Case-finding for COPD clinic acceptability to patients in GPs across Hampshire: a qualitative study
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-str...
| Autori principali: | , , , , , , , , |
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| Natura: | Articolo |
| Lingua: | English |
| Pubblicazione: |
Nature Portfolio
2021-02-01
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| Serie: | npj Primary Care Respiratory Medicine |
| Accesso online: | https://doi.org/10.1038/s41533-021-00216-0 |
| _version_ | 1831562524926935040 |
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| author | Danielle Rose Emma Ray Rachael H. Summers Melinda Taylor Helen Kruk Mal North Kate Gillett Mike Thomas Tom M. A. Wilkinson |
| author_facet | Danielle Rose Emma Ray Rachael H. Summers Melinda Taylor Helen Kruk Mal North Kate Gillett Mike Thomas Tom M. A. Wilkinson |
| author_sort | Danielle Rose |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-17T10:38:40Z |
| format | Article |
| id | doaj.art-346b636a901b45d9991e2f5f76b6a5f4 |
| institution | Directory Open Access Journal |
| issn | 2055-1010 |
| language | English |
| last_indexed | 2024-12-17T10:38:40Z |
| publishDate | 2021-02-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | npj Primary Care Respiratory Medicine |
| spelling | doaj.art-346b636a901b45d9991e2f5f76b6a5f42022-12-21T21:52:18ZengNature Portfolionpj Primary Care Respiratory Medicine2055-10102021-02-013111810.1038/s41533-021-00216-0Case-finding for COPD clinic acceptability to patients in GPs across Hampshire: a qualitative studyDanielle Rose0Emma Ray1Rachael H. Summers2Melinda Taylor3Helen Kruk4Mal North5Kate Gillett6Mike Thomas7Tom M. A. Wilkinson8University Hospitals of LeicesterNIHR ARC Wessex, Faculty of Health Sciences, University of SouthamptonFaculty of Health Sciences, University of SouthamptonNIHR ARC Wessex, Faculty of Health Sciences, University of SouthamptonNIHR ARC Wessex, Faculty of Health Sciences, University of SouthamptonNIHR ARC Wessex, Faculty of Health Sciences, University of SouthamptonNIHR ARC Wessex, Faculty of Health Sciences, University of SouthamptonDepartment of Primary Care and Population Sciences, University of SouthamptonFaculty of Medicine, University of SouthamptonAbstract 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.https://doi.org/10.1038/s41533-021-00216-0 |
| spellingShingle | Danielle Rose Emma Ray Rachael H. Summers Melinda Taylor Helen Kruk Mal North Kate Gillett Mike Thomas Tom M. A. Wilkinson Case-finding for COPD clinic acceptability to patients in GPs across Hampshire: a qualitative study npj Primary Care Respiratory Medicine |
| title | Case-finding for COPD clinic acceptability to patients in GPs across Hampshire: a qualitative study |
| title_full | Case-finding for COPD clinic acceptability to patients in GPs across Hampshire: a qualitative study |
| title_fullStr | Case-finding for COPD clinic acceptability to patients in GPs across Hampshire: a qualitative study |
| title_full_unstemmed | Case-finding for COPD clinic acceptability to patients in GPs across Hampshire: a qualitative study |
| title_short | Case-finding for COPD clinic acceptability to patients in GPs across Hampshire: a qualitative study |
| title_sort | case finding for copd clinic acceptability to patients in gps across hampshire a qualitative study |
| url | https://doi.org/10.1038/s41533-021-00216-0 |
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