Interprofessional clinical training in mental health improves students' readiness for interprofessional collaboration: a non-randomized intervention study

Michael Marcussen, Birgitte Nørgaard, Karen Borgnakke, Sidse Arnfred, Michael Marcussen, Birgitte Nørgaard, Karen Borgnakke, Sidse Arnfred

Abstract

Background: Over the past decades, the health sector in general has increasingly acknowledged the effectiveness of interprofessional clinical training in enhancing teamwork. In psychiatry, however, knowledge of the benefits of collaborative clinical training is sparse. This study aimed to investigate the impact of interprofessional training on students' readiness for interprofessional collaboration in a psychiatric ward.

Methods: An intervention study assessed interprofessional clinical training in a training ward. Undergraduate students from the disciplines of medicine, nursing, psychotherapy, pedagogy, and social work were allocated either to an intervention group receiving interprofessional training or to a comparison group receiving conventional clinical training. Outcomes were assessed using the Readiness for Interprofessional Learning Scale (RIPLS) and the Assessment of Interprofessional Team Collaboration Scale (AITCS). Linear mixed regression was used to compare differences in mean scores postintervention, adjusted for baseline score, gender, and profession.

Results: Mean postintervention scores were higher in the intervention group (n = 87) than in the comparison group (n = 108) for both scales (overall sum score). For the RIPLS, the mean difference was 2.99 (95% CI 0.82 to 5.16; p = 0.007); for the AITCS it was 8.11 (95% CI 2.92-13.30; p = 0.002). Improvement in readiness for interprofessional learning and team collaboration in the intervention group remained statistically significant after adjustment for baseline differences between the two groups.

Conclusion: Students' self-reported readiness for interprofessional learning and their team collaboration were improved after interprofessional clinical training. Still, further studies of both the processes and the long-term effects of undergraduate IPE in mental healthcare are needed. The study was registered March 62,017 on ClinicalTrials.gov: NCT03070977 (Retrospectively registrered).

Keywords: IPE; Interprofessional education; Psychiatry; Team collaboration.

Conflict of interest statement

Ethics approval and consent to participate

The study was approved by the Danish Data Protection Agency (2008-58-0020), and thus required no further ethical approval, according to Danish legislation (16–000014).

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Study design
Fig. 2
Fig. 2
Flow chart of study participants

References

    1. Pauzé E, Reeves S. Examining the effects of interprofessional education on mental health providers: findings from an updated systematic review. J Ment Health. 2010;19(3):258–271. doi: 10.3109/09638230903469244.
    1. Reeves S, Freeth D. Re-examining the evaluation of interprofessional education for community mental health teams with a different lens: understanding presage, process and product factors. J Psychiatr Ment Health Nurs. 2006;13(6):765–770. doi: 10.1111/j.1365-2850.2006.01032.x.
    1. Reeves S, Perrier L, Goldman J, Freeth D, Zwarenstein M. Interprofessional education: effects on professional practice and healthcare outcomes (update) Cochrane Database Syst Rev. 2013;3(3):CD002213.
    1. Reeves S. A systematic review of the effects of interprofessional education on staff involved in the care of adults with mental health problems. J Psychiatr Ment Health Nurs. 2001;8(6):533–542. doi: 10.1046/j.1351-0126.2001.00420.x.
    1. WHO. Integrating mental health into primary care: A global perspective. WHO Libr. Department of Mental Health and Substance Abuse, World Health Organization; 2008. Available at: .
    1. World Health Organization. Framework for Action on Interprofessional Education & Collaborative Practice. Practice [Internet]. 2010;1–63. Available from: . Accessed 16 Jan 2019.
    1. Kinnair D, Anderson E, van Diepen H, Poyser C. Interprofessional education in mental health services: learning together for better team working. Adv Psychiatr Treat. 2014;20(1):61–8 Available from: . Accessed 16 Jan 2019.
    1. Priest HM, Roberts P, Dent H, Blincoe C, Lawton D, Armstrong C. Interprofessional education and working in mental health: in search of the evidence base. J Nurs Manag. 2008;16(4):474–485. doi: 10.1111/j.1365-2834.2008.00867.x.
    1. Furness PJ, Armitage H, Pitt R. An evaluation of practice-based interprofessional education initiatives involving service users. J Interprof Care. 2011;25(1):46–52. doi: 10.3109/13561820.2010.497748.
    1. Wahlstrom O, Sanden I. Multiprofessional training ward at Linkoping University: early experience. Educ Heal. 1998;11(2):225–231.
    1. Ponzer S, Hylin U, Kusoffsky A, Lauffs M, Lonka K, Mattiasson AC, et al. Interprofessional training in the context of clinical practice: goals and students’ perceptions on clinical education wards. Med Educ. 2004;38(7):727–736. doi: 10.1111/j.1365-2929.2004.01848.x.
    1. Lindblom P, Scheja M, Torell E, Åstrand P, Felländer-Tsai L. Learning orthopaedics: assessing medical students’ experiences of interprofessional training in an orthopaedic clinical education ward. J Interprof Care. 2007;21(4):413–423. doi: 10.1080/13561820701401346.
    1. Hylin U, Nyholm H, Mattiasson A-C, Ponzer S. Interprofessional training in clinical practice on a training ward for healthcare students: a two-year follow-up. J Interprof Care. 2007;21(3):277–88 Available from: . Accessed 16 Jan 2019.
    1. Wahlström O, Sandén I, Hammar M. Multiprofessional education in the medical curriculum. Med Educ. 1997;31(6):425–429. doi: 10.1046/j.1365-2923.1997.00669.x.
    1. Hylin U, Lonka K, Ponzer S. Students’ approaches to learning in clinical interprofessional context. Med Teach. 2011;33(4):e204-10.
    1. Jacobsen F, Fink AM, Marcussen V, Larsen K, Bæk Hansen T. Interprofessional undergraduate clinical learning: results from a three year project in a Danish Interprofessional training unit. J Interprof Care. 2009;23(1):30–40. doi: 10.1080/13561820802490909.
    1. Marcussen M, Norgaard B, Arnfred S. The effects of Interprofessional education in mental health practice: findings from a systematic review. Acad Psychiatry. 2018.
    1. Anderson E, Smith R, Hammick M. Evaluating an interprofessional education curriculum: a theory-informed approach. Med Teach. 2016:385-94.
    1. Nørgaard B, Draborg E, Vestergaard E, Odgaard E, Jensen DC, Sørensen J. Interprofessional clinical training improves self-efficacy of health care students. Med Teach. 2013;35(6):e1235-42.
    1. Reeves S, Boet S, Zierler B, Kitto S. Interprofessional education and practice guide no. 3: evaluating interprofessional education. J Interprof Care. 2015;29(4):305–312. doi: 10.3109/13561820.2014.1003637.
    1. Hammick M, Dornan T, Steinert Y. Conducting a best evidence systematic review. Part 1: from idea to data coding. BEME guide no. 13. Med Teach. 2010;32(1):3–15. doi: 10.3109/01421590903414245.
    1. Hammick M, Freeth D, Koppel I, Reeves S, Barr H. A best evidence systematic review of interprofessional education: BEME guide no.9. Med Teach. 2007;29(8):735–751. doi: 10.1080/01421590701682576.
    1. Moher D, Hopewell S, Schulz KF, Montori V, Gøtzsche PC, Devereaux PJ, et al. CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials. BMJ. 2010:28-55.
    1. McFadyen AK, Webster V, Strachan K, Figgins E, Brown H, McKechnie J. The readiness for Interprofessional learning scale: a possible more stable sub-scale model for the original version of RIPLS. J Interprof Care. 2005;19(6):595–603. doi: 10.1080/13561820500430157.
    1. Curran VR, Sharpe D, Flynn K, Button P. A longitudinal study of the effect of an interprofessional education curriculum on student satisfaction and attitudes towards interprofessional teamwork and education. J Interprof Care. 2010;24(1):41–52. doi: 10.3109/13561820903011927.
    1. King S, Greidanus E, Major R, Loverso T, Knowles A, Carbonaro M, et al. A cross-institutional examination of readiness for interprofessional learning. J Interprof Care. 2012.
    1. Nørgaard B, Draborg E, Sørensen J. Adaptation and reliability of the readiness for inter professional learning scale in a Danish student and health professional setting. BMC Med Educ. 2016;16(1):1-9.
    1. McFadyen AK, Webster VS, MacLaren WM, O’Neill MA. Interprofessional attitudes and perceptions: results from a longitudinal controlled trial of pre-registration health and social care students in Scotland. J Interprof Care. 2010;24(5):549–564. doi: 10.3109/13561820903520369.
    1. Orchard CA, King GA, Khalili H, Bezzina MB. Assessment of Interprofessional team collaboration scale (AITCS): development and testing of the instrument. J Contin Educ Heal Prof. 2012;32(1):58–67. doi: 10.1002/chp.21123.
    1. Hellman T, Jensen I, Orchard C, Bergström G. Preliminary testing of the Swedish version of the assessment of Interprofessional team collaboration scale (AITCS-S). J Interprof Care. 2016:499-504.
    1. Darlow B, Coleman K, McKinlay E, Donovan S, Beckingsale L, Gray B, et al. The positive impact of interprofessional education: a controlled trial to evaluate a programme for health professional students. BMC Med Educ. 2015:1-9.
    1. Carifio J, Perla R. Resolving the 50-year debate around using and misusing Likert scales. Med Educ. 2008:1150–2.
    1. Jamieson S. “Use and misuse of Likert scales”: commentary reply. Med Educ. 2005:971.
    1. Malling B, Bested KM, Skjelsager K, Østergaard HT, Ringsted C. Long-term effect of a course on in-training assessment in postgraduate specialist education. Med Teach. 2007:966-71.
    1. Wassertheil S, Cohen J. Statistical power analysis for the behavioral sciences. Biometrics. 1970:588.
    1. Barnett T, Hoang H, Cross M, Bridgman H. Interprofessional practice and learning in a youth mental health service: a case study using network analysis. J Interprof Care. 2015;29(5):512–514. doi: 10.3109/13561820.2015.1004042.
    1. Mansouri M, Lockyer J. A meta-analysis of continuing medical education effectiveness. J Contin Educ Heal Prof. 2007:6-15.
    1. Pollard K, Rickaby C, Miers M. Evaluating student learning in an interprofessional curriculum: the relevance of pre-qualifying inter-professional education for future professional practice. Heal San Fr 2008; Available from: . Accessed 16 Jan 2019.
    1. Williams B, Webb V. A national study of paramedic and nursing students’ readiness for interprofessional learning (IPL): results from nine universities. Nurse Educ Today. 2015:e31–7.
    1. Wakely L, Brown L, Burrows J. Evaluating interprofessional learning modules: health students’ attitudes to interprofessional practice. J Interprof Care. 2013:424-5.
    1. Wellman R, Gilin B, Knauss L, Linn MI. Changes in student attitudes toward interprofessional learning and collaboration arising from a case-based educational experience. J Allied Health. 2012:26-34.
    1. Prentice D, Jung B, Taplay K, Stobbe K, Hildebrand L. Staff perceptions of collaboration on a new interprofessional unit using the assessment of Interprofessional team collaboration scale (AITCS). J Interprof Care. 2016:823-5.
    1. Richards DA, Hill JJ, Gask L, Lovell K, Chew-Graham C, Bower P, et al. Clinical effectiveness of collaborative care for depression in UK primary care (CADET): cluster randomised controlled trial. BMJ. 2013:1-10.
    1. Curran V, Heath O, Adey T, Callahan T, Craig D, Hearn T, et al. An approach to integrating interprofessional education in collaborative mental health care. Acad Psychiatry. 2012;36(2):91–5 Available from: . Accessed 16 Jan 2019.
    1. Mahler C, Berger S, Reeves S. The readiness for Interprofessional learning scale (RIPLS): a problematic evaluative scale for the interprofessional field. J Interprof Care. 2015:289-91.
    1. Kinnair DJ, Anderson ES, Thorpe LN. Development of interprofessional education in mental health practice: adapting the Leicester model. J Interprof Care. 2012;26(3):189–197. doi: 10.3109/13561820.2011.647994.
    1. Webster CS, Hallett C, Torrie J, Verstappen A, Barrow M, Moharib MM, et al. Advanced cardiac life support training in Interprofessional teams of undergraduate nursing and medical students using mannequin-based simulation. Med Sci Educ 2018 Mar;28(1):155–163. Available from: 10.1007/s40670-017-0523-0

Source: PubMed

3
S'abonner