R S Hinman1, K D Allen2, K L Bennell3, F Berenbaum4, N Betteridge5, A M Briggs6, P K Campbell7, L E Dahlberg8, K S Dziedzic9, J P Eyles10, D J Hunter11, S T Skou12, A Woolf13, S P Yu14, M van der Esch15. 1. Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, The University of Melbourne, Melbourne, Victoria, Australia. Electronic address: ranash@unimelb.edu.au. 2. Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Medical Center, North Carolina, USA. Electronic address: kdallen@email.unc.edu. 3. Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, The University of Melbourne, Melbourne, Victoria, Australia. Electronic address: k.bennell@unimelb.edu.au. 4. Department of Rheumatology, Sorbonne Université, INSERM CRSA, AP-HP Hopital Saint Antoine, Paris, France. Electronic address: francis.berenbaum@aphp.fr. 5. Consumer Representative, Neil Betteridge Associates, London, UK. Electronic address: neil@neilbetteridge.me.uk. 6. School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia. Electronic address: A.Briggs@curtin.edu.au. 7. Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, The University of Melbourne, Melbourne, Victoria, Australia. Electronic address: penelope.campbell@unimelb.edu.au. 8. Department of Clinical Sciences Lund, Ortopedics, Lund University, Sweden. Electronic address: leif.dahlberg@med.lu.se. 9. School of Primary, Community and Social Care, Keele University, Keele, Staffordshire, UK. Electronic address: k.s.dziedzic@keele.ac.uk. 10. Institute of Bone and Joint Research, The Kolling Institute, The University of Sydney, and Rheumatology Department, Royal North Shore Hospital, Sydney, Australia. Electronic address: jillian.eyles@sydney.edu.au. 11. Institute of Bone and Joint Research, The Kolling Institute, The University of Sydney, and Rheumatology Department, Royal North Shore Hospital, Sydney, Australia. Electronic address: david.hunter@sydney.edu.au. 12. Research Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark; Department of Physiotherapy and Occupational Therapy, Næstved-Slagelse-Ringsted Hospitals, Region Zealand, Slagelse, Denmark. Electronic address: stskou@health.sdu.dk. 13. Bone and Joint Research Group, Royal Cornwall Hospitals Trust, Truro, UK. Electronic address: Anthony.Woolf@btopenworld.com. 14. Institute of Bone and Joint Research, The Kolling Institute, The University of Sydney, and Rheumatology Department, Royal North Shore Hospital, Sydney, Australia. Electronic address: shirleyyu@uni.sydney.edu.au. 15. Reade Centre for Rehabilitation and Rheumatology Amsterdam, University of Applied Sciences Amsterdam, Netherlands. Electronic address: m.vd.esch@reade.nl.
Abstract
OBJECTIVE: Develop a generic trans-disciplinary, skills-based capability framework for health professionals providing care for people with OA. DESIGN: e-Delphi survey. An international inter-professional Delphi Panel (researchers; clinicians; consumer representatives) considered a draft framework (adapted from elsewhere) of 131 specific capabilities mapped to 14 broader capability areas across four domains (A: person-centred approaches; B: assessment, investigation and diagnosis; C: management, interventions and prevention; D: service and professional development). Over three rounds, the Panel rated their agreement (Likert or numerical rating scales) on whether each specific capability in Domains B and C was essential (core) for all health professionals when providing care for all people with OA. Those achieving consensus (≥80% of Panel) rating of ≥ seven out of ten (Round 3) were retained. Generic domains (A and D) were included in the final framework and amended based on Panel comments. RESULTS: 173 people from 31 countries, spanning 18 disciplines and including 26 consumer representatives, participated. The final framework comprised 70 specific capabilities across 13 broad areas i) communication; ii) person-centred care; iii) history-taking; iv) physical assessment; v) investigations and diagnosis; vi) interventions and care planning; vii) prevention and lifestyle interventions; viii) self-management and behaviour change; ix) rehabilitative interventions; x) pharmacotherapy; xi) surgical interventions; xii) referrals and collaborative working; and xiii) evidence-based practice and service development). CONCLUSION: Experts agree that health professionals require an array of skills in person-centred approaches; assessment, investigation and diagnosis; management, interventions and prevention; and service and professional development to provide optimal care for people with OA.
OBJECTIVE: Develop a generic trans-disciplinary, skills-based capability framework for health professionals providing care for people with OA. DESIGN: e-Delphi survey. An international inter-professional Delphi Panel (researchers; clinicians; consumer representatives) considered a draft framework (adapted from elsewhere) of 131 specific capabilities mapped to 14 broader capability areas across four domains (A: person-centred approaches; B: assessment, investigation and diagnosis; C: management, interventions and prevention; D: service and professional development). Over three rounds, the Panel rated their agreement (Likert or numerical rating scales) on whether each specific capability in Domains B and C was essential (core) for all health professionals when providing care for all people with OA. Those achieving consensus (≥80% of Panel) rating of ≥ seven out of ten (Round 3) were retained. Generic domains (A and D) were included in the final framework and amended based on Panel comments. RESULTS: 173 people from 31 countries, spanning 18 disciplines and including 26 consumer representatives, participated. The final framework comprised 70 specific capabilities across 13 broad areas i) communication; ii) person-centred care; iii) history-taking; iv) physical assessment; v) investigations and diagnosis; vi) interventions and care planning; vii) prevention and lifestyle interventions; viii) self-management and behaviour change; ix) rehabilitative interventions; x) pharmacotherapy; xi) surgical interventions; xii) referrals and collaborative working; and xiii) evidence-based practice and service development). CONCLUSION: Experts agree that health professionals require an array of skills in person-centred approaches; assessment, investigation and diagnosis; management, interventions and prevention; and service and professional development to provide optimal care for people with OA.
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