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Barriers and facilitators to the implementation of osteoarthritis management programmes in primary or community care settings: a systematic review and qualitative framework synthesis protocol [version 1; peer review: 3 approved]

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posted on 15.12.2021, 16:18 authored by Joice CunninghamJoice Cunningham, Andrew M. Briggs, Elizabeth Cottrell, Frank DoyleFrank Doyle, Krysia Dziedzic, Andrew Finney, Paul Murphy, Zoe Paskins, Eoin Sheridan, Laura Swaithes, Helen FrenchHelen French
Despite consistent international guidelines for osteoarthritis (OA) management, evidence-based treatments are underutilised. OA management programmes (OAMPs) are being implemented internationally to address this evidence-practice gap. An OAMP is defined as a ‘model of evidence-based, non-surgical OA care that has been implemented in a real-world setting’. Our objective is to identify, synthesise and appraise qualitative research identifying anticipated or experienced micro (individual/behavioural), meso (organisational) or macro (context/system) level barriers or facilitators to the implementation of primary or community care-based OAMPs. Five electronic databases will be searched for papers published between 2010 and 2021. Qualitative or mixed-methods studies that include qualitative data on the anticipated or experienced barriers or facilitators to the implementation of primary or community care-based OAMPs, from the perspective of service users or service providers, will be included. The review will be reported using the PRISMA and ENTREQ guidelines. A data extraction form will be used to provide details of the included studies. Data will be analysed and identified barriers and facilitators will be mapped onto an appropriate implementation framework, such as the Theoretical Domains Framework. The appropriate JBI critical appraisal tools will be used to assess methodological quality, while the GRADE‐CERQual approach will be used to assess confidence in the findings. Translation of evidence-based guidelines into practice is challenging and reliant on the quality of implementation. By comparing and contrasting anticipated and experienced barriers, this review will determine the extent of congruence between the two, and provide valuable insights into the views and experiences of key stakeholders involved in the implementation of OAMPs. The mapping of identified barriers and facilitators to behaviour change theory will enhance the applicability and construct validity of our findings and will offer significant utility for future development and implementation of OAMPs. Registration: This protocol was registered with PROSPERO (CRD42021255698) on 15/07/21.

Funding

Health Research Board Ireland Investigator-Led Project Award [ILP-HSR-2019-012]

National Institute for Health Research (NIHR) Applied Health Research Collaboration (ARC) West Midlands (NIHR 200165)

National Institute for Health Research (NIHR), Clinician Scientist Award/NIHR Academy (CS-2018-18-ST2-010)

NIHR Senior Investigator (ID NIHR 200259)

History

Comments

The original article and an updated version may be available on https://hrbopenresearch.org

Published Citation

Cunningham J. et al. Barriers and facilitators to the implementation of osteoarthritis management programmes in primary or community care settings: a systematic review and qualitative framework synthesis protocol [version 1; peer review: 3 approved]. HRB Open Res. 2021;4:102

Publication Date

17 September 2021

PubMed ID

34746643

Department/Unit

  • Health Psychology
  • Library
  • School of Physiotherapy

Research Area

  • Population Health and Health Services

Publisher

F1000 Research Ltd

Version

  • N/A