scholarly journals Patients’ perspectives on BETTER 2 prevention and screening: qualitative findings from Newfoundland & Labrador

BJGP Open ◽  
2017 ◽  
Vol 1 (3) ◽  
pp. bjgpopen17X101037
Author(s):  
Nicolette Sopcak ◽  
Carolina Aguilar ◽  
Candace I J Nykiforuk ◽  
Mary Ann O’Brien ◽  
Kris Aubrey-Bassler ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Disease Prevention ◽  
Primary Care Providers ◽  
Chronic Disease Prevention ◽  
Qualitative Description ◽  
Preventative Care ◽  
Care Providers ◽  
Rural And Remote ◽  
Novel Approach

BackgroundChronic disease prevention and screening (CDPS) has been identified as a top priority in primary care. However, primary care providers often lack time, evidence-based tools, and consistent guidelines to effectively address CDPS. Building on Existing Tools to Improve Chronic Disease Prevention and Screening in Primary Care (BETTER) is a novel approach that introduces a new role, that of the prevention practitioner; the prevention practitioner meets with patients, one on one, to undertake a personalised CDPS visit. Understanding patients’ perspectives is important for clinicians and other stakeholders aiming to address and integrate CDPS.AimTo describe patients’ perspectives regarding visits with a prevention practitioner in BETTER 2, an implementation study that was carried out after the BETTER trial and featured a higher proportion of patients in rural and remote locations.Design & settingQualitative description based on patient feedback surveys, completed by patients in three primary care clinics (urban, rural, and remote) in Newfoundland and Labrador, Canada.MethodPatients’ perspectives were assessed based on responses from 91 feedback forms. In total, 154 patients (aged 40–65 years) received ≥1 prevention visit(s) from a prevention practitioner and were asked to provide written feedback. In addition to demographics, patients were asked what they liked about their visit(s), what they would have liked to be different, and invited to make any other comments. Qualitative description was used to analyse the data.ResultsFour main themes emerged from patients’ feedback: value of visit (patients appreciated the visit with a prevention practitioner); visit characteristics (the visit was personalised, comprehensive, and sufficiently long); prevention practitioners' characteristics (professionalism and interpersonal skills); and patients’ concerns (termination of the programme and access to preventative care).ConclusionPatients appreciated the visits they received with a prevention practitioner and expressed their desire to receive sustained CDPS in primary care.

scholarly journals What is a prevention visit? A qualitative study of a structured approach to prevention and screening – the BETTER WISE project

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
N. Sopcak ◽  
C. Fernandes ◽  
M. A. O’Brien ◽  
D. Ofosu ◽  
M. Wong ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Qualitative Study ◽  
Disease Prevention ◽  
Cancer Survivorship ◽  
Primary Care Providers ◽  
Chronic Disease Prevention ◽  
Trial Registration ◽  
Care Providers ◽  
Structured Approach

Abstract Background This qualitative study is a sub-component of BETTER WISE, a comprehensive and structured approach that proactively addresses chronic disease prevention, screening, and cancer survivorship, including screening for poverty and addressing lifestyle risks for patients aged 40 to 65. Patients (n = 527) from 13 primary care clinics (urban, rural, and remote) in Alberta, Ontario, and Newfoundland & Labrador, Canada agreed to participate in the study and were invited to a one-hour prevention visit delivered by a Prevention Practitioner (PP) as part of BETTER WISE. We identified the key components of a BETTER WISE prevention visit based on patients’ and primary care providers’ perspectives. Methods Primary care providers (PPs, physicians and their staff) participated in 14 focus groups and 19 key informant interviews to share their perspectives on the BETTER WISE project. Of 527 patients who agreed to participate in the study and were invited for a BETTER WISE prevention visit with a PP, we received 356 patient feedback forms. We also collected field notes and memos and employed thematic analysis using a constant comparative method focusing on the BETTER WISE prevention visit. Results We identified four key themes related to a BETTER WISE prevention visit: 1) Creating a safe environment and building trust with patients: PPs provided sufficient time and a safe space for patients to share what was important to them, including their concerns related to poverty, alcohol consumption, and mental health, topics that were often not shared with physicians; 2) Providing personalized health education: PPs used the BETTER WISE tools to provide patients with a personalized overview of their health status and eligible screening; 3) Non-judgmental empowering of patients: Instead of directing patients on what to do, PPs evoked patients’ preferences and helped them to set goals (if desired); and 4) Integrating care for patients: PPs clarified information from patients’ charts and surveys with physicians and helped patients to navigate resources within and outside of the primary care team. Conclusions The results of this study underscore the importance of personalized, trusting, non-judgmental, and integrated relationships between primary care providers and patients to effectively address chronic disease prevention, screening, and cancer survivorship as demonstrated by the BETTER WISE prevention visits. Trial registration This qualitative study is a sub-component of the BETTER WISE pragmatic, cRCT, trial registration ISRCTN21333761 (date of registration 19/12/2016)

scholarly journals What is a prevention visit? A qualitative study of a structured approach to prevention and screening – the BETTER WISE project

2021 ◽  
Author(s):  
Nicolette Sopcak ◽  
Carolina Fernandes ◽  
Mary Ann O'Brien ◽  
Daniel Ofosu ◽  
Melanie Wong ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Qualitative Study ◽  
Disease Prevention ◽  
Cancer Survivorship ◽  
Primary Care Providers ◽  
Chronic Disease Prevention ◽  
Trial Registration ◽  
Care Providers ◽  
Structured Approach

Abstract Background: This qualitative study is a sub-component of BETTER WISE, a comprehensive and structured approach that proactively addresses chronic disease prevention, screening, and cancer survivorship, including screening for poverty and addressing lifestyle risks for patients aged 40 to 65. Patients (n=527) from 13 primary care clinics (urban, rural, and remote) in Alberta, Ontario, and Newfoundland & Labrador, Canada attended a one-hour prevention visit delivered by a Prevention Practitioner (PP) as part of BETTER WISE. We identified the key components of a BETTER WISE prevention visit based on patients’ and primary care providers’ perspectives. Methods: Primary care providers (PPs, physicians and their staff) participated in 14 focus groups and 19 key informant interviews to share their perspectives on the BETTER WISE project. Of 527 patients who attended a BETTER WISE prevention visit with a PP, we received 356 patient feedback forms. We also collected field notes and memos and employed thematic analysis using a constant comparative method focusing on the BETTER WISE prevention visit. Results: We identified four key themes related to a BETTER WISE prevention visit: 1) Creating a safe environment and building trust with patients: PPs provided sufficient time and a safe space for patients to share what was important to them, including their concerns related to poverty, alcohol consumption, and mental health, topics that were often not shared with physicians; 2) Providing personalized health education: PPs used the BETTER WISE tools to provide patients with a personalized overview of their health status and eligible screening; 3) Non-judgmental empowering of patients: Instead of directing patients on what to do, PPs evoked patients’ preferences and helped them to set goals (if desired); and 4) Integrating care for patients: PPs clarified information from patients’ charts and surveys with physicians and helped patients to navigate resources within and outside of the primary care team.Conclusions: The results of this study underscore the importance of personalized, trusting, non-judgmental, and integrated relationships between primary care providers and patients to effectively address chronic disease prevention, screening, and cancer survivorship as demonstrated by the BETTER WISE prevention visits. Trial registration: This qualitative study is a sub-component of the BETTER WISE pragmatic, cRCT, trial registration ISRCTN21333761 (date of registration 19/12/2016)

scholarly journals Implementing and evaluating a program to facilitate chronic disease prevention and screening in primary care: a mixed methods program evaluation

2014 ◽  
Vol 9 (1) ◽  
Author(s):  
Donna Patricia Manca ◽  
Kris Aubrey-Bassler ◽  
Kami Kandola ◽  
Carolina Aguilar ◽  
Denise Campbell-Scherer ◽  
...  
Keyword(s):  
Primary Care ◽  
Program Evaluation ◽  
Mixed Methods ◽  
Chronic Disease ◽  
Disease Prevention ◽  
Chronic Disease Prevention

scholarly journals Development and evaluation of a brief self-completed family history screening tool for common chronic disease prevention in primary care

2013 ◽  
Vol 63 (611) ◽  
pp. e393-e400 ◽  
Author(s):  
Fiona M Walter ◽  
A Toby Prevost ◽  
Linda Birt ◽  
Nicola Grehan ◽  
Kathy Restarick ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Family History ◽  
Disease Prevention ◽  
Screening Tool ◽  
Chronic Disease Prevention ◽  
Common Chronic Disease

scholarly journals Better Health Durham: Community Engagement in a Cluster RCT of a Prevention Practitioner Intervention in Low-Income Neighbourhoods

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 22s-22s
Author(s):  
M.A. O'Brien ◽  
A. Lofters ◽  
B. Wall ◽  
A.D. Pinto ◽  
R. Elliott ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Chronic Disease ◽  
Disease Prevention ◽  
Community Engagement ◽  
Social Services ◽  
Low Income ◽  
Community Outreach ◽  
Chronic Disease Prevention ◽  
Cluster Rct

Background: The Building on Existing Tools to Improve Chronic Disease Prevention and Screening (BETTER) intervention has improved uptake of chronic disease prevention and screening activities in primary care. The BETTER intervention consists of 1:1 visits between prevention practitioners (PPs) and patients (40-65 years). It is unknown if an adapted BETTER could be effective in the community with public health nurses as PPs. Aim: The presentation objective is to describe community engagement strategies in a cluster RCT in low income neighborhoods with low cancer screening rates and low uptake of primary care. Methods: Principles of community-based participatory research were used to design the community engagement strategy in Durham region, Ontario. Key elements included close collaboration with public health partners to identify stakeholders and creating a community advisory committee (CAC) and a primary care engagement group to provide advice. Results: We identified 15 community stakeholder groups (∼47 subgroups) including service organizations, faith groups, and charitable organizations representing diverse constituents. Community outreach activities included in-person meetings and information displays at local events. The CAC is comprised of members of the public and representatives from primary care, social services, and community organizations. The CAC and primary care engagement groups have provided advice on trial recruitment strategies and on the design of the PP visit. Conclusion: The partnership between public health, primary care, and the study team has been crucial to connect with community stakeholders. Community engagement is essential in raising awareness about the study and will contribute to successful recruitment. Trial Registration: NCT03052959

scholarly journals Using appreciative inquiry to understand the integration of interprofessional teams within primary care

2021 ◽  
Author(s):  
◽  
Kristen Grovum
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Appreciative Inquiry ◽  
Primary Care Providers ◽  
Case Managers ◽  
Care Providers ◽  
Health Maintenance ◽  
Interprofessional Teams ◽  
Directional Change ◽  
A Current

Over the past fifteen years, primary care networks have been established across Canada; spaces whereby people can access a first point of contact with healthcare professionals focused on chronic disease management, health maintenance, and prevention. British Columbia has recently launched a model of primary care networks and interprofessional teams in response to a current health system challenged with demands related to an aging population and increased prevalence of chronic disease and disability. Using appreciative inquiry for understanding organizational social system change, information was gathered to explore the strengths and directional change needed as shared by primary care providers and case managers working in a Vancouver Island health authority primary care network. The purpose of the project was to understand how these providers could work more effectively within integrated interprofessional teams. Actions focused on the process of facilitating connection, communication, relationship, collaboration and autonomy within these networks are explicated.

scholarly journals Relationship between documentation method and quality of chronic disease visit notes

2014 ◽  
Vol 05 (02) ◽  
pp. 480-490 ◽  
Author(s):  
L.A. Volk ◽  
S. Samaha ◽  
S.E. Pollard ◽  
D.H. Williams ◽  
J.M. Fiskio ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Vital Signs ◽  
Primary Care Providers ◽  
Subjective Quality ◽  
Free Form ◽  
Care Providers ◽  
Quality Ratings ◽  
Significant Difference

SummaryObjective: To assses the relationship between methods of documenting visit notes and note quality for primary care providers (PCPs) and specialists, and to determine the factors that contribute to higher quality notes for two chronic diseases.Methods: Retrospective chart review of visit notes at two academic medical centers. Two physicians rated the subjective quality of content areas of the note (vital signs, medications, lifestyle, labs, symptoms, assessment & plan), overall quality, and completed the 9 item Physician Documentation Quality Instrument (PDQI-9). We evaluated quality ratings in relation to the primary method of documentation (templates, free-form or dictation) for both PCPs and specialists. A one factor analysis of variance test was used to examine differences in mean quality scores among the methods.Results: A total of 112 physicians, 71 primary care physicians (PCP) and 41 specialists, wrote 240 notes. For specialists, templated notes had the highest overall quality scores (p≤0.001) while for PCPs, there was no statistically significant difference in overall quality score. For PCPs, free form received higher quality ratings on vital signs (p = 0.01), labs (p = 0.002), and lifestyle (p = 0.002) than other methods; templated notes had a higher rating on medications (p≤0.001). For specialists, templated notes received higher ratings on vital signs, labs, lifestyle and medications (p = 0.001).Discussion: There was no significant difference in subjective quality of visit notes written using free-form documentation, dictation or templates for PCPs. The subjective quality rating of templated notes was higher than that of dictated notes for specialists.Conclusion: As there is wide variation in physician documentation methods, and no significant difference in note quality between methods, recommending one approach for all physicians may not deliver optimal results.Citation: Neri PM, Volk LA, Samaha S, Pollard SE, Williams DH, Fiskio JM, Burdick E, Edwards ST, Ramelson H, Schiff GD, Bates DW. Relationship between documentation method and quality of chronic disease visit notes. Appl Clin Inf 2014; 5: 480–490 http://dx.doi.org/10.4338/ACI-2014-01-RA-0007

Sign in / Sign up

Export Citation Format

Share Document