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PARTNER: a service delivery model to implement optimal primary care management of people with knee osteoarthritis: description of development

OBJECTIVE: Implementation strategies, such as new models of service delivery, are needed to address evidence practice gaps. This paper describes the process of developing and operationalising a new model of service delivery to implement recommended care for people with knee osteoarthritis (OA) in a...

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Autores principales: Egerton, Thorlene, Hinman, Rana S, Hunter, David J, Bowden, Jocelyn L, Nicolson, Philippa J A, Atkins, Lou, Pirotta, Marie, Bennell, Kim L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7542957/
https://www.ncbi.nlm.nih.gov/pubmed/33033032
http://dx.doi.org/10.1136/bmjopen-2020-040423
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author Egerton, Thorlene
Hinman, Rana S
Hunter, David J
Bowden, Jocelyn L
Nicolson, Philippa J A
Atkins, Lou
Pirotta, Marie
Bennell, Kim L
author_facet Egerton, Thorlene
Hinman, Rana S
Hunter, David J
Bowden, Jocelyn L
Nicolson, Philippa J A
Atkins, Lou
Pirotta, Marie
Bennell, Kim L
author_sort Egerton, Thorlene
collection PubMed
description OBJECTIVE: Implementation strategies, such as new models of service delivery, are needed to address evidence practice gaps. This paper describes the process of developing and operationalising a new model of service delivery to implement recommended care for people with knee osteoarthritis (OA) in a primary care setting. METHODS: Three development stages occurred concurrently and iteratively. Each stage considered the healthcare context and was informed by stakeholder input. Stage 1 involved the design of a new model of service delivery (PARTNER). Stage 2 developed a behavioural change intervention targeting general practitioners (GPs) using the behavioural change wheel framework. In stage 3, the ‘Care Support Team’ component of the service delivery model was operationalised. RESULTS: The focus of PARTNER is to provide patients with education, exercise and/or weight loss advice, and facilitate effective self-management through behavioural change support. Stage 1 model design: based on clinical practice guidelines, known evidence practice gaps in current care, chronic disease management frameworks, input from stakeholders and the opportunities and constraints afforded by the Australian primary care context, we developed the PARTNER service-delivery model. The key components are: (1) an effective GP consultation and (2) follow-up and ongoing care provided remotely (telephone/email/online resources) by a ‘Care Support Team’. Stage 2 GP behavioural change intervention: a multimodal behavioural change intervention was developed comprising a self-audit/feedback activity, online professional development and desktop software to provide decision support, patient information resources and a referral mechanism to the ‘Care Support Team’. Stage 3 operationalising the ‘care support team’—staff recruited and trained in evidence-based knee OA management and behavioural change methodology. CONCLUSION: The PARTNER model is the result of a comprehensive implementation strategy development process using evidence, behavioural change theory and intervention development guidelines. Technologies for scalable delivery were harnessed and new primary evidence was generated as part of the process. Trial registration number ACTRN12617001595303 (UTN U1111-1197-4809)
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spelling pubmed-75429572020-10-19 PARTNER: a service delivery model to implement optimal primary care management of people with knee osteoarthritis: description of development Egerton, Thorlene Hinman, Rana S Hunter, David J Bowden, Jocelyn L Nicolson, Philippa J A Atkins, Lou Pirotta, Marie Bennell, Kim L BMJ Open General practice / Family practice OBJECTIVE: Implementation strategies, such as new models of service delivery, are needed to address evidence practice gaps. This paper describes the process of developing and operationalising a new model of service delivery to implement recommended care for people with knee osteoarthritis (OA) in a primary care setting. METHODS: Three development stages occurred concurrently and iteratively. Each stage considered the healthcare context and was informed by stakeholder input. Stage 1 involved the design of a new model of service delivery (PARTNER). Stage 2 developed a behavioural change intervention targeting general practitioners (GPs) using the behavioural change wheel framework. In stage 3, the ‘Care Support Team’ component of the service delivery model was operationalised. RESULTS: The focus of PARTNER is to provide patients with education, exercise and/or weight loss advice, and facilitate effective self-management through behavioural change support. Stage 1 model design: based on clinical practice guidelines, known evidence practice gaps in current care, chronic disease management frameworks, input from stakeholders and the opportunities and constraints afforded by the Australian primary care context, we developed the PARTNER service-delivery model. The key components are: (1) an effective GP consultation and (2) follow-up and ongoing care provided remotely (telephone/email/online resources) by a ‘Care Support Team’. Stage 2 GP behavioural change intervention: a multimodal behavioural change intervention was developed comprising a self-audit/feedback activity, online professional development and desktop software to provide decision support, patient information resources and a referral mechanism to the ‘Care Support Team’. Stage 3 operationalising the ‘care support team’—staff recruited and trained in evidence-based knee OA management and behavioural change methodology. CONCLUSION: The PARTNER model is the result of a comprehensive implementation strategy development process using evidence, behavioural change theory and intervention development guidelines. Technologies for scalable delivery were harnessed and new primary evidence was generated as part of the process. Trial registration number ACTRN12617001595303 (UTN U1111-1197-4809) BMJ Publishing Group 2020-10-07 /pmc/articles/PMC7542957/ /pubmed/33033032 http://dx.doi.org/10.1136/bmjopen-2020-040423 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle General practice / Family practice
Egerton, Thorlene
Hinman, Rana S
Hunter, David J
Bowden, Jocelyn L
Nicolson, Philippa J A
Atkins, Lou
Pirotta, Marie
Bennell, Kim L
PARTNER: a service delivery model to implement optimal primary care management of people with knee osteoarthritis: description of development
title PARTNER: a service delivery model to implement optimal primary care management of people with knee osteoarthritis: description of development
title_full PARTNER: a service delivery model to implement optimal primary care management of people with knee osteoarthritis: description of development
title_fullStr PARTNER: a service delivery model to implement optimal primary care management of people with knee osteoarthritis: description of development
title_full_unstemmed PARTNER: a service delivery model to implement optimal primary care management of people with knee osteoarthritis: description of development
title_short PARTNER: a service delivery model to implement optimal primary care management of people with knee osteoarthritis: description of development
title_sort partner: a service delivery model to implement optimal primary care management of people with knee osteoarthritis: description of development
topic General practice / Family practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7542957/
https://www.ncbi.nlm.nih.gov/pubmed/33033032
http://dx.doi.org/10.1136/bmjopen-2020-040423
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