Parchment Amelia, Lawrence Wendy, Rahman Em, Townsend Nick, Wainwright Elaine, Wainwright David
Department for Health, University of Bath, Bath, England BA2 7AY UK.
MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, England SO16 6YD UK.
Z Gesundh Wiss. 2022;30(10):2389-2405. doi: 10.1007/s10389-022-01718-y. Epub 2022 May 4.
To explore the current use and perceptions of the Wessex model of Making Every Contact Count (MECC), incorporating Healthy Conversation Skills (HCS), focussing specifically on physiotherapists supporting people living with musculoskeletal conditions.
A mixed method, sequential explanatory design was employed. This article reports the first phase of the study, in which an online questionnaire was administered, consisting of items relating to perceived acceptability, appropriateness, feasibility, sustainability, and uptake of MECC HCS. Barriers and facilitators to MECC HCS delivery were additionally explored and mapped to the Theoretical Domains Framework.
Seventy-one professionals responded, including 15 physiotherapists supporting people with MSK conditions. Across professional groups, MECC HCS was found to be highly acceptable, appropriate, and feasible. A significant interaction between perceived sustainability of MECC HCS and the location in which professionals worked was observed. Physiotherapists reported using their MECC HCS at least daily; however, there were discrepancies between the number of their patients they believed could benefit from behaviour change intervention, and the number to whom they reported actually delivering MECC HCS. Perceived barriers and facilitators to MECC HCS implementation mapped mostly to 'Environmental Context and Resources' on the Theoretical Domains Framework.
The Wessex model of MECC is a promising brief or very brief intervention for physiotherapists supporting individuals with musculoskeletal conditions. Barriers associated with the sustainability of the intervention within organisations must be addressed in order to enhance future implementation. Further rollout of this intervention may be beneficial for meeting the goals of the NHS and Public Health England in prevention of chronic MSK conditions and promotion of musculoskeletal health.
探讨结合健康沟通技巧（HCS）的威塞克斯“每次接触都重要”（MECC）模式的当前使用情况和认知，特别关注为肌肉骨骼疾病患者提供支持的物理治疗师。
采用混合方法、顺序解释性设计。本文报告了研究的第一阶段，其中进行了一项在线问卷调查，问卷包含与MECC HCS的感知可接受性、适宜性、可行性、可持续性及采用情况相关的项目。此外，还探讨了MECC HCS实施的障碍和促进因素，并将其映射到理论领域框架。
71名专业人员做出回应，其中包括15名支持肌肉骨骼疾病患者的物理治疗师。在各个专业群体中，MECC HCS被认为具有高度可接受性、适宜性和可行性。观察到MECC HCS的感知可持续性与专业人员工作地点之间存在显著交互作用。物理治疗师报告至少每天使用他们的MECC HCS；然而，他们认为可从行为改变干预中受益的患者数量与他们报告实际实施MECC HCS的患者数量之间存在差异。MECC HCS实施的感知障碍和促进因素大多映射到理论领域框架中的“环境背景和资源”。
MECC的威塞克斯模式对于支持肌肉骨骼疾病患者的物理治疗师而言是一种有前景的简短或极简短干预措施。必须解决与组织内干预措施可持续性相关的障碍，以加强未来的实施。进一步推广这种干预措施可能有助于实现英国国家医疗服务体系（NHS）和英国公共卫生部门在预防慢性肌肉骨骼疾病和促进肌肉骨骼健康方面的目标。
