Abstract
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 which 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.
| Original language | English |
|---|---|
| Pages (from-to) | 2389-2405 |
| Number of pages | 17 |
| Journal | Journal of Public Health |
| Volume | 30 |
| Issue number | 10 |
| Early online date | 4 May 2022 |
| DOIs | |
| Publication status | Published - 1 Oct 2022 |
Bibliographical note
PhD studentship funded by University of Bath and Health Education England.Data Availability Statement
Materials and data set are available from the corresponding author upon request.Keywords
- Making Every Contact Count
- Healthy Conversation Skills
- Very brief intervention
- Brief intervention
- Physiotherapist
- Musculoskeletal health
- Theoretical Domains Framework
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