Case-finding for COPD clinic acceptability to patients in GPs across Hampshire: a qualitative study
Case-finding for COPD clinic acceptability to patients in GPs across Hampshire: a qualitative study
Despite high mortality and morbidity, COPD remains under-diagnosed. Case-finding strategies are possible, but patients’ perspectives are unexplored. Using qualitative methods, we explored the patient perspective of a case-finding intervention among at-risk patients in primary care. Semi-structured telephone interviews were transcribed and thematic analysis utilised. Seven patients without (mean age 64.5 years (58–74), n = 4) and 8 with obstructed spirometry (mean age 63.5 (53–75), n = 4) were interviewed. Themes identified were motives, challenges and concerns regarding attending the clinic. These included wanting to be well; to help with research; concern over negative impact to life from COPD diagnosis; perceived utility of the clinic; quality of information given; staff manner, approachability and knowledge; and perceived effects of the clinic on lifestyle, self-management and symptoms. The intervention was generally deemed useful and reassuring, although shared information was too detailed or irrelevant for some. Several reported positive lifestyle changes, improved symptoms and improved self-management.
Rose, Danielle
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Ray, Emma
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Summers, Rachael H.
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Taylor, Melinda
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Kruk, Helen
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North, Mal
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Gillett, Kate
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Thomas, Mike
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Wilkinson, Tom M.A.
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Rose, Danielle
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Ray, Emma
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Summers, Rachael H.
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Taylor, Melinda
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Kruk, Helen
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North, Mal
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Gillett, Kate
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Thomas, Mike
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Wilkinson, Tom M.A.
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Rose, Danielle, Ray, Emma, Summers, Rachael H., Taylor, Melinda, Kruk, Helen, North, Mal, Gillett, Kate, Thomas, Mike and Wilkinson, Tom M.A.
(2021)
Case-finding for COPD clinic acceptability to patients in GPs across Hampshire: a qualitative study.
NPJ primary care respiratory medicine, 31 (1), [4].
(doi:10.1038/s41533-021-00216-0).
Abstract
Despite high mortality and morbidity, COPD remains under-diagnosed. Case-finding strategies are possible, but patients’ perspectives are unexplored. Using qualitative methods, we explored the patient perspective of a case-finding intervention among at-risk patients in primary care. Semi-structured telephone interviews were transcribed and thematic analysis utilised. Seven patients without (mean age 64.5 years (58–74), n = 4) and 8 with obstructed spirometry (mean age 63.5 (53–75), n = 4) were interviewed. Themes identified were motives, challenges and concerns regarding attending the clinic. These included wanting to be well; to help with research; concern over negative impact to life from COPD diagnosis; perceived utility of the clinic; quality of information given; staff manner, approachability and knowledge; and perceived effects of the clinic on lifestyle, self-management and symptoms. The intervention was generally deemed useful and reassuring, although shared information was too detailed or irrelevant for some. Several reported positive lifestyle changes, improved symptoms and improved self-management.
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s41533-021-00216-0
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e-pub ahead of print date: 4 February 2021
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Funding Information:
M. Thomas reports that neither he nor any member of his close family has any shares in pharmaceutical companies. In the past 3 years, he has received speaker’s honoraria for speaking at sponsored meetings or satellite symposia at conferences from the following companies marketing respiratory and allergy products: GSK, Novartis. He has received honoraria for attending advisory panels with: Boehringer Inglehiem, GSK, Novartis. T.M.A.W. reports personal fees and other from MyMHealth, grants from Innovate UK, grants from GSK, grants and personal fees from AstraZeneca, grants and personal fees from Synairgen and personal fees from BI, outside the submitted work. D.R., E.R., R.H.S., M. Taylor, H. K., M.N. and K.G. report no competing interests.
Funding Information:
We would like to thank all the patients who took part in the study for their contributions. We are grateful to The University of Southampton, NIHR CLAHRC Wessex and Optimum Patient Care who made this research possible. Special thanks to our PPI advisors for their support during study planning and early implementation. This article was funded by the National Institute for Health Research. The views expressed in this publication are of the authors and not necessarily those of the National Institute for Health Research or the Department of Health and Social Care.
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© 2021, The Author(s).
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Copyright 2021 Elsevier B.V., All rights reserved.
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Local EPrints ID: 450795
URI: http://eprints.soton.ac.uk/id/eprint/450795
ISSN: 2055-1010
PURE UUID: a5588b46-95e1-4875-a1a1-128a4e3f497c
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Date deposited: 12 Aug 2021 16:30
Last modified: 17 Mar 2024 12:47
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Contributors
Author:
Danielle Rose
Author:
Emma Ray
Author:
Rachael H. Summers
Author:
Helen Kruk
Author:
Mal North
Author:
Kate Gillett
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