Implementing an interprofessional model of self-management support across a community workforce : a mixed-methods evaluation study

Kulnik, Stefan, Poestges, Heide, Brimicombe, Lucinda, Hammond, John A. and Jones, Fiona (2017) Implementing an interprofessional model of self-management support across a community workforce : a mixed-methods evaluation study. Journal of Interprofessional Care, 31(1), pp. 75-84. ISSN (print) 1356-1820

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The importance of implementing self-management support (SMS) is now widely accepted, but questions remain as to how. In 2015, we facilitated the implementation of an interprofessional model of SMS (Bridges Self-Management) for people with complex multiple long-term conditions through community rehabilitation and social care services in one South East England locality. Over 90 professionals and support workers from this workforce received interprofessional training to integrate SMS into their care and rehabilitation interactions. This gave an opportunity to explore how SMS can be implemented in practice. We conducted a mixed-methods study with unequal weighting (qualitative emphasis), concurrent timing and embedded design. Staff provided written feedback and case reflections, participated in group discussions and completed a survey of self-management beliefs and attitudes. We recruited a convenience sample of ten service users and conducted qualitative interviews and standardised questionnaires. Findings showed that staff appreciated and benefited from the interprofessional learning environment. Staff reported changes in their interactions with service users and colleagues and had gained knowledge and confidence to support individuals to self-manage. Data also highlighted the need to facilitate SMS practice at the level of service organisation. Service user data illustrated the impact of interactions with staff, and how SMS had increased service users’ confidence and encouraged different skills to manage life with their conditions. This project has shown how multi-agency community teams can benefit from interprofessional training to enhance SMS for people living with long-term conditions, build a shared understanding of SMS, and integrate effective SMS strategies into everyday practices.

Item Type: Article
Additional Information: This project was funded through a Health Innovation Network (HIN) and Health Education South London (HESL) “Innovation Grant for Developing the Full Workforce 2014”.
Uncontrolled Keywords: Self-management support, long-term conditions, interprofessional education, community rehabilitation, social care, mixed-methods
Research Area: Allied health professions and studies
Faculty, School or Research Centre: Faculty of Health, Social Care and Education (until 2017)
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Depositing User: Katrina Clifford
Date Deposited: 21 Oct 2016 10:26
Last Modified: 23 Feb 2017 13:16

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