Table 5 Workshop schedules to deliver the behaviour change intervention for GPs in the MOSAICS trial
From: Development of a behaviour change intervention: a case study on the practical application of theory
Workshop 1 – attendees: Primary Health Care Team from a single practice (GPs, practice nurses, practice manager1, receptionists1) Duration: 2 hours | |
|---|---|
Time (minutes) | Activity |
5 | Introductions – facilitators and practice attendees. |
20 | How is OA managed, in your practice? Mapping practice, and local community and secondary care, resources for OA (interactive session with discussion recorded on flip chart). |
25 | OA knowledge update on: pathophysiology, definition and diagnosis, prevalence, prognosis and patient experience of OA (didactic session with discussion). |
10 | Information on: the NICE OA Guideline, support for self-management, the OA Guidebook, the model OA consultation (didactic session with discussion). |
5 | Break and non-clinical staff leave. |
20 | Presentation and discussion of case histories (GPs previously requested to bring). Difficulties in managing OA - what do GPs and nurses want from the sessions and what would aid them in managing OA (interactive session with issues recorded on flipchart and to be addressed in workshop 3). |
25 | Details of the model OA consultation - how to deliver it in day-to-day practice - GP and practice nurse roles. Aide-memoire introduced (didactic session with discussion). |
10 | Conclusion and outline of workshops 2 and 3. GPs givenDVD of simulated patient consultation2 and asked to view in preparation for workshop 2. |
Workshop 2 – Attendees: GPs from two practices. 3 Duration: 2 hours | |
10 | Introductions – facilitators and GPs. Reflection on, and unanswered questions from, workshop 1. |
20 | Discussion and reflection on video-recorded simulated patient OA consultations. Comparison between current practice and model OA consultation. Agenda for skills training agreed (interactive session with “agenda” recorded on flipchart). |
10 | Introduction to skills training: description of purpose and methods - the GPs were asked to work as a team trying out in turn bite-sized parts of the consultation with discussion and feedback from colleagues and facilitators (didactic session with discussion). |
10 | Break. |
60 | Skills training: working through the agenda set earlier. Particular emphasis on communication, use of language for giving and explaining the diagnosis and patient-centred approach (led by an experienced GP educator). |
10 | Reflection and conclusion. Aide-memoire discussed. Preparation for second video-recorded simulated patient consultation.4 Outline of workshop 3. |
Workshop 3 – Attendees: GPs from two practices. Duration: 2 hours | |
40 | Knowledge update: addressing needs identified in workshop 1 and questions from GPs, and covering: diagnosing OA clinically and ‘top tips’ for managing OA (interactive session led by academic rheumatologist). |
10 | Discussion and reflection on 2nd video-recorded consultation. Agenda for skills training agreed (interactive session with “agenda” recorded on flipchart). |
10 | Break. |
50 | Skills training: as for workshop 2. |
10 | Conclusion and general reflection. Aide-memoire discussed. GPs invited to complete satisfaction questionnaires. Outline of workshop 4. |
Workshop 4 – Attendees: GPs and practice nurses from a single practice. Duration: 1 hour | |
40 | Action planning on delivery of the model OA consultation in the practice. Final version of the aide-memoire agreed. |
10 | Presentation of baseline data on OA consultations in the practice (an OA data collection template had been installed in the practices for the six months prior to the training). |
10 | Conclusion and thanks. Attendance certificates issued. |