Table 1
Pre-and post-training survey responses, and difference in agreement that MDT objectives were realised before and after training.
| MDT OBJECTIVE | PRE-TRAINING SURVEY RESPONSES (N = 44) | POST-TRAINING SURVEY RESPONSES (N =54) | BEFORE TRAININGN =44 | AFTER TRAININGN = 54 | DIFFERENCE BETWEEN PRE- AND POST-TRAINING AGREEMENT | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| DISAGREE | NEITHER | AGREE | STRONGLY AGREE | DISAGREE | NEITHER | AGREE | STRONGLY AGREE | ||||
| N (%) | N (%) | AGREEMENT, N (%) | ODDS RATIO (95% CI) | ||||||||
| Clarity in own role and responsibility | 4 (9.1) | 6 (13.5) | 24 (54.7) | 10 (22.7) | 0 (0.0) | 9 (16.5) | 34 (63.1) | 11 (20.4) | 34 (77) | 45 (83) | 1.46 (0.72 to 2.97) |
| Clarity in roles and responsibilities of others | 5 (11.3) | 10 (22.7) | 20 (45.5) | 9 (20.5) | 0 (0.0) | 3 (5.4) | 35 (64.8) | 16 (29.8) | 29 (66) | 51 (95) | 8.76 (3.40 to 22.60)* |
| Clarity in patient/carer role and responsibilities | 5 (11.3) | 15 (34.1) | 18 (41.1) | 6 (13.5) | 0 (0.0) | 8 (14.8) | 31 (57.3) | 15 (27.9) | 24 (55) | 46 (85) | 4.74 (2.41 to 9.31)* |
| Confident to speak in MDT discussions | 5 (11.3) | 11 (25.0) | 21 (47.6) | 7 (16.1) | 0 (0.0) | 7 (13.0) | 28 (52.0) | 19 (35.0) | 28 (64) | 47 (87) | 3.82 (1.87 to 7.78)* |
| Confident participating in care home round | 14 (31.8) | 10 (22.7) | 15 (34.1) | 5 (11.4) | 4 (7.3) | 18 (33.3) | 25 (46.3) | 7 (13.1) | 20 (45) | 32 (59) | 1.75 (1.00 to 3.06) |
| Confidence in recognising clinical frailty | 9 (20.6) | 7 (15.9) | 22 (50.0) | 6 (13.5) | 0 (0.0) | 8 (14.8) | 35 (64.8) | 11 (20.4) | 28 (64) | 46 (85) | 3.29 (1.85 to 5.84)* |
| Confident using structured frailty assessment | 15 (34.1) | 17 (38.6) | 10 (22.7) | 2 (4.55) | 0 (0.0) | 11 (20.4) | 25 (46.3) | 18 (33.3) | 12 (27) | 43 (80) | 10.43 (5.88 to 18.49)* |
| Confident to manage patient with frailty | 8 (18.2) | 14 (31.8) | 14 (31.8) | 8 (18.2) | 0 (0.0) | 7 (13.0) | 40 (74.1) | 7 (13.0) | 22 (50) | 47 (87) | 6.72 (3.32 to 13.61)* |
| Confident to initiate advanced care plans | 16 (36.5) | 10 (22.7) | 12 (27.3) | 6 (13.5) | 3 (5.6) | 18 (33.3) | 21 (38.9) | 12 (22.2) | 18 (41) | 33 (61) | 2.27 (1.21 to 4.24)* |
| The MDT makes me feel more resilient | – | – | – | – | 0 (0.0) | 2 (3.7) | 37 (68.5) | 15 (27.8) | – | 52 (96) | – |
| The MDT makes me feel a sense of belonging | – | – | - | – | 0 (0.0) | 11 (20.4) | 31 (57.3) | 12 (22.3) | – | 43 (80) | – |
| The MDT makes me feel more supported | – | – | – | – | 0 (0.0) | 1 (1.9) | 32 (59.3) | 21 (38.9) | – | 53 (98) | – |
| The MDT gives me more autonomy | – | – | – | – | 0 (0.0) | 8 (14.8) | 32 (59.3) | 14 (25.9) | – | 46 (85) | – |
| I am more aware of my local colleagues | – | – | – | – | 0 (0.0) | 5 (9.3) | 27 (50.0) | 22 (40.7) | – | 49 (91) | – |
| I am more aware of local patient services | – | – | – | – | 3 (5.6) | 10 (18.5) | 33 (61.1) | 8 (14.8) | – | 41 (76) | – |
[i] CI = confidence interval, * = P < 0.05, ‘–’ indicates a missing response where data were not collected in the pre-training survey.
Note: Disagree includes ‘strongly disagree’ responses, due to very few ‘strongly disagree’ responses that were reported.