TRAIN
Each stakeholder group will have different education needs, and these can be specifically identified during stakeholder consultation, described on the CONSULT page.
Based on our experience, the table below gives you a general indication of who is likely to need what for the various components of PREP2.
| KNOWLEDGE | TRAINING | |
| PREP2 Support | All clinical staff involved with treating people with stroke. Cultural and spiritual support staff involved in caring for people with stroke. |
Self-directed completion of the PREP2 Support module alongside practical training in documentation and supporting all four PREP2 predictions. |
| PREP2 Basic | All PT/OT inpatient and weekend staff ought to be able to use PREP2 to obtain and deliver Excellent and Good predictions for patients with a Day 3 SAFE score of 5 or more.
All PT/OT inpatient, weekend, outpatient, and community teams ought to be able to support and use all four PREP2 predictions. |
Self-directed completion of the PREP2 Basic module alongside practical training in SAFE score assessment, documentation, delivering Excellent and Good predictions, and using all four PREP2 predictions. |
| PREP2 Advanced | Selected PT/OT staff ought to be able to obtain NIHSS scores and support TMS testing in order to obtain and deliver Good, Limited and Poor predictions for patients with a Day 3 SAFE score less than 5, in addition to the knowledge and skills developed in PREP2 Basic training | Self-directed completion of the PREP2 Advanced module alongside NIHSS certification and practical training and certification in the TMS checklist, TMS preparation, and delivering Good, Limited and Poor predictions for patients with a Day 3 SAFE score
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| PREP2 TMS | Selected staff in acute and rehabilitation settings ought to be able to use TMS to assess the function of the corticomotor pathways to the affected upper limb | Self-directed completion of the PREP2 TMS modules, alongside practical training and certification in the use of TMS for PREP2. |
If you would like to arrange practical training and certification for your staff, please contact us.
You can provide your stakeholder groups with links to the self-directed learning resources on this website.
The RESOURCES page has presentations and written information that you can use to educate, train, and enable your staff.
Choosing interventions for changing target behaviours
The CONSULT page guides you through the process of identifying and analysing target behaviours, to help you see what needs to change to implement PREP2. This analysis is organised into Capability, Opportunity, and Motivation.
If you need to change staff Capability, you can use interventions such as:
- Education – such as self-directed learning on this website
- Training – such as seminars and hands-on workshops, you can download presentations to use for staff training from the RESOURCES page
- Enablement – such as equipment and documentation
If you need to change staff Opportunity, you can use interventions such as:
- Training – such as seminars and hands-on workshops, you can download presentations to use for staff training from the RESOURCES page
- Environmental restructuring – such as prompts in the documentation to obtain SAFE scores, and including weekend staff in training so that SAFE and NIHSS scores are obtained on weekends
- Enablement – such as equipment and documentation
If you need to change staff Motivation, you can use interventions such as:
- Education – such as self-directed learning on this website to help staff understand the benefits of PREP2
- Persuasion – to help staff see the target behaviour as part of their role and worth doing
- Modelling – provide examples in your setting to show staff that the target behaviour is achievable and worthwhile