In-PREP: a new learning design framework and methodology applied to a relational care training intervention for healthcare assistants

Wharrad, Heather; Sarre, Sophie; Schneider, Justine; Maben, Jill; Aldus, Clare; Argyle, Elaine; Arthur, Anthony

Abstract

Background: ‘Older People’s Shoes’ is a training intervention designed for healthcare assistants (HCAs) to improve the relational care of older people in hospital. The intervention formed part of a broader evaluation, in this paper we describe its development from a learning design and methodological perspective. Methods: Learning theory and an instructional design model were key components of the In-PREP (Input, Process, Review and Evaluation, Product) development methodology used in the design of the ‘Older People’s Shoes’ training intervention to improve the delivery of relational care by front-line hospital staff. An expert panel, current evidence, and pedagogical theory were used to co-design a training programme tailored to a challenging work environment and taking account of trainees’ diverse educational experience. Peer review and process evaluation were built into the development model. Results: In-PREP provided a methodological scaffold for producing evidence-based, peer-reviewed, co-designed training. The product, ‘Older People’s Shoes’, involved a one-day Train the Trainers event, followed by delivery of a two-day, face-to-face training programme by the trainers, with accompanying handbooks underpinned by a range of digital resources. Evaluation found the approach met learner needs, was applicable in practice and won approval from trainers. Discussion: In-PREP enables high quality learning content, alignment with learner needs and a product that is relevant, practical and straightforward to implement.

Citation

Wharrad, H., Sarre, S., Schneider, J., Maben, J., Aldus, C., Argyle, E., & Arthur, A. (2020). In-PREP: a new learning design framework and methodology applied to a relational care training intervention for healthcare assistants. BMC Health Services Research, 20(1), Article 1010. https://doi.org/10.1186/s12913-020-05836-9

• Journal Article Type: Article
• Acceptance Date: Oct 20, 2020
• Online Publication Date: Nov 4, 2020
• Publication Date: 2020-12
• Deposit Date: Nov 26, 2020
• Publicly Available Date: Nov 26, 2020
• Journal: BMC Health Services Research
• Electronic ISSN: 1472-6963
• Publisher: Springer Verlag
• Peer Reviewed: Peer Reviewed
• Volume: 20
• Issue: 1
• Article Number: 1010
• DOI: https://doi.org/10.1186/s12913-020-05836-9
• Keywords: Health Policy
• Public URL: https://nottingham-repository.worktribe.com/output/5021766
• Publisher URL: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-05836-9
• Additional Information: Received: 7 November 2019; Accepted: 20 October 2020; First Online: 4 November 2020; : A favourable ethical opinion for the overarching study [CHAT (feasibility randomised controlled trial) Protocol v2 9.2.2015] was granted by Cambridge South Research Ethics Committee on 13 February 2015 (application number 15/EE/0025, Co-ordinated System for gaining Permission reference number 162616). The study was adopted onto the UK Clinical Research Network portfolio (study identifier UKCRN18280). Signed consent was obtained from study participants.; : N/A; : None.