Implementation and evaluation of a communication coaching program: a CFIR-Informed qualitative analysis mapped onto a logic model

সংরক্ষণ করুন:
গ্রন্থ-পঞ্জীর বিবরন
প্রকাশিত:BMC Medical Education vol. 25 (2025), p. 1
প্রধান লেখক: Jensen, Rachel M
অন্যান্য লেখক: Sasnal, Marzena, Mai, Uyen T, Korndorffer, James R, Jr, Miller-Kuhlmann, Rebecca K, Morris, Arden M, Nassar, Aussama K, Gold, Carl A
প্রকাশিত:
Springer Nature B.V.
বিষয়গুলি:
অনলাইন ব্যবহার করুন:Citation/Abstract
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022 |a 1472-6920 
024 7 |a 10.1186/s12909-025-07188-6  |2 doi 
035 |a 3201523014 
045 2 |b d20250101  |b d20251231 
084 |a 58506  |2 nlm 
100 1 |a Jensen, Rachel M 
245 1 |a Implementation and evaluation of a communication coaching program: a CFIR-Informed qualitative analysis mapped onto a logic model 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a BackgroundCoaching programs in graduate medical education have the potential to impact trainee development across multiple core competencies but require rigorous program evaluation to ensure effectiveness. We sought to qualitatively evaluate the implementation of a multi-departmental, faculty-led communication coaching program using a logic model framework.MethodsStudy participants were selected from four key stakeholder groups: resident coachees, faculty coaches, medical education leaders, and programmatic sponsors. 30–45 min semi-structured interviews were conducted via Zoom, transcribed, and de-identified for the analysis. Interviews captured stakeholders' perspectives on physicians' communication training needs, stakeholders perceived and actual roles, stakeholders’ involvement in the program, factors influencing the implementation process, and strategies for programmatic improvement, sustainment, and spread. The Consolidated Framework of Implementation Research (CFIR) guided the codebook development and data analysis. A combined inductive/deductive approach was used to develop a 20-item codebook, followed by a team-based thematic analysis. A strong intercoder agreement (Cohen’s kappa coefficient κ = 0.83) ensured coding consistency. The emerging themes were then mapped onto four domains of a logic model: Context, Inputs and Outputs, Outcomes, and Evaluation.Results35 interviews were conducted between November 2021 and April 2022 with representation from all stakeholder groups, including 10 resident coachees (who received coaching), 10 faculty coaches (who served as coaches and underwent coaching-specific faculty development), 9 medical education leaders (who designed and implemented program), and programmatic sponsors (who provided financial support). We mapped 8 emergent themes onto the critical domains of a logic model for program evaluation. For the domain of Context, themes included (1) gap in communication education and (2) patient-centeredness. For the domain of Inputs/Outputs, themes included (1) investment in the program and (2) perceived program value. For the domain of Outcomes, themes included (1) learning-focused outcomes and (2) patient-related outcomes. For the domain of Evaluation, themes included (1) defining success and (2) challenges with evaluation.ConclusionsMapping CFIR-informed themes onto a logic model for program evaluation presents a novel strategy for integrating program implementation and evaluation, both of which are essential to effective educational programming. These findings can be used to guide future programmatic modifications to better meet the needs of key stakeholders. 
653 |a Medical education 
653 |a Communication 
653 |a Coaching 
653 |a Interviews 
653 |a Surgery 
653 |a Medical research 
653 |a Neurology 
653 |a Stakeholders 
653 |a Program Design 
653 |a Focus Groups 
653 |a Semi Structured Interviews 
653 |a Evaluation Research 
653 |a Educational Development 
653 |a Graduate Medical Education 
653 |a Researchers 
653 |a Educational Technology 
653 |a Interpersonal Competence 
653 |a Data Interpretation 
653 |a Program Evaluation 
653 |a Medical Evaluation 
653 |a Goal Orientation 
653 |a Program Development 
653 |a Program Implementation 
653 |a Faculty Development 
653 |a Coding 
653 |a Leaders 
653 |a Formative Evaluation 
653 |a Investment 
653 |a Educational Researchers 
653 |a Educational Needs 
700 1 |a Sasnal, Marzena 
700 1 |a Mai, Uyen T 
700 1 |a Korndorffer, James R, Jr 
700 1 |a Miller-Kuhlmann, Rebecca K 
700 1 |a Morris, Arden M 
700 1 |a Nassar, Aussama K 
700 1 |a Gold, Carl A 
773 0 |t BMC Medical Education  |g vol. 25 (2025), p. 1 
786 0 |d ProQuest  |t Healthcare Administration Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3201523014/abstract/embedded/NVC8TPT9VN4WFQEG?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3201523014/fulltext/embedded/NVC8TPT9VN4WFQEG?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3201523014/fulltextPDF/embedded/NVC8TPT9VN4WFQEG?source=fedsrch