Development, implementation and evaluation of a multinational FLS mentorship programme in Latin America
Development, implementation and evaluation of a multinational FLS mentorship programme in Latin America
Summary: realising the benefits of systematic secondary fracture prevention requires supporting local sites to get started and becoming effective. We here describe the development, implementation and impact of a regional fracture liaison service (FLS) mentorship programme in Latin America that led to 64 FLS getting started and coverage of 17,205 patients.
Introduction: despite treatments and service models to deliver effective secondary fracture prevention, most patients are left untreated after a fragility fracture. To improve the capability to get FLS started and more effective, we describe the development, implementation and evaluation of an international programme to develop national communities of FLS mentors as part of the Capture the Fracture Partnership in Latin America.
Methods: the IOF regional team and the University of Oxford developed the curriculum and associated resources for training mentors in setting up FLS, service improvement and mentorship. Mentors were selected during a preparatory meeting, trained using live online sessions followed by regular mentor-led post-training meetings. The programme was evaluated using a pre-training needs assessment and post-training evaluation based on Moore's outcomes.
Results: the mentorship programme was initiated in Mexico, Brazil, Colombia and Argentina. The mentors were multidisciplinary, including orthopaedic surgery, rehabilitation, rheumatology, endocrinology, geriatrics, gynaecology and internal medicine. There was 100% participation in training sessions and reported satisfaction with the training. Since the initiation of the training programme, 22 FLS have been set up in Mexico, 30 in Brazil, 3 in Colombia and 9 in Argentina, in comparison with two in Chile and none in any other LATAM countries that were not involved in the mentorship programme. This equates to approximately 17,025 additional patients identified from 2019 to 2021 after initiation of mentorship. The mentors have engaged with 58 FLS for service development. Post-training activities include two published national best practice guidelines and other country-specific resources for FLS in the local language.
Conclusion: despite the COVID pandemic, the mentorship pillar of the Capture the Fracture Partnership has developed a community of FLS mentors with measurable improvement in national FLS provision. The programme is a potentially scalable platform to develop communities of mentors in other countries.
fracture liaison service, mentorship, osteoporosis, quality improvement
1881-1891
Javaid, M. Kassim
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Calo, M.
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Wullich, S.
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Mohsin, Z.
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Osorio, E. Castro
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Orjuela, A. Medina
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Unigarro, C. Arteaga
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Mendez-Sanchez, L.
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Naranjo, J. Torres
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Vieira, L. Tikle
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Tutiya, K. Kuraoka
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Inacio, A. Manoel
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de Leon, A. Olascoaga-Gomez
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García, J. Carlos Viveros
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Habib, C.
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Subies, F.
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Baptista, J.P.
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Diehl, M.
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Carabelli, G.
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Soulie, A.
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Cooper, Cyrus
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November 2023
Javaid, M. Kassim
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Calo, M.
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Wullich, S.
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Mohsin, Z.
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Osorio, E. Castro
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Orjuela, A. Medina
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Unigarro, C. Arteaga
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Mendez-Sanchez, L.
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Naranjo, J. Torres
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Vieira, L. Tikle
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Tutiya, K. Kuraoka
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Inacio, A. Manoel
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de Leon, A. Olascoaga-Gomez
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García, J. Carlos Viveros
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Habib, C.
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Subies, F.
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Baptista, J.P.
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Diehl, M.
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Carabelli, G.
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Soulie, A.
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Cooper, Cyrus
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Javaid, M. Kassim, Calo, M., Wullich, S., Mohsin, Z., Osorio, E. Castro, Orjuela, A. Medina, Unigarro, C. Arteaga, Mendez-Sanchez, L., Naranjo, J. Torres, Vieira, L. Tikle, Tutiya, K. Kuraoka, Inacio, A. Manoel, de Leon, A. Olascoaga-Gomez, García, J. Carlos Viveros, Habib, C., Subies, F., Baptista, J.P., Diehl, M., Carabelli, G., Soulie, A. and Cooper, Cyrus
(2023)
Development, implementation and evaluation of a multinational FLS mentorship programme in Latin America.
Osteoporosis International, 34 (11), .
(doi:10.1007/s00198-023-06742-6).
Abstract
Summary: realising the benefits of systematic secondary fracture prevention requires supporting local sites to get started and becoming effective. We here describe the development, implementation and impact of a regional fracture liaison service (FLS) mentorship programme in Latin America that led to 64 FLS getting started and coverage of 17,205 patients.
Introduction: despite treatments and service models to deliver effective secondary fracture prevention, most patients are left untreated after a fragility fracture. To improve the capability to get FLS started and more effective, we describe the development, implementation and evaluation of an international programme to develop national communities of FLS mentors as part of the Capture the Fracture Partnership in Latin America.
Methods: the IOF regional team and the University of Oxford developed the curriculum and associated resources for training mentors in setting up FLS, service improvement and mentorship. Mentors were selected during a preparatory meeting, trained using live online sessions followed by regular mentor-led post-training meetings. The programme was evaluated using a pre-training needs assessment and post-training evaluation based on Moore's outcomes.
Results: the mentorship programme was initiated in Mexico, Brazil, Colombia and Argentina. The mentors were multidisciplinary, including orthopaedic surgery, rehabilitation, rheumatology, endocrinology, geriatrics, gynaecology and internal medicine. There was 100% participation in training sessions and reported satisfaction with the training. Since the initiation of the training programme, 22 FLS have been set up in Mexico, 30 in Brazil, 3 in Colombia and 9 in Argentina, in comparison with two in Chile and none in any other LATAM countries that were not involved in the mentorship programme. This equates to approximately 17,025 additional patients identified from 2019 to 2021 after initiation of mentorship. The mentors have engaged with 58 FLS for service development. Post-training activities include two published national best practice guidelines and other country-specific resources for FLS in the local language.
Conclusion: despite the COVID pandemic, the mentorship pillar of the Capture the Fracture Partnership has developed a community of FLS mentors with measurable improvement in national FLS provision. The programme is a potentially scalable platform to develop communities of mentors in other countries.
Text
s00198-023-06742-6
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More information
Accepted/In Press date: 3 April 2023
e-pub ahead of print date: 7 July 2023
Published date: November 2023
Additional Information:
Funding Information:
M. Kassim Javaid has received honoraria and institutional grant support from Amgen Ltd, UCB, Besin Healthcare, Sanofi, Kyowa Kirin.
The CtF-P, an International Osteoporosis Foundation (IOF) initiative supported by UCB and Amgen, in collaboration with the University of Oxford, was set up to improve the delivery of FLS across 16 countries. The funding from UCB/Amgen supported IOF and the University of Oxford teams to develop and deliver the pillars at the national level, supporting FLS getting started and becoming effective. There was no direct funding for local FLS to get started or improved from the global or local affiliates. Independent of the CtFP and the mentorship pillar, one national affiliate provided support for an educational programme as part of a value-based partnership. This was used by the hospital to fund one nurse for 2 years. This FLS is now seeking hospital support to fund the nurse.
MKJ was supported by the National Institute for Health Research (NIHR) Oxford Biomedical Research Centre (BRC).
Keywords:
fracture liaison service, mentorship, osteoporosis, quality improvement
Identifiers
Local EPrints ID: 479817
URI: http://eprints.soton.ac.uk/id/eprint/479817
ISSN: 0937-941X
PURE UUID: 808a994f-366a-47be-aadc-79b8cadcbc98
Catalogue record
Date deposited: 27 Jul 2023 09:42
Last modified: 18 Mar 2024 02:47
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Contributors
Author:
M. Kassim Javaid
Author:
M. Calo
Author:
S. Wullich
Author:
Z. Mohsin
Author:
E. Castro Osorio
Author:
A. Medina Orjuela
Author:
C. Arteaga Unigarro
Author:
L. Mendez-Sanchez
Author:
J. Torres Naranjo
Author:
L. Tikle Vieira
Author:
K. Kuraoka Tutiya
Author:
A. Manoel Inacio
Author:
A. Olascoaga-Gomez de Leon
Author:
J. Carlos Viveros García
Author:
C. Habib
Author:
F. Subies
Author:
J.P. Baptista
Author:
M. Diehl
Author:
G. Carabelli
Author:
A. Soulie
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