Department for Health, University of Bath, Bath, BA2 7AY, England, UK.
NIHR Applied Research Collaboration- Greater Manchester, University of Manchester, Manchester, M13 9PL, England.
BMC Health Serv Res. 2023 Oct 19;23(1):1125. doi: 10.1186/s12913-023-10126-1.
To qualitatively explore physiotherapists' experiences and acceptability of implementing 'Making Every Contact Count Healthy Conversation Skills' (MECC HCS) in routine practice with patients with musculoskeletal (MSK) conditions.
This article reports the second phase of a mixed method, sequential explanatory study. Physiotherapists trained in and delivering MECC HCS in their practice were invited to take part in semi-structured interviews. We hoped to develop a rich, in-depth understanding of their use and perceptions of the brief intervention and to contextualise findings from the first phase of the study. Qualitative data were analysed using Reflexive Thematic Analysis.
Physiotherapists valued MECC HCS as being integral to their practice, promoting a person-centred approach to supporting behaviour change and enhancing self-management in patients with MSK conditions and pain. It was believed that this brief intervention could reduce workload pressure for physiotherapists and have significant wider benefits for health services. Time limitations associated with appointments did, however, pose as a challenge to MECC HCS delivery, and it was felt that more organisational-level support was needed to sustain it.
These findings support our quantitative data, collected in the first phase of this study. MECC HCS is a highly acceptable brief intervention that can be delivered in physiotherapy care to support behaviour change in patients with MSK conditions. Future roll-out may be optimised within organisations by providing regular refresher training and adopting a MECC champion.
定性探讨物理治疗师在常规实践中实施“每一次接触都算数的健康对话技巧”（MECC HCS）与肌肉骨骼（MSK）疾病患者互动的经验和可接受性。
这是一项混合方法、顺序解释研究的第二阶段。邀请接受过 MECC HCS 培训并在实践中实施该方法的物理治疗师参加半结构化访谈。我们希望深入了解他们对这一简短干预措施的使用和看法，并将研究第一阶段的发现纳入背景。使用反思性主题分析对定性数据进行分析。
物理治疗师认为 MECC HCS 是其实践的重要组成部分，促进了以患者为中心的方法，以支持 MSK 疾病和疼痛患者的行为改变和自我管理。他们认为，这种简短的干预措施可以减轻物理治疗师的工作压力，并为卫生服务带来显著的广泛效益。然而，与预约相关的时间限制对 MECC HCS 的实施构成了挑战，他们认为需要更多的组织层面的支持来维持它。
这些发现支持了我们在研究第一阶段收集的定量数据。MECC HCS 是一种高度可接受的简短干预措施，可以在物理治疗护理中实施，以支持 MSK 疾病患者的行为改变。未来在组织内实施可能会通过提供定期的复习培训和采用 MECC 拥护者来得到优化。
