Does a Train-the-Trainer Approach for Enhancing Healthcare Professionals’ Skills in Patient Education during Inpatient Medical Rehabilitation Improve Patient Outcomes?
Table 4
Intermediate-term effects on secondary outcomes in psychosomatic patients ().
Psychosomatic patients
Beginning of the rehabilitation program
End of the rehabilitation program
6-month follow-up
Time
Timegroup
Mean (SD)
Mean (SD)
Mean (SD)
value
Partial eta2
value
Partial eta2
Self-management competence (heiQ®)
Positive and active engagement in life
Cohort 1
2.5 (0.5)
2.8 (0.7)
2.8 (0.7)
<.001
.113
.208
.013
Cohort 2 (post TTT-P)
2.6 (0.7)
2.9 (0.7)
2.7 (0.7)
Health-directed activities
Cohort 1
2.6 (0.8)
2.9 (0.7)
2.8 (0.7)
<.001
.170
.209
.013
Cohort 2 (post TTT-P)
2.4 (0.9)
2.9 (0.9)
2.8 (0.8)
Skill and technique acquisition
Cohort 1
2.6 (0.6)
2.8 (0.5)
2.9 (0.6)
<.001
.148
.449
.007
Cohort 2 (post TTT-P)
2.6 (0.6)
2.9 (0.6)
2.9 (0.5)
Constructive attitudes and approaches
Cohort 1
2.8 (0.7)
3.0 (0.6)
3.0 (0.7)
<.001
.071
.151
.016
Cohort 2 (post TTT-P)
2.9 (0.7)
3.0 (0.7)
2.9 (0.7)
Self-monitoring and insight
Cohort 1
2.8 (0.5)
3.0 (0.5)
3.0 (0.4)
<.001
.130
.323
.010
Cohort 2 (post TTT-P)
2.9 (0.4)
3.0 (0.4)
3.1 (0.5)
Health service navigation
Cohort 1
3.2 (0.5)
3.2 (0.6)
3.3 (0.5)
.147
.017
.070
.023
Cohort 2 (post TTT-P)
3.1 (0.5)
3.3 (0.5)
3.2 (0.6)
Social integration and support
Cohort 1
2.6 (0.7)
2.7 (0.7)
2.8 (0.6)
.020
.033
.075
.022
Cohort 2 (post TTT-P)
2.7 (0.6)
2.8 (0.7)
2.7 (0.7)
Emotional distress
Cohort 1
2.7 (0.8)
2.3 (0.8)
2.3 (0.8)
<.001
.115
.474
.006
Cohort 2 (post TTT-P)
2.5 (0.7)
2.3 (0.9)
2.3 (0.7)
General self-efficacy (GSE)
Cohort 1
22.9 (6.0)
25.1 (6.9)
25.7 (6.3)
<.001
.135
.900
.001
Cohort 2 (post TTT-P)
23.6 (6.2)
26.0 (5.9)
26.2 (5.9)
Health-related quality of life (WHOQOL-Bref)
Physical health
Cohort 1
50.3 (19.0)
62.7 (21.5)
60.9 (21.5)
<.001
.294
.371
.009
Cohort 2 (post TTT-P)
55.7 (19.0)
66.1 (20.9)
62.8 (19.8)
Psychological health
Cohort 1
41.8 (20.1)
56.0 (19.9)
51.7 (23.1)
<.001
.322
.678
.003
Cohort 2 (post TTT-P)
48.4 (21.1)
62.5 (22.1)
56.3 (21.0)
Social relations
Cohort 1
55.1 (20.4)
62.3 (19.5)
55.5 (21.3)
.001
.063
.843
.002
Cohort 2 (post TTT-P)
56.1 (23.4)
62.1 (21.3)
57.5 (23.1)
Environment
Cohort 1
64.2 (14.3)
68.6 (14.9)
69.3 (15.1)
<.001
.076
.368
.009
Cohort 2 (post TTT-P)
67.8 (14.7)
70.7 (13.9)
70.1 (13.7)
Global quality of life
Cohort 1
2.9 (0.9)
3.4 (1.0)
3.3 (1.0)
<.001
.184
.280
.011
Cohort 2 (post TTT-P)
3.0 (0.9)
3.5 (0.9)
3.2 (1.0)
Satisfaction with quality of life
Cohort 1
2.4 (1.1)
3.20 (1.0)
3.0 (1.1)
<.001
.296
.649
.004
Cohort 2 (post TTT-P)
2.4 (1.0)
3.26 (1.1)
2.9 (1.1)
Abbreviations: SD: standard deviation; TTT-P: train-the-trainer program for healthcare professionals. Significant values are marked in bold.
