@article{2bfecbdf3d434a229b4a1e438dbbe9ae,
title = "Integrating behaviour change counselling into chronic disease management: a square peg in a round hole? A system-level exploration in primary health care",
author = "M. Vallis and D. Lee-Baggley and T. Sampalli and D. Shepard and L. McIssaac and A. Ryer and S. Ryan-Carson and S. Manley",
note = "Funding Information: This study was funded by the Turning Research Into Care (TRIC) program of the NSHA . Funding Information: This project adopted the RE-AIM framework,30 which evaluates program reach, effectiveness, adoption, implementation and maintenance. Funding was through a Turning Research Into Care (TRIC) Grant by NSHA (ethics approval: ROMEO file 1019463) the conditions of which mandated that the project protocol be integrated into ongoing organizational care. To facilitate the adoption, implementation and maintenance aspects of RE-AIM, we conducted this study in stages, such that we used the results of earlier stages to plan the delivery of later stages of the project.In stark contrast to the ambivalence to begin training, post-training assessment of the relevance and value of, and the commitment to learning, behaviour change counselling skills was unequivocally positive. For all domains and across all ratings of relevance, value and commitment, ratings were consistently high (supporting RE-AIM adoption and implementation). We take this as a success of the training program. Furthermore, after funding ended, the primary care services remained committed to ongoing learning and review sessions, led by the peer leaders (supporting RE-AIM maintenance).This study was funded by the Turning Research Into Care (TRIC) program of the NSHA. Publisher Copyright: {\textcopyright} 2019 The Author(s)",
year = "2019",
month = oct,
doi = "10.1016/j.puhe.2019.06.009",
language = "English",
volume = "175",
pages = "43--53",
journal = "Public Health",
issn = "0033-3506",
publisher = "Elsevier",
}