ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 167
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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What helps and hinders using non-drug interventions to
manage chronic conditions in primary care? An overview
of reviews
Mrs Hannah Greenwood1, Ms Alexandra Davidson1, Rae Thomas Thomas2, A/Prof Loai Albarqouni1
1
Institute For Evidence-Based Healthcare, Bond University, 2Tropical Australian Academic Health
Centre, James Cook University
Non-drug interventions, such as psychological therapy, diet changes and physical therapy, are often
recommended to support prevention and management of chronic conditions. They are effective, and
accessible in general practice via online clinical resources like The Royal Australian College of General
Practitioners’ Handbook of non-drug interventions. Yet, non-drug interventions are underutilised, and
their efficacy is underestimated by clinicians and patients alike. This indicates that there are barriers
to using these effective interventions in primary care settings. To better understand the common
barriers and enablers to using non-drug interventions for the management of chronic conditions
in primary care, we are conducting an overview of reviews. The study is currently in progress, with
preliminary results anticipated in early 2023. We searched five databases (PubMed, Cochrane,
Embase, CINAHL and PsycINFO) for relevant articles. After deduplication, 5354 articles were screened
to select scoping or systematic reviews of any study type that reported barriers and/or enablers to
using non-drug interventions for chronic disease management in primary care settings, including allied
health. At present, 35 full-text articles are included; however, forward and backward citation analysis
to identify additional relevant studies is yet to be completed. Data on study characteristics, chronic
condition, non-drug intervention, barriers and/or enablers and evidence certainty will be extracted
and analysed for barrier or enabler factors that are common across different chronic conditions and
non-drug intervention types. To better understand these factors and their role in implementing nondrug interventions in primary care settings, common barriers and enablers will be coded using the
Consolidated Framework for Implementation Research (CFIR), and subsequently mapped to possible
implementation strategies. By understanding and addressing common barriers and enablers, we can
strategise ways to improve the implementation of non-drug interventions for management of chronic
conditions in primary care.
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