title: Effectiveness of an interprofessional education model based on the transtheoretical model of behaviour change to improve interprofessional collaboration.
abstract: This study aimed to assess the effectiveness of an interprofessional education model (IPE) based on the transtheoretical model to improve the participants' interprofessional collaborative practice. The study was conducted in Iran using a controlled before-and-after study design. The participants (n = 91) were the residents of emergency medicine and nurses of the emergency units from two teaching hospitals affiliated to Iran University of Medical Sciences. The participants in the intervention group (n = 40) were 22 residents and 18 nurses. The control group (n = 51) consisted of 20 residents and 31 nurses. The participants were classified based on their stage of readiness to change. The interventions were two-day workshops for each stage (i.e., attitude and intention). We used the Interprofessional Collaborator Assessment Rubric (ICAR) to assess the effectiveness of the developed model. The interprofessional collaboration of the participants in the intervention and control groups was assessed at four time points before and after the intervention in the real emergency unit environment. Student's t-test and repeated measures analysis of variance (RM-ANOVA) were used to analyse the data. We used partial eta-squared (η2) for effect size calculations. The mean values of ICAR scores in the intervention and control groups were 95.63 ± 19.14 and 89.19 ± 16.11 before the intervention. The mean values of ICAR scores at 3 months after the intervention were 99.82 ± 22.32 and 88.29 ± 16.87 in the intervention and control groups, respectively. After 6 months, the mean values of ICAR scores of the intervention and control groups were 98.6 ± 23.40 and 87.98 ± 16.01, respectively. The results showed that the intervention had a medium educational effect size (partial η2= 0.06) on performance of the participants. Our results showed that an IPE model that is tailored to the learners' stage of readiness to change improves interprofessional collaboration in the participants. The developed model could be applied for improving interprofessional collaborative performance in other IPE programmes.
authors.affiliation: a Department of Medical Education, Faculty of Medicine , Tehran University of Medical Sciences , Tehran , Iran.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Keshmiri
authors.affiliation: b Emergency Medicine Management Research Center , Iran University of Medical Sciences , Tehran , Iran.
authors.forename: Mahdi
authors.initials: M
authors.lastname: Rezai
authors.affiliation: b Emergency Medicine Management Research Center , Iran University of Medical Sciences , Tehran , Iran.
authors.forename: Reza
authors.initials: R
authors.lastname: Mosaddegh
authors.affiliation: c Evidence-Based Medicine and Critical Thinking Group, Endocrine and Metabolism Research Institute, Shariati Hospital , Tehran University of Medical Sciences , Tehran , Iran.
authors.forename: Kamran
authors.initials: K
authors.lastname: Moradi
authors.affiliation: d Emergency Medicine Management Research Center, Rasoul-e-Akram Hospital , Iran University of Medical Sciences , Tehran , Iran.
authors.forename: Peyman
authors.initials: P
authors.lastname: Hafezimoghadam
authors.affiliation: e Department of Emergency Medicine, Hazrat-e-Rasoul Akram Medical Center , Iran University of Medical Sciences , Tehran , Iran.
authors.forename: Mohammad Amin
authors.initials: MA
authors.lastname: Zare
authors.affiliation: f Hazrat-e-Rasoul Akram Medical Center , Iran University of Medical Sciences , Tehran , Iran.
authors.forename: Nader
authors.initials: N
authors.lastname: Tavakoli
authors.affiliation: g School of Nursing and Midwifery , Tehran University of Medical Sciences , Tehran , Iran.
authors.forename: Mohammad Ali
authors.initials: MA
authors.lastname: Cheraghi
authors.affiliation: a Department of Medical Education, Faculty of Medicine , Tehran University of Medical Sciences , Tehran , Iran.|h Educational Development Center , Tehran University of Medical Sciences , Tehran , Iran.|i Department of Clinical Science and Education , Södersjukhuset, Karolinska Institute , Stockholm , Sweden.
authors.forename: Mandana
authors.initials: M
authors.lastname: Shirazi
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003299:Cooperative Behavior; D004635:Emergency Medicine / Q000193:education*; D016529:Emergency Nursing / Q000193:education*; D004636:Emergency Service, Hospital / Q000458:organization & administration; D005260:Female; D006784:Hospitals, Teaching / Q000458:organization & administration; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration; D007400:Interprofessional Relations; D007492:Iran; D008297:Male; D017145:Models, Educational; D010348:Patient Care Team
keywords: Evaluation; interprofessional collaboration; interprofessional education; performance; stages of change; transtheoretical model