Brief psychological skills training using simulated practice for enhanced therapeutic interactions

Andrew Soundy*, Vikram Mohan, Jonathan Room, Josephine Morris, Louise Fazakarley, Robyn Stiger

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Abstract
Introduction: Physiotherapy students lack confidence when applying psychological strategies as part of interaction and assessment. Further research is required to establish consistent approaches to training in prequalifying programmes. The purpose of this study was; (a) to document experiences of student physiotherapist to a Stroke based simulation when applying the model of emotions, adaptation and hope (MEAH) tool, (b) consider if there are different experiences when the tool is applied online versus in-person, and (c) provide recommendations for the use and application of the MEAH tool and training for future research and clinical practice.
Methods: An interpretative hermeneutic phenomenological study was undertaken. Two settings were selected in-person and online via zoom©. E-training focusing on the principles of the MEAH was delivered before a 10-minute simulation was undertaken by each student (online or in person). Semi-structured interview examining the experiences of the e-training were analysed using a reflexive thematic analysis. A conversation analysis was applied to 24 recorded in-person conversations.
Results: Twenty-five university final year physiotherapy students completed the in-person study and 13 second year physiotherapy student completed the online study. Thematic analysis: Four major themes across both groups were identified: (a) the content and value of the e-training (b) the experience and perception of the simulation, (c) the application of the MEAH screening tool, and (d) future training needs. Conversational analysis: Three types of interaction were identified. Type 1 interactions (15/24, 62.5%) followed the form in a very exacting way. Type 2 interactions (3/24, 12.5%) used the tool as an aid to their conversation. Type 3 interactions (6/24, 25%) deviated from the main focus of the tool. Factors which influenced the interaction were identified.

Conclusions: The current study demonstrated that the model of emotions, adaptation and hope can be used to enhance a brief therapeutic interaction for physiotherapy students. Further research and policy recommendations are provided.
Original languageEnglish
Number of pages14
JournalInternational Journal of Healthcare Simulation
Early online date23 Feb 2023
DOIs
Publication statusE-pub ahead of print - 23 Feb 2023

Keywords

  • Simulation
  • Simulated Patients
  • Physiotherapy
  • Stroke
  • Qualitative
  • Thematic Analysis
  • Coversational Analysis

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