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 c...
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ftpubmed:oai:pubmedcentral.nih.gov:7705520 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 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7705520/ http://www.ncbi.nlm.nih.gov/pubmed/33257487 https://doi.org/10.1136/bmjopen-2020-040834 en eng BMJ Publishing Group http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7705520/ http://www.ncbi.nlm.nih.gov/pubmed/33257487 http://dx.doi.org/10.1136/bmjopen-2020-040834 © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. CC-BY-NC BMJ Open Evidence Based Practice Text 2020 ftpubmed https://doi.org/10.1136/bmjopen-2020-040834 2020-12-13T01:28:32Z 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 PubMed Central (PMC) Canada Newfoundland |
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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 |
publishDate |
2020 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7705520/ http://www.ncbi.nlm.nih.gov/pubmed/33257487 https://doi.org/10.1136/bmjopen-2020-040834 |
geographic |
Canada Newfoundland |
geographic_facet |
Canada Newfoundland |
genre |
Newfoundland |
genre_facet |
Newfoundland |
op_source |
BMJ Open |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7705520/ http://www.ncbi.nlm.nih.gov/pubmed/33257487 http://dx.doi.org/10.1136/bmjopen-2020-040834 |
op_rights |
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
op_rightsnorm |
CC-BY-NC |
op_doi |
https://doi.org/10.1136/bmjopen-2020-040834 |
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1766108277674868736 |