INTRODUCTION CONCEPTUAL FRAMEWORK OBJECTIVE To explore first contact physiotherapist service rapid adaptation for musculoskeletal conditions during Covid-19 pandemic in the UK and Australia Healthcare services initially experienced disruption due to Covid- 19 pandemic, for example, World Health Organisation reported 53% disruptions in primary care services and 38% in emergency care globally. However, services quickly adapted for the continuity of care There is currently no evidence on the adaptation strategies implemented by first contact physiotherapy (FCP) services since the onset of the pandemic and how they have been experienced by patients and staff There is a need to describe this process and identify barriers and facilitators in the implementation of this change to understand and reflect on the experience of the service providers and users for future practice Adaptation framework, World Health Organisation Responsiveness framework and Dearing Readiness tool will be combined to understand adaptation and its associated factors RESULT/CONCLUSION EXPLORING ADAPTATIONS TO FIRST CONTACT PHYSIOTHERAPY SERVICES FOR MUSCULOSKELETAL PATIENTS DURING COVID-19 PANDEMIC AFFILIATIONS 1) School of Health Science, University of Surrey 2) School of Nursing, University of the Highlands and Islands 3) University of Wollongong, Australia AUTHORS Oluwatoyin A. Adeniji Dr Theopisti Chrysanthaki Dr Karen Stenner Dr Nicola Carey Prof Evangelos Pappas Prof Victoria Traynor METHODS A cross-sectional study design will be used to explore changes that occurred in FCP service delivery for Musculoskeletal patients during the Covid-19 pandemic in the UK and Australia using an online survey (Qualtrics©). The online survey (questionnaire) was developed a priori, drawing on literature and consultation with experts. About 439 FCP practitioners will be recruited through physiotherapy associations both in the UK and Australia. ANALYSIS Data will be imported into SPSS and analysed using descriptive statistics of mean, frequencies, and percentage. Content analysis will be used to analyse responses to open-ended questions to provide numerical counts of categories where appropriate. RELATED LITERATURE AL AWAJI, N. N., ALMUDAIHEEM, A. A. & MORTADA, E. M. 2022. Changes in speech, language and swallowing services during the Covid-19 pandemic: The perspective of speech-language pathologists in Saudi Arabia. PLoS One, 17, e0262498. BARTON, C. J., EZZAT, A. M., MEROLLI, M., WILLIAMS, C. M., HAINES, T., MEHTA, N. & MALLIARAS, P. 2022. “It's second best”: A mixed-methods evaluation of the experiences and attitudes of people with musculoskeletal pain towards physiotherapist delivered telehealth during the COVID-19 pandemic. Musculoskeletal Science and Practice, 58. MARSHALL, J., SCOTT, B., DELVA, J., ADE, C., HERNANDEZ, S., PATEL, J., MORENO-CHEEK, M., ROJAS, D., TANNER, J. P. & KIRBY, R. S. 2020. An Evaluation of Florida’s Zika Response Using the WHO Health Systems Framework: Can We Apply These Lessons to COVID-19? Maternal and Child Health Journal, 24, 1212-1223. STIRMAN, W. S., BAUMANN, A. A. & MILLER, C. J. 2019. The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions. Implementation Science, 14. DEARING, J. W. 2018. Organizational Readiness Tools for Global Health Intervention: A Review. Front Public Health, 6, 56. This study will provide an overview of changes that have occurred in FCP service delivery for musculoskeletal patients and its associated factors in the UK and Australia. This will provide an opportunity for cross-contextual learning and may inform future practice. Contact o.adeniji@surrey.ac.uk Twitter: @Adenijimojisola LinkedIn QR code 1,3 1 1 2 3 3