Longitudinal impact of preregistration interprofessional education on the attitudes and skills of health professionals during their early careers: a non-randomised trial with 4-year outcomes

Objective To assess whether a preregistration interprofessional education (IPE) programme changed attitudes towards teamwork and team skills during health professionals’ final year of training and first 3 years of professional practice.Design Prospective, longitudinal, non-randomised trial.Setting F...

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Main Authors: Ben Darlow, Jennifer Roberts, Patrick McHugh, Melanie Brown, Eileen McKinlay, Peter Gallagher, Lesley Gray, Gordon Purdie, Christine Wilson, Sue Pullon, Louise Beckingsale, Kaye Cheetham, Ruth Crawford, Sue Floyd, Janice Handley, Jackie Herkt, Lisa Kuperus, Alison Meldrum, Margot Skinner, Rose Schwass, Julie Weaver, James Windle, Lyndie Foster-Page
Format: Article
Language:English
Published: BMJ Publishing Group 2022-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/7/e060066.full
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author Ben Darlow
Jennifer Roberts
Patrick McHugh
Melanie Brown
Eileen McKinlay
Peter Gallagher
Lesley Gray
Gordon Purdie
Christine Wilson
Sue Pullon
Louise Beckingsale
Kaye Cheetham
Ruth Crawford
Sue Floyd
Janice Handley
Jackie Herkt
Lisa Kuperus
Alison Meldrum
Margot Skinner
Rose Schwass
Julie Weaver
James Windle
Lyndie Foster-Page
author_facet Ben Darlow
Jennifer Roberts
Patrick McHugh
Melanie Brown
Eileen McKinlay
Peter Gallagher
Lesley Gray
Gordon Purdie
Christine Wilson
Sue Pullon
Louise Beckingsale
Kaye Cheetham
Ruth Crawford
Sue Floyd
Janice Handley
Jackie Herkt
Lisa Kuperus
Alison Meldrum
Margot Skinner
Rose Schwass
Julie Weaver
James Windle
Lyndie Foster-Page
collection DOAJ
description Objective To assess whether a preregistration interprofessional education (IPE) programme changed attitudes towards teamwork and team skills during health professionals’ final year of training and first 3 years of professional practice.Design Prospective, longitudinal, non-randomised trial.Setting Final year health professional training at three academic institutions in New Zealand.Participants Students from eight disciplines eligible to attend the IPE programme were recruited (617/730) prior to their final year of training. 130 participants attended the IPE programme; 115 intervention and 372 control participants were included in outcome analysis.Intervention The 5-week Tairāwhiti IPE (TIPE) immersion programme during which students experience clinical placements in interdisciplinary teams, complete collaborative tasks and live together in shared accommodation.Main outcome measures Data were collected via five surveys at 12-month intervals, containing Attitudes Towards Healthcare Teams Scale (ATHCTS), Team Skills Scale (TSS) and free-text items. Mixed-model analysis of covariance, adjusting for baseline characteristics, compared scores between groups at each time point. Template analysis identified themes in free-text data.Results Mean ATHCTS scores for TIPE participants were 1.4 (95% CI 0.6 to 2.3) points higher than non-TIPE participants (p=0.002); scores were 1.9 (95% CI 0.8 to 3.0) points higher at graduation and 1.1 (95% CI −0.1 to 2.4) points higher 3 years postgraduation. Mean TSS scores for TIPE participants were 1.7 (95% CI 0.0 to 3.3) points higher than non-TIPE participants (p=0.045); scores were 3.5 points (95% CI 1.5 to 5.5) higher at graduation and 1.3 (95%CI −0.8 to 3.5) points higher 3 years postgraduation. TIPE participants made substantially more free-text comments about benefits of interprofessional collaboration and perceived the TIPE programme had a meaningful influence on their readiness to work in teams and the way in which they performed their healthcare roles.Conclusions TIPE programme participation significantly improved attitudes towards healthcare teams and these changes were maintained over 4 years.
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spelling doaj-art-869e0056609d4fc6bd74e630ceb6dbaa2025-01-30T23:50:09ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2021-060066Longitudinal impact of preregistration interprofessional education on the attitudes and skills of health professionals during their early careers: a non-randomised trial with 4-year outcomes Ben Darlow0Jennifer Roberts1Patrick McHughMelanie Brown2Eileen McKinlay3Peter GallagherLesley Gray4Gordon Purdie5Christine WilsonSue Pullon6Louise BeckingsaleKaye CheethamRuth CrawfordSue FloydJanice HandleyJackie HerktLisa KuperusAlison MeldrumMargot SkinnerRose SchwassJulie WeaverJames WindleLyndie Foster-PageDepartment of Primary Health Care and General Pratice, University of Otago Wellington, Wellington, New Zealand5 Douglass Hanly Moir Pathology, Sydney, New South Wales, AustraliaDepartment of Primary Health Care and General Practice, University of Otago, Wellington, New ZealandDepartment of Primary Health Care and General Practice, University of Otago, Wellington, New ZealandDepartment of Primary Health Care and General Practice, University of Otago, Wellington, New ZealandDepartment of Public Health, University of Otago, Wellington, New ZealandDepartment of Primary Health Care and General Practice, University of Otago, Wellington, New ZealandObjective To assess whether a preregistration interprofessional education (IPE) programme changed attitudes towards teamwork and team skills during health professionals’ final year of training and first 3 years of professional practice.Design Prospective, longitudinal, non-randomised trial.Setting Final year health professional training at three academic institutions in New Zealand.Participants Students from eight disciplines eligible to attend the IPE programme were recruited (617/730) prior to their final year of training. 130 participants attended the IPE programme; 115 intervention and 372 control participants were included in outcome analysis.Intervention The 5-week Tairāwhiti IPE (TIPE) immersion programme during which students experience clinical placements in interdisciplinary teams, complete collaborative tasks and live together in shared accommodation.Main outcome measures Data were collected via five surveys at 12-month intervals, containing Attitudes Towards Healthcare Teams Scale (ATHCTS), Team Skills Scale (TSS) and free-text items. Mixed-model analysis of covariance, adjusting for baseline characteristics, compared scores between groups at each time point. Template analysis identified themes in free-text data.Results Mean ATHCTS scores for TIPE participants were 1.4 (95% CI 0.6 to 2.3) points higher than non-TIPE participants (p=0.002); scores were 1.9 (95% CI 0.8 to 3.0) points higher at graduation and 1.1 (95% CI −0.1 to 2.4) points higher 3 years postgraduation. Mean TSS scores for TIPE participants were 1.7 (95% CI 0.0 to 3.3) points higher than non-TIPE participants (p=0.045); scores were 3.5 points (95% CI 1.5 to 5.5) higher at graduation and 1.3 (95%CI −0.8 to 3.5) points higher 3 years postgraduation. TIPE participants made substantially more free-text comments about benefits of interprofessional collaboration and perceived the TIPE programme had a meaningful influence on their readiness to work in teams and the way in which they performed their healthcare roles.Conclusions TIPE programme participation significantly improved attitudes towards healthcare teams and these changes were maintained over 4 years.https://bmjopen.bmj.com/content/12/7/e060066.full
spellingShingle Ben Darlow
Jennifer Roberts
Patrick McHugh
Melanie Brown
Eileen McKinlay
Peter Gallagher
Lesley Gray
Gordon Purdie
Christine Wilson
Sue Pullon
Louise Beckingsale
Kaye Cheetham
Ruth Crawford
Sue Floyd
Janice Handley
Jackie Herkt
Lisa Kuperus
Alison Meldrum
Margot Skinner
Rose Schwass
Julie Weaver
James Windle
Lyndie Foster-Page
Longitudinal impact of preregistration interprofessional education on the attitudes and skills of health professionals during their early careers: a non-randomised trial with 4-year outcomes
BMJ Open
title Longitudinal impact of preregistration interprofessional education on the attitudes and skills of health professionals during their early careers: a non-randomised trial with 4-year outcomes
title_full Longitudinal impact of preregistration interprofessional education on the attitudes and skills of health professionals during their early careers: a non-randomised trial with 4-year outcomes
title_fullStr Longitudinal impact of preregistration interprofessional education on the attitudes and skills of health professionals during their early careers: a non-randomised trial with 4-year outcomes
title_full_unstemmed Longitudinal impact of preregistration interprofessional education on the attitudes and skills of health professionals during their early careers: a non-randomised trial with 4-year outcomes
title_short Longitudinal impact of preregistration interprofessional education on the attitudes and skills of health professionals during their early careers: a non-randomised trial with 4-year outcomes
title_sort longitudinal impact of preregistration interprofessional education on the attitudes and skills of health professionals during their early careers a non randomised trial with 4 year outcomes
url https://bmjopen.bmj.com/content/12/7/e060066.full
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