A critical appraisal of instruments to measure outcomes of interprofessional education

Oates, Matthew; Davidson, Megan

doi:10.1111/medu.12681

Cited by 103 publications

(58 citation statements)

References 41 publications

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“…A review of interprofessional tools used to assess interprofessional perceptions and attiudes showed a large proportion of studies not showing statistical significance from pre-to post-testing. Oates and Davidson (2015) shared there may be poor sensitivity with the IEPS, as pre-IPCP implementation scores high creating a ceiling making it difficult to parse distinctions over time.…”

Section: Discussionmentioning

confidence: 99%

Improving outcomes in adults with diabetes through an interprofessional collaborative practice program

Nagelkerk

Thompson

Bouthillier

et al. 2017

Journal of Interprofessional Care

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In 2014, the Midwest Interprofessional Practice, Education and Research Center partnered with a Federally Qualified Health Center (FQHC) to implement an interprofessional collaborative practice (IPCP) education program to improve the health of adult patients with diabetes and to improve practice efficiency. This partnership included integrating an interprofessional team of students with the practice team. Twenty-five students and 20 staff engaged in the IPCP program, which included completion of educational modules on IPCP and implementation of daily huddles, focus patient visits, phone calls, team-based case presentations, medication reconciliation, and student-led group diabetes education classes. This study used a sequential mixed methods design. Tools used for collecting data from staff and students included demographic forms, the Interdisciplinary Education Perception Scale (IEPS), the Entry-level Interprofessional Questionnaire, the Collaborative Practice Assessment Tool, and pre/post module knowledge tests completed at baseline and at one-year post implementation. Patient clinical indicators included HgbA1c, glucose, lipid panel laboratory assessments, body mass index, blood pressure, and documentation of annual dental, foot, and eye examinations. Practice efficiency was measured by the average number of patients seen per provider per hour. Both students and staff showed significant knowledge gains in IPCP on Team Dynamics and Tips for Behavioural Changes knowledge tests (p < .05). Patients who had an HgbA1c of ≥ 7% significantly decreased their HgbA1c (p < .05) and glucose (p < .01). However, BMI and annual dental and eye examinations did not improve. Providers demonstrated an increase in the number of patients seen per hour. This IPCP intervention showed improvement in practice efficiencies and select patient outcomes in a family practice clinic.

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Section: Discussionmentioning

confidence: 99%

Improving outcomes in adults with diabetes through an interprofessional collaborative practice program

Nagelkerk

Thompson

Bouthillier

et al. 2017

Journal of Interprofessional Care

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“…evaluated the psychometric strengths of these commonly used instruments and suggested that the measurement of between-group differences and within-group changes have been problematic with RIPLS and IEPS. 25 Specifically, there have been variations in item scoring with RIPLS and IEPS making it difficult to compare findings across studies. Additionally, the reviewers' critical appraisal of RIPLS and IEPS indicated that there was insufficient evidence for validity and reliability to support the use of these instruments, in addition to the others evaluated.…”

Section: Innovations In Pharmacymentioning

confidence: 99%

“…Of note, this review did not evaluate ATCHT, SPICE, SPICE-R, SPICE 2, or SPICE-R 2. 25 Given the limitations of these commonly published instruments, we decided to utilize the SPICE instrument to collect student perceptions, which was prior to the publication of the refined model, SPICE 2. At the time of this study, additional benefits of utilizing the SPICE instrument over others included: (1) its ease of administration (only 10 items), (2) its items and factors are linked with the core competencies of IPE, and (3) its ability to be used longitudinally to evaluate changes.…”

Section: Innovations In Pharmacymentioning

confidence: 99%

A Cross-Sectional Study Evaluating the Impact of One Year versus Two Years of Exposure to Interprofessional Education on Student Perceptions of Physician-Pharmacist Interprofessional Clinical Education (SPICE)

et al. 2016

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“…The relatively high baseline IP scores may reflect high functioning teams in the LTC homes that volunteered to participate in the pilot. Furthermore, a recent systematic review suggests that most instruments intended to measure IP collaboration are not well designed to identify change resulting from IP educational interventions [47]. …”

Section: Discussionmentioning

confidence: 99%

Enhancing Knowledge and InterProfessional care for Heart Failure (EKWIP-HF) in long-term care: a pilot study

Heckman

Boscart

Huson

et al. 2017

Pilot Feasibility Stud

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BackgroundHeart failure (HF) affects 20% of long-term care (LTC) residents and is associated with significant morbidity, acute care visits, and mortality. Barriers to HF management are staff knowledge gaps and ineffective interprofessional (IP) communication. This pilot study assessed the acceptability, feasibility, and impact of an intervention to (1) improve HF knowledge; (2) improve IP communication; and (3) integrate improved knowledge and communication processes into work routines.MethodsThe intervention provides multimodal IP education about HF in LTC, including specialist-supported bedside teaching. It was piloted on single units in two facilities. A mixed-methods repeated-measures approach was used to collect qualitative and quantitative process and outcome data at baseline and 6 months post-intervention.ResultsResults were similar at both sites. Participants developed optimized IP communication to promote HF care. Results indicate a perceived increase in staff confidence and self-efficacy, strengthened assessment and clinical proficiency skills, and more effective IP collaboration. Staff deemed the intervention useful and feasible.ConclusionsThis pilot study suggests that a novel intervention in which HF-specific knowledge is applied by LTC staff to improve IP collaboration in their own work place is acceptable and feasible and has a favourable preliminary impact on staff knowledge and IP communication.

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A critical appraisal of instruments to measure outcomes of interprofessional education

Cited by 103 publications

References 41 publications

Improving outcomes in adults with diabetes through an interprofessional collaborative practice program

Improving outcomes in adults with diabetes through an interprofessional collaborative practice program

A Cross-Sectional Study Evaluating the Impact of One Year versus Two Years of Exposure to Interprofessional Education on Student Perceptions of Physician-Pharmacist Interprofessional Clinical Education (SPICE)

Enhancing Knowledge and InterProfessional care for Heart Failure (EKWIP-HF) in long-term care: a pilot study

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