Factors Associated With the Adoption of a Patient Education Intervention Among First Responders, King County, Washington, 2010–2011

Details

• Journal Article:
  Preventing Chronic Disease
• Personal Author:
  Meischke, Hendrika ; Stubbs, Benjamin ; Fahrenbruch, Carol ; Phelan, Elizabeth
• Description:
  Introduction: This study investigated facilitators and barriers to adoption of an at-scene patient education program by firefighter emergency medical technicians (EMTs) in King County, Washington. Methods: We consulted providers of emergency medical services (EMS) to develop a patient education pamphlet in the form of a tear-off sheet that could be attached to the EMT medical incident report. The pamphlet included resources for at-scene patient education on high blood pressure, blood glucose, falls, and social services. The program was launched in 29 fire departments in King County, Washington, on January 1, 2010, and a formal evaluation was conducted in late 2011. We developed a survey based on diffusion theory to assess 1) awareness of the pamphlet, 2) evaluation of the pamphlet attributes, 3) encouragement by peers and superiors for handing out the pamphlet, 4) perceived behavioral norms, and 5) demographic variables associated with self-reported adoption of the at-scene patient education program. The survey was completed by 822 (40.1%) of 2,047 firefighter emergency medical technicians. We conducted bivariate and multivariable analyses to assess associations between independent variables and self-reported adoption of the program. Results: Adoption of the at-scene patient education intervention was significantly associated with positive evaluation of the pamphlet, encouragement from peers and superiors, and perceived behavioral norms. EMS providers reported they were most likely to hand out the pamphlet to patients in private residences who were treated and left at the scene. Conclusion: Attributes of chronic disease prevention programs and encouragement from peers and supervisors are necessary in diffusion of patient education interventions in the prehospital care setting. [Description provided by NIOSH]
• Subjects:
  Chronic Disease Community Health Services Data Collection Education Emergency Medical Services Emergency Responders Health Promotion Occupational Health Original Research Pamphlets Patient Education As Topic Questionnaires Risk Factors Safety

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• Keywords:
  Emergency medical technician; EMT; Health promotion; Health communications; Education; Intervention effectiveness; Chronic diseases
• Source:
  Prev Chronic Dis 2014 Jan; 11:130221
• Series:
  Preventing Chronic Disease
• DOI:
  http://dx.doi.org/10.5888/pcd11.130221
• ISSN:
  1545-1151
• Pubmed ID:
  24480631
• Pubmed Central ID:
  PMC3917608
• Document Type:
  Text
• Funding:
  U48-DP001911/DP/NCCDPHP CDC HHS/United States
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 10 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  9 pdf pages
• Volume:
  11
• NIOSHTIC Number:
  nn:20056943
• Contact Point Address:
  Hendrika Meischke, PhD, MPH, Department of Health Services, University of Washington, Box 357660, Seattle, WA 98195
• Email:
  hendrika@u.washington.edu
• Federal Fiscal Year:
  2014
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Collection(s):
  National Institute for Occupational Safety and Health Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:33043e9a833d81ae90934f3f89cdc9cf440a30e76ad33fc219fc91cd532213ddcfa123d62ba24658c221abdca2d35ab4c0fee6ad796923b7007aaa65a70bc69e
• Download URL:
  https://stacks.cdc.gov/view/cdc/21885/cdc_21885_DS1.pdf
• File Type:
  [PDF - 642.80 KB ]