How useful is the Making Every Contact Count Healthy Conversation Skills approach for supporting people with musculoskeletal conditions?

Amelia Parchment* (Corresponding Author), Wendy Lawrence, Em Rahman, Nick Townsend, Elaine Wainwright, David Wainwright

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

ABSTRACT
Aim: To explore the current use and perceptions of the Wessex model of Making Every Contact Count (MECC), incorporating Healthy Conversation Skills (HCS), focussing specifically on physiotherapists supporting people living with musculoskeletal conditions.
Methods: A mixed method, sequential explanatory design was employed. This article reports the first phase of the study, in which an online questionnaire was administered, consisting of items relating to perceived acceptability, appropriateness, feasibility, sustainability, and uptake of MECC HCS. Barriers and facilitators to MECC HCS delivery were additionally explored and mapped to the Theoretical Domains Framework.
Results: Seventy-one professionals responded, including 15 physiotherapists supporting people with MSK conditions. Across professional groups, MECC HCS was found to be highly acceptable, appropriate and feasible. A significant interaction between perceived sustainability of MECC HCS and the location in which professionals worked was observed. Physiotherapists reported using their MECC HCS at least daily, however, there were discrepancies between the number of their patients they believed could benefit from behaviour change intervention, and the number to which they reported actually delivering MECC HCS. Perceived barriers and facilitators to MECC HCS implementation mapped mostly to ‘Environmental Context and Resources’ on the Theoretical Domains Framework.
Conclusions: The Wessex model of MECC is a promising brief or very brief intervention for physiotherapists supporting individuals with musculoskeletal conditions. Barriers associated with the sustainability of the intervention within organisations must be addressed in order to enhance future implementation. Further rollout of this intervention may be beneficial for meeting the goals of the NHS and Public Health England in prevention of chronic MSK conditions and promotion of musculoskeletal health.
Original languageEnglish
Pages (from-to)2389-2405
Number of pages17
JournalJournal of Public Health
Volume30
Issue number10
Early online date4 May 2022
DOIs
Publication statusPublished - Oct 2022

Keywords

  • Making Every Contact Count
  • Healthy Conversation Skills
  • Very brief intervention
  • Brief intervention
  • Physiotherapist
  • Musculoskeletal health
  • Theoretical Domains Framework

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