Training of Peer Coaches to Assist Individuals with Knee Osteoarthritis Prepare and Recover From Total Knee Replacement

Objective The objective of this study is to outline the training of peer coaches in the Moving Well intervention, which was designed to reduce anxiety, depression, and pain catastrophizing in patients before and after total knee replacement (TKR). Methods Selected peer coaches had a history of knee...

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Main Authors: Yuliana Domínguez Páez, Mackenzie Brown, Assem Jabri, Geyanne Lui, Wai‐Kwong Hui, Noelia Hernandez, Michael Parks, Alejandro Gonzalez Della‐Valle, Susan Goodman, Lisa A. Mandl, Monika M. Safford, Iris Navarro‐Millán
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:ACR Open Rheumatology
Online Access:https://doi.org/10.1002/acr2.11734
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author Yuliana Domínguez Páez
Mackenzie Brown
Assem Jabri
Geyanne Lui
Wai‐Kwong Hui
Noelia Hernandez
Michael Parks
Alejandro Gonzalez Della‐Valle
Susan Goodman
Lisa A. Mandl
Monika M. Safford
Iris Navarro‐Millán
author_facet Yuliana Domínguez Páez
Mackenzie Brown
Assem Jabri
Geyanne Lui
Wai‐Kwong Hui
Noelia Hernandez
Michael Parks
Alejandro Gonzalez Della‐Valle
Susan Goodman
Lisa A. Mandl
Monika M. Safford
Iris Navarro‐Millán
author_sort Yuliana Domínguez Páez
collection DOAJ
description Objective The objective of this study is to outline the training of peer coaches in the Moving Well intervention, which was designed to reduce anxiety, depression, and pain catastrophizing in patients before and after total knee replacement (TKR). Methods Selected peer coaches had a history of knee osteoarthritis (KOA), a TKR of 12 months or more before training, and were 60 or older. Training was primarily conducted virtually, with a later addition of one in‐person session. Training centered on developing skills in motivational interviewing (MoI), encompassing techniques like open‐ended questions, affirmations, reflective listening, and summarization. It also covered the MoI processes of engagement, focus, evocation, and planning. Coaches were required to discuss at least 90% of session‐specific topics, which were monitored using checklists for each certification, and to complete individual MoI training, which was not graded. The evaluation of peer coach training involved surveys and a focus group. Results Three women and two men, averaging 75 years in age, completed the peer coach training for the Moving Well intervention. An in‐person training session was added to address technology and MoI skill concerns, greatly enhancing their grasp of MoI skills and their ability to guide others through the program effectively. Peer coaches stressed the importance of live feedback, in‐person training, and incorporating personal experiences into the program content during their training. Conclusion To effectively train older adults as peer coaches for the Moving Well intervention, flexibility in learning formats, personalized guidance, peer support, and regular evaluations were essential in building the necessary MoI competencies to guide research participants in the program.
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spelling doaj-art-d52ca0f7595b469fa51eb6d5476f0e612025-08-20T02:38:17ZengWileyACR Open Rheumatology2578-57452024-12-0161284685510.1002/acr2.11734Training of Peer Coaches to Assist Individuals with Knee Osteoarthritis Prepare and Recover From Total Knee ReplacementYuliana Domínguez Páez0Mackenzie Brown1Assem Jabri2Geyanne Lui3Wai‐Kwong Hui4Noelia Hernandez5Michael Parks6Alejandro Gonzalez Della‐Valle7Susan Goodman8Lisa A. Mandl9Monika M. Safford10Iris Navarro‐Millán11Department of Medicine Weill Cornell Medicine New York New York USADepartment of Medicine Weill Cornell Medicine New York New York USADepartment of Medicine Weill Cornell Medicine New York New York USADepartment of Medicine Weill Cornell Medicine New York New York USADivision of Rheumatology Hospital for Special Surgery New York New York USADepartment of Medicine Weill Cornell Medicine New York New York USADivision of Rheumatology Hospital for Special Surgery New York New York USADivision of Rheumatology Hospital for Special Surgery New York New York USADepartment of Medicine Weill Cornell Medicine New York New York USADepartment of Medicine Weill Cornell Medicine New York New York USADepartment of Medicine Weill Cornell Medicine New York New York USADepartment of Medicine Weill Cornell Medicine New York New York USAObjective The objective of this study is to outline the training of peer coaches in the Moving Well intervention, which was designed to reduce anxiety, depression, and pain catastrophizing in patients before and after total knee replacement (TKR). Methods Selected peer coaches had a history of knee osteoarthritis (KOA), a TKR of 12 months or more before training, and were 60 or older. Training was primarily conducted virtually, with a later addition of one in‐person session. Training centered on developing skills in motivational interviewing (MoI), encompassing techniques like open‐ended questions, affirmations, reflective listening, and summarization. It also covered the MoI processes of engagement, focus, evocation, and planning. Coaches were required to discuss at least 90% of session‐specific topics, which were monitored using checklists for each certification, and to complete individual MoI training, which was not graded. The evaluation of peer coach training involved surveys and a focus group. Results Three women and two men, averaging 75 years in age, completed the peer coach training for the Moving Well intervention. An in‐person training session was added to address technology and MoI skill concerns, greatly enhancing their grasp of MoI skills and their ability to guide others through the program effectively. Peer coaches stressed the importance of live feedback, in‐person training, and incorporating personal experiences into the program content during their training. Conclusion To effectively train older adults as peer coaches for the Moving Well intervention, flexibility in learning formats, personalized guidance, peer support, and regular evaluations were essential in building the necessary MoI competencies to guide research participants in the program.https://doi.org/10.1002/acr2.11734
spellingShingle Yuliana Domínguez Páez
Mackenzie Brown
Assem Jabri
Geyanne Lui
Wai‐Kwong Hui
Noelia Hernandez
Michael Parks
Alejandro Gonzalez Della‐Valle
Susan Goodman
Lisa A. Mandl
Monika M. Safford
Iris Navarro‐Millán
Training of Peer Coaches to Assist Individuals with Knee Osteoarthritis Prepare and Recover From Total Knee Replacement
ACR Open Rheumatology
title Training of Peer Coaches to Assist Individuals with Knee Osteoarthritis Prepare and Recover From Total Knee Replacement
title_full Training of Peer Coaches to Assist Individuals with Knee Osteoarthritis Prepare and Recover From Total Knee Replacement
title_fullStr Training of Peer Coaches to Assist Individuals with Knee Osteoarthritis Prepare and Recover From Total Knee Replacement
title_full_unstemmed Training of Peer Coaches to Assist Individuals with Knee Osteoarthritis Prepare and Recover From Total Knee Replacement
title_short Training of Peer Coaches to Assist Individuals with Knee Osteoarthritis Prepare and Recover From Total Knee Replacement
title_sort training of peer coaches to assist individuals with knee osteoarthritis prepare and recover from total knee replacement
url https://doi.org/10.1002/acr2.11734
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