Pre-con |
“I don’t know what CPGs are and I don’t understand why I
should engage with them” |
Educate about CPGs (what they look like,
overview of how they are developed, quality criteria) |
Con |
“I’ve heard of CPGs, but it seems like so much work to engage
with them, I am not convinced, and I don’t know where to start” |
Educate about what a CPG is, how and where to find them, give some
evidence of how CPG implementation has made significant changes in other
practices (feel good stories about lives saved or disease reduced etc);
and how adoption of a recommendation could prevent inefficiency and
ineffective practice |
Prep |
“I’ve heard of CPGs and I would like to start using them in
practice. Where do I start?” |
Educate on choosing CPGs (quality,
recency, answers to clinical question), how to prioritise conditions
seen in practice for application of CPGs (difficult to treat, variable
outcomes, prevalent, costly) |
Action |
“I have used CPGs a few times, but not sure if I am using them
effectively. How do I optimise my use of CPGs?” |
Educate on strength
of recommendations and how this links with making practice decisions
(including wording linked to strength of evidence), how this relates to
own clinical practice (evidence-practice gaps); identifying strategies
to put CPGs into own practice; use of outcome measures |
Main |
“I am already putting CPGs into practice. What’s next?” |
Become a change agent to put CPGs into practice on a broader scale
(guideline champion); reflective practice; use of outcome measures;
publication; speaking at meetings |
Key: SoC=Stage of Change; P-con=Pre-contemplation; Con=Contemplation;
Prep=Preparation; Main=Maintenance |
Key: SoC=Stage of Change;
P-con=Pre-contemplation; Con=Contemplation; Prep=Preparation;
Main=Maintenance |
Key: SoC=Stage of Change; P-con=Pre-contemplation;
Con=Contemplation; Prep=Preparation; Main=Maintenance |