OP0161-HPR The development of self-management training for innovative departments (STRIDE): a skills-training programme for rheumatology teams to enhance support for self-management
Authors: S. Halls, E. Dures, S. Hewlett, S. Ryan, R. Jenkins, J. van Tonder
Journal: Annals of the Rheumatic Diseases (2018)

<h3>Background</h3> Integrating self-management support into clinical practice is a key NHS, UK, EU and USA policy.<sup>1–3</sup> A survey with &gt;1000 UK patients with inflammatory arthritis showed that many would like support to manage the impact of symptoms (82%), emotions (57%), and depression (34%).<sup>4</sup> However, rheumatology teams rated the support they offer as inadequate, and one of the main reasons is the lack of appropriate skills-training for healthcare professionals.<sup>5</sup> Evidence suggests that self-management support provision works best when it is condition-specific and has team and organisational support.<sup>6 7</sup> <h3>Objectives</h3> To develop a skills-training programme for rheumatology teams to enhance support for self-management provision through enhancing current skills and facilitating self-management strategy development. <h3>Methods</h3> The steering team comprised clinicians, academics with expertise in self-management and HP education, and two patient partners. To inform the practicalities and structure of the programme and optimise feasibility and acceptability, qualitative telephone interviews were performed with 11 rheumatology healthcare professionals, focusing on barriers and enablers of providing self-management support, and how to optimise buy-in. <h3>Results</h3> Interviews identified key considerations and practical recommendations for programme development including: the challenge vs value of involving the whole team; providing opportunities to practice skills; focusing on how to implement skills in clinical practice; and using peer support and prompts to develop and maintain skills. The Self-Management Training for Innovative Departments (STRIDE) programme was therefore formulated to comprise two 3 hour training sessions to whole teams at local departments, approximately 4–6 weeks apart (6 CPD hours). It contains modules on self-management, motivational interviewing, collaborative care and agenda setting, communication and acceptance, and signposting (eg for psychological or peer support) and the opportunity for teams to review their own practice and patient pathways. Delivery involves presentation of the evidence base, group discussion, 4 patient videos, skills demonstrations, and practice and feedback opportunities, facilitated by two expert trainers. Teams are provided with a localised support package after each session, which includes individual behavioural/attitudinal issues and team care provision points discussed during training and raised as potential areas to take forward. <h3>Conclusions</h3> Interviews highlighted the challenges in developing team training, and enabled the development of a practical, brief training programme. The STRIDE programme is currently being piloted and evaluated with five rheumatology teams across England. Evaluation involves assessment of healthcare professional skills, knowledge and confidence (pre and post training questionnaires); healthcare professional experiences of training (qualitative interviews); and a patient-based evaluation (pre and post training questionnaires). <h3>References</h3> [1] NICE (2009). [2] Forestier, et al. (2009). [3] ACR (2002). [4] Dures, et al. (2014a). [5] Dures, et al. (2014b). [6] National Voices (2014). [7] Taylor, et al. (2014). <h3>Acknowledgements</h3> To the healthcare professionals who participated in interviews. <h3>Disclosure of Interest</h3> None declared