A Self-Management Support
Community of Practice as a
Knowledge Translation Strategy
Helena Jung & Kelly Sharp
GF Strong Rehabilitation Centre
Disclosures
We are unable to identify any potential
conflict of interest and have nothing to
disclose…
Learning Objective
To learn how a community of practice
facilitates clinicians’ knowledge, skills,
and confidence in the use of selfmanagement support strategies in an
acute rehabilitation setting.
Outline
• Background
• Our Story
• Needs Assessment
• Community of Practice
• Quality Improvement Project
• Lessons Learned
Chronic condition: “any ongoing management over a
period of years or decades” (WHO, 2005)
At GF Strong…
Definitions
Self-Management (SM):
“Tasks that an individuals must undertake to
live well with one or more chronic conditions.”
Self-Management Support (SMS):
“Systematic provision of education and
supportive interventions, by health care staff
(and others), to increase patients’ skills and
confidence in managing their health problems”
Health Council of Canada (2012)
Self-Management Support @
GF Strong
Needs
Assessment
Community
of Practice
Quality
Improvement
Project
Next Steps of SMS @ GF Strong
Self-Management Support @
GF Strong
Needs
Assessment
Community
of Practice
Quality
Improvement
Project
Next Steps of SMS @ GF Strong
Community Of Practice
“a group of people who share a concern, set of
problems, or a passion about a topic, and who
deepen their knowledge and expertise in this area
by interacting on an ongoing basis.” (Wenger et al., 2002)
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SMS Community Of Practice Survey
Quantitative
Qualitative
•20 questions, based on 5 point
confidence rating scale
• Related to clinicians’ ability to
facilitate SMS using SMS tools
Based on 4 open-ended questions:
1. What did you learn from the
experience of being involved
with the SMS Community of
Practice?
2. What are your ongoing learning
needs?
3. What tools/components of SMS
did you find useful and plan to
incorporate in your practice?
4. What ideas do you have in
bringing SMS to your team,
program, and GF Strong as a
whole centre?
average scores:
5
4
3
2
1
0
Pre
N=8
Post
N=10
Self-Management Support @
GF Strong
Needs
Assessment
Community
of Practice
Quality
Improvement
Project
Next Steps of SMS @ GF Strong
Self-Management Support @
GF Strong
Needs
Assessment
Community
of Practice
Quality
Improvement
Project
Next Steps of SMS @ GF Strong
So far…. Our Lessons Learned
General:
• Staff engagement
• Need for Evaluation
• Management support
• Plan for attrition
• Patient perspective
Community of Practice:
• Coordinator(s) to facilitate
• Input from content experts
• Ongoing sharing
Key Message
“Coming together is
a beginning; keeping
together is progress;
staying together is
success.”
Henry Ford
Acknowledgements
Karen Anzai
Caroline Marcoux
GFS SMS Community of Practice members
Susan Barlow
Dr. Brad Hallam
Chris Palmer
Patrick McGowan
Maylene Fong
Helena Jung, BSc OT, MRSC
GF Strong Educator
GF Strong Rehabilitation Centre
helena.jung@vch.ca
Kelly Sharp, BSc OT, MRSC (candidate)
Community Intervention Coordinator
GF Strong Rehab Center
kelly.sharp@vch.ca
References
1.
2.
3.
4.
5.
Bandura, A. (1977). Self-efficacy: Toward a Unifying Theory of Behavioral Change. Psychological
Review, 84(2), 191-215.
Health Council of Canada. Self-management support for Canadians with chronic health conditions: A
focus for primary health care [Internet]. Health Council of Canada; May 2012 Available from:
http://www.carp.ca/2012/05/24/self-management-support-for-canadians-with-chronic-healthconditions-hcc-report/
Heidi S, Renninger KA. The Four-Phase Model of Interest Development. Educ Psychol. 2014; 41(2):
111-127.
Wenger E, McDermott R, Snyder WM: Cultivating Communities of Practice: A Guide to Managing
Knowledge. Boston, MA: Harvard Business School Press; 2002.
World Health Organization. Preparing a health care workforce for the 21st century: The Challenge of
Chronic Conditions. Switzerland: World Health Organization; 2005 [cited 2014 Mar 1]. Available
from: http://apps.who.int/iris/handle/10665/43044
Expanded Chronic Care Model:
Integrating population health promotion
Barr, 2003
5 A’s Delivery Model
ARRANGE
• Follow-up
• Link-up
(Glasgow et al., 2002; Whitlock et al., 2002).
ASSESS
• Building rapport
through open-ended
questions
• Agenda bubbles*
• Readiness Change
Scales
• Decisional Balance
• COPM
• Wellness checklist*
ASSIST
• Problem solving
• Reviewing action plan
• Reviewing wellness
checklist
ADVISE
• Information from
assesment
• Ask-Tell-Ask
• Closing the loop
AGREE
• Agenda bubbles*
• Action plan
• Wellness checklist*
Resources
•
•
•
•
•
Knowledge Translation Canada: http://ktclearinghouse.ca/ktcanada
CCMI: The Centre for Collaboration, Motivation and Innovation
http://www.centrecmi.ca/
Self- management BC: http://www.selfmanagementbc.ca/
BC Ministry of Health - Self-Management Support: A Health Care Intervention:
http://www.selfmanagementbc.ca/uploads/What%20is%20SelfManagement/PDF/SelfManagement%20Support%20A%20health%20care%20intervention%202011.pdf
Registered Nurses’ Association of Ontario – Strategies to Support Self-Management
in Chronic Conditions: Collaborating with Clients:
http://rnao.ca/bpg/guidelines/strategies-support-selfmanagement-chronicconditions-collaboration-clients
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