Training Prostate Cancer Survivors and Caregivers to Be Peer Navigators: A Blended Online/In-Person Competency-Based Training Program Publisher Pubmed



Bender JL^{1, 2} ; Flora PK¹ ; Milosevic E¹ ; Soheilipour S^{3, 4} ; Maharaj N³ ; Dirlea M¹ ; Parvin L³ ; Matthew A⁵ ; Kazanjian A³
Source: Supportive Care in Cancer Published:2021

Abstract

Purpose: Cancer navigation improves access to support and reduces barriers to care; however, appropriate training of navigators is essential. We developed the TrueNTH Peer Navigation Training Program (PNTP), a competency-based, blended online/in-person course. In this study, we evaluate the feasibility, acceptability, and effectiveness of the PNTP among prostate cancer (PC) survivors (patients, caregivers). Methods: We employed an explanatory mixed method study design consisting of course usage data, pre-/post-questionnaires, and focus groups informed by the Kirkpatrick framework and self-efficacy theory. Results: Three cohorts in two Canadian cities (n = 26) received the PNTP. Participants were motivated to support others like themselves (n = 20), fill a gap (n = 7), pay it forward (n = 6), and offer expertise (n = 4). Recruitment, retention, and questionnaire completion were 96.7%, 89.6%, and 92%. Participants contributed a total of 426 posts to the online forums (2 to 3 posts per participant/module). Satisfaction was 9.4/10 (SD = 0.7) and usability was 84.5/100 (SD = 10.1). All learning outcomes increased: understanding of learning objectives t(23) = − 6.12, p < 0.0001; self-efficacy to perform competencies t(23) = − 4.8, p < 0.0001; and eHealth literacy t(23) = − 4.4, p < 0.0001. Participants viewed the PTNP as intensive but manageable, improving knowledge and confidence and enhancing listening skills. Participants valued the flexibility of online learning, interactive online learning, in-person interactions for relationship building, and authentic role-playing for skill development. Conclusions: A facilitated online training program with in-person components is a highly acceptable and effective format to train PC survivors to become peer navigators. This competency-based peer navigator training program and delivery format may serve as a useful model for other cancer volunteer programs. © 2020, Springer-Verlag GmbH Germany, part of Springer Nature.