Nicolette Sopcak1, Carolina Aguilar2, Candace I J Nykiforuk3, Mary Ann O'Brien4, Kris Aubrey-Bassler5, Richard M Cullen6, Melanie Heatherington7, Eva Grunfeld8,9, Donna P Manca10. 1. Qualitative Research Lead, Department of Family Medicine, Faculty of Medicine, University of Alberta, Edmonton, AB, Canada. 2. Health Program Coordinator, Department of Family Medicine, Faculty of Medicine, University of Alberta, Edmonton, AB, Canada. 3. Associate Professor and Program Director, Health Promotion & Socio-behavioural Sciences, School of Public Health, University of Alberta, Edmonton AB, Canada. 4. Assistant Professor, Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto ON, Canada. 5. Associate Professor & Director, Primary Health Care Unit, Faculty of Medicine, Memorial University of Newfoundland, St John's, NL, Canada. 6. Research Coordinator, Primary Health Care Unit, Faculty of Medicine, Memorial University of Newfoundland, St John's, NL, Canada. 7. Study Coordinator, Department of Family Medicine, Faculty of Medicine, University of Alberta, Edmonton, AB, Canada. 8. Director, Knowledge Translation Research, Health Services Research Program, Ontario Institute for Cancer Research, Toronto ON, Canada. 9. Giblon Professor and Vice-Chair (Research), Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto ON, Canada. 10. Associate Professor and Research Director, Department of Family Medicine, Faculty of Medicine, University of Alberta, Edmonton, AB, Canada.
Abstract
BACKGROUND: Chronic 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. AIM: To 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 & SETTING: Qualitative description based on patient feedback surveys, completed by patients in three primary care clinics (urban, rural, and remote) in Newfoundland and Labrador, Canada. METHOD: Patients' 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. RESULTS: Four 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). CONCLUSION: Patients appreciated the visits they received with a prevention practitioner and expressed their desire to receive sustained CDPS in primary care.
BACKGROUND: Chronic 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. AIM: To 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 & SETTING: Qualitative description based on patient feedback surveys, completed by patients in three primary care clinics (urban, rural, and remote) in Newfoundland and Labrador, Canada. METHOD: Patients' 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. RESULTS: Four 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). CONCLUSION: Patients appreciated the visits they received with a prevention practitioner and expressed their desire to receive sustained CDPS in primary care.
Authors: E A G Joosten; L DeFuentes-Merillas; G H de Weert; T Sensky; C P F van der Staak; C A J de Jong Journal: Psychother Psychosom Date: 2008-04-16 Impact factor: 17.659
Authors: Denise Campbell-Scherer; Jess Rogers; Donna Manca; Kelly Lang-Robertson; Stephanie Bell; Ginetta Salvalaggio; Michelle Greiver; Christina Korownyk; Doug Klein; June C Carroll; Mel Kahan; Jamie Meuser; Sandy Buchman; Rebekah M Barrett; Eva Grunfeld Journal: CMAJ Open Date: 2014-01-22
Authors: Eva Grunfeld; Donna Manca; Rahim Moineddin; Kevin E Thorpe; Jeffrey S Hoch; Denise Campbell-Scherer; Christopher Meaney; Jess Rogers; Jaclyn Beca; Paul Krueger; Muhammad Mamdani Journal: BMC Fam Pract Date: 2013-11-20 Impact factor: 2.497
Authors: Donna Patricia Manca; Kris Aubrey-Bassler; Kami Kandola; Carolina Aguilar; Denise Campbell-Scherer; Nicolette Sopcak; Mary Ann O'Brien; Christopher Meaney; Vee Faria; Julia Baxter; Rahim Moineddin; Ginetta Salvalaggio; Lee Green; Andrew Cave; Eva Grunfeld Journal: Implement Sci Date: 2014-10-08 Impact factor: 7.327