TY - JOUR
AU - Meischke, Hendrika
AU - Stubbs, Benjamin
AU - Fahrenbruch, Carol
AU - Phelan, Elizabeth
PY - 2014
TI - Factors Associated With the Adoption of a Patient Education Intervention Among First Responders, King County, Washington, 2010-2011
T2 - Preventing Chronic Disease
JO - Prev Chronic Dis
SP - E14
VL - 11
CY - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2 - INTRODUCTION This study investigated facilitators and barriers to adoption of an at-scene patient education program by firefighter emergency medical technicians (EMTs) in King County, Washington. METHODS We consulted providers of emergency medical services (EMS) to develop a patient education pamphlet in the form of a tear-off sheet that could be attached to the EMT medical incident report. The pamphlet included resources for at-scene patient education on high blood pressure, blood glucose, falls, and social services. The program was launched in 29 fire departments in King County, Washington, on January 1, 2010, and a formal evaluation was conducted in late 2011. We developed a survey based on diffusion theory to assess 1) awareness of the pamphlet, 2) evaluation of the pamphlet attributes, 3) encouragement by peers and superiors for handing out the pamphlet, 4) perceived behavioral norms, and 5) demographic variables associated with self-reported adoption of the at-scene patient education program. The survey was completed by 822 (40.1%) of 2,047 firefighter emergency medical technicians. We conducted bivariate and multivariable analyses to assess associations between independent variables and self-reported adoption of the program. RESULTS Adoption of the at-scene patient education intervention was significantly associated with positive evaluation of the pamphlet, encouragement from peers and superiors, and perceived behavioral norms. EMS providers reported they were most likely to hand out the pamphlet to patients in private residences who were treated and left at the scene. CONCLUSION Attributes of chronic disease prevention programs and encouragement from peers and supervisors are necessary in diffusion of patient education interventions in the prehospital care setting.
SN - 1545-1151
UR - http://dx.doi.org/10.5888/pcd11.130221
DO - 10.5888/pcd11.130221
ER -
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