Evidence map›Paper›PMID 30564676›Full record

ArticleBJGP open2017

Patients' perspectives on BETTER 2 prevention and screening: qualitative findings from Newfoundland & Labrador.

Nicolette Sopcak, Carolina Aguilar, Candace I J Nykiforuk, Mary Ann O'Brien, Kris Aubrey-Bassler, Richard M Cullen, Melanie Heatherington, Eva Grunfeld, Donna P Manca

Abstract read
In one paragraph

Article in BJGP open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Nicolette SopcakQualitative Research Lead, Department of Family Medicine, Faculty of Medicine, University of Alberta, Edmonton, AB, Canada.
Carolina AguilarHealth Program Coordinator, Department of Family Medicine, Faculty of Medicine, University of Alberta, Edmonton, AB, Canada.
Candace I J NykiforukAssociate Professor and Program Director, Health Promotion & Socio-behavioural Sciences, School of Public Health, University of Alberta, Edmonton AB, Canada.
Mary Ann O'BrienAssistant Professor, Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto ON, Canada.
Kris Aubrey-BasslerAssociate Professor & Director, Primary Health Care Unit, Faculty of Medicine, Memorial University of Newfoundland, St John's, NL, Canada.
Richard M CullenResearch Coordinator, Primary Health Care Unit, Faculty of Medicine, Memorial University of Newfoundland, St John's, NL, Canada.
Melanie HeatheringtonStudy Coordinator, Department of Family Medicine, Faculty of Medicine, University of Alberta, Edmonton, AB, Canada.
Eva GrunfeldDirector, Knowledge Translation Research, Health Services Research Program, Ontario Institute for Cancer Research, Toronto ON, Canada.
Donna P MancaAssociate Professor and Research Director, Department of Family Medicine, Faculty of Medicine, University of Alberta, Edmonton, AB, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

chronic diseasepatientsprimary careprimary prevention

Identifiers

PMID30564676
PMCPMC6169935

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.