Development of an occupational advice intervention for patients undergoing lower limb arthroplasty (the OPAL study)

Baker, Paul; Coole, Carol; Drummond, Avril; McDaid, Catriona; Khan, Sayeed; Thomson, Louise; Hewitt, Catherine; McNamara, Iain; McDonald, David A.; Fitch, Judith; Rangan, Amar

doi:10.1186/s12913-018-3238-z

Cited by 9 publications

(9 citation statements)

References 8 publications

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“…16 There is variation in the content, delivery and format of occupational advice delivered to patients having hip and knee replacements and a need to provided more comprehensive, individualised advice for these patients to support early, sustained return to work after surgery. 16 The Occupational advice for Patients undergoing Arthroplasty of the Lower limb (OPAL study) was a National Institute for Health Research-Health Technology Assessment commissioned research study that aimed to develop an occupational advice intervention to support return to work after hip and knee replacement. 16 OPAL used an intervention mapping framework supported by related qualitative and quantitative work streams.…”

Section: Trial Registration Number International Standard Randomised mentioning

confidence: 99%

“…16 The Occupational advice for Patients undergoing Arthroplasty of the Lower limb (OPAL study) was a National Institute for Health Research-Health Technology Assessment commissioned research study that aimed to develop an occupational advice intervention to support return to work after hip and knee replacement. 16 OPAL used an intervention mapping framework supported by related qualitative and quantitative work streams. 16 Initial research evaluated the specific needs of the population of patients who were in work and intended to return to work following surgery, established how individual patients returned to work and documented the barriers preventing return to work.…”

Section: Trial Registration Number International Standard Randomised mentioning

confidence: 99%

“…16 OPAL used an intervention mapping framework supported by related qualitative and quantitative work streams. 16 Initial research evaluated the specific needs of the population of patients who were in work and intended to return to work following surgery, established how individual patients returned to work and documented the barriers preventing return to work. 17 18 Through these work streams a range of key performance indicators and potential intervention components that could be used to develop an occupational advice intervention emerged.…”

Section: Trial Registration Number International Standard Randomised mentioning

confidence: 99%

“…To facilitate this process a modified Delphi consensus process was employed. 16 The Delphi approach was chosen as it can be delivered remotely in a short time frame without the need to convene meetings. It also enables researchers to collect the opinions of a range of different individuals with differing areas of expertise which was desirable in this setting.…”

Section: Trial Registration Number International Standard Randomised mentioning

confidence: 99%

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Development of an occupational advice intervention for patients undergoing elective hip and knee replacement: a Delphi study

et al. 2020

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ObjectiveTo obtain consensus on the content and delivery of an occupational advice intervention for patients undergoing primary hip and knee replacement surgery. The primary targets for the intervention were (1) patients, carers and employers through the provision of individualised support and information about returning to work and (2) hospital orthopaedic teams through the development of a framework and materials to enable this support and information to be delivered.DesignModified Delphi study as part of a wider intervention development study (The Occupational advice for Patients undergoing Arthroplasty of the Lower limb (OPAL) study: Health Technology Assessment Reference 15/28/02) (ISRCTN27426982).SettingFive stakeholder groups (patients, employers, orthopaedic surgeons, general practitioners, allied health professionals and nurses) recruited from across the UK.ParticipantsSixty-six participants.MethodsStatements for the Delphi process were developed relating to the content, format, delivery, timing and measurement of an occupational advice intervention. The statements were based on evidence gathered through the OPAL study that was processed using an intervention mapping framework. Intervention content was examined in round 1 and intervention format, delivery, timing and measurement were examined in round 2. In round 3, the developed intervention was presented to the stakeholder groups for comment.ConsensusFor rounds 1 and 2, consensus was defined as 70% agreement or disagreement on a 4-point scale. Statements reaching consensus were ranked according to the distribution of responses to create a hierarchy of agreement. Round 3 comments were used to revise the final version of the developed occupational advice intervention.ResultsConsensus was reached for 36 of 64 round 1 content statements (all agreement). In round 2, 13 questions were carried forward and an additional 81 statements were presented. Of these, 49 reached consensus (44 agreement/5 disagreement). Eleven respondents provided an appraisal of the intervention in round 3.ConclusionsThe Delphi process informed the development of an occupational advice intervention as part of a wider intervention development study. Stakeholder agreement was achieved for a large number of intervention elements encompassing the content, format, delivery and timing of the intervention. The effectiveness and cost-effectiveness of the developed intervention will require evaluation in a randomised controlled trial.Trial registration numberInternational Standard Randomised Controlled Trials Number Trial ID: ISRCTN27426982

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Section: Trial Registration Number International Standard Randomised mentioning

confidence: 99%

Section: Trial Registration Number International Standard Randomised mentioning

confidence: 99%

Section: Trial Registration Number International Standard Randomised mentioning

confidence: 99%

Section: Trial Registration Number International Standard Randomised mentioning

confidence: 99%

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Development of an occupational advice intervention for patients undergoing elective hip and knee replacement: a Delphi study

et al. 2020

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“…The aim of this study was therefore to explore the experiences of employer stakeholders in supporting employees undergoing THR/TKR. This research was conducted as part of a larger study to design an occupational advice intervention for this group of patients and their employers [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Managing Employees Undergoing Total Hip and Knee Replacement: Experiences of Workplace Representatives

et al. 2018

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Introduction There is little research on return to work (RTW) from a workplace perspective following hip and knee replacement (THR/TKR) despite employers and other workplace personnel having a key role. Our aim was to explore the experiences of individuals in the workplace in managing employees undergoing THR/TKR. Methods Employers and other workplace representatives from a cross-section of employment sectors and sizes, with experience of managing employees undergoing THR/TKR in the previous 12 months, were recruited. Interviewees included small business owners, line managers, colleagues, human resources managers and occupational health advisers. Semi-structured, qualitative interviews were conducted and data were analysed thematically. Results Twenty-five individuals were interviewed. The main themes identified were accommodating the employee, and barriers and facilitators to RTW. Accommodations included changes to the work environment, amended duties, altered hours, changed roles and colleague support. Perceived barriers and facilitators to RTW included the role of GPs and occupational health, surgical issues, characteristics of the work environment and of employees. Conclusions Employers are motivated to effect supported RTW for employees undergoing THR/TKR but have insufficient guidance. Strategies are required to signpost employers to existing RTW advice, and to develop recommendations specific to lower limb arthroplasty. Communication between medical practitioners and employers should be facilitated in order to enhance the RTW experience of individuals undergoing THR/TKR.

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Understanding Health Problems

2021

Nursing and Health Interventions

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Development of an occupational advice intervention for patients undergoing lower limb arthroplasty (the OPAL study)

Cited by 9 publications

References 8 publications

Development of an occupational advice intervention for patients undergoing elective hip and knee replacement: a Delphi study

Development of an occupational advice intervention for patients undergoing elective hip and knee replacement: a Delphi study

Managing Employees Undergoing Total Hip and Knee Replacement: Experiences of Workplace Representatives

Understanding Health Problems

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