Mark Porcheret
Enhancing delivery of osteoarthritis care in the general practice consultation: evaluation of a behaviour change intervention
Porcheret, Mark; Main, Chris; Croft, Peter; Dziedzic, Krysia
Abstract
BACKGROUND: Professionally-focussed behaviour change intervention (BCI) workshops were utilised in the Management of OsteoArthritis in Consultations (MOSAICS) trial investigating the feasibility of implementing the National Institute for Health and Care Excellence (NICE) Osteoarthritis (OA) Guideline in general practice. The workshops aimed to implement the general practitioner (GP) component of the trial intervention: an enhanced consultation for patients presenting with possible OA. This study presents an evaluation of the BCI workshops on GP competency in conducting these enhanced consultations. METHODS: A before-and-after evaluation of the workshops, delivered to GPs participating in the intervention arm of the MOSAICS trial, using video-recorded GP consultations with simulated OA patients. GPs attended four workshops, which had been developed using an implementation framework. Videos were undertaken at three time-points (before workshops and at one- and five-months after) and were assessed by independent observers, blinded to time points, for GP competency in undertaking 14 predetermined consultation tasks. RESULTS: Videos of 15 GPs were assessed. GP competency increased from a median of seven consultation tasks undertaken by each GP at baseline to 11 at both time-points after the workshops. Specific tasks which were undertaken more frequently after the workshops related to explaining that OA is treatable and not inevitably progressive, eliciting and addressing patient expectations of the consultation, and providing written OA information. However, the use of the word "osteoarthritis" in giving the diagnosis of OA was not enhanced by the workshops. CONCLUSIONS: BCI workshops can enhance GP competency in undertaking consultations for OA. Further initiatives to implement the NICE OA Guideline and enhance the care of people with OA in primary care can be informed by the content and delivery of the workshops evaluated in this study.
Citation
Porcheret, M., Main, C., Croft, P., & Dziedzic, K. (2018). Enhancing delivery of osteoarthritis care in the general practice consultation: evaluation of a behaviour change intervention. BMC Family Practice, 19, Article 26. https://doi.org/10.1186/s12875-018-0715-8
Journal Article Type | Article |
---|---|
Acceptance Date | Jan 24, 2018 |
Publication Date | Feb 6, 2018 |
Journal | BMC Family Practice |
Print ISSN | 1471-2296 |
Publisher | BioMed Central |
Peer Reviewed | Peer Reviewed |
Volume | 19 |
Article Number | 26 |
DOI | https://doi.org/10.1186/s12875-018-0715-8 |
Keywords | Osteoarthritis, Primary care, Consultations, Behaviour change, Implementation, Simulated patients, Evaluation,Video-recording |
Publisher URL | http://dx.doi.org/10.1186/s12875-018-0715-8 |
Files
06042018_s12875-018-0715-8.pdf
(778 Kb)
PDF
Publisher Licence URL
https://creativecommons.org/licenses/by/4.0/
You might also like
2023 EULAR classification criteria for hand osteoarthritis.
(2024)
Journal Article
Downloadable Citations
About Keele Repository
Administrator e-mail: research.openaccess@keele.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2025
Advanced Search