Effectiveness of health consumer representative involvement in implementation of interventions to change health professional behaviour

Author:

Oakman Jodi1ORCID,Cahill Liana S123,Clune Samantha1,Neilson Cheryl1,Shields Nora1,Tse Tamara13,O’keefe Sophie14,Frederico Margarita1,Graco Marnie4,Holland Anne E145,Jolliffe Laura45,Carey Leeanne13,Lewis Virginia1,Brown Graham1,Cox Narelle5,Morris Meg E16,Lannin Natasha A145

Affiliation:

1. La Trobe University, Melbourne, Australia

2. School of Allied Health, Faculty of Health Sciences, Australian Catholic University, Melbourne 3065, Australia

3. Florey Institute of Neuroscience and Mental Health, Melbourne University, Melbourne 3010, Australia

4. Alfred Health, Melbourne 3009, Australia

5. Central Clinical School, Monash University, Melbourne 3004, Australia

6. Healthscope, Melbourne 3004, Australia

Abstract

Abstract Background The adoption of research evidence to improve client outcomes may be enhanced using the principles of implementation science. This systematic review aimed to understand the effect of involving consumers to change health professional behaviours and practices. The barriers and enablers to consumer engagement will also be examined. Methods We searched Medline, CINAHL, Embase, the Cochrane Central Register of Controlled Trials and PDQ-Evidence from 2004 to February 2019. Implementation studies involving consumers in at least one phase (development, intervention or facilitation) of an intervention that aimed to change health professional behaviour to align with evidence-based practice were included. Studies in the areas of paediatrics and primary care were excluded. Two review authors independently screened studies for inclusion, and one author extracted data and conducted quality assessments with review of a second author. Knowledge translation interventions were categorized using the Effective Practice and Organisation of Care taxonomy. The primary outcome was measures of change in health professional behaviour. Results Sixteen articles met the inclusion criteria. Meta-analysis of three studies found support for consumer involvement in changing healthcare professionals’ behaviour (Hedges’ g = 0.41, 95% CI [0.27, 0.57], P < 0.001). Most knowledge translation studies involved consumers during the development phase only (n = 12). Most studies (n = 9) included one type of knowledge translation intervention. Professional interventions (including education of health professionals, educational outreach, and audit and feedback) were described in 13 studies. Conclusions Consumer involvement rarely moves beyond the design phase of knowledge translation research in healthcare settings. Further research of the barriers to and effect of increased consumer engagement across all stages of knowledge translation interventions is needed. Systematic review registration PROSPERO CRD42019119179.

Funder

La Trobe University

National Heart Foundation of Australia

National Health and Medical Research Council

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,Health Policy,General Medicine

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