SoC Framing quotation Strategy
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