Table 2 Summary of the training program
Program component/session | Content (educational/instructional) | Facilitator (Peer/Expert) | Format (Interactive/didactic) | Structure (One-one-one/group) | Mode (face-to-face/online) | Duration (mins) |
|---|---|---|---|---|---|---|
Online training module ‘Antenatal Care for Alcohol Consumption during Pregnancy’ | Developed through HETI and adapted from the Women Want to Know project content developed by the Foundation for Alcohol Research and Education (FARE) in collaboration with leading health professionals across Australia including the College of Midwives and the Royal Australian and New Zealand College of Obstetricians and Gynaecologists. Educational: - Serious outcomes, effects/harms of alcohol consumption during pregnancy. - All elements of care (assess, advise, refer). - Myths, beliefs, assumptions - Skills for effective and/or sensitive conversations. Instructional: - Fitting in to practice: encouraging adoption of evidence-based guidelines. - Using eMaternity (e.g., navigation, completion of AUDIT-C). | NA | Interactive | One-on-one | Online | ~ 45 mins |
Overview presentation | Educational: - Serious outcomes, effects/harms of alcohol consumption during pregnancy. - All elements of care (assess, advise, refer). Instructional: - Fitting in to practice: encouraging adoption of evidence-based guidelines. - Using eMaternity (e.g. navigation, completion of AUDIT-C). | Peer (CME) | Didactive | Group | Face-to-face | 20–30 min |
Expert presentation | Educational: - Serious outcomes, effects/harms of alcohol consumption during pregnancy including less well known consequences (i.e. those in addition to FASD e.g. low birth weight, stillbirth, later effects in childhood and into adulthood etc.). - All elements of care (assess, advise, refer). - Myths, beliefs, assumptions. | Expert [35] | Didactive Educational material: 2 page summary of presentation produced and distributed to clinicians (educational materials) | Group | Face-to-face | 60 mins |
Case study session | Educational: - All elements of care (assess, advise, refer). Instructional: - Fitting in to practice: encouraging adoption of evidence-based guidelines. | Peer (CME) | Interactive Educational materials: Case study handouts distributed to clinicians | Group | Face-to-face | 15–20 min |
One-on-one support from an assigned clinical midwife educator when in the antenatal clinic(s) | The following content could be covered at any time in this session: Educational: - Serious outcomes, effects/harms of alcohol consumption during pregnancy - All elements of care (assess, advise, refer) Instructional: - Fitting in to practice: encouraging adoption of evidence-based guidelines. - Using eMaternity (e.g. navigation, completion of AUDIT-C). - Resources for use with women distributed: Foundation for Alcohol Research and Education (FARE) women’s brochure [36], Stay Strong and Healthy Postcard [37], and NSW Standard Drinks Charts. | Peer (CME) | Interactive | One-on-one | Face-to-face | 5–20 min |
Final summary presentation (to conclude intensive support period) | Educational: - All elements of care (assess, advise, refer). Instructional: - Fitting in to practice: encouraging adoption of evidence-based guidelines. | Peer (CME) | Didactic | Group | Face-to-face | 30–45 min |