Evidence map›Paper›PMID 32967842›Full record

ArticleBJGP open2020

Fidelity of the delivery of NHS Health Checks in general practice: an observational study.

Ben Paxton, Katie Mills, Juliet A Usher-Smith

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BJGP open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% of its field
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Factors affecting primary care practitioners' alcohol-related discussions with older adults: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    Article
  7. 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

3 authors at 1 institution in 3 countries.

Ben PaxtonUniversity of Cambridge School of Clinical Medicine, University of Cambridge, Cambridge, UK.
Katie MillsThe Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Juliet A Usher-SmithThe Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK jau20@medschl.cam.ac.uk.ORCID http://orcid.org/0000-0002-8501-2531
University of Cambridge · GB

Funding

Cancer Research UK 21464
6 · The paper itself

Abstract

backgroundThe NHS Health Check programme aims to reduce the risk of common preventable diseases by providing risk information and behaviour change advice. Failure to deliver the consultation appropriately could undermine its efficacy. To date, to the authors' knowledge, there are no published data on the fidelity of delivery of NHS Health Checks.

aimTo assess the fidelity of delivery of NHS Health Checks in general practice. DESIGN &

settingFidelity assessment of video and audio recordings of NHS Health Check consultations conducted in four GP practices across the East of England.

methodA secondary analysis of 38 NHS Health Check consultations, which were video or audio recorded as part of a pilot study of introducing discussions of cancer risk into NHS Health Checks. Using a checklist based on the

resultsThe mean number of elements of the NHS Health Check completed across all consultations was 14.5/18 (80.6%), with a range of 10 to 17 (55.6% to 94.4%). The mean fidelity for risk assessment, risk communication, and risk management sections was 8.7/10 (87.0%), 4.1/5 (82.0%), and 1.7/3 (56.7%), respectively. Clinically appropriate lifestyle advice was given in 34/38 consultations. Elements with the lowest fidelity were ethnicity assessment (

conclusionAlthough fidelity of delivery was high overall, important elements of the NHS Health Check were being regularly omitted. Opportunities for behaviour change, particularly relating to alcohol consumption and dementia risk management, may be being missed.

Indexed as

Cardiovascular diseasecommunicationDementiafidelitygeneral practiceHealth promotionNHS Health CheckReferral and consultationrisk assessment

Identifiers

PMID32967842
PMCPMC7606139
OpenAlexW3088641930

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.