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Evaluating change: Using the Measure of Processes of Care‐Service Provider as an outcome measure for performance and confidence in family‐centred care
Author(s) -
Gafni Lachter Liat R.,
Josman Naomi,
BenSasson Ayelet
Publication year - 2019
Publication title -
child: care, health and development
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.832
H-Index - 82
eISSN - 1365-2214
pISSN - 0305-1862
DOI - 10.1111/cch.12668
Subject(s) - confidence interval , measure (data warehouse) , health care , medicine , experiential learning , service provider , psychology , nursing , family medicine , medical education , service (business) , computer science , data mining , business , marketing , mathematics education , economics , economic growth
Background Family‐centred care (FCC) is considered the best practice in paediatric care but it is not always implemented sufficiently. Effective training programmes that enhance health care providers' knowledge and self‐efficacy have the potential to improve FCC implementation in their daily practice. The goal of the study was to evaluate the sensitivity of the measure of processes of care (MPOC)‐service provider (MPOC‐SP) version and MPOC confidence (MPOC‐Con) in detecting changes following an FCC training. Methods The MPOC‐Con was developed for this study as a sequel to MPOC‐SP to measure self‐efficacy related to specific FCC practices. Twenty‐four health care providers (occupational and physical therapists, speech pathologist, and special education teacher) participated in a 6‐month FCC provider training. The training included 30 contact hours on FCC principles and techniques through experiential learning, reflective exercises, peer mentoring, and case‐study analyses. The MPOC‐SP and MPOC‐Con were administered preparticipation and postparticipation. Results Repeated multivariate analysis of variance and reliable change index (RCI) analyses indicated a significant group increase in performance and confidence following the training in two of the four MPOC‐SP factors and in all MPOC‐Con factors, F (1, 7) = 5.17, P = .003, η 2 = .68; RCI > 1.96. Individual change patterns in FCC performance indicated patterns of increased, decreased, or stable performance, with the highest increased performances reported for treating people respectfully (79%) and communicating specific information (71%), mostly stable performance in providing general information (75%) and similar levels of increase and stability (41% and 39%, respectively) for interpersonal sensitivity. The Pearson's correlation between MPOC‐SP and MPOC‐Con were significant, moderate‐strong, and positive ( r = .42–.69, P < .05). Conclusions The MPOC‐SP and the MPOC‐Con are sensitive measures suitable for evaluating individual and group changes following training. When designing professional development programmes, managers and educators should consider the interrelation between self‐efficacy and implementing acquired knowledge and skills in FCC.