ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 191
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Translating evidence into practice in primary care
management of adolescents and women with polycystic
ovary syndrome: A mixed-methods study
A/Prof Carolyn Ee1, Stephanie Cowan2, Siew Lim2, Rhonda Garad2, Dr Elizabeth Sturgiss3,
Prof Lisa Moran2
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NICM Health Research Institute, Western Sydney University, 2Monash Centre for Health Research and
Implementation, Monash University, 3Department of General Practice, Monash University
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Background
The international guidelines on polycystic ovary syndrome (PCOS) provide evidence-based
recommendations on best-practice assessment and management of PCOS. A number of tools were
developed to help translate the guidelines into practice (eg the PCOS GP tool, GP care plan template,
and clinical algorithms). The aim of this study was to understand the barriers and enablers of adoption,
implementation and maintenance of existing tools.
Methods
This concurrent mixed-methods study included a cross-sectional anonymous survey and
semistructured interviews. GPs/GPs in training were recruited through professional networks and
social media.
Interviews were audio recorded and transcribed verbatim.
Qualitative data from interviews were subjected to thematic analysis and mapped deductively to the
Theoretical Domains Framework and Capability, Opportunity, Motivation and Behaviour model, then
mapped to intervention functions and behaviour change techniques guided by the behaviour change
wheel. Descriptive statistics were used for quantitative data synthesis. Qualitative and quantitative data
were then integrated using a mixed-methods matrix.
Results
A total of 146 GPs/GPs in training contributed survey responses, and 14 contributed to interviews.
The majority of survey (90%) and interview (86%) participants were female. While analysis is ongoing,
preliminary findings indicate that the majority of barriers to tool utilisation are related to GPs’ physical
opportunity (eg limited awareness, poor navigation and lack of integration with practice software). A
barrier relating to psychological capability was using familiar resources out of habit, with an enabler
being reminders and routines for keeping up to date with clinical guidelines. Evidence that patients
have improved outcomes after using the tools emerged as an enabler relating to reflective motivation.
Conclusions
Our findings will directly inform planned translation activities being undertaken by the guideline’s
translation team and can be used to inform the implementation of other clinical guidelines in general
practice.
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