‘Making every contact count’ with patients with musculoskeletal conditions: a qualitative exploration of acceptability to physiotherapists

Abstract Aim To qualitatively explore physiotherapists’ experiences and acceptability of implementing ‘Making Every Contact Count Healthy Conversation Skills’ (MECC HCS) in routine practice with patients with musculoskeletal (MSK) conditions. Methods This article reports the second phase of a mixed...

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Main Authors: Amelia Parchment, Wendy Lawrence, Em Rahman, Nick Townsend, Elaine Wainwright, David Wainwright
Format: Article
Language:English
Published: BMC 2023-10-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-023-10126-1
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author Amelia Parchment
Wendy Lawrence
Em Rahman
Nick Townsend
Elaine Wainwright
David Wainwright
author_facet Amelia Parchment
Wendy Lawrence
Em Rahman
Nick Townsend
Elaine Wainwright
David Wainwright
author_sort Amelia Parchment
collection DOAJ
description Abstract Aim To qualitatively explore physiotherapists’ experiences and acceptability of implementing ‘Making Every Contact Count Healthy Conversation Skills’ (MECC HCS) in routine practice with patients with musculoskeletal (MSK) conditions. Methods This article reports the second phase of a mixed method, sequential explanatory study. Physiotherapists trained in and delivering MECC HCS in their practice were invited to take part in semi-structured interviews. We hoped to develop a rich, in-depth understanding of their use and perceptions of the brief intervention and to contextualise findings from the first phase of the study. Qualitative data were analysed using Reflexive Thematic Analysis. Results Physiotherapists valued MECC HCS as being integral to their practice, promoting a person-centred approach to supporting behaviour change and enhancing self-management in patients with MSK conditions and pain. It was believed that this brief intervention could reduce workload pressure for physiotherapists and have significant wider benefits for health services. Time limitations associated with appointments did, however, pose as a challenge to MECC HCS delivery, and it was felt that more organisational-level support was needed to sustain it. Conclusions These findings support our quantitative data, collected in the first phase of this study. MECC HCS is a highly acceptable brief intervention that can be delivered in physiotherapy care to support behaviour change in patients with MSK conditions. Future roll-out may be optimised within organisations by providing regular refresher training and adopting a MECC champion.
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spelling doaj.art-9bc2d00f305a489898d18470872e37a22023-11-19T12:48:54ZengBMCBMC Health Services Research1472-69632023-10-0123111410.1186/s12913-023-10126-1‘Making every contact count’ with patients with musculoskeletal conditions: a qualitative exploration of acceptability to physiotherapistsAmelia Parchment0Wendy Lawrence1Em Rahman2Nick Townsend3Elaine Wainwright4David Wainwright5Department for Health, University of BathPrimary Care, Population Science and Medical Education, Faculty of Medicine, University of SouthamptonPublic Health Workforce DevelopmentCentre for Exercise, Nutrition and Health Sciences, School for Policy Studies, University of BristolAberdeen Centre for Arthritis and Musculoskeletal Health (Epidemiology Group), School of Medicine, Medical Sciences and Nutrition, University of AberdeenDepartment for Health, University of BathAbstract Aim To qualitatively explore physiotherapists’ experiences and acceptability of implementing ‘Making Every Contact Count Healthy Conversation Skills’ (MECC HCS) in routine practice with patients with musculoskeletal (MSK) conditions. Methods This article reports the second phase of a mixed method, sequential explanatory study. Physiotherapists trained in and delivering MECC HCS in their practice were invited to take part in semi-structured interviews. We hoped to develop a rich, in-depth understanding of their use and perceptions of the brief intervention and to contextualise findings from the first phase of the study. Qualitative data were analysed using Reflexive Thematic Analysis. Results Physiotherapists valued MECC HCS as being integral to their practice, promoting a person-centred approach to supporting behaviour change and enhancing self-management in patients with MSK conditions and pain. It was believed that this brief intervention could reduce workload pressure for physiotherapists and have significant wider benefits for health services. Time limitations associated with appointments did, however, pose as a challenge to MECC HCS delivery, and it was felt that more organisational-level support was needed to sustain it. Conclusions These findings support our quantitative data, collected in the first phase of this study. MECC HCS is a highly acceptable brief intervention that can be delivered in physiotherapy care to support behaviour change in patients with MSK conditions. Future roll-out may be optimised within organisations by providing regular refresher training and adopting a MECC champion.https://doi.org/10.1186/s12913-023-10126-1Making every contact countHealthy conversation skillsPhysiotherapy careBehaviour changePreventionSelf-management
spellingShingle Amelia Parchment
Wendy Lawrence
Em Rahman
Nick Townsend
Elaine Wainwright
David Wainwright
‘Making every contact count’ with patients with musculoskeletal conditions: a qualitative exploration of acceptability to physiotherapists
BMC Health Services Research
Making every contact count
Healthy conversation skills
Physiotherapy care
Behaviour change
Prevention
Self-management
title ‘Making every contact count’ with patients with musculoskeletal conditions: a qualitative exploration of acceptability to physiotherapists
title_full ‘Making every contact count’ with patients with musculoskeletal conditions: a qualitative exploration of acceptability to physiotherapists
title_fullStr ‘Making every contact count’ with patients with musculoskeletal conditions: a qualitative exploration of acceptability to physiotherapists
title_full_unstemmed ‘Making every contact count’ with patients with musculoskeletal conditions: a qualitative exploration of acceptability to physiotherapists
title_short ‘Making every contact count’ with patients with musculoskeletal conditions: a qualitative exploration of acceptability to physiotherapists
title_sort making every contact count with patients with musculoskeletal conditions a qualitative exploration of acceptability to physiotherapists
topic Making every contact count
Healthy conversation skills
Physiotherapy care
Behaviour change
Prevention
Self-management
url https://doi.org/10.1186/s12913-023-10126-1
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