Does a Train-the-Trainer Approach for Enhancing Healthcare Professionals’ Skills in Patient Education during Inpatient Medical Rehabilitation Improve Patient Outcomes?
Table 5
Intermediate-term effects on secondary outcomes in cancer patients ().
Cancer 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
3.1 (0.5)
3.2 (0.6)
3.2 (0.5)
.011
.044
.281
.012
Cohort 2 (post TTT-P)
3.0 (0.7)
3.2 (0.5)
3.0 (.7)
Health-directed activities
Cohort 1
3.1 (0.8)
3.2 (0.7)
3.2 (0.7)
.136
.019
.866
.001
Cohort 2 (post TTT-P)
3.0 (0.8)
3.1 (0.6)
3.1 (0.9)
Skill and technique acquisition
Cohort 1
3.1 (0.5)
3.2 (0.5)
3.2 (0.5)
.002
.057
.127
.020
Cohort 2 (post TTT-P)
3.0 (0.6)
3.3 (0.5)
3.2 (.5)
Constructive attitudes and approaches
Cohort 1
3.4 (0.5)
3.3 (0.5)
3.3 (0.5)
.080
.024
.896
.001
Cohort 2 (post TTT-P)
3.5 (0.6)
3.4 (0.5)
3.4 (.6)
Self-monitoring and insight
Cohort 1
3.1 (0.5)
3.2 (0.4)
3.3 (0.4)
.005
.051
.660
.004
Cohort 2 (post TTT-P)
3.1 (0.4)
3.1 (0.4)
3.2 (0.5)
Health service navigation
Cohort 1
3.4 (0.6)
3.4 (0.5)
3.5 (0.4)
.384
.009
.206
.015
Cohort 2 (post TTT-P)
3.4 (0.4)
3.5 (0.4)
3.5 (0.5)
Social integration and support
Cohort 1
3.2 (0.7)
3.2 (0.6)
3.1 (0.6)
.401
.009
1.00
.370
Cohort 2 (post TTT-P)
3.4 (.6)
3.3 (0.6)
3.3 (0.5)
Emotional distress
Cohort 1
2.3 (0.7)
2.2 (0.7)
2.3 (0.8)
.238
.014
.401
.009
Cohort 2 (post TTT-P)
2.2 (0.8)
2.2 (0.7)
2.3 (0.8)
General self-efficacy (GSE)
Cohort 1
30.1 (4.1)
29.8 (5.3)
29.6 (5.0)
.271
.013
.441
.008
Cohort 2 (post TTT-P)
29.7 (4.8)
28.5 (5.7)
29.3 (5.0)
Health-related quality of life (WHOQOL-Bref)
Physical health
Cohort 1
65.6 (17.6)
69.2 (17.5)
69.6 (18.6)
<.001
.084
.531
.007
Cohort 2 (post TTT-P)
62.9 (17.1)
68.3 (14.2)
70.2 (18.5)
Psychological health
Cohort 1
69.8 (16.2)
72.7 (16.3)
70.2 (16.0)
.006
.051
.911
.001
Cohort 2 (post TTT-P)
68.0 (18.1)
71.8 (16.2)
68.7 (20.8)
Social relations
Cohort 1
72.6 (17.3)
74.6 (17.9)
68.0 (19.6)
<.001
.079
.316
.012
Cohort 2 (post TTT-P)
70.1 (20.4)
75.0 (19.5)
69.9 (20.0)
Environment
Cohort 1
73.2 (12.0)
74.0 (12.1)
73.6 (13.8)
.196
.017
.437
.009
Cohort 2 (post TTT-P)
73.1 (12.7)
74.7 (12.7)
75.8 (13.0)
Global quality of life
Cohort 1
3.4 (.7)
3.6 (0.7)
3.6 (0.7)
<.001
.088
.693
.003
Cohort 2 (post TTT-P)
3.3 (.7)
3.6 (0.6)
3.5 (1.0)
Satisfaction with quality of life
Cohort 1
3.1 (1.0)
3.5 (0.7)
3.3 (0.9)
<.001
.109
.409
.008
Cohort 2 (post TTT-P)
3.0 (0.9)
3.4 (0.7)
3.3 (0.9)
Abbreviations: SD: standard deviation; TTT-P: train-the-trainer program for healthcare professionals. Significant values are marked in bold.
