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

Journal article


Oakman, Jodi, Cahill, Liana S., Clune, Samantha, Neilson, Cheryl, Shields, Nora, Tse, Tamara, O’Keefe, Sophie, Frederico, Margarita, Graco, Marnie, Holland, Anne E., Jolliffe, Laura, Carey, Leeanne, Lewis, Virginia, Brown, Graham, Cox, Narelle, Morris, Meg E. and Lannin, Natasha A.. (2021). Effectiveness of health consumer representative involvement in implementation of interventions to change health professional behaviour. International Journal for Quality in Health Care. 33(1), pp. 1-18. https://doi.org/10.1093/intqhc/mzaa164
AuthorsOakman, Jodi, Cahill, Liana S., Clune, Samantha, Neilson, Cheryl, Shields, Nora, Tse, Tamara, O’Keefe, Sophie, Frederico, Margarita, Graco, Marnie, Holland, Anne E., Jolliffe, Laura, Carey, Leeanne, Lewis, Virginia, Brown, Graham, Cox, Narelle, Morris, Meg E. and Lannin, Natasha A.
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.

Keywordsimplementation; consumer; behaviour change; systematic review; health professionals
Year2021
JournalInternational Journal for Quality in Health Care
Journal citation33 (1), pp. 1-18
PublisherOxford University Press
ISSN1464-3677
Digital Object Identifier (DOI)https://doi.org/10.1093/intqhc/mzaa164
Scopus EID2-s2.0-85102214849
Research or scholarlyResearch
Page range1-18
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online16 Dec 2020
Publication process dates
Accepted03 Dec 2020
Deposited15 Nov 2021
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