Evidence map›Paper›PMID 33033032›Full record

ArticleBMJ open2020

PARTNER: a service delivery model to implement optimal primary care management of people with knee osteoarthritis: description of development.

Thorlene Egerton, Rana S Hinman, David J Hunter, Jocelyn L Bowden, Philippa J A Nicolson, Lou Atkins, Marie Pirotta, Kim L Bennell

Abstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Thorlene EgertonCentre for Health Exercise & Sports Medicine, University of Melbourne, Melbourne, Victoria, Australia thor@sutmap.com.ORCID 0000-0003-4751-7624
Rana S HinmanCentre for Health Exercise & Sports Medicine, University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0001-6368-9456
David J HunterInstitute of Bone and Joint Research, Kolling Institute, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0003-3197-752X
Jocelyn L BowdenInstitute of Bone and Joint Research, Kolling Institute, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-0340-0232
Philippa J A NicolsonCentre for Health Exercise & Sports Medicine, University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0003-2394-4867
Lou AtkinsCentre for Behaviour Change, UCL, London, UK.ORCID 0000-0001-9322-7869
Marie PirottaDepartment of General Practice, University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0003-4309-6885
Kim L BennellCentre for Health Exercise & Sports Medicine, University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0003-4982-5639

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveImplementation strategies, such as new models of service delivery, are needed to address evidence practice gaps. This paper describes the process of developing and operationalising a new model of service delivery to implement recommended care for people with knee osteoarthritis (OA) in a primary care setting.

methodsThree development stages occurred concurrently and iteratively. Each stage considered the healthcare context and was informed by stakeholder input. Stage 1 involved the design of a new model of service delivery (PARTNER). Stage 2 developed a behavioural change intervention targeting general practitioners (GPs) using the behavioural change wheel framework. In stage 3, the 'Care Support Team' component of the service delivery model was operationalised.

resultsThe focus of PARTNER is to provide patients with education, exercise and/or weight loss advice, and facilitate effective self-management through behavioural change support. Stage 1 model design: based on clinical practice guidelines, known evidence practice gaps in current care, chronic disease management frameworks, input from stakeholders and the opportunities and constraints afforded by the Australian primary care context, we developed the PARTNER service-delivery model. The key components are: (1) an effective GP consultation and (2) follow-up and ongoing care provided remotely (telephone/email/online resources) by a 'Care Support Team'. Stage 2 GP behavioural change intervention: a multimodal behavioural change intervention was developed comprising a self-audit/feedback activity, online professional development and desktop software to provide decision support, patient information resources and a referral mechanism to the 'Care Support Team'. Stage 3 operationalising the 'care support team'-staff recruited and trained in evidence-based knee OA management and behavioural change methodology.

conclusionThe PARTNER model is the result of a comprehensive implementation strategy development process using evidence, behavioural change theory and intervention development guidelines. Technologies for scalable delivery were harnessed and new primary evidence was generated as part of the process.

Indexed as

Delivery of Health CareOsteoarthritis, KneePrimary Health CareAustraliaGeneral PractitionersHumansTelephonekneemusculoskeletal disordersprimary care

Identifiers

PMID33033032
PMCPMC7542957

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.