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Findings from a feasibility study to improve GP elicitation of patient concerns in UK General Practice consultations

Findings from a feasibility study to improve GP elicitation of patient concerns in UK General Practice consultations
Findings from a feasibility study to improve GP elicitation of patient concerns in UK General Practice consultations
Objectives: to establish: a) feasibility of training GPs in a communication intervention to solicit additional patient concerns early in the consultation, using specific lexical formulations (“do you have ‘any’ vs. ‘some’ other concerns?”) noting the impact on consultation length, and b) whether patients attend with multiple concerns and whether they voiced them in the consultation.

Methods: a mixed-methods three arm RCT feasibility study to assess the feasibility of the communication intervention.

Results: intervention fidelity was high. GPs can be trained to solicit additional concerns early in the consultation (once patients have presented their first concern). Whilst feasible the particular lexical variation of ‘any’ vs ‘some’ seemed to have no bearing on the number of patient concerns elicited, on consultation length or on patient satisfaction. The level of missing questionnaire data was low, suggesting patients found completion of questionnaires acceptable.

Conclusion: GPs can solicit for additional concerns without increasing consultation length, but the particular wording, specifically ‘any’ vs. ‘some’ may not be as important as the placement of the GP solicitation.
Practice Implications: GPs can solicit early for additional concerns and GPs can establish patients’ additional concerns in the opening of the consultation, which can plan and prioritise patients multiple concerns.

0738-3991
1394-1402
Leydon, Geraldine
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Stuart, Beth
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Summers, R.H.
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Little, Paul
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Ekberg, S.
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Stevenson, F.
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Chew-Graham, C. A
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Brindle, Lucy
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Heritage, J.
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Drew, P.
364cba2c-2c36-4839-b1b7-142236199413
Moore, M.V.
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Leydon, Geraldine
c5cdaff5-0fa1-4d38-b575-b97c2892ec40
Stuart, Beth
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Summers, R.H.
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Little, Paul
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Ekberg, S.
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Stevenson, F.
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Chew-Graham, C. A
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Brindle, Lucy
17158264-2a99-4786-afc0-30990240436c
Heritage, J.
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Drew, P.
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Moore, M.V.
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Leydon, Geraldine, Stuart, Beth, Summers, R.H., Little, Paul, Ekberg, S., Stevenson, F., Chew-Graham, C. A, Brindle, Lucy, Heritage, J., Drew, P. and Moore, M.V. (2018) Findings from a feasibility study to improve GP elicitation of patient concerns in UK General Practice consultations. Patient Education and Counselling, 101 (8), 1394-1402. (doi:10.1016/j.pec.2018.03.009).

Record type: Article

Abstract

Objectives: to establish: a) feasibility of training GPs in a communication intervention to solicit additional patient concerns early in the consultation, using specific lexical formulations (“do you have ‘any’ vs. ‘some’ other concerns?”) noting the impact on consultation length, and b) whether patients attend with multiple concerns and whether they voiced them in the consultation.

Methods: a mixed-methods three arm RCT feasibility study to assess the feasibility of the communication intervention.

Results: intervention fidelity was high. GPs can be trained to solicit additional concerns early in the consultation (once patients have presented their first concern). Whilst feasible the particular lexical variation of ‘any’ vs ‘some’ seemed to have no bearing on the number of patient concerns elicited, on consultation length or on patient satisfaction. The level of missing questionnaire data was low, suggesting patients found completion of questionnaires acceptable.

Conclusion: GPs can solicit for additional concerns without increasing consultation length, but the particular wording, specifically ‘any’ vs. ‘some’ may not be as important as the placement of the GP solicitation.
Practice Implications: GPs can solicit early for additional concerns and GPs can establish patients’ additional concerns in the opening of the consultation, which can plan and prioritise patients multiple concerns.

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Findings from a feasibility study to improve GP elicitation of patient concerns in UK General Practice consultations - Accepted Manuscript
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More information

Accepted/In Press date: 7 March 2018
e-pub ahead of print date: 23 March 2018
Published date: August 2018

Identifiers

Local EPrints ID: 418659
URI: http://eprints.soton.ac.uk/id/eprint/418659
ISSN: 0738-3991
PURE UUID: 105968ab-fe49-4f71-b804-871c4f9058f4
ORCID for Geraldine Leydon: ORCID iD orcid.org/0000-0001-5986-3300
ORCID for Lucy Brindle: ORCID iD orcid.org/0000-0002-8933-3754

Catalogue record

Date deposited: 15 Mar 2018 17:30
Last modified: 27 Jan 2020 13:41

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Contributors

Author: Beth Stuart
Author: R.H. Summers
Author: Paul Little
Author: S. Ekberg
Author: F. Stevenson
Author: C. A Chew-Graham
Author: Lucy Brindle ORCID iD
Author: J. Heritage
Author: P. Drew
Author: M.V. Moore

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