Table 1.

Barr’s adaptation of Kirkpatrick’s four level evaluation model

Level	Description
Level 1: Learners’ reaction	Relate to participants’ views of their learning experience and satisfaction with the programme.
Level 2: Learning outcomes
Level 2a: Modification of attitudes/perceptions	Changes in reciprocal attitudes or perceptions between participant groups, towards patients/clients and their condition, circumstances, care and treatment.
Level 2b: Acquisition of knowledge/skills	Acquisition of concepts, procedures and principles of interprofessional collaboration or the acquisition of thinking/problem-solving, psychomotor and social skills linked to collaboration
Level 3: Change in behaviour	Behavioural change transferred from the learning environment to the workplace prompted by modifications in attitudes or perceptions, or the application of newly acquired knowledge/skills in practice. Overeem et al. (2010) identify that this level can be further separated into:
Level 3a: Self reported change in behaviour
Level 3b: Measured change in performance
Level 4: Patient/Organisational outcomes
Level 4a: Change in organisational practice	This relates to wider changes in the organisation/delivery of care, attributable to an education programme.
Level 4b: Benefits to patients/clients	Covers any improvements in the health and well being of patients/clients as a direct result of an education programme.