TABLE 4.
Self‐Efficacy Before Versus After the Course
| Mean | P Value (vs. Precourse) | ||
|---|---|---|---|
| I feel comfortable asking about physical symptoms | Before course | 4.58 | — |
| Course completion | 4.59 | 0.94 | |
| 6 months after course | 4.67 | 0.61 | |
| 12 months after course | 4.67 | 0.66 | |
| 24 months after course | 4.71 | 0.48 | |
| I feel comfortable talking about psychological health | Before course | 3.67 | — |
| Course completion | 4.28 | <0.001 | |
| 6 months after course | 4.15 | 0.006 | |
| 12 months after course | 4.28 | 0.004 | |
| 24 months after course | 4.18 | 0.034 | |
| I feel comfortable addressing goals of care with my patients in clinic | Before course | 4.17 | — |
| Course completion | 4.44 | 0.18 | |
| 6 months after course | 4.33 | 0.58 | |
| 12 months after course | 4.44 | 0.25 | |
| 24 months after course | 4.47 | 0.20 | |
| I feel comfortable talking about hospice and hospice benefits | Before course | 3.75 | — |
| Course completion | 4.49 | <0.001 | |
| 6 months after course | 4.30 | 0.007 | |
| 12 months after course | 4.17 | 0.081 | |
| 24 months after course | 4.35 | 0.011 | |
| I feel comfortable talking about the psycho‐social needs of my patient and family | Before course | 3.64 | |
| Course completion | 4.26 | <0.001 | |
| 6 months after course | 3.89 | 0.17 | |
| 12 months after course | 3.89 | 0.22 | |
| 24 months after course | 4.00 | 0.12 |
Providers were asked to categorize their level of comfort with common PC discussions with patients before the training, at course completion, and at 6, 12, and 24 months after the training. Mean response as indicated on Likert scale: 1 = Strongly Disagree, 2 = Disagree, 3 = Neither Agree or Disagree, 4 = Agree, and 5 = Strongly Agree. Data from precourse survey, n = 36; course completion survey, n = 39; 6 months after course survey, n = 27; 12 months after course survey, n = 18; and 24 months after course survey, n = 17. P value < 0.05 is considered significant.