Does a Train-the-Trainer Approach for Enhancing Healthcare Professionals’ Skills in Patient Education during Inpatient Medical Rehabilitation Improve Patient Outcomes?
Table 2
Short-term effects on primary and secondary outcomes in psychosomatic patients ().
Psychosomatic patients
Beginning of the rehabilitation program
End of the rehabilitation program
Time
Timegroup
Mean (SD)
Mean (SD)
value
Partial eta2
value
Partial eta2
Self-management competence (heiQ®)
Positive and active engagement in life
Cohort 1
2.6 (0.6)
2.9 (0.7)
<.001
.175
.898
.000
Cohort 2 (post TTT-P)
2.6 (0.7)
2.8 (0.7)
Health-directed activities
Cohort 1
2.5 (0.9)
2.8 (0.8)
<.001
.234
.230
.008
Cohort 2 (post TTT-P)
2.5 (0.9)
2.9 (0.8)
Skill and technique acquisition
Cohort 1
2.7 (0.6)
2.9 (0.5)
<.001
.138
.379
.004
Cohort 2 (post TTT-P)
2.6 (0.5)
2.9 (0.6)
Constructive attitudes and approaches
Cohort 1
2.9 (0.7)
3.0 (0.6)
<.001
.090
.733
.001
Cohort 2 (post TTT-P)
2.8 (0.7)
3.0 (0.8)
Self-monitoring and insight
Cohort 1
2.9 (0.5)
3.0 (0.5)
<.001
.160
.178
.010
Cohort 2 (post TTT-P)
2.8 (0.4)
3.1 (0.4)
Health service navigation
Cohort 1
3.2 (0.5)
3.2 (0.6)
.259
.007
.252
.008
Cohort 2 (post TTT-P)
3.1 (0.4)
3.2 (0.5)
Social integration and support
Cohort 1
2.6 (0.7)
2.7 (0.7)
.002
.056
.468
.003
Cohort 2 (post TTT-P)
2.6 (0.6)
2.8 (0.7)
Emotional distress
Cohort 1
2.6 (0.8)
2.3 (0.8)
<.001
.171
.721
.001
Cohort 2 (post TTT-P)
2.6 (0.7)
2.3 (0.8)
General self-efficacy (GSE)
Cohort 1
23.5 (6.4)
25.9 (6.8)
<.001
.169
.591
.002
Cohort 2 (post TTT-P)
23.7 (6.1)
25.8 (5.9)
Health-related quality of life (WHOQOL-Bref)
Physical health
Cohort 1
50.4 (19.0)
62.9 (21.5)
<.001
.397
.203
.010
Cohort 2 (post TTT-P)
53.5 (19.4)
63.3 (21.8)
Psychological health
Cohort 1
41.3 (21.0)
56.2 (21.6)
<.001
.437
.215
.009
Cohort 2 (post TTT-P)
46.9 (21.7)
58.9 (24.2)
Social relations
Cohort 1
53.1 (22.8)
61.9 (21.3)
<.001
.130
.256
.008
Cohort 2 (post TTT-P)
54.3 (24.0)
59.8 (22.9)
Environment
Cohort 1
64.2 (14.3)
68.8 (15.8)
<.001
.102
.250
.008
Cohort 2 (post TTT-P)
67.2 (15.1)
69.8 (14.5)
Global quality of life
Cohort 1
2.9 (1.0)
3.4 (1.0)
<.001
.281
.851
.000
Cohort 2 (post TTT-P)
2.9 (0.9)
3.5 (.9)
Satisfaction with quality of life
Cohort 1
2.4 (1.1)
3.2 (1.1)
<.001
.420
.848
.000
Cohort 2 (post TTT-P)
2.3 (1.0)
3.2 (1.1)
Abbreviations: SD: standard deviation; TTT-P: train-the-trainer program for healthcare professionals. Significant values are marked in bold.
