Practitioner Development

Effect of Online Palliative Care Training on Knowledge and Self-Efficacy of Direct Care Workers.

Kim et al. (2021) · Intellectual and developmental disabilities 2021
★ The Verdict

A two-hour online class lifts palliative-care knowledge and one-month confidence for IDD support staff.

✓ Read this if BCBAs who train direct support staff in group homes or day programs.
✗ Skip if Clinicians looking for child social-communication interventions.

01Research in Context

01

What this study did

Kim et al. (2021) tested a two-hour online class about palliative care. The learners were direct support staff who work with adults with intellectual or developmental disabilities.

Staff took a knowledge quiz before the class, right after, and again one month later. They also rated their confidence to help a client who is dying.

02

What they found

Knowledge scores jumped right after the course and stayed high four weeks later. Confidence also rose, but the lift showed up only at the one-month check.

In short, a quick Zoom-style lesson made staff feel ready to talk about pain, comfort, and end-of-life choices.

03

How this fits with other research

Wilson et al. (2023) ran a nearly identical pre-post study with Australian disability staff. Their two-module course on psychotropic meds boosted knowledge too, yet almost two-thirds of staff dropped out before the five-month follow-up. The UK palliative-care study kept more staff engaged, hinting that end-of-life content may feel more urgent than medication content.

Kingsdorf et al. (2024) also saw big knowledge gains after a Czech e-learning course for autism caregivers. Like Jinsook, they used short video lessons and online quizzes, showing the format travels across countries and topics.

Matson et al. (1999) surveyed 334 North-American staff and found most felt 'not trained at all' to monitor medications. That gap still exists; the new two-hour model offers a low-cost way to start closing it.

04

Why it matters

You can add the free two-hour palliative-care module to your next staff meeting. Staff leave with concrete phrases to use when a client stops eating or prefers comfort care over the hospital. Pair it with the SPECTROM med-training slides for a one-day 'care and comfort' package that meets both palliative and medication standards without long webinars or travel costs.

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Email staff the free module link and schedule a 15-minute Zoom debrief to practice comfort-care scripts.

02At a glance

Intervention
not applicable
Design
pre post no control
Sample size
132
Population
intellectual disability, developmental delay
Finding
positive

03Original abstract

We evaluated the effectiveness of an online training on palliative care knowledge and self-efficacy among staff working with people with intellectual and developmental disabilities (IDD) using a one-group pretest-posttest design. Staff from four nonprofit residential and day services organizations in a U.S. Midwestern state participated. Among 132 staff who completed a baseline assessment, a 2-hour online training, and a posttest, 98 staff completed a 1-month follow-up survey. Palliative care knowledge was assessed before and after the training, and palliative care self-efficacy, at baseline and 1-month follow-up. We used linear regression to identify the factors that influence the effect of the training on main outcomes. Overall palliative care knowledge and self-efficacy significantly improved while higher education and longer work tenure enhanced training effectiveness.

Intellectual and developmental disabilities, 2021 · doi:10.1352/1934-9556-59.5.392