scholarly journals The Effects of a Co-design Based Invitation Strategy on Participation in a Preventive Health Check Program: A Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Trine Thilsing ◽  
Lars Bruun Larsen ◽  
Anders Larrabee Sonderlund ◽  
Signe Skaarup Andreassen ◽  
Jeanette Reffstrup Christensen ◽  
...  
Keyword(s):  
Primary Care ◽  
At Risk ◽  
Pilot Study ◽  
Educational Attainment ◽  
Design Process ◽  
Family Income ◽  
Target Group ◽  
Control Group ◽  
Participation Rates ◽  
Lifestyle Related Diseases

BACKGROUND Primary-care-based preventive programs that aim to reduce morbidity and mortality from lifestyle-related diseases often suffer from low to moderate participation rates. Improving participation rates is essential to clinical effect and cost effectiveness. In 2016-2017 we conducted the first pilot study (TOF pilot1) testing a primary-care-based preventive program (the TOF intervention) comprising systematic identification of individuals at risk of lifestyle-related diseases, and subsequent targeted preventive services offered to the at-risk population. A total of 40.2% of the invited patients consented to take part in the study with the highest participation rates obtained among women and patients with higher income, education, and employment. OBJECTIVE The aim of this study was to evaluate the effect of a revised invitation strategy targeting men and patients of low educational attainment on overall participation rate and participant demography. METHODS This study was embedded in the second pilot study (initiated in October 2018) testing an adjusted TOF intervention (TOF pilot2). The revised invitation strategy comprised a pre-notification postcard and a new invitation targeting men and patients of low educational attainment. The new invitation was developed in a co-design process involving communication professionals and target group representatives. The study sample consisted of 4633 patients aged 29-59 years and residing in two municipalitites in the Region of Southern Denmark. Eligible patients were randomly assigned to four invitation groups receiving either 1) The original invitation used in TOF pilot1 (Control group), 2) The original invitation and the pre-notification postcard, 3) The new, revised invitation and the pre-notification postcard, or 4) The new invitation only. RESULTS Overall, 2171 (46.9%) patients consented to participate. Compared to receiving the original invitation alone, participation rates increased significantly for those groups who received the new revised invitation alone (p<.001), the new invitation with the pre-notification postcard (p<.001), and the original invitation with the pre-notification postcard (p<.001). Participation across the three intervention groups was increased among women as well as men, patients of high as well as low educational attainment and patients of low as well as higher family income. The largest relative increase in participation was seen among males, patients with low educational attainment, and patients with low family income. No significant increase in participation was detected among unemployed patients and patients of non-Danish origin. CONCLUSIONS The results showed that significant improvements in participation rates can be obtained from pre-notification postcards and invitations that have undergone a co-design process, involving communication professionals and target group representatives. Although firm conclusions can not be made from the present study, the apparent increased effect on participation among men and patients of low socioeconomic status may be relevant in programs that aim to reduce inequality in health. In order to reach the most socioeconomically disadvantaged groups, the invitation strategy should probably be combined with other more individual-oriented recruitment approaches. CLINICALTRIAL Clinical Trial Gov (NCT03913585)

scholarly journals A controlled retrospective pilot study of an ‘at-risk asthma register’ in primary care

2006 ◽  
Vol 15 (2) ◽  
pp. 116-124 ◽  
Author(s):  
Michael J. Noble ◽  
Jane R. Smith ◽  
Jennifer Windley
Keyword(s):  
Primary Care ◽  
At Risk ◽  
Pilot Study

Brief Intervention Within Primary Care for At-Risk Gambling: A Pilot Study

2016 ◽  
Vol 32 (4) ◽  
pp. 1327-1335 ◽  
Author(s):  
Christina Nehlin ◽  
Fred Nyberg ◽  
Kari Jess
Keyword(s):  
Primary Care ◽  
At Risk ◽  
Pilot Study ◽  
Brief Intervention ◽  
Risk Gambling

scholarly journals An Internet-Based Intervention Augmented With a Diet and Physical Activity Consultation to Decrease the Risk of Dementia in At-Risk Adults in a Primary Care Setting: Pragmatic Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Kaarin J Anstey ◽  
Nicolas Cherbuin ◽  
Sarang Kim ◽  
Mitchell McMaster ◽  
Catherine D'Este ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
At Risk ◽  
General Practice ◽  
Risk Reduction ◽  
Primary Outcome ◽  
Control Group ◽  
Web Based ◽  
Dementia Risk ◽  
Diet And Physical Activity

BACKGROUND There is a need to develop interventions to reduce the risk of dementia in the community by addressing lifestyle factors and chronic diseases over the adult life course. OBJECTIVE This study aims to evaluate a multidomain dementia risk reduction intervention, Body Brain Life in General Practice (BBL-GP), targeting at-risk adults in primary care. METHODS A pragmatic, parallel, three-arm randomized trial involving 125 adults aged 18 years or older (86/125, 68.8% female) with a BMI of ≥25 kg/m<sup>2</sup> or a chronic health condition recruited from general practices was conducted. The arms included (1) BBL-GP, a web-based intervention augmented with an in-person diet and physical activity consultation; (2) a single clinician–led group, Lifestyle Modification Program (LMP); and (3) a web-based control. The primary outcome was the Australian National University Alzheimer Disease Risk Index Short Form (ANU-ADRI-SF). RESULTS Baseline assessments were conducted on 128 participants. A total of 125 participants were randomized to 3 groups (BBL-GP=42, LMP=41, and control=42). At immediate, week 18, week 36, and week 62 follow-ups, the completion rates were 43% (18/42), 57% (24/42), 48% (20/42), and 48% (20/42), respectively, for the BBL-GP group; 71% (29/41), 68% (28/41), 68% (28/41), and 51% (21/41), respectively, for the LMP group; and 62% (26/42), 69% (29/42), 60% (25/42), and 60% (25/42), respectively, for the control group. The primary outcome of the ANU-ADRI-SF score was lower for the BBL-GP group than the control group at all follow-ups. These comparisons were all significant at the 5% level for estimates adjusted for baseline differences (immediate: difference in means −3.86, 95% CI −6.81 to −0.90, <i>P</i>=.01; week 18: difference in means −4.05, 95% CI −6.81 to −1.28, <i>P</i>&lt;.001; week 36: difference in means −4.99, 95% CI −8.04 to −1.94, <i>P</i>&lt;.001; and week 62: difference in means −4.62, 95% CI −7.62 to −1.62, <i>P</i>&lt;.001). CONCLUSIONS A web-based multidomain dementia risk reduction program augmented with allied health consultations administered within the general practice context can reduce dementia risk exposure for at least 15 months. This study was limited by a small sample size, and replication on a larger sample with longer follow-up will strengthen the results. CLINICALTRIAL Australian clinical trials registration number (ACTRN): 12616000868482; https://anzctr.org.au/ACTRN12616000868482.aspx.

scholarly journals An Internet-Based Intervention Augmented With a Diet and Physical Activity Consultation to Decrease the Risk of Dementia in At-Risk Adults in a Primary Care Setting: Pragmatic Randomized Controlled Trial

10.2196/19431 ◽  
2020 ◽  
Vol 22 (9) ◽  
pp. e19431
Author(s):  
Kaarin J Anstey ◽  
Nicolas Cherbuin ◽  
Sarang Kim ◽  
Mitchell McMaster ◽  
Catherine D'Este ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
At Risk ◽  
General Practice ◽  
Risk Reduction ◽  
Primary Outcome ◽  
Control Group ◽  
Web Based ◽  
Dementia Risk ◽  
Diet And Physical Activity

Background There is a need to develop interventions to reduce the risk of dementia in the community by addressing lifestyle factors and chronic diseases over the adult life course. Objective This study aims to evaluate a multidomain dementia risk reduction intervention, Body Brain Life in General Practice (BBL-GP), targeting at-risk adults in primary care. Methods A pragmatic, parallel, three-arm randomized trial involving 125 adults aged 18 years or older (86/125, 68.8% female) with a BMI of ≥25 kg/m2 or a chronic health condition recruited from general practices was conducted. The arms included (1) BBL-GP, a web-based intervention augmented with an in-person diet and physical activity consultation; (2) a single clinician–led group, Lifestyle Modification Program (LMP); and (3) a web-based control. The primary outcome was the Australian National University Alzheimer Disease Risk Index Short Form (ANU-ADRI-SF). Results Baseline assessments were conducted on 128 participants. A total of 125 participants were randomized to 3 groups (BBL-GP=42, LMP=41, and control=42). At immediate, week 18, week 36, and week 62 follow-ups, the completion rates were 43% (18/42), 57% (24/42), 48% (20/42), and 48% (20/42), respectively, for the BBL-GP group; 71% (29/41), 68% (28/41), 68% (28/41), and 51% (21/41), respectively, for the LMP group; and 62% (26/42), 69% (29/42), 60% (25/42), and 60% (25/42), respectively, for the control group. The primary outcome of the ANU-ADRI-SF score was lower for the BBL-GP group than the control group at all follow-ups. These comparisons were all significant at the 5% level for estimates adjusted for baseline differences (immediate: difference in means −3.86, 95% CI −6.81 to −0.90, P=.01; week 18: difference in means −4.05, 95% CI −6.81 to −1.28, P<.001; week 36: difference in means −4.99, 95% CI −8.04 to −1.94, P<.001; and week 62: difference in means −4.62, 95% CI −7.62 to −1.62, P<.001). Conclusions A web-based multidomain dementia risk reduction program augmented with allied health consultations administered within the general practice context can reduce dementia risk exposure for at least 15 months. This study was limited by a small sample size, and replication on a larger sample with longer follow-up will strengthen the results. Trial Registration Australian clinical trials registration number (ACTRN): 12616000868482; https://anzctr.org.au/ACTRN12616000868482.aspx.

scholarly journals Implementation of a Pharmacist-Led Transitions of Care Program within a Primary Care Practice: A Two-Phase Pilot Study

Pharmacy ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 4 ◽  
Author(s):  
Erin Slazak ◽  
Amy Shaver ◽  
Collin M. Clark ◽  
Courtney Cardinal ◽  
Merin Panthapattu ◽  
...  
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Primary Care Practice ◽  
Phase 1 ◽  
Transitions Of Care ◽  
Care Practice ◽  
Control Group ◽  
Phase 2 ◽  
Two Phase ◽  
Effective Manner

Pharmacists in primary care settings have unique opportunities to address the causes of ineffective care transitions. The objective of this study is to describe the implementation of a multifaceted pharmacist transitions of care (TOC) intervention integrated into a primary care practice and evaluate the effectiveness of the program. This was a two-phase pilot study describing the development, testing, and evaluation of the TOC program. In Phase 1, the TOC intervention was implemented in a general patient population, while Phase 2 focused the intervention on high-risk patients. The two pilot phases were compared to each other (Phase 1 vs. Phase 2) and to a historical control group of patients who received usual care prior to the intervention (Phase 1 and Phase 2 vs. control). The study included 138 patients in the intervention group (Phase 1: 101 and Phase 2: 37) and 118 controls. At baseline, controls had a significantly lower LACE index, shorter length of stay, and a lower number of medications at discharge, indicating less medical complexity. A total of 344 recommendations were provided over both phases, approximately 80% of which were accepted. In adjusted models, there were no significant differences in 30-day all-cause readmissions between Phase 2 and controls (aOR 0.78; 95% CI 0.21–2.89; p = 0.71) or Phase 1 (aOR 0.99; 95% CI 0.30–3.37; p = 0.99). This study successfully implemented a pharmacist-led TOC intervention within a primary care setting using a two-phase pilot design. More robust studies are needed in order to identify TOC interventions that reduce healthcare utilization in a cost-effective manner.

Brief motivational interviewing for teens at risk of substance use consequences: A randomized pilot study in a primary care clinic

2008 ◽  
Vol 35 (1) ◽  
pp. 53-61 ◽  
Author(s):  
Elizabeth J. D'Amico ◽  
Jeremy N.V. Miles ◽  
Stefanie A. Stern ◽  
Lisa S. Meredith
Keyword(s):  
Primary Care ◽  
At Risk ◽  
Substance Use ◽  
Pilot Study ◽  
Motivational Interviewing ◽  
Primary Care Clinic ◽  
Care Clinic

scholarly journals Targeted prevention in primary care aimed at lifestyle-related diseases: a study protocol for a non-randomised pilot study

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Lars Bruun Larsen ◽  
Anders Larrabee Sonderlund ◽  
Jens Sondergaard ◽  
Janus Laust Thomsen ◽  
Anders Halling ◽  
...  
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Study Protocol ◽  
Targeted Prevention ◽  
Lifestyle Related Diseases

Do I Shoot Faster Because I Am Thinking about an Outgroup or a Threatening Outgroup?

2016 ◽  
Vol 47 (1) ◽  
pp. 29-37 ◽  
Author(s):  
Jessica Mange ◽  
Keren Sharvit ◽  
Nicolas Margas ◽  
Cécile Sénémeaud
Keyword(s):  
Pilot Study ◽  
Target Group ◽  
Main Study ◽  
Priming Effects ◽  
Males And Females

Abstract. This research examines if aggressive responses through a shooter bias are systematically generated by priming outgroups or if a threat stereotypically associated with the primed outgroup is required. First, a pilot study identified outgroups stereotypically associated and not associated with threat. Afterwards, the main study included a manipulation of target group accessibility – ingroup versus nonthreatening outgroup versus threatening outgroup. Following exposure to primes of the group categories, the participants in all conditions played a shooter game in which the targets were males and females with ambiguous ethnicity and religion. Results demonstrated that while only priming of an outgroup stereotypically associated with threat elicits aggressive responses, priming of both nonthreatening and threatening outgroups leads to an increase in the ability to distinguish between stimuli compared to ingroup priming. These effects are discussed in terms of priming effects, dimensions of threat, and possible interpretations of this ability increase.

Reducing hospital readmission through team-based primary care: A 7-week pilot study integrating behavioral health and pharmacy.

2017 ◽  
Vol 35 (2) ◽  
pp. 217-226 ◽  
Author(s):  
Lauren N. DeCaporale-Ryan ◽  
Nabila Ahmed-Sarwar ◽  
Robbyn Upham ◽  
Karen Mahler ◽  
Katie Lashway
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Behavioral Health ◽  
Hospital Readmission
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