Developing and pilot testing a frailty-focused education and communication training workshop.

Abstract

To describe development and pilot testing of a multi-modal frailty-focused education and communication training workshop for health care clinicians. Pilot testing was conducted via two workshops (#1:face-to-face [2019], #2:virtual [2020]). Participants: convenience sample of clinicians and students who volunteered. Workshop #1 included registered nurses working in an acute care and one medical student (N=14); #2: nursing students enrolled in an APRN program. Design: Pre/post observational study. Data analysis: descriptive statistics, paired t-tests and Wilcoxon rank test. Statistically significant increases in frailty knowledge (#1: p=0.02, d=0.44; #2: p=0.006, d=0.55) and self-reported competency with older adult interactions (#1: p<0.001, d=0.62; #2: p=0.001, d=0.63) were reported for both workshops. Post course evaluations of the workshop were positive, with scores ranging from 3.5-3.9 (range: 0-4) for increased understanding of the concept of frailty, communication to support health-related behavior, and best practice empathic communication skills. The FCOM workshop was successful. Participants gained knowledge and skills for use in working with older adults across the aging continuum from non-frail to frail. Our FCOM training workshop expands prior communication training on shared decision-making with frail individuals to a broader population of all older adults.