Evaluating the impact of a champion on implementation of the Back Skills Training (BeST) programme in Canada: a mixed methods feasibility study protocol
Introduction There is global recognition that low back pain (LBP) should be managed with a biopsychosocial approach. Previous implementation of this approach resulted in low uptake and highlighted the need for ongoing support. This study aims to explore the feasibility of (i) training and using a ch...
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fthighwire:oai:open-archive.highwire.org:bmjopen:10/11/e040834 2023-05-15T17:22:02+02:00 Evaluating the impact of a champion on implementation of the Back Skills Training (BeST) programme in Canada: a mixed methods feasibility study protocol Hall, Amanda Richmond, Helen Bursey, Krystal Hansen, Zara Williamson, Esther Copsey, Bethan Albury, Charlotte Asghari, Shabnam Curran, Vernon Pike, Andrea Etchegary, Holly Lamb, Sarah 2020-11-30 07:42:28.0 text/html http://bmjopen.bmj.com/cgi/content/short/10/11/e040834 https://doi.org/10.1136/bmjopen-2020-040834 en eng BMJ Publishing Group Ltd http://bmjopen.bmj.com/cgi/content/short/10/11/e040834 http://dx.doi.org/10.1136/bmjopen-2020-040834 Copyright (C) 2020, British Medical Journal Publishing Group Evidence based practice TEXT 2020 fthighwire https://doi.org/10.1136/bmjopen-2020-040834 2020-12-27T18:18:51Z Introduction There is global recognition that low back pain (LBP) should be managed with a biopsychosocial approach. Previous implementation of this approach resulted in low uptake and highlighted the need for ongoing support. This study aims to explore the feasibility of (i) training and using a champion to support implementation, (ii) using a cluster randomised controlled trial (RCT), (iii) collecting patient reported outcome measures in a Canadian public healthcare setting and to identify contextual barriers to implementation. Methods A pragmatic cluster RCT with embedded qualitative study with physiotherapists treating LBP in publicly funded physiotherapy departments in Newfoundland and Labrador, Canada. Participants will complete a previously developed online training course to equip them to deliver a biopsychosocial intervention for LBP. Clusters randomised to the intervention arm will receive additional support from a champion. A minimum champion training package has been developed based on known barriers in the literature. This includes strategies to target barriers relating to group-based scheduling issues, lack of managerial support, perceived patient factors such as addressing patient expectations for other types of treatments or selecting which patients might be best suited for this intervention, and anxiety about delivering something new. This package will be further codeveloped with study champions based on identified implementation barriers using the Behaviour Change Wheel. Clusters will be monitored for 6 months to assess champion and physiotherapist recruitment and retention, acceptability and implementation of the champion training, and the viability of conducting a cluster RCT in this setting. A purposive sample of physiotherapists will be interviewed from both arms. Ethics and dissemination This study was approved by Newfoundland and Labrador Health Research Ethics Authority in December 2018. Results will be disseminated to academic audiences through conferences and peer reviewed ... Text Newfoundland HighWire Press (Stanford University) Canada Newfoundland |
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HighWire Press (Stanford University) |
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English |
topic |
Evidence based practice |
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Evidence based practice Hall, Amanda Richmond, Helen Bursey, Krystal Hansen, Zara Williamson, Esther Copsey, Bethan Albury, Charlotte Asghari, Shabnam Curran, Vernon Pike, Andrea Etchegary, Holly Lamb, Sarah Evaluating the impact of a champion on implementation of the Back Skills Training (BeST) programme in Canada: a mixed methods feasibility study protocol |
topic_facet |
Evidence based practice |
description |
Introduction There is global recognition that low back pain (LBP) should be managed with a biopsychosocial approach. Previous implementation of this approach resulted in low uptake and highlighted the need for ongoing support. This study aims to explore the feasibility of (i) training and using a champion to support implementation, (ii) using a cluster randomised controlled trial (RCT), (iii) collecting patient reported outcome measures in a Canadian public healthcare setting and to identify contextual barriers to implementation. Methods A pragmatic cluster RCT with embedded qualitative study with physiotherapists treating LBP in publicly funded physiotherapy departments in Newfoundland and Labrador, Canada. Participants will complete a previously developed online training course to equip them to deliver a biopsychosocial intervention for LBP. Clusters randomised to the intervention arm will receive additional support from a champion. A minimum champion training package has been developed based on known barriers in the literature. This includes strategies to target barriers relating to group-based scheduling issues, lack of managerial support, perceived patient factors such as addressing patient expectations for other types of treatments or selecting which patients might be best suited for this intervention, and anxiety about delivering something new. This package will be further codeveloped with study champions based on identified implementation barriers using the Behaviour Change Wheel. Clusters will be monitored for 6 months to assess champion and physiotherapist recruitment and retention, acceptability and implementation of the champion training, and the viability of conducting a cluster RCT in this setting. A purposive sample of physiotherapists will be interviewed from both arms. Ethics and dissemination This study was approved by Newfoundland and Labrador Health Research Ethics Authority in December 2018. Results will be disseminated to academic audiences through conferences and peer reviewed ... |
format |
Text |
author |
Hall, Amanda Richmond, Helen Bursey, Krystal Hansen, Zara Williamson, Esther Copsey, Bethan Albury, Charlotte Asghari, Shabnam Curran, Vernon Pike, Andrea Etchegary, Holly Lamb, Sarah |
author_facet |
Hall, Amanda Richmond, Helen Bursey, Krystal Hansen, Zara Williamson, Esther Copsey, Bethan Albury, Charlotte Asghari, Shabnam Curran, Vernon Pike, Andrea Etchegary, Holly Lamb, Sarah |
author_sort |
Hall, Amanda |
title |
Evaluating the impact of a champion on implementation of the Back Skills Training (BeST) programme in Canada: a mixed methods feasibility study protocol |
title_short |
Evaluating the impact of a champion on implementation of the Back Skills Training (BeST) programme in Canada: a mixed methods feasibility study protocol |
title_full |
Evaluating the impact of a champion on implementation of the Back Skills Training (BeST) programme in Canada: a mixed methods feasibility study protocol |
title_fullStr |
Evaluating the impact of a champion on implementation of the Back Skills Training (BeST) programme in Canada: a mixed methods feasibility study protocol |
title_full_unstemmed |
Evaluating the impact of a champion on implementation of the Back Skills Training (BeST) programme in Canada: a mixed methods feasibility study protocol |
title_sort |
evaluating the impact of a champion on implementation of the back skills training (best) programme in canada: a mixed methods feasibility study protocol |
publisher |
BMJ Publishing Group Ltd |
publishDate |
2020 |
url |
http://bmjopen.bmj.com/cgi/content/short/10/11/e040834 https://doi.org/10.1136/bmjopen-2020-040834 |
geographic |
Canada Newfoundland |
geographic_facet |
Canada Newfoundland |
genre |
Newfoundland |
genre_facet |
Newfoundland |
op_relation |
http://bmjopen.bmj.com/cgi/content/short/10/11/e040834 http://dx.doi.org/10.1136/bmjopen-2020-040834 |
op_rights |
Copyright (C) 2020, British Medical Journal Publishing Group |
op_doi |
https://doi.org/10.1136/bmjopen-2020-040834 |
_version_ |
1766108287719178240 |