Feasibility of the training programme Acquired Brain ...€¦ · Research Center for Insurance...
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Research Center for Insurance Medicine AMC-UMCG-UWV-VUmc
Feasibility of the training programme
‘Acquired Brain Injury and Return to Work’
for Insurance Physicians
Birgit Donker-Cools, Haije Wind,
Monique Frings-Dresen
Amsterdam UMC, University of Amsterdam, Coronel Institute of Occupational Health,
Research Center for Insurance Medicine, Amsterdam Public Health research intitute
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Research Center for Insurance Medicine AMC-UMCG-UWV-VUmc
I have no potential conflict of interest to report
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Research Center for Insurance Medicine AMC-UMCG-UWV-VUmc
Background
• Acquired brain injury (ABI)
• Return to work (RTW)1 < 2 years: 40%
• Scientific knowledge about ABI and RTW
- Now available for insurance physicians (IPs)2-5
• How can IPs obtain available knowledge?
[1.Van Velzen 2009, 2.Garrelfs 2015, 3.Donker-Cools 2015, 4.Donker-Cools 2016, 5. Donker-Cools 2018]
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Research Center for Insurance Medicine AMC-UMCG-UWV-VUmc
Design training programme (methods)
• Literature survey
- Effective teaching strategies
- Educational theories
• Consultation educational experts (N=3)
- Teaching healthcare professionals
- Research and practice
- Manager educational department
- Employer of IPs
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Research Center for Insurance Medicine AMC-UMCG-UWV-VUmc
Design training programme (results)
• Literature survey
- Combination interactive approaches6-9
- Interactive lectures
- Case-based learning
- Adult learning theory10-12
- Apply new knowledge
- Safe learning environment
[6.Mostofian 2015, 7.Cervero 2015, 8.Chauhan 2017, 9.Bluestone 2016, 10.Macdougall 2017, 11.Te Pas 2016, 12.Knowles 1984]
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Research Center for Insurance Medicine AMC-UMCG-UWV-VUmc
Design training programme (results)
• Educational experts advice
- Face-to-face training
- Lectures < 20 minutes
- Quizzes
- Realistic case scenarios
- Reflection on practice
- Summary card
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Research Center for Insurance Medicine AMC-UMCG-UWV-VUmc
‘ABI and RTW’ training programme
• One-day four-hours
• Interactive lectures and quizzes
• Written case scenarios
- Peer-to-peer in small groups
- Feedback by instructor
- Plenary discussion
• Topics related to IPs’ tasks
• Summary card
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Research Center for Insurance Medicine AMC-UMCG-UWV-VUmc
Research questions
Is the training programme feasible?
• Limited efficacy: knowledge increase?
• Acceptability: relevant, useful, appropriate?
• Implementation: facilitators and barriers?
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Research Center for Insurance Medicine AMC-UMCG-UWV-VUmc
Methods - Limited efficacy
• Knowledge tests- T0 baseline two weeks before attending course
- T1 after reading assignment
- T2 after training course
• Scores 1 - 5 points/ question (total max 40)
• Topics of test questions (open-ended, multiple choice)
- Indicate aspects that hinder RTW
- Mention interventions that can be applied
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Research Center for Insurance Medicine AMC-UMCG-UWV-VUmc
Methods - Acceptability
• Survey with 8 statements
• 4 point scale - “I (strongly) agree”
- “I (strongly) disagree”
• Imparted knowledge is… for example
– Easy to read
– Relevant for daily practice
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Research Center for Insurance Medicine AMC-UMCG-UWV-VUmc
Methods - Implementation
• Open-ended questions
- “In my opinion facilitators of implementation of
imparted knowledge are …”
- “... barriers are ...”
- “If implementation was hindered … would be
needed or necessary”
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Research Center for Insurance Medicine AMC-UMCG-UWV-VUmc
Results (1)
• 51 IPs (in training) - 27 Male/ 24 Female
- Mean age 49 (SD 11, range 27 - 64)
• Limited efficacy- Significant knowledge increase over time (p<0.00)
- T0: 16 of 40 points (range 18 – 23)
- T1: 21 of 40 points (range 12 – 32)
- T2: 32 of 40 points ( range 20 – 36)
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Research Center for Insurance Medicine AMC-UMCG-UWV-VUmc
Results (2)
• Acceptability
- Easy to read (43 of 44 respondents)
- Clear (43 of 44)
- Relevant (46 of 47)
- Appropriate (46 of 47)
- Intend continue use (44 of 44)
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Research Center for Insurance Medicine AMC-UMCG-UWV-VUmc
Results (3)
• Implementation
- Facilitators
- Summary card
- Training programme with a link to practice
- Utility of the imparted knowledge
- Barriers
- Other (occupational) healthcare professionals not
familiar with new knowledge
- Time constraints
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Research Center for Insurance Medicine AMC-UMCG-UWV-VUmc
• Conclusion- ‘ABI and RTW’ training programme is feasible
• Implications- Training programme available for all IPs
- Scientific knowledge for other (occupational)
healthcare professionals
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Research Center for Insurance Medicine AMC-UMCG-UWV-VUmc
Thank you
Merci
Danke
Grazie
Tack så mycket
Dank u