CSIRO Publishing blank image blank image blank image blank imageBooksblank image blank image blank image blank imageJournalsblank image blank image blank image blank imageAbout Usblank image blank image blank image blank imageShopping Cartblank image blank image blank image You are here: Journals > Australian Journal of Primary Health   
Australian Journal of Primary Health
http://www.latrobe.edu.au/aipc/
  The issues influencing community health services and primary health care
 
blank image Search
 
blank image blank image
blank image
 
  Advanced Search
   

Journal Home
About the Journal
Editorial Board
Contacts
Content
Online Early
Current Issue
Just Accepted
All Issues
Special Issues
Sample Issue
For Authors
General Information
Instructions to Authors
Submit Article
For Referees
Referee Guidelines
Review Article
Annual Referee Index
For Subscribers
Subscription Prices
Customer Service
Print Publication Dates

blue arrow e-Alerts
blank image
Subscribe to our email Early Alert or RSS feeds for the latest journal papers.

red arrow Connect with us
blank image
facebook   youtube

 

Article << Previous     |     Next >>   Contents Vol 17(1)

Better knowledge, better health: piloting an education intervention in chronic condition self-management support

Jennifer M. Newton A B, Leah Falkingham A and Lyn Clearihan A

A School of Primary Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, 270 Ferntree Gully Road, Notting Hill, Vic. 3168, Australia.
B Corresponding author. Email: jenny.newton@monash.edu

Australian Journal of Primary Health 17(1) 4-9 http://dx.doi.org/10.1071/PY10059
Submitted: 1 September 2010  Accepted: 1 December 2010   Published: 16 March 2011


 
PDF (262 KB) $25
 Export Citation
 Print
  
Abstract

Chronic condition self-management and lifestyle risk modification education is paramount for General Practice registrars. A multi-dimensional learning package ‘Better Knowledge, Better Health’ was developed and piloted to improve General Practice registrars’ understanding of their role in supporting chronic condition self-management in patients with osteoarthritis. This pilot study was supported by the Australian Better Health Initiative. Pre-training learning needs analysis with a new intake of General Practice registrars (n = 40) indicated high levels of confidence in supporting patients in chronic condition management and lifestyle risk modification, and locating and interacting with local resources and allied health professionals. Conversely, interviews with General Practice Supervisors (n = 13) found most would not identify chronic condition self-management skills as priorities for registrar learning. Supervisors were also not familiar with core principles of chronic condition self-management, in particular application of motivational interviewing to behaviour change. Disparities between General Practice Supervisors’ perceptions of the importance of chronic condition self-management and lifestyle risk modification education and levels of access to learning opportunities in chronic condition self-management for registrars are discussed. Difficulties in implementing a pilot study within tight timeframes are also explored.

Additional keywords:general practice registrars, osteoarthritis, supervisors.


References

AIHW (2006) ‘Chronic diseases and associated risk factors.’ Cat. no. PHE 81 edn. (Australian Commonwealth Government: Canberra)

Barlow J, Turner A, Swaby L, Gilchrist M, Wright C, Doherty M (2009) An 8-yr follow-up of Arthritis Self-Management Programme participants. Rheumatology 48, 128–133.
CrossRef | CAS | PubMed |

Brand C (2008) The role of self-management in designing care for people with osteoarthritis of the hip and knee. The Medical Journal of Australia 189, S25–S28.
| PubMed |

Britt E, Blampied NM (2010) Motivational interviewing training: a pilot study of the effects on practitioner and patient behaviour. Behavioural and Cognitive Psychotherapy 38, 239–244.
CrossRef | PubMed |

Britt H, Miller GC, Charles J, Henderson J, Bayram C, Valenti L, Pan Y, Harrison C, Fahridin S, O’Halloran J (2009) ‘General practice activity in Australia 1999–00 to 2008–09: 10 year data tables.’ General practice series no. 26. Cat. no. GEP 26. (AIHW: Canberra)

Buszewicz M, Rait G, Griffin M, Nazareth I, Patel A, Atkinson A, Barlow J, Haines A (2006) Self management of arthritis in primary care: randomised controlled trial. British Medical Journal 333, 867–879.
CrossRef | PubMed |

Caughey G, Vitry A, Gilbert A, Roughead E (2008) Prevalence of comorbidity of chronic diseases in Australia. BMC Public Health 8, 221
CrossRef |

Chassany O, Boureau F, Liard F, Bertin F, Serrie A, Ferran P, Keddad K, Jolivet-Landreau I, Marchand S (2006) Effects of training on general practitioners’ management of pain in osteoarthritis: a randomized multicenter study. The Journal of Rheumatology 33, 1827–1834.
| PubMed |

de Ridder DTD, Theunissen NCM, van Dulmen S (2007) Does training general practitioners to elicit patients’ illness representations and action plans influence their communication as a whole? Patient Education and Counseling 66, 327–336.
CrossRef |

Devos-Comby L, Cronan T, Roesch SC (2006) Do exercise and self-management interventions benefit patients with osteoarthritis of the knee? A metaanalytic review. The Journal of Rheumatology 33, 744–756.
| PubMed |

FHBHRU (2009) ‘Capabilities for supporting prevention and chronic condition self-management.’ (Australian Government, DoHA and Flinders University: Adelaide) Available at http://som.flinders.edu.au/FUSA/CCTU/pdf/ [Verified 11 January 2011]

Glasgow NJ, Jeon Y, Kraus SG, Pearce Brown CL (2008) Chronic disease self-management support: the way forward for Australia. The Medical Journal of Australia 189, S14–S16.
| PubMed |

Harris M, Williams A, Dennib S (2008) Chronic disease self-management: implementation with and within Australian general practice. The Medical Journal of Australia 179, S17–S20.

Haywood K, Marshall S, Fitzpatrick R (2006) Patient participation in the consultation process: a structured review of intervention strategies. Patient Education and Counseling 63, 12–23.
CrossRef | PubMed |

Hettema J, Steele J, Miller WR (2005) Motivational Interviewing. Annual Review of Clinical Psychology 1, 91–111.
CrossRef | PubMed |

Jones K, Piterman L (2007) Promoting best practice in general practitioner management of osteoarthritis of the hip and knee: Arthritis and Musculosketal Quality Improvement Program (AMQuIP). Australian Journal of Primary Health 13, 104–112.
CrossRef |

Jordan J, Briggs A, Brand C, Osborne R (2008) Enhancing patient engagement in chronic disease self-management support initiatives in Australia: the need for an integrated approach. The Medical Journal of Australia 10, S9–S13.

Lindner H, Menzies D, Kelly J (2003) Telephone coach training for health professionals in patient self-management strategies. Australian Journal of Primary Health 9, 199–207.
CrossRef |

March L, Amatya B, Osborne R, Brand C (2010) Developing a minimum standard of care for treating people with osteoarthritis of the hip and knee. Best Practice & Research. Clinical Rheumatology 24, 121–145.
CrossRef | PubMed |

Martino S, Haeseler F, Belitsky R, Pantalon M, Fortin AH (2007) Teaching brief motivational interviewing to year three medical students. Medical Education 41, 160–167.
CrossRef |

National Health Priority Action Council (2006) ‘National chronic disease strategy.’ (Australian Government Department of Health and Ageing: Canberra)

Newman S, Steed L, Mulligan K (2004) Self-management interventions for chronic illness. Lancet 364, 1523–1537.
CrossRef |

Newton JM, Billett S, Jolly B, Ockerby CM (2009) Lost in translation: barriers to learning in health professional education. Learning in Health and Social Care 8, 315–327.
CrossRef |

Noffke S (1997) Professional, personal, and political dimensions of action research. Review of Research in Education 22, 305–343.

O’Shea C, Spike N (2005) Learning needs analysis – developing a new tool for general practice training. Australian Family Physician 34, 41–43.

Pols R, Battersby M, Regan-Smith M, Markwick M, Lawrence J, Auret K, Carter J, Cole A, Disler P, Hassed C, McGuiness C, Nguyen H (2009) Chronic condition self-management support: proposed competencies for medical students. Chronic Illness 5, 7–14.
CrossRef | PubMed |

Rogers A, Kennedy A, Nelson E, Robinson A (2005) Uncovering the limits of patient centredness: implementing a self-management trial for chronic illness. Qualitative Health Research 15, 224–239.
CrossRef |

Royal Australian College of General Practitioners (2007) Curriculum for Australian general practice. Available at http://www.racgp.org.au/curriculum [Verified 3 November 2010]

Thompson SC, Schwankovsky L, Pitts J (1993) Counselling patients to make lifestyle changes: the role of physician self-efficacy, training and beliefs about causes. Family Practice 10, 70–75.
CrossRef | CAS | PubMed |


   
Subscriber Login
Username:
Password:  

 
    
Legal & Privacy | Contact Us | Help

CSIRO

© CSIRO 1996-2013