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How useful is the Making Every Contact Count Healthy Conversation Skills approach for supporting people with musculoskeletal conditions?

How useful is the Making Every Contact Count Healthy Conversation Skills approach for supporting people with musculoskeletal conditions?
How useful is the Making Every Contact Count Healthy Conversation Skills approach for supporting people with musculoskeletal conditions?
Aim: 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.

Methods: 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.

Results: 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.

Conclusions: 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.
1741-3842
Parchment, Amelia
b56d94ef-7313-435e-a3ec-ca3441ad3003
Lawrence, Wendy
e9babc0a-02c9-41df-a289-7b18f17bf7d8
Rahman, Em
40dcaa0e-bf4a-4efa-928e-4c162b5030b7
Townsend, Nick
c755d018-2b13-4d12-ad48-de605cbe6d03
Wainwright, Elaine
a79a07fd-e4a0-4d22-a165-f64cc11b629a
Wainwright, David
d80b7554-da7e-46e8-925e-a1719ee26f2a
Parchment, Amelia
b56d94ef-7313-435e-a3ec-ca3441ad3003
Lawrence, Wendy
e9babc0a-02c9-41df-a289-7b18f17bf7d8
Rahman, Em
40dcaa0e-bf4a-4efa-928e-4c162b5030b7
Townsend, Nick
c755d018-2b13-4d12-ad48-de605cbe6d03
Wainwright, Elaine
a79a07fd-e4a0-4d22-a165-f64cc11b629a
Wainwright, David
d80b7554-da7e-46e8-925e-a1719ee26f2a

Parchment, Amelia, Lawrence, Wendy, Rahman, Em, Townsend, Nick, Wainwright, Elaine and Wainwright, David (2022) How useful is the Making Every Contact Count Healthy Conversation Skills approach for supporting people with musculoskeletal conditions? Journal of Public Health. (In Press)

Record type: Article

Abstract

Aim: 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.

Methods: 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.

Results: 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.

Conclusions: 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.

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More information

Accepted/In Press date: 16 April 2022

Identifiers

Local EPrints ID: 457203
URI: http://eprints.soton.ac.uk/id/eprint/457203
ISSN: 1741-3842
PURE UUID: 4fd7c014-262d-49dc-8b7e-71a250f307df
ORCID for Wendy Lawrence: ORCID iD orcid.org/0000-0003-1264-0438

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Date deposited: 26 May 2022 16:41
Last modified: 09 Nov 2022 02:37

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Contributors

Author: Amelia Parchment
Author: Wendy Lawrence ORCID iD
Author: Em Rahman
Author: Nick Townsend
Author: Elaine Wainwright
Author: David Wainwright

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