaugh, Kerri L.;Wingard, Rebecca L.;Ikizler, T. Alp
通讯作者：
Ikizler, T. Alp
DOI：
10.1053/j.ajkd.2013.11.001
发表时间：
2014-01-01
期刊：
American journal of kidney diseases : the official journal of the National Kidney Foundation
影响因子：
--
作者：
Collins, Allan J;Foley, Robert N;Agodoa, Lawrence
通讯作者：
Agodoa, Lawrence
影响因子：
4.6
作者：
Cavanaugh, Kerri L.;Osborn, Chandra Y.;Wallston, Kenneth A.
通讯作者：
Wallston, Kenneth A.