Building the OAChangeMap to Improve the Service Delivery of the New South Wales Osteoarthritis Chronic Care Program: A Worked Example of Using a Codesign Framework
Authors' conclusion
Our worked example of codesign used a theory-based, data-driven approach with key stakeholders, identified and prioritized barriers to the delivery of the OACCP, acknowledged enablers, and generated a plan for feasible strategies to improve the program.
Study context
- Population
- Osteoarthritis Chronic Care Program (OACCP) coordinators and a broader group of stakeholders (OACCP coordinators, health managers, policy makers, consumers, researchers), Australian public hospitalscoordinators interviewed
- Participants
- 16 coordinators
- Outcome
- Barriers and enablers to delivering the OACCP, prioritization of barriers, and strategies to address them
Methodological detailsseven-step theory-informed codesign framework, semistructured interviews (analyzed thematically), questionnaire, prioritization survey, five codesign workshops, Theoretical Domains Framework
- Seven-step theory-informed codesign framework
- Semistructured interviews (analyzed thematically)
- Questionnaire
- Prioritization survey
- Five codesign workshops
- Theoretical Domains Framework
Main finding
As reported in the abstract
Main barriers to delivering the OACCP
- Patients often have beliefs inconsistent with best evidence care
- Aspects of clinical care not delivered optimally
- System-level factors are a barrier to optimal patient care and sustainability of the OACCP
Observational data: associations, not effects.
Further findings
Codesigned plan for action
- Patient educational materials, shared decision-making tools, and health professional education and training
Original publication
Building the OAChangeMap to Improve the Service Delivery of the New South Wales Osteoarthritis Chronic Care Program: A Worked Example of Using a Codesign Framework. Arthritis Care Res (Hoboken). Published 14 November 2024. doi:10.
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