Translational behavioral medicine · 2026
Evaluation of goal setting and behavior change training for transition care case managers using Kirkpatrick's Model.
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Reid Natasha, Chopra Sakshi, Salih Salih
Аннотация
BACKGROUND: The transition care program (TCP) is a multidisciplinary, restorative care and rehabilitation program designed to support older adults in regaining functional independence. The integration of goal-setting and behavior change techniques in transition care can help support the uptake of health-related behaviors among older adults to optimize functional and cognitive health outcomes, although standardized education in TCP is not available.
PURPOSE: We developed a goal-setting training module for case managers and therapists to address this need and evaluated its efficacy in improving learning outcomes, including knowledge and skills, of transition care staff.
METHODS: The study used an uncontrolled, paired samples, pre- and post-test design. The 2-h workshop was delivered by two researchers for case managers and therapists across three TCP sites to build on their existing behavior change and goal-setting knowledge and skills. The training was based on theoretical (e.g. presentation) and practical (e.g. hands-on case series) frameworks delivered using interactive instructional strategies. Data from pre-training and post-training surveys were collected to evaluate the efficacy of the training using Kirkpatrick's evaluation model at levels 1 (reaction) and 2 (learning outcomes).
RESULTS: Out of 69 case managers who completed the pre-survey, two-thirds had less than three years of transition care experience. Case managers and therapists rated satisfaction with training content, materials, and delivery above the 75th percentile. In paired analyses (n = 53), pre- to post-training means [mean difference(CI)] improved for SMART goals (1.15 [0.61, 1.79]), action & coping planning (3.00 [2.16, 3.83]), motivational interviewing (1.31 [1.30, 3.50]), behavior change techniques (2.16 [1.30, 3.00]), attitude (0.73 [0.11, 1.34]), and confidence (1.60 [0.80, 2.39]); Bonferroni-adjusted tests indicated significant improvements for all domains except attitude.
CONCLUSIONS: Case managers' reported post-training improvement in overall knowledge, skills and confidence scores, which might suggest the effectiveness of the training in improving goal setting and behavior change techniques in transition care.
PURPOSE: We developed a goal-setting training module for case managers and therapists to address this need and evaluated its efficacy in improving learning outcomes, including knowledge and skills, of transition care staff.
METHODS: The study used an uncontrolled, paired samples, pre- and post-test design. The 2-h workshop was delivered by two researchers for case managers and therapists across three TCP sites to build on their existing behavior change and goal-setting knowledge and skills. The training was based on theoretical (e.g. presentation) and practical (e.g. hands-on case series) frameworks delivered using interactive instructional strategies. Data from pre-training and post-training surveys were collected to evaluate the efficacy of the training using Kirkpatrick's evaluation model at levels 1 (reaction) and 2 (learning outcomes).
RESULTS: Out of 69 case managers who completed the pre-survey, two-thirds had less than three years of transition care experience. Case managers and therapists rated satisfaction with training content, materials, and delivery above the 75th percentile. In paired analyses (n = 53), pre- to post-training means [mean difference(CI)] improved for SMART goals (1.15 [0.61, 1.79]), action & coping planning (3.00 [2.16, 3.83]), motivational interviewing (1.31 [1.30, 3.50]), behavior change techniques (2.16 [1.30, 3.00]), attitude (0.73 [0.11, 1.34]), and confidence (1.60 [0.80, 2.39]); Bonferroni-adjusted tests indicated significant improvements for all domains except attitude.
CONCLUSIONS: Case managers' reported post-training improvement in overall knowledge, skills and confidence scores, which might suggest the effectiveness of the training in improving goal setting and behavior change techniques in transition care.