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    Supporting evaluation and implementation of musculoskeletal Models of Care: A globally-informed framework for judging 'readiness' and 'success'.

    Access Status
    Fulltext not available
    Authors
    Briggs, Andrew
    Jordan, J.
    Jennings, M.
    Speerin, R.
    Bragge, P.
    Chua, J.
    Woolf, A.
    Slater, Helen
    Date
    2017
    Type
    Journal Article
    
    Metadata
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    Citation
    Briggs, A. and Jordan, J. and Jennings, M. and Speerin, R. and Bragge, P. and Chua, J. and Woolf, A. et al. 2017. Supporting evaluation and implementation of musculoskeletal Models of Care: A globally-informed framework for judging 'readiness' and 'success'.. Arthritis and Rheumatism. 69 (4): pp. 567-577.
    Source Title
    Arthritis and Rheumatism
    DOI
    10.1002/acr.22948
    ISSN
    0004-3591
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/58930
    Collection
    • Curtin Research Publications
    Abstract

    Objective To develop a globally-informed framework to evaluate 'readiness' for implementation and 'success' after implementation of musculoskeletal Models of Care (MoCs). Methods Three-phases were undertaken: 1) qualitative study with 27 Australian subject matter experts (SMEs) to develop a draft Framework; 2) eDelphi study with an international panel of 93 SMEs across 30 nations to evaluate face validity, refine and establish consensus on the Framework components; and 3) translation of the Framework into a user-focused resource and evaluation of its acceptability with the eDelphi panel. Results A comprehensive evaluation framework was developed for judging 'readiness' and 'success' of musculoskeletal MoCs. The Framework consists of nine domains, with each domain containing a number of themes underpinned by detailed elements. In the first Delphi round, scores of 'partly agree' or 'completely agree' with the draft Framework ranged from 96.7-100%. In the second round, 'essential' scores ranged from 58.6-98.9%, resulting in 14 of 34 themes being classified as essential. SMEs strongly agreed or agreed that the final Framework was useful (98.8%), usable (95.1%), credible (100%) and appealing (93.9%). Overall, 96.3% strongly supported or supported the final structure of the Framework as it was presented, while 100%, 96.3% and 100% strongly supported or supported the content within the readiness, initiating implementation and success streams, respectively. Conclusions An empirically-derived framework to evaluate the readiness and success of musculoskeletal MoCs was strongly supported by an international panel of SMEs. The Framework provides an important internationally-applicable benchmark for the development, implementation and evaluation of musculoskeletal MoCs. This article is protected by copyright. All rights reserved.

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