Evaluation of a train-the-trainer implementation strategy on providers' competency, opportunity and motivation for advance care planning in residential care homes: a mixed-methods study.

ABSTRACT:

Background

Engaging staff in residential care homes in advance care planning (ACP) is an increasingly important area. The train-the-trainer strategy driven by the Capacity Opportunity Motivation-Behavior Change Model is a promising approach but has limited data. The study aims to evaluate a theory-driven train-the-trainer implementation strategy on ACP engagement.

Methods

An explanatory sequential mixed-methods study was conducted to evaluate an implementation strategy, the train-the-trainer ACP program consisting of an ACP workshop and individualized field coaching. Surveys of ACP competency and ACP readiness were measured pre- and post-workshop. Interviews were conducted after individualized field coaching.

Results

Sixteen enrolled nurses, 17 registered nurses, 18 h

SUBMITTER: Wang T 

PROVIDER: S-EPMC12870195 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature