Recruiting young people with a visible difference to the YP Face IT feasibility trial: a qualitative exploration of primary care staff experiences

Background Qualitative research methods embedded within feasibility trials are of significant value as they can provide important information for a definitive trial, often unable to be fulfilled by quantitative methods alone. In addition, such information can aid researchers running other trials or evaluating interventions on a similar topic. Aim This study aimed to explore GP and nurses’ experiences of recruiting to a trial exploring the feasibility of evaluating YP Face IT, a novel online psychosocial intervention to support young people with appearance-altering conditions. Methods During the recruitment period, a focus group with participating GPs and nurses explored recruitment challenges. In addition, at the end of the recruitment period, telephone interviews were conducted with eight GPs and nurses involved in recruiting to the study, in order to inform a definitive trial of YP Face IT. Transcripts were subjected to thematic analysis. Findings Despite reporting that the study was valuable and interesting, interviewees struggled to recruit in-consultation. They appeared to lack confidence in raising the sensitive issue of a visible difference and adopted strategies to avoid mentioning the topic. Participants felt the nature of the target population, as well as pressures of the primary care environment presented challenges to recruitment, but welcomed YP Face IT as an intervention that could address unmet support needs. Primary care staff may benefit from training to help them raise the subject of a visible difference with young people in order to identify those that require additional support.

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FRAILTY AND SARCOPAENIA TRIALS IN PRIMARY CARE – IDENTIFYING AND OVERCOMING KEY BARRIERS TO SUCCESSFUL CLINICIAN PARTICIPATION

Journal of Frailty & Aging ◽

10.14283/jfa.2015.62 ◽

2015 ◽

pp. 1-2

Author(s):

A. SINCLAIR

Keyword(s):

Primary Care ◽

Target Population ◽

Population Based ◽

Care Staff ◽

Long Term Conditions ◽

Primary Care Research ◽

Wide Range ◽

Primary Care Practitioners ◽

Primary Care Staff

Primary care research involving older people brings together a wide range of primary care practitioners. Key areas of activity include: health promotion, disease prevention, screening and early diagnosis, as well as the management of common and long-term conditions such as frailty and sarcopaenia which are under-researched domains of health in this setting. Few interventional studies have identified frail or sarcopaenic patients as the target population based on recent definitions of either condition. Several barriers to successful research in the primary care area exist and overcoming such barriers is not straightforward but involves a multidimensional approach that attempts to enhance the confidence and opportunity to engage in research of primary care staff and the consideration of factors that allow external leads of research to coordinate their programme.

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Diabetic team and primary care staff cooperation in a managed care environment

Diabetes Research and Clinical Practice ◽

10.1016/s0168-8227(00)81384-4 ◽

2000 ◽

Vol 50 ◽

pp. 406-407

Author(s):

H Khanina-Drozdov

Keyword(s):

Primary Care ◽

Managed Care ◽

Care Staff ◽

Care Environment ◽

Primary Care Staff

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Delivering the annual immunisation update to primary care staff via live online learning

Primary Health Care ◽

10.7748/phc.2021.e1715 ◽

2021 ◽

Vol 31 (6) ◽

pp. 19-24

Author(s):

Leigh O’Shea ◽

Camille Cronin

Keyword(s):

Primary Care ◽

Online Learning ◽

Care Staff ◽

Primary Care Staff

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Implementing mhGAP training to strengthen existing services for an internally displaced population in Pakistan

Global Mental Health ◽

10.1017/gmh.2017.1 ◽

2017 ◽

Vol 4 ◽

Cited By ~ 14

Author(s):

A. Humayun ◽

I. Haq ◽

F. R. Khan ◽

N. Azad ◽

M. M. Khan ◽

...

Keyword(s):

Mental Health ◽

Primary Care ◽

Mental Disorders ◽

Primary Care Physicians ◽

Psychosocial Support ◽

Common Mental Disorders ◽

Care Staff ◽

Humanitarian Crisis ◽

Internally Displaced ◽

Primary Care Staff

Background.In 2014, over a million people were internally displaced after the launch of a military operation in North Waziristan, a tribal region on Pakistan's side of the Durand Line. Despite security concerns and restrictions, a collaborative mental health and psychosocial support initiative was undertaken in the district of Bannu. Monthly mental health camps were conducted for a period of 6 months by a multidisciplinary mental health team. The initiative also helped to assess mental health needs and plan training for primary care staff to strengthen existing resources.Methods.As part of this initiative, Mental Health Gap Action Programme (mhGAP) training was conducted for physicians and psychosocial staff in the affected district. This marked the first instance of implementing these guidelines in Pakistan following a humanitarian crisis. This paper describes the training process including the adaptation of the mhGAP curriculum, training of trainers, training workshops for primary care staff and an analysis of results of pre- and post-testing of their knowledge about common mental disorders using a 25-item questionnaire.Results.The gaps in knowledge of primary care physicians in recognizing and managing common mental disorders were clearly identified. The mean pre- and post-test scores of the participants were 15.43, 62% (p value 0.000, s.d. 4.05) and 19.48, 78% (p value 0.000, s.d. 3.13) respectively, which showed significant improvement.Conclusions.Despite the challenges of a humanitarian crisis, mhGAP guidelines can be successfully implemented to train primary care physicians in in low- and middle-income countries such as Pakistan. However, the dearth of primary care resources can hinder the complete integration of mental health services into primary healthcare.

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Dementia case-finding in hospitals: a qualitative study exploring the views of healthcare professionals in English primary care and secondary care

BMJ Open ◽

10.1136/bmjopen-2017-020521 ◽

2018 ◽

Vol 8 (3) ◽

pp. e020521 ◽

Cited By ~ 5

Author(s):

Anne-Marie Burn ◽

Jane Fleming ◽

Carol Brayne ◽

Chris Fox ◽

Frances Bunn

Keyword(s):

Primary Care ◽

Qualitative Study ◽

Secondary Care ◽

Healthcare Professionals ◽

Hospital Staff ◽

Case Finding ◽

Care Staff ◽

Dementia Case ◽

Primary Care Staff ◽

Views Of Healthcare Professionals

ObjectivesIn 2012–2013, the English National Health Service mandated hospitals to conduct systematic case-finding of people with dementia among older people with unplanned admissions. The method was not defined. The aim of this study was to understand current approaches to dementia case-finding in acute hospitals in England and explore the views of healthcare professionals on perceived benefits and challenges.DesignQualitative study involving interviews, focus groups and thematic content analysis.SettingPrimary care and secondary care across six counties in the East of England.ParticipantsHospital staff involved in dementia case-finding and primary care staff in the catchment areas of those hospitals.ResultsWe recruited 23 hospital staff and 36 primary care staff, including 30 general practitioners (GPs). Analysis resulted in three themes: (1) lack of consistent approaches in case-finding processes, (2) barriers between primary care and secondary care which impact on case-finding outcomes and (3) perceptions of rationale, aims and impacts of case-finding. The study shows that there were variations in how well hospitals recorded and reported outcomes to GPs. Barriers between primary care and secondary care, including GPs’ lack of access to hospital investigations and lack of clarity about roles and responsibilities, impacted case-finding outcomes. Staff in secondary care were more positive about the initiative than primary care staff, and there were conflicting priorities for primary care and secondary care regarding case-finding.ConclusionsThe study suggests a more evidence-based approach was needed to justify approaches to dementia case-finding. Information communicated to primary care from hospitals needs to be comprehensive, appropriate and consistent before GPs can effectively plan further investigation, treatment or care. Follow-up in primary care further requires access to options for postdiagnostic support. There is a need to evaluate the outcomes for patients and the economic impact on health and care services across settings.

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