tailieunhanh - cáo khoa học: " Fostering shared decision making by occupational therapists and workers involved in accidents resulting in persistent musculoskeletal disorders: A study protocol"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Fostering shared decision making by occupational therapists and workers involved in accidents resulting in persistent musculoskeletal disorders: A study protocol | Coutu et al. Implementation Science 2011 6 22 http content 6 1 22 IMPLEMENTATION SCIENCE Implementation Science STUDY PROTOCOL Open Access Fostering shared decision making by occupational therapists and workers involved in accidents resulting in persistent musculoskeletal disorders A study protocol 1 1 1 4 5 Marie-France Coutu France Légaré Marie-José Durand Marc Corbière Dawn Stacey Patrick Loisel Lesley Bainbridge6 Abstract Background From many empirical and theoretical points of view the implementation of shared decision making SDM in work rehabilitation for pain due to a musculoskeletal disorder MSD is justified but typically the SDM model applies to a one on one encounter between a healthcare provider and a patient and not to an interdisciplinary team. Objectives To adapt and implement an SDM program adapted to the realities of work rehabilitation for pain associated with a MSD. More specific objectives are to adapt an SDM program applicable to existing rehabilitation programs and to evaluate the extent of implementation of the SDM program in four rehabilitation centres. Method For objective one we will use a mixed perspective combining a theory-based development program intervention and a user-based perspective. The users are the occupational therapists OTs and clinical coordinators. The strategies for developing an SDM program will include consulting the scientific literature and group consensus with clinicians-experts. A sample of convenience of eight OTs four clinical coordinators and four psychologists all of whom have been working full-time in MSD rehabilitation for more than two years will be recruited from four collaborating rehabilitation centres. For objective two using the same criteria as for objective one we will first train eight OTs in SDM. Second using a descriptive design the extent to which the SDM program has been implemented will be assessed through observations of the SDM process. The observation data will