Development of theory‐based knowledge translation interventions to facilitate the implementation of evidence‐based guidelines on the early management of adults with traumatic spinal cord injury

Bérubé, Mélanie; Albert, Martin; Contandriopoulos, Damien; DuSablon, Anne; Lacroix, Sébastien; Gagné, Annick; Laflamme, Élise; Boutin, Nathalie; Delisle, Stéphane; Pauzé, Anne-Marie; Mac-Thiong, Jean-Marc

doi:10.1111/jep.12342

Cited by 11 publications

(3 citation statements)

References 65 publications

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“…Although a relatively new model, the COM‐B model has been successfully applied as a framework to the English Department of Health tobacco control strategy (Health, ), the NICE guidance on reducing obesity (NICE, ), medication adherence and management (Jackson et al ; Sinnott et al ), management of spinal cord injury (Bérubé et al ), childhood obesity (Curtis et al ; Robinson et al ), and promotion of safe‐sex practices (Newby et al ). It has also recently been adopted by Improving Access to Psychological Therapy teams to guide the application of low‐intensity lifestyle interventions for psychological well‐being practitioners and other health professionals.…”

Section: Introductionmentioning

confidence: 99%

Physical health promotion for young people at ultra‐high risk for psychosis: An application of the COM‐B model and behaviour‐change wheel

Carney

Bradshaw

Yung

2016

Int J Mental Health Nurs

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People with psychotic illnesses, such as schizophrenia, have high rates of unhealthy lifestyle factors, such as smoking and physical inactivity. Young people who seek help for mental health care, particularly those at high risk for psychosis, often also display high rates of these unhealthy behaviours. Although healthy living interventions have been applied to people with established psychosis, no attempt has been made to offer them to young people at risk for developing psychosis, despite potential benefits to mental and physical health. We propose that the COM-B model (consisting of capability, opportunity and motivation) and behaviour-change wheel might be an appropriate framework that mental health nurses and other health professionals could apply. Using a systematic and theoretically-based approach to intervention development could result in effective methods of health promotion in this group. Further training and development for mental health nurses could encourage a greater integration of mental and physical health care.

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Section: Introductionmentioning

confidence: 99%

Physical health promotion for young people at ultra‐high risk for psychosis: An application of the COM‐B model and behaviour‐change wheel

Carney

Bradshaw

Yung

2016

Int J Mental Health Nurs

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“…24,25 The most common form of TSI in adults is vertebral fracture, which occurs most commonly in the cervical re-gion. 26,27 We show that while patients with TSI commonly present with cervical fractures, they also present with thoracic and lumbar fractures at similar rates. Understanding the mechanics that produce these injuries after impact can inform the type of protective gear needed for athletes participating in different sports.…”

Section: Discussionmentioning

confidence: 67%

Adult sports-related traumatic spinal injuries: do different activities predispose to certain injuries?

Hauser¹,

Gupta²,

Hoffman³

et al. 2021

Journal of Neurosurgery: Spine

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OBJECTIVE Sports injuries are known to present a high risk of spinal trauma. The authors hypothesized that different sports predispose participants to different injuries and injury severities. METHODS The authors conducted a retrospective cohort analysis of adult patients who experienced a sports-related traumatic spinal injury (TSI), including spinal fractures and spinal cord injuries (SCIs), encoded within the National Trauma Data Bank from 2011 through 2014. Multiple imputation was used for missing data, and multivariable linear and logistic regression models were estimated. RESULTS The authors included 12,031 cases of TSI, which represented 15% of all sports-related trauma. The majority of patients with TSI were male (82%), and the median age was 48 years (interquartile range 32–57 years). The most frequent mechanisms of injury in this database were cycling injuries (81%), skiing and snowboarding accidents (12%), aquatic sports injuries (3%), and contact sports (3%). Spinal surgery was required during initial hospitalization for 9.1% of patients with TSI. Compared to non-TSI sports-related trauma, TSIs were associated with an average 2.3-day increase in length of stay (95% CI 2.1–2.4; p < 0.001) and discharge to or with rehabilitative services (adjusted OR 2.6, 95% CI 2.4–2.7; p < 0.001). Among sports injuries, TSIs were the cause of discharge to or with rehabilitative services in 32% of cases. SCI was present in 15% of cases with TSI. Within sports-related TSIs, the rate of SCI was 13% for cycling injuries compared to 41% and 49% for contact sports and aquatic sports injuries, respectively. Patients experiencing SCI had a longer length of stay (7.0 days longer; 95% CI 6.7–7.3) and a higher likelihood of adverse discharge disposition (adjusted OR 9.69, 95% CI 8.72–10.77) compared to patients with TSI but without SCI. CONCLUSIONS Of patients with sports-related trauma discharged to rehabilitation, one-third had TSIs. Cycling injuries were the most common cause, suggesting that policies to make cycling safer may reduce TSI.

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“…Choosing the most appropriate theory-driven approach is challenging as such models can be complex, that is, difficult for both researchers and health care practitioners to understand and operationalize, or lack comprehensiveness [64]. Although the TDF and BCW are comparatively new implementation frameworks, they have already been used in several studies to understand and promote the uptake of evidence in clinical practice [65][66][67], including in the field of physiotherapy [68]. For this research project, we decided to use the TDF as it has proven to be a comprehensive and accessible way to understand the barriers and facilitators to best practice in primary and secondary care in Western countries [64].…”

Section: Overviewmentioning

confidence: 99%

Guideline-Adherent Physiotherapy for Patients With Hip and Knee Osteoarthritis in Germany: Protocol for an Implementation Research Project Using the Theoretical Domains Framework and the Behavior Change Wheel

Bahns¹,

Scheffler²,

Kopkow³

2023

JMIR Res Protoc

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Background Hip and knee osteoarthritis is common and leads to pain, stiffness, and disability. Clinical practice guidelines provide recommendations based on the best available evidence to assist health care professionals and patients in clinical decision-making. However, several studies have reported a gap between guideline recommendations and clinical practice in physiotherapy. Improved implementation strategies and the removal of existing barriers may facilitate the transfer of evidence into clinical practice and contribute to optimized quality of care. Objective This paper presents the protocol for a study that aims to describe the current physiotherapy practice in patients with hip and knee osteoarthritis and to investigate physiotherapists’ adherence to clinical practice guidelines, to identify and specify barriers to and facilitators of guideline use and implementation, and to develop and pilot test a theory-based tailored implementation intervention aiming to increase guideline use in osteoarthritis care. Methods The research project is divided into 4 parts. During the first part, we will conduct a nationwide web-based survey among German physiotherapists to evaluate the current management of hip and knee osteoarthritis and to evaluate whether treatment aligns with guideline recommendations. Subsequently, semistructured interviews will be conducted to specify barriers to and facilitators of guideline use and implementation among physiotherapists (part 2). On the basis of these findings, in part 3, we will develop a theory-driven implementation intervention based on the Theoretical Domains Framework and the Behavior Change Wheel, which will be evaluated in a controlled pilot study in terms of effectiveness, feasibility, and acceptability (part 4). Results Data collection of the web-based survey among German physiotherapists (part 1) was completed in December 2021. The semistructured interviews (part 2) were conducted between January and September 2023. Recruitment of physiotherapy practices to participate in the development of the implementation intervention is expected to start in January 2024. Conclusions This research project aims to develop a theory-driven implementation intervention to facilitate the transfer of evidence from hip and knee osteoarthritis guidelines in physiotherapy practice. We hypothesize that successful implementation will lead to increased guideline adherence in physiotherapists, which in turn will improve the quality of care. The results from our project will provide valuable knowledge concerning the development process and effectiveness of tailored implementation interventions. International Registered Report Identifier (IRRID) DERR1-10.2196/47834

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Development of theory‐based knowledge translation interventions to facilitate the implementation of evidence‐based guidelines on the early management of adults with traumatic spinal cord injury

Abstract: This research project allowed us developing KT interventions according to a thorough behavioural change methodology. Exposure to the generated interventions will support health care professionals in providing the best care to SCI patients.

Cited by 11 publications

References 65 publications

Physical health promotion for young people at ultra‐high risk for psychosis: An application of the COM‐B model and behaviour‐change wheel

Physical health promotion for young people at ultra‐high risk for psychosis: An application of the COM‐B model and behaviour‐change wheel

Adult sports-related traumatic spinal injuries: do different activities predispose to certain injuries?

Guideline-Adherent Physiotherapy for Patients With Hip and Knee Osteoarthritis in Germany: Protocol for an Implementation Research Project Using the Theoretical Domains Framework and the Behavior Change Wheel

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