The Healthcare travelling roadshow: A qualitative study of rural community engagement initiative in Canada

• Published in: Rural and remote health Vol. 19; no. 3; pp. 1 - 10
• Main Authors: Maurice, Sean, Mytting, Kristjan, Gentles, John Quinn, Roots, Robin, Constantin, Alina G, Kruger, Sonya L, Sim, Shelley, Brock, Warren, Oyedele, Olusegun, Soles, John A, Snadden, David
• Format: Journal Article
• Language: English
• Published: Townsville QLD James Cook University 01-09-2019
• Subjects: Adolescent; British Columbia; Career Choice; Careers; Collaboration; Community; Community development; Community involvement; Confidence intervals; Data collection; Education; Education, Premedical - organization & administration; Ethics; Feedback; Female; Health care; Health Occupations - education; Health promotion; Humans; Information services; Likert scale; Medical education; Outreach services; Peer tutoring; Personnel management; Program Evaluation; Qualitative analysis; Qualitative research; Questionnaires; Research projects; Rural areas; Rural health care; Rural health services; Rural Population - statistics & numerical data; Schools - organization & administration; Secondary schools; Social aspects; Students; Students - statistics & numerical data; Teaching; Vocational guidance; British Columbia; Canada; Canada; qualitative research; medical education; rural pipeline; university-high school outreach; community engagement
• DOI: 10.22605/RRH5238
• EISSN: 1445-6354

Introduction: Youth from rural communities face significant challenges in the pursuit of healthcare training. Healthcare trainees with a rural background are more likely than those without to practice rurally as healthcare professionals. The Healthcare Travelling Roadshow (HCTRS) is an initiative in Canada that provides rural youth with exposure to healthcare careers, while providing healthcare students with exposure to rural opportunities, and an interprofessional education experience. To the authors' knowledge, this is the first description of an initiative for rural university-high school healthcare career outreach that involves near-peer teaching, highly interactive sessions, and an interprofessional focus. Methods: Ten HCTRSs took place throughout northern rural and remote British Columbia between 2010 and 2017. Questionnaires were delivered to youth in a pilot research project in 2010. Healthcare students and community members completed questionnaires for ongoing program evaluation from 2010 to 2017. Quantitative elements were graded on a five-point Likert scale. Qualitative elements were analyzed thematically. Results: Participants indicated that the program was very successful (4.71, 95% confidence interval (CI) 4.63-4.79), would likely encourage healthcare students to consider rural practice (4.12, 95%CI 3.98-4.26), and that it inspired local youth to consider careers in health care much or very much (4.45, 95%CI 4.35-4.55). Qualitative analysis led to description of four themes: (1) sincerity and interactivity sparking enthusiasm, (2) learning through rural exposure and community engagement, (3) healthcare student personal growth and (4) interprofessional collaboration and development. Open-ended feedback identified successes outside of the primary goals and illustrated how this program could act in a multi-faceted way to promote healthcare recruitment and retention. Constructive comments emphasized the importance of taking a balanced approach to planning the HCTRS, ensuring the goals of the HCTRS are best met, while meeting the needs of the host communities as much as possible. Conclusions: The HCTRS is an interdisciplinary experience that successfully engages rural youth, healthcare students, and community stakeholders. Participants consistently indicated that it encouraged rural youth towards healthcare careers and healthcare students towards rural practice. Success of the program requires meaningful engagement with multiple academic and community stakeholders.