Table 1 Knowledge-to-Action plan for Ready for SDM INTERPROF
Stages of KTA | Reported elsewhere/Reported in current study |
|---|---|
(1) Identify the gap | SDM and SDM trainings are not yet implemented in clinical practice in Norway Until recently, there have been no SDM learning goals in social and medical training 76% of doctors in medical residency training reported having had no SDM training (n = 111) Low levels of patient involvement in Norwegian specialist health care have been found [14] SDM training in Norway has only just begun [18, 25, 26] SDM INTERPROF has proven efficacious. Its distribution requires the use of a TTT module |
(2) Adapt knowledge to local context | The TTT curriculum enables ambassadors to adapt SDM INTERPROF to their local needs In pilots and pretests of SDM INTERPROF the curriculum has been adapted to several local medical contexts [18, 25] The target group participated in developing SDM INTERPROF in the context of a quality improvement project |
(3) Access barriers to knowledge use | Knowledge about barriers: Evidence of barriers to SDM implementation in literature [51,52,53] Barriers assessed in our previous studies: 1-Pretest of SDM INTERPROF [18] 2-RCT on efficacy of SDM INTERPROF [25] Barriers collected during piloting of the TTT module and a focus group study |
(4) Select, tailor, implement interventions | SDM INTERPROF showed it was feasible and efficacious TTT selected as a strategy for more efficient and tailored implementation of SDM INTERPROF |
(5) Monitor knowledge use | Post intervention survey assessed further redistribution of SDM INTERPROF by participants A quality collaborative will share and discuss experiences Workshop 12 months post-TTT with participants to assess experiences of applying SDM INTERPROF, including barriers to sustainability |
(6) Evaluate outcomes | Level 1: Engagement, relevance and satisfaction assessed Level 2: Knowledge, skills, confidence and commitment assessed Level 3: A reporting system established to monitor number of trainings delivered and trainees trained Level 4: Measure SDM in clinical practice using MAPPIN´SDM for a select group of patients in the South-Eastern Regional Health Authority |
(7) Sustain knowledge use | Conducting new TTT courses as new staff is hired In preparation: Develop and assess feasibility of additional SDM training modules Establish a support system for SDM ambassadors Revise and update the klarforsamvalg.no [34] homepage |