Training Rural Health Care and Social Service Providers in Assessment and Care of Dementia

Rankin, Eric D.; Keefover, Robert W.; Nichols, Allison

doi:10.1300/j021v17n02_04

Cited by 4 publications

(16 citation statements)

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confidence: 99%

“…older adults with dementia in rural communities (Mace, 1996;Rankin, Keefover, & Nichols, 1996;Vissing, Salloway, & Siress, 1994). These efforts have been triggered, in part, by the high prevalence of dementia in rural areas (Keefover et al, 1996;Rankin et al, 1996). In addition, access to dementiaspecific services and health care providers trained in dementia care is typically limited in rural communities (Krout, 1994;Shope et al, 1993;Vissing et al, 1994).…”

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confidence: 99%

“…To address this need for dementia education, a variety of models of outreach education have been reported in the literature. Examples include mobile outreach teams, partnerships between academic centers and rural elderly outreach programs, community-based approaches, programs involving geropsychiatric nurses as focal care providers, and train-the-trainer programs (Belleville-Taylor et al, 1994;Buckwalter et al, 1993;Buckwalter, McLeran, Mitchell, & Andrews, 1988;Connell et al, 1994;Connell & Kole, 1999;Foster, Potter, & Carlson, 1994;Kaplan, 1998;Rankin et al, 1996;Vissing et al, 1994). Because published reports based on outcome evaluations of these programs are unavailable, however, many questions remain as to their effectiveness and impact on knowledge and awareness of dementia and dementia care.…”

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Providing Dementia Outreach Education to Rural Communities: Lessons Learned From a Train-the-Trainer Program

Connell¹,

Holmes

Voelkl

et al. 2002

J Appl Gerontol

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Although several educational outreach programs designed to address the needs of older adults with dementia in rural areas have been reported in the literature, few have been systematically evaluated. The purpose of this article is to describe the Dementia Education Train-the-Trainer Program (DE-TTT-P), designed to disseminate information about dementia in rural areas of Michigan. Twenty-eight health care providers completed the DE-TTT-P and now serve as trainers. Over the course of the 18-month program, 3,276 rural residents attended one of the 223 dementia education sessions offered by the trainers. After summarizing the design, implementation, and evaluation of the program, the discussion offers lessons learned and strategies to maintain the newly formed network of trainers beyond the official project period. Over the past decade, there have been increased efforts directed toward the development of educational programs for health care providers who serve

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Providing Dementia Outreach Education to Rural Communities: Lessons Learned From a Train-the-Trainer Program

Connell¹,

Holmes

Voelkl

et al. 2002

J Appl Gerontol

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“…The training methods reported (see Table 4, Supplemental Digital Content 2, http://links.lww.com/JCEHP/A137) included interactive components (eg: role play, practice, and live cases) (n = 6) 35,37,38,40,43,48 or didactic presentations (n = 16). [34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49] Indeed, they used different outcomes as measures to determine the effectiveness of the training program.…”

Section: Results Of Individual Studiesmentioning

confidence: 99%

“…38 Studies were published between 1993 and 2018 and covered a unique training intervention see (Table 3, Supplemental Digital Content 2, http://links.lww.com/JCEHP/A137). [34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49] Targeted trainers were mostly nurses (n = 10) 36,[38][39][40][41]43,44,[47][48][49] and physicians (n = 5), 35,37,40,42,49 and one study involved county rescue squads. 35…”

Section: Study Characteristicsmentioning

confidence: 99%

Interventions to Improve Trainers' Learning and Behaviors for Educating Health Care Professionals Using Train-the-Trainer Method: A Systematic Review and Meta-analysis

Poitras

Bélanger

Vaillancourt

et al. 2021

J Contin Educ Health Prof

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Introduction: Train-the-trainer (TTT) programs are frequently used to facilitate knowledge dissemination. However, little is known about the effectiveness of these programs. Therefore, we sought to assess the impact of TTT programs on learning and behavior of trainers for educating health and social professionals (trainees). Methods: Guided by the Cochrane Effective Practice and Organisation of Care, we conducted a systematic review. We searched 12 databases until April 2018 and extracted data according to the Population, Intervention, Comparison, Outcome model. Population was defined as trainers delivering training program to health care professionals, and the intervention consists in any organized activity provided by a trainer. There were no restrictive comparators, and outcomes were knowledge, attitude, skill, confidence, commitment, and behavior of trainers. We estimated the pooled effect size and its 95% confidence interval using a random-effect model. We performed a narrative synthesis when meta-analysis was not possible. Results: Of 11,202 potentially eligible references, we identified 16 unique studies. Studies were mostly controlled before-and-after studies and covered a unique training intervention. Targeted trainers were mostly nurses (n = 10) and physicians (n = 5). The most frequent measured outcome was knowledge (n = 12). TTT programs demonstrated significant effect on knowledge (Standardized mean deviation = 0.58; 95% CI = 0.11–1.06; I2 = 90%; P < .01; 10 studies). No studies measured trainers' ability to deliver the training program. Discussion: TTT programs may improve the knowledge of trainers. However, the heterogeneity and small number of studies hamper our ability to draw conclusions that are more robust.

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Dementia care in rural and remote settings: A systematic review of formal or paid care

2011

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Training Rural Health Care and Social Service Providers in Assessment and Care of Dementia

Cited by 4 publications

References 0 publications

Providing Dementia Outreach Education to Rural Communities: Lessons Learned From a Train-the-Trainer Program

Providing Dementia Outreach Education to Rural Communities: Lessons Learned From a Train-the-Trainer Program

Interventions to Improve Trainers' Learning and Behaviors for Educating Health Care Professionals Using Train-the-Trainer Method: A Systematic Review and Meta-analysis

Dementia care in rural and remote settings: A systematic review of formal or paid care

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