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Evaluating the implementation of a chronic obstructive pulmonary disease management program using the Consolidated

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  • 1Health and Rehabilitation Sciences, Western University, London, Canada.

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Summary

Implementing the Best Care COPD program in primary care was aided by strong partnerships, communication, and engagement. A peer-to-peer strategy using respiratory educators proved effective for chronic disease management.

Keywords:
Case studyChronic disease managementChronic obstructive pulmonary diseaseConsolidated framework for Implementation researchImplementation evaluationImplementation scienceInterprofessional teamsPrimary healthcare

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Area of Science:

  • Implementation Science
  • Primary Care Management
  • Chronic Disease Programs

Background:

  • Chronic Obstructive Pulmonary Disease (COPD) is a widespread condition demanding extensive management strategies.
  • Effective chronic disease management relies on interprofessional teams tailored to patient needs.
  • The Best Care COPD program was introduced into a primary care setting to enhance COPD management.

Purpose of the Study:

  • To identify site-specific factors influencing the implementation of a COPD program.
  • To evaluate the effectiveness of the chosen implementation strategy.

Main Methods:

  • A qualitative case study approach was employed, utilizing interviews, focus groups, and site visits.
  • Data were analyzed deductively using the Consolidated Framework for Implementation Research (CFIR).
  • CFIR constructs were assessed for their impact on program implementation.

Main Results:

  • Five key factors significantly influenced implementation: partnerships, communication networks, stakeholder engagement, program design, and ongoing evaluation.
  • A peer-to-peer strategy involved training respiratory therapists as educators and establishing a communication network.
  • This strategy facilitated problem-solving and connection among providers.

Conclusions:

  • The study highlights practical factors that facilitated the Best Care COPD program's implementation.
  • A peer-to-peer strategy shows promise for implementing chronic care programs.
  • These findings can guide the expansion of the Best Care COPD program and similar initiatives.