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Development of a Theory-based Interv...

Kay, Melissa C.

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Development of a Theory-based Intervention for Communication of Healthcare Decisions in Athletic Training: The Chat Study.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Development of a Theory-based Intervention for Communication of Healthcare Decisions in Athletic Training: The Chat Study./
作者:	Kay, Melissa C.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2019,
面頁冊數:	341 p.
附註:	Source: Dissertations Abstracts International, Volume: 80-12, Section: B.
Contained By:	Dissertations Abstracts International80-12B.
標題:	Education. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=13858955
ISBN:	9781392203255

Development of a Theory-based Intervention for Communication of Healthcare Decisions in Athletic Training: The Chat Study.
Kay, Melissa C.

Development of a Theory-based Intervention for Communication of Healthcare Decisions in Athletic Training: The Chat Study. - Ann Arbor : ProQuest Dissertations & Theses, 2019 - 341 p.

Source: Dissertations Abstracts International, Volume: 80-12, Section: B.

Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2019.

This item must not be sold to any third party vendors.

Optimal decision-making by athletic trainers, grounded in best practices, is vital to optimize patient healthcare. However, many challenges exist within the athletic environment hindering consistency, efficacy, and/or effectiveness of concussion-related decision-making by athletic trainers. Therefore, the study purpose was to 1) understand factors impacting decision making, and 2) develop a novel intervention tool to prepare athletic training students for high-pressure situations which require the ability to make an appropriate medical decision to withhold an athlete from concussion-related symptoms. Improving athletic trainer preparation regarding making and implementing appropriate decisions can improve secondary concussion prevention and patient outcomes. This mixed-methodological study design incorporated formative research and intervention development/testing. Formative research was conducted via survey with certified athletic trainers (n=1029) and athletic training educators (n=55), and with surveys (n=840) and interviews (n=15) with athletic training students. The intervention was developed using the Predisposing, Reinforcing, and Enabling Constructs in Education/Environmental Diagnosis and Evaluation (PRECEDE) planning model. This development incorporated preliminary data and formative research grounded in the Integrated Behavior Model.Several factors impacted concussion-related decision-making intentions by certified athletic trainers including quality of healthcare communication educational focus via perceived behavioral control (p=0.001) and communication/collaboration (p<0.001) on intentions despite pressure (p=0.001; p=0.044). For athletic training students, quality significantly affected self-efficacy (p=0.003) and intentions to make appropriate decisions despite pressure (p<0.001). From the educator perspective, quality and quantity of healthcare communication focus, and general attitudes were independent constructs with minimal differences within educational programs (general attitudes; z=2.16; p=0.03). Additionally, participants explained a large desire for greater focus on these topics despite positive findings. The designed intervention improved perceived behavioral control (p=0.027), self-efficacy (p=0.001), and intentions despite pressure (p=0.011), situation (p=0.003), and setting (p=0.012).These influential factors over decision-making may place athletes at further injury risk and negatively impact overall athlete health. Healthcare communication is not a mandated portion of athletic training curriculum but appears to have statistically and clinically significant effects on the intentions to make appropriate concussion-related decisions. As such, it is imperative that athletic training education programs prioritize content within this domain to adequately prepare student athletic trainers for these future decision-making responsibilities.

ISBN: 9781392203255Subjects--Topical Terms:

516579
Education.
Subjects--Index Terms:

Athletic training

Development of a Theory-based Intervention for Communication of Healthcare Decisions in Athletic Training: The Chat Study.
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