Theory-Informed Development of a Multicomponent Intervention to Implement Clinical Practice Guideline Recommendations in the Management of Shoulder Pain.
Objective Suboptimal primary health care management of shoulder pain has been reported in previous studies. Implementing clinical practice guidelines (CPGs) recommendations using a theoretical approach is recommended to improve shoulder pain management. This study aims to identify determinants of im...
| Publicado en: | PTJ: Physical Therapy & Rehabilitation Journal Vol. 105; no. 1; pp. 1 - 16 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Jan2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=182886572&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 182886572 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15386724 MZW0 jtl: PTJ: Physical Therapy & Rehabilitation Journal issn: 15386724 maglogo: N pubinfo: dt: Jan2025 vid: 105 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 182886572 182886572 182886572 10.1093/ptj/pzae160 182886572 ppf: 1 ppct: 15 formats: tig: atl: Theory-Informed Development of a Multicomponent Intervention to Implement Clinical Practice Guideline Recommendations in the Management of Shoulder Pain. aug: au: Lowry, Véronique Desmeules, François Lavigne, Patrick Décary, Simon Tousignant-Laflamme, Yannick Martel, Marylie Roy, Jean-Sébastien Perreault, Kadija Lefebvre, Marie-Claude Kilpatrick, Kelley Hudon, Anne Zidarov, Diana affil: School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montréal, Québec H3N 1X7, Canada sug: subj: Shoulder Pain Therapy Pain Management Practice Guidelines Conceptual Framework Implementation Science Quebec Funding Source Human Male Female Physicians, Family Physical Therapists Qualitative Studies Semi-Structured Interview Professional Knowledge Clinical Competence Intention Audit Feedback Professional Role Multidisciplinary Care Team Behavioral Changes Thematic Analysis Data Analysis Software Descriptive Statistics Male Female ab: Objective Suboptimal primary health care management of shoulder pain has been reported in previous studies. Implementing clinical practice guidelines (CPGs) recommendations using a theoretical approach is recommended to improve shoulder pain management. This study aims to identify determinants of implementing recommendations from shoulder CPGs to help develop an intervention based on the identified determinants. Methods Family physicians and physical therapists managing patients with shoulder pain in primary care were invited to participate in a qualitative study to identify determinants to implementing recommendations from shoulder CPGs. The Theoretical Domains Framework (TDF) was used to inform the creation of the semi-structured interview guide and for deductive coding of transcriptions. The determinants were mapped to intervention functions and behavior change techniques (BCT) using the Behavior Change Wheel method and strategies for implementing CPGs recommendations were identified. Results Interviews were conducted with 16 family physicians and 19 physical therapists. We identified 12 barriers and 6 facilitators within 7 TDF domains: knowledge, skills, beliefs about capabilities, beliefs about consequences, intentions, environmental context and resources, and social influence. We identified 6 intervention functions and 12 BCT addressing the relevant determinants. The 11 implementation strategies identified include the development and distribution of educational material, interactive educational outreach visits, and audit and feedback. Other components to consider are the identification and preparation of champions in primary care clinical settings, revision of professional roles, and creation of interdisciplinary clinical teams. Conclusions The identification of barriers and facilitators to implementing recommendations from shoulder CPGs allowed us to select implementation strategies at individual and organizational levels. Impact The implementation strategies will be adapted to specific primary care contexts in consultation with stakeholders and operationalized into a multicomponent implementation intervention. Implementing the intervention has the potential to improve shoulder pain management in primary care and facilitate the use of evidence-based recommendations from CPGs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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