‘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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Format: | Article |
Language: | English |
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BMC
2023-10-01
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Series: | BMC Health Services Research |
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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. |
first_indexed | 2024-03-10T22:05:36Z |
format | Article |
id | doaj.art-9bc2d00f305a489898d18470872e37a2 |
institution | Directory Open Access Journal |
issn | 1472-6963 |
language | English |
last_indexed | 2024-03-10T22:05:36Z |
publishDate | 2023-10-01 |
publisher | BMC |
record_format | Article |
series | BMC Health Services Research |
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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