Implementation of pelvic floor muscle training programs in health services: challenges and strategies

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Workshop 18
Tuesday 12th September 2017
13:30 - 16:30
Spadolini E
Capacity: 200
Lunch provided
Speakers
H

Helena C Frawley
Workshop Chair

E

E Jean C Hay-Smith
Workshop Speaker

S

Sarah Dean
Workshop Speaker

D

Doreen McClurg
Workshop Speaker

C

Chantale L Dumoulin
Workshop Speaker

Links
12/12/2024 14:58:53

Workshop Schedule

13:30

- Welcome to participants, introduction to panel and participants; brief background re disciplines and clinical vs research interests for later group-based discussions. - Introduction to topic: Implementation: leakage of evidence-into-practice throughout the healthcare system

Helena C Frawley

13:40

- Barriers and enablers to implementation of PFMT - Exploration of the topic using an engaging, group-led workshop activity (“the Speed Boat activity”, where the boat represents PFMT, the anchor represents the barriers to implementation and the wind represents the enablers).

Helena C Frawley

14:00

- Introduction to Capability Opportunity Motivation Behaviour (COM-B) model as it applies to PFMT - Exploration of the barriers/enablers from 1st activity as positive/negative characteristics of the individual, and how this impacts on implementation of PFMT

Doreen McClurg

14:20

- Applying the COM-B: skills and strategies for clinicians to implement PFMT - What is behaviour change and to what extent is this determined by the individual’s motivation vs external influences - Exploration of goal setting and strategies to maximise self-efficacy - Examples will draw upon previous and current research trials of the panel

Sarah Dean

14:40

- Addition of the intervention function and policy categories layers of the Behaviour Change Wheel (BCW) to COM-B as it applies to PFMT intervention - Mapping of the barriers/enablers identified in the first activity to these levels

E Jean C Hay-Smith

15:00

Break

None

15:30

- Specific populations: neurological: older person; menopausal; migrant women - With reference to models (COM-B, BCW), consider specific populations: any barriers / enablers not previously considered - Consider patient & clinician, as well as social and organisational levels within the healthcare system

Chantale L Dumoulin

15:50

- Trouble-shooting at service delivery level - Planning implementation into your clinical practice & research designs - Group discussion, case studies

All

16:10

- Conclusion: Participant action plan: modelling a behavioural contract (write, share, sign, “I will”)

All

16:25

Participants complete workshop evaluations

None

Aims & Objectives

Basic
180 minutes
Health Services Delivery
Clinical
pelvic floor muscle exercise barriers
all disciplines interested in the effective implementation of PFMT in health services

This workshop will address the barriers and enablers to implementation of pelvic floor muscle training (PFMT) in health services. While evidence for PFMT as an effective treatment for urinary incontinence and pelvic organ prolapse is strong, and international recommendations endorse this intervention as first-line treatment, availability of the service is variable and uptake and adherence is poor. The reasons are complex and relate to several levels within the health service: the treatment itself, the patient, the clinician, the social and the organisational context. This interactive workshop will explore the barriers and enablers at each level and provide strategies for participants to implement in their workplace.

Learning Objectives

  • 1. Appreciation of the complexity and challenges of implementation of PFMT into a health service, and an understanding of why it is not always successful 2. Awareness of the importance of considering barriers and enablers to implementation of PFMT and how to find these in the workplace 3. Development of strategies to enhance implementation of PFMT in the workplace and in research designs

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