OP2026 Poster Presentations Original Research (32 abstracts)
Development and pilot testing of the Fragility Fracture Network (FFN) secondary fragility fracture prevention competency framework.
Muhammad Javaid 1 , Robyn Speerin 2 , Ding-Cheng Chan 3 , Wararat Boonnasa 4 , Frede Frihagen 5 , Brihony Porter 6 , Sonia Singh 7 , Marsha van Oostwaard 8 , Maria Diehl 9 & Kim Fergusson 10
1University of Oxford, Oxford, United Kingdom;2University of Sydney, Sydney, Australia;3National Taiwan University Hospital, Taipei, Taiwan;4Mahidol University, Nakhon Pathom, Thailand;5University of Oslo, Oslo, Norway;6Fragility Fracture Network, Sydney, Australia;7The University of British Columbia, Vancouver, Canada;8Maastricht University, Maastricht, Netherlands;9Hospital Italiano de Buenos Aires, Buenos Aires, Argentina;10Te Whatu Ora Health New Zealand, Nelson, New Zealand
Background: To effectively deliver secondary fracture prevention, healthcare professionals (HCPs) require essential knowledge, skills and expertise. We aimed to develop a competency framework for HCPs that could be used by multiple disciplines globally.
Method: A global, multidisciplinary, and multispecialty team from the Fragility Fracture Network (FFN) Secondary Prevention Special Interest Group, with people with lived experience of fragility fractures, identified the key domains of competency and expertise at the competent, proficient, and expert levels. HCPs from the wider FFN (n217, 39 countries) gave feedback to further refine the framework. The framework was then surveyed online to assess its appropriateness and acceptability. Chi-squared and Mann-Whitney tests were used to compare categorical and numerical variables, respectively. Logistic regression models were built to evaluate the determinants of a positive review of the Framework. Interviews with patients and caregivers were then undertaken to assess appropriateness from their viewpoint
Results: Six domains were identified: Patient and Public Support; Identification Fracture Risk Assessment; Osteoporosis and Bone Health Management; Falls Prevention; Monitoring; Service Development, Improvement Leadership. 231 HCPs from Argentina, Australia, Japan, Norway, Spain, Taiwan, Thailand, and the United Kingdom completed the survey. 49.3% of respondents agreed that the Framework was easy to navigate and understand, and 42.8% that it was helpful. 36.9% agreed that it was neither too lengthy nor too detailed. As expected, there were significantly more responses to competent statements than to proficient and expert statements (P 0.001 for both). Team leaders were significantly more likely to find the framework easy to use and to recommend it to others. Of the domains, Domain 6 (Service Development, Improvement, and Leadership) had the fewest achieved items (p-value 0.001). Eight patients and caregivers from 6 countries found the framework highly appropriate and acceptable.
Conclusion: The FFN Competency Framework has been developed and piloted to assess the knowledge, skills and expertise of HCPs delivering secondary fracture prevention and can identify gaps at the HCP, service, speciality and national levels. Further work is needed to develop resources to address identified competency gaps.
Volume 8
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ISSN 2052-1219 (online)
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