Increasing confidence and competence in supporting behaviour change in physiotherapy practice using Making Every Contact Count Healthy Conversation Skills: a before and after evaluation
Abstract Aim To a) evaluate the impact of Making Every Contact Count Healthy Conversation Skills (MECC HCS) training on the confidence and competence of physiotherapists in supporting patient behaviour change, and b) evaluate perceived acceptability, barriers and facilitators to implementing MECC HC...
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| Format: | Article |
| Language: | English |
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BMC
2025-06-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-025-12513-2 |
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| author | Amelia Parchment Wendy Lawrence Em Rahman Nick Townsend Elaine Wainwright David Wainwright |
| author_facet | Amelia Parchment Wendy Lawrence Em Rahman Nick Townsend Elaine Wainwright David Wainwright |
| author_sort | Amelia Parchment |
| collection | DOAJ |
| description | Abstract Aim To a) evaluate the impact of Making Every Contact Count Healthy Conversation Skills (MECC HCS) training on the confidence and competence of physiotherapists in supporting patient behaviour change, and b) evaluate perceived acceptability, barriers and facilitators to implementing MECC HCS, following training. Methods A before and after evaluation design was employed. MECC HCS training took place in October and December 2021. A range of measures were taken directly before training, directly after training, at 6- to 12- week follow-up and at 6- month follow-up. These measures related to confidence in delivering MECC HCS and supporting behaviour change in patients, competence in doing so, and perceived acceptability of utilising MECC HCS as a brief intervention to support behaviour change in practice. Results MECC HCS training had significant positive impacts on the confidence and competence of physiotherapists in using MECC HCS skills to support patient behaviour change. Physiotherapists found training highly valuable and felt that implementing MECC HCS was acceptable within their practice. ‘Intentions’ and ‘Social/ Professional Role and Identity’ were key enablers to MECC HCS implementation at 6 months post- training. Conclusions MECC HCS training may contribute to closing the gap between evidence-based recommendations and the practice of physiotherapists in relation to health promotion and supporting patient behaviour change and self-management. |
| format | Article |
| id | doaj-art-e6a9ee8c600649c18459e2a2dbe0b847 |
| institution | OA Journals |
| issn | 1472-6963 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-e6a9ee8c600649c18459e2a2dbe0b8472025-08-20T02:05:47ZengBMCBMC Health Services Research1472-69632025-06-0125111510.1186/s12913-025-12513-2Increasing confidence and competence in supporting behaviour change in physiotherapy practice using Making Every Contact Count Healthy Conversation Skills: a before and after evaluationAmelia Parchment0Wendy Lawrence1Em Rahman2Nick Townsend3Elaine Wainwright4David Wainwright5Department for Health, University of BathPrimary Care, Population Science and Medical Education, Faculty of Medicine, University of SouthamptonPublic Health Workforce Development, NHS England- South EastCentre for Exercise, Nutrition and Health Sciences, School for Policy Studies, University of BristolAberdeen Centre for Arthritis and Musculoskeletal Health (Epidemiology Group), School of Medicine, Medical Sciences and Nutrition, University of AberdeenDepartment for Health, University of BathAbstract Aim To a) evaluate the impact of Making Every Contact Count Healthy Conversation Skills (MECC HCS) training on the confidence and competence of physiotherapists in supporting patient behaviour change, and b) evaluate perceived acceptability, barriers and facilitators to implementing MECC HCS, following training. Methods A before and after evaluation design was employed. MECC HCS training took place in October and December 2021. A range of measures were taken directly before training, directly after training, at 6- to 12- week follow-up and at 6- month follow-up. These measures related to confidence in delivering MECC HCS and supporting behaviour change in patients, competence in doing so, and perceived acceptability of utilising MECC HCS as a brief intervention to support behaviour change in practice. Results MECC HCS training had significant positive impacts on the confidence and competence of physiotherapists in using MECC HCS skills to support patient behaviour change. Physiotherapists found training highly valuable and felt that implementing MECC HCS was acceptable within their practice. ‘Intentions’ and ‘Social/ Professional Role and Identity’ were key enablers to MECC HCS implementation at 6 months post- training. Conclusions MECC HCS training may contribute to closing the gap between evidence-based recommendations and the practice of physiotherapists in relation to health promotion and supporting patient behaviour change and self-management.https://doi.org/10.1186/s12913-025-12513-2Brief interventionPhysiotherapyBehaviour changeMaking every contact countHealthy conversation skills |
| spellingShingle | Amelia Parchment Wendy Lawrence Em Rahman Nick Townsend Elaine Wainwright David Wainwright Increasing confidence and competence in supporting behaviour change in physiotherapy practice using Making Every Contact Count Healthy Conversation Skills: a before and after evaluation BMC Health Services Research Brief intervention Physiotherapy Behaviour change Making every contact count Healthy conversation skills |
| title | Increasing confidence and competence in supporting behaviour change in physiotherapy practice using Making Every Contact Count Healthy Conversation Skills: a before and after evaluation |
| title_full | Increasing confidence and competence in supporting behaviour change in physiotherapy practice using Making Every Contact Count Healthy Conversation Skills: a before and after evaluation |
| title_fullStr | Increasing confidence and competence in supporting behaviour change in physiotherapy practice using Making Every Contact Count Healthy Conversation Skills: a before and after evaluation |
| title_full_unstemmed | Increasing confidence and competence in supporting behaviour change in physiotherapy practice using Making Every Contact Count Healthy Conversation Skills: a before and after evaluation |
| title_short | Increasing confidence and competence in supporting behaviour change in physiotherapy practice using Making Every Contact Count Healthy Conversation Skills: a before and after evaluation |
| title_sort | increasing confidence and competence in supporting behaviour change in physiotherapy practice using making every contact count healthy conversation skills a before and after evaluation |
| topic | Brief intervention Physiotherapy Behaviour change Making every contact count Healthy conversation skills |
| url | https://doi.org/10.1186/s12913-025-12513-2 |
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