Barriers and facilitators for implementing lifestyle-related treatment modalities in osteoarthritis

A cross-sectional study among primary and secondary healthcare professionals

Bibliographic Data

ID21467090
AuthorsSjoukje Bouma (0000-0002-8056-6586, University Medical Center Groningen, corresponding author), Martin Stevens (0000-0001-7768-3426, University Medical Center Groningen), L H V van der Woude (0000-0002-8472-334X, University Medical Center Groningen), Ron L Diercks (0000-0001-9873-208X, University Medical Center Groningen), Ron Diercks, Inge van den Akker-Scheek (0000-0002-1614-8419, University Medical Center Groningen)
Year2023
Volume136
Pages104898
Publication date2023-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Policy (JOURNAL)
Journal identifiersISSN: 0168-8510 • E-ISSN: 1872-6054
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.healthpol.2023.104898
PMID37657360
OpenAlexW4386024613
LanguageEN
References cited30

PURPOSE: To identify barriers and facilitators as perceived by primary and secondary healthcare professionals (HCPs) when implementing lifestyle-related treatment modalities (LRTMs) in patients with hip/knee osteoarthritis (OA). METHODS: A cross-sectional study. A Dutch online survey was distributed among eight different disciplines of primary and secondary HCPs. Potential barriers and facilitators were identified based on participants' responses to 32 research-derived statements on implementing LRTMs, and presented as factors with "major agreement" (≥75%), "minor agreement" (60-75%) or "no agreement" (<60%). RESULTS: 213 participants completed the survey. Seven "barriers" and 20 "facilitators" were identified. There were three "major agreement barriers": organization of Dutch healthcare system, audits within organization, and lifestyle climate in Dutch society. The top three "major agreement facilitators" were: health effects on patients, safety of increasing physical activity, and personal attitude. The total number of "barriers" differed per HCP discipline, with the highest number (12) among orthopedic surgeons (or in-training) and the lowest number (4) among dieticians, physiotherapists, and lifestyle counselors. CONCLUSIONS: The findings suggest that implementing LRTMs within OA care could be improved by focusing on societal rather than individual HCP factors. National preventive policies on health promotion could counteract the expected increase in healthcare demand and costs due to OA and other chronic diseases. Future research is needed to match relevant implementation strategies to all barriers identified

Alternative medicine · Cross-sectional study · Environmental health · Family medicine · Health care · Health professionals · Modalities · Osteoarthritis · Physical therapy · Political science · Primary care · Primary health care · Treatment modality · Diabetes Management and Education · Medicine · Nursing · Osteoarthritis Treatment and Mechanisms · Psychology · Total Knee Arthroplasty Outcomes