Effectiveness of health consumer representative involvement in implementation of interventions to change health professional behaviour

Oakman, Jodi; Cahill, Liana S; Clune, Samantha; Neilson, Cheryl; Shields, Nora; Tse, Tamara; O'Keefe, Sophie; Frederico, Margarita; Graco, Marnie; Holland, Anne E; Jolliffe, Laura; Lewis, Virginia; Brown, Graham; Cox, Narelle S; Morris, Meg E.; Lannin, Natasha A.

doi:10.1093/intqhc/mzaa164

Cited by 7 publications

(7 citation statements)

References 48 publications

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“…Empowering patients to prevent their own falls across the continuum of care and within routine activities of daily living was a key recommendation. Involving patient representatives in the co-design and implementation of interventions and making education relevant, interactive and individualised allows for patients to better engage with the health professional and the education [ 77 , 78 ]. Similar health behaviour changes through patient empowerment have also been identified by Joseph-Williams et al [ 79 ] and Michie et al [ 80 ].…”

Section: Discussionmentioning

confidence: 99%

Healthcare professional perspectives on barriers and enablers to falls prevention education: A qualitative study

et al. 2022

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In hospitals, patient falls prevention education is frequently delivered by nurses and allied health professionals. Hospital falls rates remain high globally, despite the many systems and approaches that attempt to mitigate falling. The aim of this study was to investigate health professional views on the enablers and barriers to providing patient falls education in hospitals. Four focus groups with 23 nursing and allied health professionals were conducted at 3 hospitals. Three researchers independently coded the data and findings were analysed thematically with a descriptive qualitative approach to identify and develop themes according to barriers and enablers. Barriers included (i) limited interprofessional communication about patient falls; (ii) sub-optimal systems for falls education for patients and health professionals, and (iii) perceived patient-related barriers to falls education. Enablers to providing patient falls education included: (i) implementing strategies to increase patient empowerment; (ii) ensuring that health professionals had access to effective modes of patient education; and (iii) facilitating interprofessional collaboration. Health professionals identified the need to overcome organisational, patient and clinician-related barriers to falls education. Fostering collective responsibility amongst health professionals for evidence-based falls prevention was also highlighted.

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Section: Discussionmentioning

confidence: 99%

Healthcare professional perspectives on barriers and enablers to falls prevention education: A qualitative study

et al. 2022

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“…between healthcare professionals and consumers to design and implement therapies and services. 5 Rehabilitation designed in partnership with patients is more likely to meet their needs and preferences. 9 The National Institute for Health Research and other agencies across the globe have advocated co-design.…”

Section: Open Accessmentioning

confidence: 99%

“…4 Co-design refers to collaboration between stakeholders such as patients, healthcare professionals, carers or families to design and implement therapies and services in partnership. 5 Rehabilitation interventions are considered to be co-designed if a patient has participated in the planning, design or delivery, including the re-design of interventions to meet individual needs and preferences.…”

Section: Introductionmentioning

confidence: 99%

Patient experiences of co-designed rehabilitation interventions: protocol for a rapid review

et al. 2022

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IntroductionPatient-centred care can be facilitated by co-design, which refers to collaboration between healthcare professionals and consumers in producing and implementing healthcare. Systematic reviews on co-design have mainly focused on the effectiveness of co-produced healthcare interventions. Less attention has been directed towards the experiences of patients in co-designed interventions. This rapid review aims to explore patient experiences of co-designed rehabilitation interventions and inform rehabilitation decision-making.Methods and analysisA rapid review will expedite timely information on co-design experiences for stakeholders. Four electronic databases, including Cochrane CENTRAL, MEDLINE, Embase and CINAHL, will be searched for papers published from 1 January 2000 to 1 January 2022. The Cochrane Risk of Bias tool will be used for randomised trials. Critical appraisal checklists from The Joanna Briggs Institute shall evaluate the risk of bias of non-randomised trials and qualitative studies. A narrative synthesis will be provided for the quantitative studies. Thematic synthesis will be conducted on qualitative findings. The overall strength of the evidence will be measured using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework for quantitative investigations and the GRADE-Confidence in Evidence from Reviews of Qualitative Research for qualitative studies. The results will be presented using narrative summaries, identified themes, summary tables, flow charts and quantitative statistical analyses.Ethics and disseminationEthics approval is not required for the review. The protocol and rapid review will be submitted to an online, open access and peer-reviewed journal for publication. The review findings will be rapidly translated to consumers, clinicians, healthcare leaders, organisations, researchers and policy makers via publications, evidence summaries, conferences, workshops, websites, social media and online events.PROSPERO registration numberCRD42021264547.

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“…21 Given this gap, the current review mainly focuses on the postdesign stage of rehabilitation codesign, which relates to how patients report their experiences of inpatient rehabilitation after implementation has occurred. 21 26 Prior systematic reviews have evaluated codesign in relation to services and clinical outcomes in hospitals 7 ; the organisational and patient outcomes of codesigned hospital services and tools 6 ; effects of patient engagement strategies on patients and health services 8 ; the influence that codesigned interventions can have on changing health professional behaviour 27 and contemporary codesign approaches in research. 28 There is only limited research on how patients in hospital experience codesigned rehabilitation interventions.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Patient experiences of codesigned rehabilitation interventions in hospitals: a rapid review

et al. 2022

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BackgroundCodesign strengthens partnerships between healthcare workers and patients. It also facilitates collaborations supporting the development, design and delivery of healthcare services. Prior rehabilitation reviews have focused mainly on the clinical and organisational outcomes of codesign with less focus on the lived experience of rehabilitation patients.ObjectiveTo explore patient experiences of codesigned hospital rehabilitation interventions.DesignRapid review and evidence synthesis of the literature.Data sourcesCINAHL, MEDLINE, Embase and Cochrane were searched from 1 January 2000 to 25 April 2022.Study selectionStudies reporting patient experiences of codesigned rehabilitation interventions in hospitals.Results4156 studies were screened, and 38 full-text studies were assessed for eligibility. Seven studies were included in the final rapid review. Five out of the seven studies involved neurological rehabilitation. All eligible studies used qualitative research methods. The main barriers to codesign were related to staffing and dedicated time allocated to face-to-face patient-therapist interactions. High-quality relationships between patients and their therapists were a facilitator of codesign. Thematic synthesis revealed that codesigned rehabilitation interventions can enable a meaningful experience for patients and facilitate tailoring of treatments to align with individual needs. Personalised rehabilitation increases patient involvement in rehabilitation planning, delivery and decision-making. It also promotes positive feelings of empowerment and hope.ConclusionThis rapid review supports the implementation of codesigned rehabilitation interventions to improve patient experiences in hospitals.PROSPERO registration numberCRD42021264547.

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Effectiveness of health consumer representative involvement in implementation of interventions to change health professional behaviour

Cited by 7 publications

References 48 publications

Healthcare professional perspectives on barriers and enablers to falls prevention education: A qualitative study

Healthcare professional perspectives on barriers and enablers to falls prevention education: A qualitative study

Patient experiences of co-designed rehabilitation interventions: protocol for a rapid review

Patient experiences of codesigned rehabilitation interventions in hospitals: a rapid review

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