A training program for certified asthma educators: assessing performance.
BACKGROUND
Evidence-based asthma guidelines identify asthma education as an essential element of care. In Canada, a process for certifying asthma educators was established to help provide asthma education to patients. A critical component to certifying asthma educators is their training and evaluation. The purpose of the study was to identify an approach to evaluate participants and to determine if specific characteristics influenced participants' success.


METHODS
Participants completed a questionnaire that collected demographic, practice, and learner characteristics. Assessment strategies and criteria used to determine the level of success included 1) a written asthma knowledge score; 2) a written educational theory score, and 3) a practice teaching skill score based on three encounters with standardized patients. Standardized patient encounters were scored by using a standard checklist of essential teaching functions.


RESULTS
Participants (n = 73) represented a broad range of health professions (respiratory therapists, nurses, pharmacists, and physiotherapists). The average score for written asthma knowledge, educational theory, and practice skill assessment was 82.0 +/- 8.0%, 68.6 +/- 16.2%, and 80.3 +/- 9.7%, respectively. Moderate interrelationships were observed between the practice teaching skills score and years of practice in asthma (r = 0.35; p < 0.01) and percentage of workdays dedicated to asthma care (r = 0.30; p < 0.05). Moderately strong relationships were observed among the three standardized patient encounters. However, there were no associations between participant scores on the written asthma or educational theory examination and the practice skill assessment scores.


CONCLUSIONS
Participants of an asthma educator training program represent a wide range of disciplines, practice settings, and experience. It is important that asthma educator training programs assess both written knowledge and practice assessments to evaluate participants.
Cicutto
Lisa
L
Faculty of Nursing, University of Toronto, Ontario, Canada. lisa.cicutto@utoronto.ca
Burns
Paula
P
Brown
Nancy
N
D000328:Adult; D001249:Asthma / Q000175:diagnosis / Q000628:therapy*; D002568:Certification; D002983:Clinical Competence / Q000592:standards*; D003479:Curriculum; D004502:Education, Medical, Continuing; D004517:Education, Professional; D004650:Employee Performance Appraisal; D005260:Female; D006801:Humans; D008297:Male; D009864:Ontario; D010353:Patient Education as Topic; D013038:Specialization