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Exploring patients' views of primary care consultations with contrasting interventions for acute cough: a six-country European qualitative study

Exploring patients' views of primary care consultations with contrasting interventions for acute cough: a six-country European qualitative study
Exploring patients' views of primary care consultations with contrasting interventions for acute cough: a six-country European qualitative study
Background: In a pan-European randomised controlled trial (GRACE INTRO) of two interventions, (i) a point-of-care C-reactive protein test and/or (ii) training in communication skills and use of an interactive patient booklet, both interventions resulted in large reductions in antibiotic prescribing for acute cough.

Aims: This process evaluation explored patients’ views of primary care consultations using the two interventions in six European countries.

Methods: Sixty-two interviews were conducted with patients who had participated in the GRACE INTRO trial. Interviews were transcribed verbatim and translated into English where necessary. Analysis used techniques from thematic and framework analysis.

Results: Most patients were satisfied with their consultation despite many not receiving an antibiotic. Patients appeared to accept the use of both intervention approaches. A minority, but particularly in the trial arm with both interventions, reported that they would wait longer before consulting for cough in future.

Conclusions: Patients perceived that both interventions supported the general practitioner’s (GP’s) prescribing decisions by helping them understand when an antibiotic was, and was not, needed. Patients consulting with acute cough had largely positive views about the GP’s enhanced communication skills, which included understanding their concerns, and the use of a near-patient test as an additional investigation.
2055-1010
14026-[6pp]
Tonkin-Crine, S.
65679835-9bdc-48b6-92f3-cc6322cccc4f
Anthierens, S.
f237b5ac-203d-4ae0-b02c-a696e357614b
Francis, N.A.
041feacf-540c-49ae-b830-eda31920738b
Brugman, C.
0b8f1212-dcf8-483a-b30c-99a86b62951e
Fernandez-Vandellos, P.
2c318f02-80cd-4a11-bab5-f4f525099a8b
Krawczyk, J.
27fcb9f3-e46d-465e-8bc1-d73425eed945
Llor, C..
ae93008f-896f-4983-88fc-0af9d012ac9d
Yardley, L.
64be42c4-511d-484d-abaa-f8813452a22e
Coenen, S.
9afe2a52-9f4f-45bb-b8e5-c6ee3eeb3498
Godycki-Cwirko, M.
49c96dba-8729-4f32-8ee9-fb43f1285b8f
Butler, C.C.
736f78ad-3e18-4c63-900f-c2249577b645
Verheij, T.J.M.
c7dd556b-e4c2-42cf-b0aa-d6b19c8313d1
Goossens, H.
533640f7-b568-4d95-a7c1-28158d154ba8
Little, P.
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Cals, J.W.
655c77e6-fb59-4891-be05-9d8b2ae607c3
Tonkin-Crine, S.
65679835-9bdc-48b6-92f3-cc6322cccc4f
Anthierens, S.
f237b5ac-203d-4ae0-b02c-a696e357614b
Francis, N.A.
041feacf-540c-49ae-b830-eda31920738b
Brugman, C.
0b8f1212-dcf8-483a-b30c-99a86b62951e
Fernandez-Vandellos, P.
2c318f02-80cd-4a11-bab5-f4f525099a8b
Krawczyk, J.
27fcb9f3-e46d-465e-8bc1-d73425eed945
Llor, C..
ae93008f-896f-4983-88fc-0af9d012ac9d
Yardley, L.
64be42c4-511d-484d-abaa-f8813452a22e
Coenen, S.
9afe2a52-9f4f-45bb-b8e5-c6ee3eeb3498
Godycki-Cwirko, M.
49c96dba-8729-4f32-8ee9-fb43f1285b8f
Butler, C.C.
736f78ad-3e18-4c63-900f-c2249577b645
Verheij, T.J.M.
c7dd556b-e4c2-42cf-b0aa-d6b19c8313d1
Goossens, H.
533640f7-b568-4d95-a7c1-28158d154ba8
Little, P.
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Cals, J.W.
655c77e6-fb59-4891-be05-9d8b2ae607c3

Tonkin-Crine, S., Anthierens, S., Francis, N.A., Brugman, C., Fernandez-Vandellos, P., Krawczyk, J., Llor, C.., Yardley, L., Coenen, S., Godycki-Cwirko, M., Butler, C.C., Verheij, T.J.M., Goossens, H., Little, P. and Cals, J.W. (2014) Exploring patients' views of primary care consultations with contrasting interventions for acute cough: a six-country European qualitative study. NPJ primary care respiratory medicine, 24, 14026-[6pp]. (doi:10.1038/npjpcrm.2014.26). (PMID:25030621)

Record type: Article

Abstract

Background: In a pan-European randomised controlled trial (GRACE INTRO) of two interventions, (i) a point-of-care C-reactive protein test and/or (ii) training in communication skills and use of an interactive patient booklet, both interventions resulted in large reductions in antibiotic prescribing for acute cough.

Aims: This process evaluation explored patients’ views of primary care consultations using the two interventions in six European countries.

Methods: Sixty-two interviews were conducted with patients who had participated in the GRACE INTRO trial. Interviews were transcribed verbatim and translated into English where necessary. Analysis used techniques from thematic and framework analysis.

Results: Most patients were satisfied with their consultation despite many not receiving an antibiotic. Patients appeared to accept the use of both intervention approaches. A minority, but particularly in the trial arm with both interventions, reported that they would wait longer before consulting for cough in future.

Conclusions: Patients perceived that both interventions supported the general practitioner’s (GP’s) prescribing decisions by helping them understand when an antibiotic was, and was not, needed. Patients consulting with acute cough had largely positive views about the GP’s enhanced communication skills, which included understanding their concerns, and the use of a near-patient test as an additional investigation.

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Published date: July 2014
Organisations: Primary Care & Population Sciences

Identifiers

Local EPrints ID: 367760
URI: https://eprints.soton.ac.uk/id/eprint/367760
ISSN: 2055-1010
PURE UUID: 5a5841bf-6557-47ab-9ba5-04257072a6ff
ORCID for L. Yardley: ORCID iD orcid.org/0000-0002-3853-883X

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Date deposited: 09 Sep 2014 10:01
Last modified: 31 Jul 2019 00:48

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Contributors

Author: S. Tonkin-Crine
Author: S. Anthierens
Author: N.A. Francis
Author: C. Brugman
Author: P. Fernandez-Vandellos
Author: J. Krawczyk
Author: C.. Llor
Author: L. Yardley ORCID iD
Author: S. Coenen
Author: M. Godycki-Cwirko
Author: C.C. Butler
Author: T.J.M. Verheij
Author: H. Goossens
Author: P. Little
Author: J.W. Cals

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