Cunningham Joice, M Briggs Andrew, Cottrell Elizabeth, Doyle Frank, Dziedzic Krysia, Finney Andrew, Murphy Paul, Paskins Zoe, Sheridan Eoin, Swaithes Laura, P French Helen
School of Physiotherapy, Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences, Dublin, Ireland.
Curtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.
HRB Open Res. 2021 Sep 17;4:102. doi: 10.12688/hrbopenres.13377.1. eCollection 2021.
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. This protocol was registered with PROSPERO (CRD42021255698) on 15/07/21.
尽管骨关节炎（OA）管理有一致的国际指南，但循证治疗的应用仍未得到充分利用。国际上正在实施OA管理项目（OAMPs）以弥补这一证据与实践之间的差距。OAMP被定义为“一种在现实环境中实施的基于循证的非手术OA护理模式”。我们的目标是识别、综合和评估定性研究，以确定在实施基于初级或社区护理的OAMPs时预期或经历的微观（个体/行为）、中观（组织）或宏观（背景/系统）层面的障碍或促进因素。将检索五个电子数据库，查找2010年至2021年期间发表的论文。将纳入定性或混合方法研究，这些研究从服务使用者或服务提供者的角度，包含有关实施基于初级或社区护理的OAMPs时预期或经历的障碍或促进因素的定性数据。本综述将按照PRISMA和ENTREQ指南进行报告。将使用数据提取表提供纳入研究的详细信息。将对数据进行分析，并将识别出的障碍和促进因素映射到适当的实施框架，如理论领域框架。将使用适当的JBI批判性评价工具评估方法学质量，同时使用GRADE-CERQual方法评估对研究结果的信心。将循证指南转化为实践具有挑战性，且依赖于实施的质量。通过比较和对比预期和经历的障碍，本综述将确定两者之间的一致程度，并为参与OAMPs实施的关键利益相关者的观点和经验提供有价值的见解。将识别出的障碍和促进因素映射到行为改变理论将提高我们研究结果的适用性和结构效度，并为OAMPs的未来发展和实施提供重要的实用价值。本方案于2021年7月15日在PROSPERO（CRD42021255698）注册。
