How useful is the Making Every Contact Count Healthy Conversation Skills approach for supporting people with musculoskeletal conditions?

Aim: To explore the current use and perceptions of the Wessex model of Making Every Contact Count (MECC), incorporating Healthy Conversation Skills (HCS), focussing specifically on physiotherapists supporting people living with musculoskeletal conditions. Methods: A mixed method, sequential explanat...

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Published in:Journal of Public Health: From Theory to Practice (2198-1833) Vol. 30; no. 10; pp. 2389 - 2406
Main Authors: Parchment, Amelia, Lawrence, Wendy, Rahman, Em, Townsend, Nick, Wainwright, Elaine, Wainwright, David
Format: Article
Published: Springer Nature Oct2022
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Oct2022
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      pub: Springer Nature
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        10.1007/s10389-022-01718-y
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        atl: How useful is the Making Every Contact Count Healthy Conversation Skills approach for supporting people with musculoskeletal conditions?
      aug:
        au:
          Parchment, Amelia
          Lawrence, Wendy
          Rahman, Em
          Townsend, Nick
          Wainwright, Elaine
          Wainwright, David
        affil:
          Department for Health, University of Bath, BA2 7AY, Bath, England, UK
          MRC Lifecourse Epidemiology Unit, University of Southampton, SO16 6YD, Southampton, England, UK
          NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, SO16 6YD, Southampton, England, UK
          Public Health Workforce Development, Southern House, Health Education England, SO21 2RU, Winchester, England, UK
          Aberdeen Centre for Arthritis and Musculoskeletal Health (Epidemiology Group), School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK
      su:
        Social support
        Analysis of variance
        Conversation
        Communicative competence
        Patient-professional relations
        Musculoskeletal system diseases
        Kruskal-Wallis Test
        Descriptive statistics
        Data analysis software
        Thematic analysis
      sug:
        subj:
          Social support
          Analysis of variance
          Conversation
          Communicative competence
          Patient-professional relations
          Other Individual and Family Services
          Musculoskeletal system diseases
          Kruskal-Wallis Test
          Descriptive statistics
          Data analysis software
          Thematic analysis
      keyword:
        Brief intervention
        Healthy conversation skills
        Making every contact count
        Musculoskeletal health
        Physiotherapist
        Theoretical domains framework
        Very brief intervention
        Brief intervention
        Healthy conversation skills
        Making every contact count
        Musculoskeletal health
        Physiotherapist
        Theoretical domains framework
        Very brief intervention
      ab: Aim: To explore the current use and perceptions of the Wessex model of Making Every Contact Count (MECC), incorporating Healthy Conversation Skills (HCS), focussing specifically on physiotherapists supporting people living with musculoskeletal conditions. Methods: A mixed method, sequential explanatory design was employed. This article reports the first phase of the study, in which an online questionnaire was administered, consisting of items relating to perceived acceptability, appropriateness, feasibility, sustainability, and uptake of MECC HCS. Barriers and facilitators to MECC HCS delivery were additionally explored and mapped to the Theoretical Domains Framework. Results: Seventy-one professionals responded, including 15 physiotherapists supporting people with MSK conditions. Across professional groups, MECC HCS was found to be highly acceptable, appropriate, and feasible. A significant interaction between perceived sustainability of MECC HCS and the location in which professionals worked was observed. Physiotherapists reported using their MECC HCS at least daily; however, there were discrepancies between the number of their patients they believed could benefit from behaviour change intervention, and the number to whom they reported actually delivering MECC HCS. Perceived barriers and facilitators to MECC HCS implementation mapped mostly to 'Environmental Context and Resources' on the Theoretical Domains Framework. Conclusions: The Wessex model of MECC is a promising brief or very brief intervention for physiotherapists supporting individuals with musculoskeletal conditions. Barriers associated with the sustainability of the intervention within organisations must be addressed in order to enhance future implementation. Further rollout of this intervention may be beneficial for meeting the goals of the NHS and Public Health England in prevention of chronic MSK conditions and promotion of musculoskeletal health.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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