Evaluation of the strategy for implementing the GLA:D programme in Switzerland: protocol for an implementation-effectiveness hybrid type 3 design study with a mixed-method approach

Introduction International guidelines recommend the use of exercise, education and weight reduction, when appropriate, as first-line treatment for the conservative management of knee osteoarthritis (OA). These guidelines have not been applied systematically in Switzerland, resulting in an evidence-p...

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Main Authors: Karin Niedermann, Lea Ettlin, Marina Bruderer-Hofstetter, Anne-Kathrin Rausch-Osthoff, Irina Nast, Olivier Gaugler
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e057993.full
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author Karin Niedermann
Lea Ettlin
Marina Bruderer-Hofstetter
Anne-Kathrin Rausch-Osthoff
Irina Nast
Olivier Gaugler
author_facet Karin Niedermann
Lea Ettlin
Marina Bruderer-Hofstetter
Anne-Kathrin Rausch-Osthoff
Irina Nast
Olivier Gaugler
author_sort Karin Niedermann
collection DOAJ
description Introduction International guidelines recommend the use of exercise, education and weight reduction, when appropriate, as first-line treatment for the conservative management of knee osteoarthritis (OA). These guidelines have not been applied systematically in Switzerland, resulting in an evidence-performance gap. After an analysis of available programmes, the Good Life with osteoArthritis Denmark (GLA:D) programme was determined as the most applicable exercise and education programme for its implementation in Switzerland. The implementation of GLA:D Switzerland OA was initiated to encourage the wider implementation of the clinical guideline recommendations and to improve conservative management of knee OA. The aim of this study protocol is to describe the evaluation of the implementation strategy and its impact on implementation, service and clinical outcomes; as well as to identify contributing barriers and facilitators.Methods and analysis The Implementation Research Logic Model will be used to evaluate the strategy and analyse its impact on the implementation outcomes by means of a mixed methods approach. This protocol outlines the proposed measures, data sources and strategies for the evaluation. Predefined implementation outcomes will help to identify the implementation impact and analyse barriers and facilitators systematically. The study population will be the healthcare professionals who are involved in the conservative management of knee OA in Switzerland, that is, physiotherapists and medical doctors, and their patients.Ethics and dissemination The use of the registry data containing data of patients participating in the GLA:D Switzerland OA programme does not fall within the scope of the Swiss Human Research Act (BASEC-Nr. Req-2019-00274). However, all participants involved in the evaluation will be asked to give informed written consent and all measures are taken to protect data and privacy of participants. Research findings will be submitted to journals relevant for the topic.Trial registration number Not applicable.
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spelling doaj-art-e6f5506146cc42888b2a0632125eaafc2025-01-28T01:50:11ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-057993Evaluation of the strategy for implementing the GLA:D programme in Switzerland: protocol for an implementation-effectiveness hybrid type 3 design study with a mixed-method approachKarin Niedermann0Lea Ettlin1Marina Bruderer-Hofstetter2Anne-Kathrin Rausch-Osthoff3Irina Nast4Olivier Gaugler51Zurich University of Applied Sciences, School of Health Professions, Winterthur, SwitzerlandZurich University of Applied Sciences, School of Health Professions, Institute of Physiotherapy, Winterthur, SwitzerlandZurich University of Applied Sciences, School of Health Professions, Institute of Physiotherapy, Winterthur, SwitzerlandZurich University of Applied Sciences, School of Health Professions, Institute of Physiotherapy, Winterthur, SwitzerlandZurich University of Applied Sciences, School of Health Professions, Institute of Physiotherapy, Winterthur, SwitzerlandZurich University of Applied Sciences, School of Health Professions, Institute of Physiotherapy, Winterthur, SwitzerlandIntroduction International guidelines recommend the use of exercise, education and weight reduction, when appropriate, as first-line treatment for the conservative management of knee osteoarthritis (OA). These guidelines have not been applied systematically in Switzerland, resulting in an evidence-performance gap. After an analysis of available programmes, the Good Life with osteoArthritis Denmark (GLA:D) programme was determined as the most applicable exercise and education programme for its implementation in Switzerland. The implementation of GLA:D Switzerland OA was initiated to encourage the wider implementation of the clinical guideline recommendations and to improve conservative management of knee OA. The aim of this study protocol is to describe the evaluation of the implementation strategy and its impact on implementation, service and clinical outcomes; as well as to identify contributing barriers and facilitators.Methods and analysis The Implementation Research Logic Model will be used to evaluate the strategy and analyse its impact on the implementation outcomes by means of a mixed methods approach. This protocol outlines the proposed measures, data sources and strategies for the evaluation. Predefined implementation outcomes will help to identify the implementation impact and analyse barriers and facilitators systematically. The study population will be the healthcare professionals who are involved in the conservative management of knee OA in Switzerland, that is, physiotherapists and medical doctors, and their patients.Ethics and dissemination The use of the registry data containing data of patients participating in the GLA:D Switzerland OA programme does not fall within the scope of the Swiss Human Research Act (BASEC-Nr. Req-2019-00274). However, all participants involved in the evaluation will be asked to give informed written consent and all measures are taken to protect data and privacy of participants. Research findings will be submitted to journals relevant for the topic.Trial registration number Not applicable.https://bmjopen.bmj.com/content/12/6/e057993.full
spellingShingle Karin Niedermann
Lea Ettlin
Marina Bruderer-Hofstetter
Anne-Kathrin Rausch-Osthoff
Irina Nast
Olivier Gaugler
Evaluation of the strategy for implementing the GLA:D programme in Switzerland: protocol for an implementation-effectiveness hybrid type 3 design study with a mixed-method approach
BMJ Open
title Evaluation of the strategy for implementing the GLA:D programme in Switzerland: protocol for an implementation-effectiveness hybrid type 3 design study with a mixed-method approach
title_full Evaluation of the strategy for implementing the GLA:D programme in Switzerland: protocol for an implementation-effectiveness hybrid type 3 design study with a mixed-method approach
title_fullStr Evaluation of the strategy for implementing the GLA:D programme in Switzerland: protocol for an implementation-effectiveness hybrid type 3 design study with a mixed-method approach
title_full_unstemmed Evaluation of the strategy for implementing the GLA:D programme in Switzerland: protocol for an implementation-effectiveness hybrid type 3 design study with a mixed-method approach
title_short Evaluation of the strategy for implementing the GLA:D programme in Switzerland: protocol for an implementation-effectiveness hybrid type 3 design study with a mixed-method approach
title_sort evaluation of the strategy for implementing the gla d programme in switzerland protocol for an implementation effectiveness hybrid type 3 design study with a mixed method approach
url https://bmjopen.bmj.com/content/12/6/e057993.full
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