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Development of an occupational advice intervention for patients undergoing lower limb arthroplasty (the OPAL study)

Baker, Paul; Coole, Carol; Drummond, Avril E.R.; McDaid, Catriona; Khan, Sayeed; Thomson, Louise; Hewitt, Catherine; McNamara, Iain; McDonald, David; Fitch, Judith; Rangan, Amar

Authors

Paul Baker

Carol Coole carolyn.coole@nottingham.ac.uk

AVRIL DRUMMOND avril.drummond@nottingham.ac.uk
Professor of Healthcare Research

Catriona McDaid

Sayeed Khan

Catherine Hewitt

Iain McNamara

David McDonald

Judith Fitch

Amar Rangan



Abstract

Background: There are an increasing number of patients of working age undergoing hip and knee replacements. Currently there is variation in the advice and support given about sickness absence, recovery to usual activities and return to work after these procedures.

Earlier, sustainable, return to work improves the health of patients and benefits their employers and society. An intervention that encourages and supports early recovery to usual activities, including work, has the potential to reduce the health and socioeconomic burden of hip and knee replacements.

Methods/Design: A two-phase research programme delivered over 27 months will be used to develop and subsequently test the feasibility of an occupational advice intervention to facilitate return to work and usual activities in patients undergoing lower limb arthroplasty. The 2 phases will incorporate a six-stage intervention mapping process:

Phase 1: Intervention mapping stages 1-3:

1 Needs assessment (including rapid evidence synthesis, prospective cohort analysis and structured stakeholder interviews)
2 Identification of intended outcomes and performance objectives
3 Selection of theory-based methods and practical strategies


Phase 2: Intervention mapping stages 4-6:

4 Development of components and materials for the occupational advice intervention using a modified Delphi process
5 Adoption and implementation of the intervention
6 Evaluation and feasibility testing

The study will be undertaken in four National Health Service (NHS) hospitals in the United
Kingdom and two Higher Education Institutions.

Discussion: OPAL (Occupational advice for Patients undergoing Arthroplasty of the Lower limb) aims to develop an occupational advice intervention to support early recovery to usual activities including work, which is tailored to the requirements of patients undergoing hip and knee replacements. The developed intervention will then be assessed with a specific focus on evaluating its feasibility as a potential trial intervention to improve speed of recovery to usual activities including work.

Journal Article Type Article
Publication Date Jun 28, 2018
Journal BMC Health Services Research
Electronic ISSN 1472-6963
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
Volume 18
Article Number 504
APA6 Citation Baker, P., Coole, C., Drummond, A. E., McDaid, C., Khan, S., Thomson, L., …Rangan, A. (2018). Development of an occupational advice intervention for patients undergoing lower limb arthroplasty (the OPAL study). BMC Health Services Research, 18, https://doi.org/10.1186/s12913-018-3238-z
DOI https://doi.org/10.1186/s12913-018-3238-z
Keywords Occupational advice; Return to work; Arthoplasty; Hip; Knee; Intervention design; Intervention mapping
Publisher URL https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-018-3238-z
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0





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