在骨关节炎护理中实施与生活方式相关的治疗模式:使用 "实施研究综合框架--实施变革的专家建议 "匹配工具确定实施策略。

IF 1.5 Q3 RHEUMATOLOGY Musculoskeletal Care Pub Date : 2023-12-01 Epub Date: 2023-06-25 DOI:10.1002/msc.1791
Sjoukje Bouma, Inge van den Akker-Scheek, Dieuwke Schiphof, Lucas van der Woude, Ron Diercks, Martin Stevens
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引用次数: 2

摘要

目的:尽管国际临床指南提出了建议,但目前在对髋关节和/或膝关节骨关节炎患者进行保守治疗时,与生活方式相关的治疗模式(LRTM)仍未得到充分利用。本研究旨在确定实施策略,以便从医疗保健专业人员(HCPs)的角度解决实施生活方式相关治疗方法的障碍:方法:采用实施研究综合框架(CFIR)-实施变革专家建议(ERIC)实施策略匹配工具。首先,由两名研究人员将先前确定的主要和次要 HCP 中的影响因素映射到相应的 CFIR 构架/子构架上。其次,将与所有 HCP 相关的基于 CFIR 的障碍输入该工具。第三,针对一个或多个 HCP 分组的基于 CFIR 的障碍作为工具的额外输入。最后,根据工具的输出结果选择 ERIC 实施策略:结果:选出了 14 项实施战略。该工具最认可的战略是 "建立联盟"。所选战略中有八项属于 ERIC 的 "发展利益相关者的相互关系 "组。其他策略分别属于 "使用评估和迭代策略"(n = 3)、"利用财务策略"(n = 2)和 "让消费者参与"(n = 1):结论:研究结果强调了在骨关节炎护理中实施 LRTM 时采用跨学科方法的重要性。实施策略的最终选择为量身定制的实施计划奠定了基础。今后的工作应侧重于进一步落实实施策略,并评估由此产生的实施计划的有效性。
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Implementing lifestyle-related treatment modalities in osteoarthritis care: Identification of implementation strategies using the Consolidated Framework for Implementation Research-Expert Recommendations for Implementing Change matching tool.

Aims: Despite recommendations in international clinical guidelines, lifestyle-related treatment modalities (LRTMs) are currently underutilised in the conservative treatment of patients with hip and/or knee osteoarthritis. This study aimed to identify implementation strategies in order to address barriers to implementing LRTMs from the perspective of healthcare professionals (HCPs).

Methods: The Consolidated Framework for Implementation Research (CFIR)-Expert Recommendations for Implementing Change (ERIC) Implementation Strategy Matching Tool was applied. First, previously identified influencing factors among primary and secondary HCPs were mapped onto the corresponding CFIR constructs/subconstructs by two researchers. Second, the CFIR-based barriers relevant for all HCPs were entered into the tool. Third, the CFIR-based barriers specific to one or more subgroups of HCPs served as additional input for the tool. Finally, a selection of ERIC implementation strategies was made based on the tool's output.

Results: Fourteen implementation strategies were selected. The strategy most endorsed by the tool was 'build a coalition'. Eight of the selected strategies belonged to the ERIC cluster 'develop stakeholder interrelationships'. Other strategies were part of the clusters 'use evaluative and iterative strategies' (n = 3), 'utilise financial strategies' (n = 2), and 'engage consumers' (n = 1).

Conclusions: The findings emphasise the importance of an interdisciplinary approach when addressing the implementation of LRTMs in osteoarthritis care. The final selection of implementation strategies forms the basis for a tailored implementation plan. Future work should focus on further operationalising the implementation strategies and evaluating the effectiveness of the resulting implementation plan.

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来源期刊
Musculoskeletal Care
Musculoskeletal Care RHEUMATOLOGY-
CiteScore
2.30
自引率
7.70%
发文量
88
期刊介绍: Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.
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