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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Delivering the WISE (Whole Systems Informing Self-Management Engagement) training package in primary care: learning from formative evaluation | Kennedy et al. Implementation Science 2010 5 7 http www.implementationscience.eom content 5 1 7 Implementation Science IMPLEMENTATION SCIENCE RESEARCH ARTICLE Open Access Delivering the WISE Whole Systems Informing Self-Management Engagement training package in primary care learning from formative evaluation Anne Kennedy Carolyn Chew-Graham Thomas Blakeman Andrew Bowen Caroline Gardner Joanne Protheroe Anne Rogers Linda Gask Abstract Background The WISE Whole System Informing Self-management Engagement approach encompasses creating finding and implementing appropriate self-care support for people with long-term conditions. A training package for primary care to introduce the approach was developed and underwent formative evaluation. This entailed exploring the acceptability of the WISE approach and its effectiveness in changing communication within consultations. The study aimed to refine the patient practitioner and patient level components of the WISE approach and translate the principles of WISE into an operational intervention deliverable through National Health Service training methods. Methods Normalisation Process Theory provided a framework for development of the intervention. Practices were recruited from an inner city Primary Care Trust in NW England. All practice staff were expected to attend two afternoon training sessions. The training sessions were observed by members of the training team. Post-training audio recordings of consultations from each general practitioner and nurse in the practices were transcribed and read to provide a narrative overview of the incorporation of WISE skills and tools into consultations. Face-to-face semi-structured interviews were conducted with staff post-training. Results Two practices out of 14 deemed eligible agreed to take part. Each practice attended two sessions although a third session on consultation skills training was needed for one practice. Fifty-four post-training consultations were recorded from 15 .
