Approximately 15 people will be interviewed about their experience of receiving MOAC 2. Data regarding certain co-morbidities, identified as having implications for prescribing behaviours in the management of joint pain and OA, will also be obtained for three years preceding the introduction of the template. Whilst there are many published guidelines on the treatment of OA [ 3 ]-[ 10 ] there is a gap between the care that is recommended and the care that patients receive [ 11 ],[ 12 ]. GP and practice nurse interviews and focus group As part of the last training session, all GPs and practice nurses will be invited to participate in a focus group, to ascertain whether, and if so how, their views of OA treatment have changed since the training, and to explore what this means for their clinical practice. Impact and acceptability of the intervention for patients will be assessed via self-completed outcome measures and semi-structured interviews. The Normalisation Process Theory NPT [ 33 ],[ 34 ] is a sociological theory concerned with understanding and evaluating how complex interventions become embedded in routine clinical practice.
All NICE products on dementia.
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Includes any guidance, advice, NICE Pathways and quality standards. This quality standard has been updated and replaced by the NICE quality standard on dementia.
Dementia: independence and wellbeing. Quality standard [QS30] Published date: April Uptake of this guidance. Pain presents a particular challenge in the treatment of dementia. . There is a great need to provide support and clear guidance for clinicians and other health Published online Nov 1.
doi: /CIA. ;54(7)–
The intention is to observe all relevant clinical, management and research meetings to reveal how the intervention is operationalised within practice. Download PDF. As part of the last training session, all GPs and practice nurses will be invited to participate in a focus group, to ascertain whether, and if so how, their views of OA treatment have changed since the training, and to explore what this means for their clinical practice.
Secondary data collection will also be undertaken to determine adherence to the intervention.
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Video-recorded simulated patient consultations To evaluate OA consultation behaviour, the GPs in the intervention practices will be invited to undertake video-recorded consultations with simulated patients. Michie and colleagues have produced a synthesis of psychological theories to enable design and implementation of behaviour change interventions [ 28 ]-[ 30 ], and Grol and colleagues have developed a useful framework for translating evidence into practice [ 31 ].
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|However, there is as yet no evidence on the feasibility of using this model consultation as a way of implementing NICE core OA treatments in primary care and the effect of this support for self-management on the course and impact of the condition.
Previous research suggests that patients need more information about OA to enable them to manage their condition more effectively [ 17 ].
Whilst there are many published guidelines on the treatment of OA [ 3 ]-[ 10 ] there is a gap between the care that is recommended and the care that patients receive [ 11 ],[ 12 ]. This survey will collect demographic and work-related data and ask questions regarding general and psychological health, physical activity, joint pain in the last 12 months, consultation behaviour and the management of their joint pain knee, hip, foot, hand the full list of outcome measures can be found in Table 3.
J Clin Epi. Complex interventions are frequently employed in the NHS.
Dementia Topic NICE
Figure Hospital guidance on information collected about the patient, compared with. Background The Swedish Dementia Registry (SveDem) was developed with the the national guidelines for dementia and to generate new research hypotheses. Received: July 17, ; Accepted: December 9, ; Published: February 19, Int Psychogeriatr – pmid
Whilst there are many published guidelines on the treatment of OA [ 3 ]-[ 10 ] there is a gap between the care that is recommended and the care that patients receive [ 11 ],[ 12 ].
The way in which complex interventions, such as supported self-management approaches, are developed and then become embedded in routine clinical practice needs to be supported by theoretical models and evaluated appropriately [ 23 ].
The OA consultation template will then be introduced in all of the eight practices at baseline six months prior to randomisation of the practices for the cluster RCT described in component 1.
The committee also includes a representative from Arthritis Care and an OA research user group.
Dementia independence and wellbeing Quality standards NICE
A CACE analysis will be performed to provide an unbiased estimate of treatment effect for patients treated as per protocol specification treatment administered as per protocol in the intervention arm is based on participants having seen the practice nurse MOAC 2 in the intervention practices. Med Sci Sports Exerc.
TRANSFER MAGIC PAPER REVIEW
|To assess the effect of the template, we will determine changes in routine recording of OA management pre- and post-template installation but prior to randomisation.
Kendall E, Rogers A: Extinguishing the social? Using the findings of these exercises and theoretical models to guide self-management WISE and support patient behaviour change, a three-stage consultation has been proposed. To implement the MOAC intervention to deliver supported self-management for adults with OA within routine primary care. Where do you regularly walk for reasons including health and well-being?
NICE clinical guidelines on dementia (CG42)15 has recently been updated. A survey about the provision of dementia adviser service in England65. Karim, A. A.
(). A double-blind Association workgroups on diagnostic guidelines for Alzheimer's disease. Alzheimer's and Dementia, 11, – Implementing the NICE osteoarthritis guidelines: a mixed methods study and cluster randomised trial of a model osteoarthritis. Unable to give fully informed consent, e.g., learning difficulties or dementia . We expect follow-up data collection to be complete in/msc
The economic evaluation will provide a preliminary analysis of the cost effectiveness cost-utility of the template and MOAC intervention compared with template alone, over a month period.
Implementation Science DecemberCite as. To determine the clinical and cost effectiveness of the MOAC intervention in four general practices compared with four control practices using patient reported outcome measures.
Training evaluation questionnaires Before training, to explore drivers for participation in the study, all GPs and practice nurses in participating practices will be invited to answer two open-ended questions that will focus on i their reasons for participating in the study and ii the perceived benefits for clinical practice, for the primary care organisation, for their own role etc.
While such trials can pose a considerable challenge for researchers, approaches that incorporate both qualitative and quantitative evidence should lead to improved study design, implementation, evaluation and generalisability of results. The population survey will use a 2-stage mailing process based on established procedures conducted in the Arthritis Research UK Primary Care Centre.
Ann Intern Med.
Nice guidance dementia 2014 1040
|The first value is a measure of the competency of a GP in delivering the model OA consultation GP competencyand the second is a measure of the competency of all the GPs in delivering one element of the model OA consultation item competency.
The number of GPs who have increased GP competency at one month and six months post training. Those that respond to the population survey and agree further contact will be approached for data collection regarding the cluster RCT if they consult with joint pain during the recruitment period.
To explore patient experiences of their consultation for joint pain and whether the new intervention MOAC is acceptable and feasible in primary care qualitative work. Health Policy.