Optimising the implementation of evidence-based osteoarthritis guidelines in primary care: Development of a knowledge mobilisation toolkit

Swaithes, Laura; Paskins, Zoe; Finney, Andrew; Walsh, Nicola; Skrybant, Magdalena; Mallen, Christian; Dziedzic, Krysia

Abstract

Objective
Implementing clinical guidelines for osteoarthritis in primary care is complex. Whilst international guidelines detail what best practice for osteoarthritis looks like, little is known about how this is best implemented. Limited resources are available to guideline developers, practitioners, researchers, or the public to facilitate implementation. Set in the context of a larger research project which sought to understand the factors that influence knowledge mobilisation (KM) in implementation for osteoarthritis guidelines, this study reports the development of a toolkit to optimise KM for the implementation of evidence-based osteoarthritis guidelines in primary care.

Design
Triangulation of three qualitative data sets was conducted, followed by a stakeholder consensus exercise. Public contributors were involved in dedicated meetings (n=3) to inform the content, design, and KM plans for the toolkit.

Results
From data triangulation, 53 key findings were identified, which were refined into 30 draft recommendation statements, within six domains: approaches to KM; the knowledge mobiliser role; understanding context; implementation planning; the nature of the intervention; and appealing to a range of priorities. Stakeholder voting (n=27) demonstrated consensus with the recommendations and informed the wording of the final toolkit.

Conclusions
Factors that optimise KM for osteoarthritis guideline implementation in primary care were identified. Empirical data, practice-based evidence, implementation practice, and stakeholder (including patient and public) engagement have informed a toolkit comprising several overarching principles of KM, which are suitable for use in primary care. Consideration of equitable access when implementing evidence-based OA care among diverse populations is recommended when using the toolkit. Further research is needed to evaluate the toolkit’s utility and transferability.

• Journal Article Type: Article
• Acceptance Date: Jan 9, 2024
• Online Publication Date: Jan 17, 2024
• Publication Date: Jan 17, 2024
• Deposit Date: Feb 1, 2024
• Journal: Osteoarthritis and Cartilage
• Print ISSN: 1063-4584
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• DOI: https://doi.org/10.1016/j.joca.2024.01.003