ObjectiveThe Joint Effort Initiative (JEI) is an international collaboration of clinicians, researchers, and consumer organisations with a shared vision of improving the implementation of osteoarthritis management programs (OAMPs). This study aimed to identify JEI's future priorities and guide direction. DesignA two-part international survey to prioritise topics of importance to our membership and research stakeholders. Survey one presented a list of 40 topics under 5 themes. Consenting participants were asked to choose their top three topics in each theme. A short list of 25 topics was presented in survey two. Participants were asked to rank the importance (100-point NRS scale, 100 = highest priority). Response frequency (median, IQR) was used to rank the top priorities by theme. Results Ninety-five participants completed survey one (61% female, 48% clinicians) and 57 completed survey two. The top ranked topic/s were: i. Promotion and advocacy: support training for health professionals (median 85, IQR 24). ii. Education and training: incorporating behaviour change into OAMPs (80, 16), advanced OA skills (80, 30), and integration of OA education into clinical training (80, 36). iii. Improving OAMPs delivery: regular updates on changes to best-evidence OA care (84, 24). iv. Future research: improve uptake of exercise, physical activity, and weight-loss (89, 16). v. Enhancing relationships, alliances, and shared knowledge: promote research collaborations (81, 30), share challenges and opportunities for OAMP implementation (80, 23). ConclusionsThese topics will set the JEI's research and collaboration agenda for the next 5 years and stimulate ideas for others working in the field.
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To support the implementation of the Ecosystem Based approach to Management (EBM), ICES strives to provide evidence-based scientific advice and relevant management options that also assess potential trade-offs among sectors or between environmental status and human uses. To help achieve this, the Workshop on Challenges, Opportunities, Needs and Successes in including human dimensions in Integrated Ecosystem Assessments (IEAs) (WKCONSERVE) focused on economic, social, and interdisciplinary research and data needed to inform on the societal drivers and objectives of marine resource use as context for advice. More specifically, the workshop goals were to a) summarize social and economic data, indicators and relevant research done across ICES IEA regions and other IEA regions, b) Identify goals for including social and economic data and analyses in different IEAs, and c) to develop a roadmap for including social and economic data and analyses in IEAs, identifying common needs across groups and unique priorities of each region. Discussion across IEA groups made clear that while great strides have been made in ICES IEA groups to identify and provide important ecological measures relevant to EBM, far less attention has been given to providing comparable economic and social information. WKCONSERVE identified a number of practical steps to take to include more societal measures relevant to EBM. These differ among regions, depending on data availability and ecosystem context, and are detailed in IEA roadmaps developed during the workshop. However, in general, the first step involves including social scientists in the IEA groups. Key topics and data for each IEA region were identified. It was, however, repeatedly noted that more interaction with stakeholders will help both IEA and human dimensions Expert Groups to better develop research and data collection efforts to address stakeholder needs. A lack of funding is a key obstacle to the development of IEAs, both regarding science and advisory products. It is now up to each IEA group to use the developed roadmaps to include the human dimension in IEAs. Furthermore, to support the development of methods for integration, follow-up workshops should be organized on a regular basis (e.g. every other year).
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ObjectiveThe Joint Effort Initiative was endorsed by Osteoarthritis Research Society International (OARSI) in 2018 as a collaboration between international researchers and clinicians with an interest in the implementation of osteoarthritis management programs (OAMPs). This study aimed to identify and prioritise activities for future work of the Joint Effort Initiative.DesignA survey was emailed to delegates of the 2018 OARSI World Congress attending a pre-conference workshop or with a known interest in OAMPs (n = 115). Delegates were asked about the most important issues regarding OAMP implementation. The top 20 issues were synthesised into 17 action statements, and respondents were invited to participate in a priority ranking exercise to determine the order of importance of the statements.ResultsSurvey respondents (n = 51, 44%) were most commonly female (71%), with an allied health background (57%), affiliated with universities (73%) from Oceania (37%), and Europe/UK (45%). The five highest ranked action statements were:i)Establish guidelines for the implementation of different OAMP models to ensure consistency of delivery and adherence to international best practice.ii)Develop and assess training and education programs for health care professionals (HCPs) delivering OAMPs.iii)Develop and evaluate the implementation and outcomes of novel models of OAMPs.iv)Develop and assess core skill sets and resources for HCPs delivering OA care.v)Develop a framework for enhancing the quality of care provided by OAMPs.ConclusionPrioritising statements will bring focus to the future work of the Joint Effort Initiative in the future and provide a basis for longer-term actions.
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