Single use device endoscopy for the diagnosis of acute bacterial rhinosinusitis in primary care: A pilot and feasibility study

2021 ◽  
Author(s):  
Dominik Glinz ◽  
Jens Georg Hansen ◽  
Caroline Trutmann ◽  
Bernhard Schaller ◽  
Jürg Vogt ◽  
...  
Keyword(s):  
Primary Care ◽  
Feasibility Study ◽  
Single Use ◽  
Acute Bacterial Rhinosinusitis

scholarly journals Improving mobility and participation of older people with vertigo, dizziness and balance disorders in primary care using a care pathway: feasibility study and process evaluation

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Eva Seckler ◽  
Verena Regauer ◽  
Melanie Krüger ◽  
Anna Gabriel ◽  
Joachim Hermsdörfer ◽  
...  
Keyword(s):  
Primary Care ◽  
Data Collection ◽  
Older People ◽  
Process Evaluation ◽  
Feasibility Study ◽  
Health Professionals ◽  
Implementation Strategy ◽  
Care Pathway ◽  
Main Trial ◽  
Telephone Helpline

Abstract Background Community-dwelling older people are frequently affected by vertigo, dizziness and balance disorders (VDB). We previously developed a care pathway (CPW) to improve their mobility and participation by offering standardized approaches for general practitioners (GPs) and physical therapists (PTs). We aimed to assess the feasibility of the intervention, its implementation strategy and the study procedures in preparation for the subsequent main trial. Methods This 12-week prospective cohort feasibility study was accompanied by a process evaluation designed according to the UK Medical Research Council’s Guidance for developing and evaluating complex interventions. Patients with VDB (≥65 years), GPs and PTs in primary care were included. The intervention consisted of a diagnostic screening checklist for GPs and a guide for PTs. The implementation strategy included specific educational trainings and a telephone helpline. Data for mixed-method process evaluation were collected via standardized questionnaires, field notes and qualitative interviews. Quantitative data were analysed using descriptive statistics, qualitative data using content analysis. Results A total of five GP practices (seven single GPs), 10 PT practices and 22 patients were included in the study. The recruitment of GPs and patients was challenging (response rates: GP practices: 28%, PT practices: 39%). Ninety-one percent of the patients and all health professionals completed the study. The health professionals responded well to the educational trainings; the utilization of the telephone helpline was low (one call each from GPs and PTs). Familiarisation with the routine of application of the intervention and positive attitudes were emphasized as facilitators of the implementation of the intervention, whereas a lack of time was mentioned as a barrier. Despite difficulties in the GPs’ adherence to the intervention protocol, the GPs, PTs and patients saw benefit in the intervention. The patients’ treatment adherence to physical therapy was good. There were minor issues in data collection, but no unintended consequences. Conclusion Although the process evaluation provided good support for the feasibility of study procedures, the intervention and its implementation strategy, we identified a need for improvement in recruitment of participants, the GP intervention part and the data collection procedures. The findings will inform the main trial to test the interventions effectiveness in a cluster RCT. Trial registration Projektdatenbank Versorgungsforschung Deutschland (German registry Health Services Research) VfD_MobilE-PHY_17_003910, date of registration: 30.11.2017; Deutsches Register Klinischer Studien (German Clinical Trials Register) DRKS00022918, date of registration: 03.09.2020 (retrospectively registered).

scholarly journals An innovative approach to improve the detection and treatment of risk factors in poor urban settings: a feasibility study in Argentina

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Poggio Rosana ◽  
Goodarz Danaei ◽  
Laura Gutierrez ◽  
Ana Cavallo ◽  
María Victoria Lopez ◽  
...  
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Primary Care ◽  
Community Health ◽  
Community Health Workers ◽  
Feasibility Study ◽  
Health Workers ◽  
Health Coverage ◽  
Cvd Risk Factors ◽  
Cvd Risk

Abstract Background The effective management of cardiovascular (CVD) prevention among the population with exclusive public health coverage in Argentina is low since less than 30% of the individuals with predicted 10-year CVD risk ≥10% attend a clinical visit for CVD risk factors control in the primary care clinics (PCCs). Methods We conducted a non-controlled feasibility study using a mixed methods approach to evaluate acceptability, adoption and fidelity of a multi-component intervention implemented in the public healthcare system. The eligibility criteria were having exclusive public health coverage, age ≥ 40 years, residence in the PCC’s catchment area and 10-year CVD risk ≥10%. The multi-component intervention addressed (1) system barriers through task shifting among the PCC’s staff, protected medical appointments slots and a new CVD form and (2) Provider barriers through training for primary care physicians and CHW and individual barriers through a home-based intervention delivered by community health workers (CHWs). Results A total of 185 participants were included in the study. Of the total number of eligible participants, 82.2% attended at least one clinical visit for risk factor control. Physicians intensified drug treatment in 77% of participants with BP ≥140/90 mmHg and 79.5% of participants with diabetes, increased the proportion of participants treated according to GCP from 21 to 32.6% in hypertensive participants, 7.4 to 33.3% in high CVD risk and 1.4 to 8.7% in very high CVD risk groups. Mean systolic and diastolic blood pressure were lower at the end of follow up (156.9 to 145.4 mmHg and 92.9 to 88.9 mmHg, respectively) and control of hypertension (BP < 140/90 mmHg) increased from 20.3 to 35.5%. Conclusion The proposed CHWs-led intervention was feasible and well accepted to improve the detection and treatment of risk factors in the poor population with exclusive public health coverage and with moderate or high CVD risk at the primary care setting in Argentina. Task sharing activities with CHWs did not only stimulate teamwork among PCC staff, but it also improved quality of care. This study showed that community health workers could have a more active role in the detection and clinical management of CVD risk factors in low-income communities.

scholarly journals Safety in primary care (SAP-C): a randomised, controlled feasibility study in two different healthcare systems

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Caoimhe Madden ◽  
Sinéad Lydon ◽  
Margaret E. Cupples ◽  
Nigel D. Hart ◽  
Ciara Curran ◽  
...  
Keyword(s):  
Primary Care ◽  
Feasibility Study ◽  
Healthcare Systems ◽  
Randomised Controlled

scholarly journals Title: Utility and Usability of An Automated COVID-19 Symptom Monitoring System (CoSMoS) in Primary Care During COVID-19 Pandemic: A Qualitative Feasibility Study

2021 ◽  
pp. 104567
Author(s):  
Hooi Min Lim ◽  
Adina Abdullah ◽  
Chirk Jenn Ng ◽  
Chin Hai Teo ◽  
Indra Gayatri Valliyappan ◽  
...  
Keyword(s):  
Primary Care ◽  
Monitoring System ◽  
Feasibility Study ◽  
Symptom Monitoring

Point-of-Care Virtual Radiology Consultations in Primary Care: A Feasibility Study of a New Model for Patient-Centered Care in Radiology

2021 ◽  
Author(s):  
Dania Daye ◽  
Evita Joseph ◽  
Efren Flores ◽  
Avinash Kambadakone ◽  
Garrett Chinn ◽  
...  
Keyword(s):  
Primary Care ◽  
Feasibility Study ◽  
Point Of Care ◽  
Patient Centered Care ◽  
Patient Centered ◽  
New Model ◽  
Centered Care

scholarly journals The clinical and cost effectiveness of adapted dialectical behaviour therapy (DBT) for bipolar mood instability in primary care (ThrIVe-B programme): a feasibility study

Trials ◽  
2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Kim Wright ◽  
Alyson Dodd ◽  
Fiona C Warren ◽  
Antonieta Medina-Lara ◽  
Rod Taylor ◽  
...  
Keyword(s):  
Primary Care ◽  
Cost Effectiveness ◽  
Feasibility Study ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Mood Instability

scholarly journals Feasibility study and methodology to create a quality-evaluated database of primary care data

2004 ◽  
Vol 12 (3) ◽  
pp. 171-177 ◽  
Author(s):  
Alison Bourke ◽  
Hassy Dattani ◽  
Michael Robinson
Keyword(s):  
Primary Care ◽  
Feasibility Study ◽  
Primary Care Data

scholarly journals Arabic version of the Global Mental Health Assessment Tool-Primary Care version [GMHAT/PC]: a validity and feasibility study

2013 ◽  
Vol 19 (11) ◽  
pp. 805-908 ◽  
Author(s):  
V.K. Sharma ◽  
S. Durrani ◽  
M. Sawa ◽  
J.R.M. Copeland ◽  
M.T. Abou Saleh ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Feasibility Study ◽  
Assessment Tool ◽  
Global Mental Health ◽  
Health Assessment ◽  
Arabic Version ◽  
Mental Health Assessment

Deprescribing clonazepam in primary care older patients: a feasibility study

2022 ◽  
Author(s):  
Luanna Gabriella Resende da Silva ◽  
Athos Wellington da Silva Pinto ◽  
Warlen Eduardo de Queiroz ◽  
Cleiton Cláudio Coelho ◽  
Carine Raquel Blatt ◽  
...  
Keyword(s):  
Primary Care ◽  
Feasibility Study ◽  
Older Patients
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