Patient perspectives on tablet-based technology to collect risk factor information in primary care
Abstract Background Primary care provides an opportunity to introduce prevention strategies and identify risk behaviours. Algorithmic information technology such as the Risk Factor Identification Tool (RFIT) can support primary care counseling. This study explores the integration of the tablet-based...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-05-01
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| Series: | BMC Family Practice |
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| Online Access: | https://doi.org/10.1186/s12875-021-01443-7 |
| _version_ | 1818241324258689024 |
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| author | Leanne Kosowan Alan Katz Gayle Halas Alexander Singer |
| author_facet | Leanne Kosowan Alan Katz Gayle Halas Alexander Singer |
| author_sort | Leanne Kosowan |
| collection | DOAJ |
| description | Abstract Background Primary care provides an opportunity to introduce prevention strategies and identify risk behaviours. Algorithmic information technology such as the Risk Factor Identification Tool (RFIT) can support primary care counseling. This study explores the integration of the tablet-based RFIT in primary care clinics to support exploration of patient risk factor information. Methods Qualitative study to explore patients’ perspectives of RFIT. RFIT was implemented in two primary care clinics in Manitoba, Canada. There were 207 patients who completed RFIT, offered to them by eight family physicians. We conducted one-on-one patient interviews with 86 patients to capture the patient’s perspective. Responses were coded and categorized into five common themes. Results RFIT had a completion rate of 86%. Clinic staff reported that very few patients declined the use of RFIT or required assistance to use the tablet. Patients reported that the tablet-based RFIT provided a user-friendly interface that enabled self-reflection while in the waiting room. Patients discussed the impact of RFIT on the patient-provider interaction, utility for the clinician, their concerns and suggested improvements for RFIT. Among the patients who used RFIT 12.1% smoked, 21.2% felt their diet could be improved, 9.3% reported high alcohol consumption, 56.4% reported less than 150 min of PA a week, and 8.2% lived in poverty. Conclusion RFIT is a user-friendly tool for the collection of patient risk behaviour information. RFIT is particularly useful for patients lacking continuity in the care they receive. Information technology can promote self-reflection while providing useful information to the primary care clinician. When combined with practical tools and resources RFIT can assist in the reduction of risk behaviours. |
| first_indexed | 2024-12-12T13:27:31Z |
| format | Article |
| id | doaj.art-87ad87398b2b4b8290bce3534a16d145 |
| institution | Directory Open Access Journal |
| issn | 1471-2296 |
| language | English |
| last_indexed | 2024-12-12T13:27:31Z |
| publishDate | 2021-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Family Practice |
| spelling | doaj.art-87ad87398b2b4b8290bce3534a16d1452022-12-22T00:23:08ZengBMCBMC Family Practice1471-22962021-05-012211810.1186/s12875-021-01443-7Patient perspectives on tablet-based technology to collect risk factor information in primary careLeanne Kosowan0Alan Katz1Gayle Halas2Alexander Singer3Department of Family Medicine, Rady Faculty of Health Sciences, University of ManitobaManitoba Centre for Health Policy and Departments of Community Health Science & Family Medicine, Rady Faculty of Health Sciences, University of ManitobaDepartment of Family Medicine, Rady Faculty of Health Sciences, University of ManitobaDepartment of Family Medicine, Rady Faculty of Health Sciences, University of ManitobaAbstract Background Primary care provides an opportunity to introduce prevention strategies and identify risk behaviours. Algorithmic information technology such as the Risk Factor Identification Tool (RFIT) can support primary care counseling. This study explores the integration of the tablet-based RFIT in primary care clinics to support exploration of patient risk factor information. Methods Qualitative study to explore patients’ perspectives of RFIT. RFIT was implemented in two primary care clinics in Manitoba, Canada. There were 207 patients who completed RFIT, offered to them by eight family physicians. We conducted one-on-one patient interviews with 86 patients to capture the patient’s perspective. Responses were coded and categorized into five common themes. Results RFIT had a completion rate of 86%. Clinic staff reported that very few patients declined the use of RFIT or required assistance to use the tablet. Patients reported that the tablet-based RFIT provided a user-friendly interface that enabled self-reflection while in the waiting room. Patients discussed the impact of RFIT on the patient-provider interaction, utility for the clinician, their concerns and suggested improvements for RFIT. Among the patients who used RFIT 12.1% smoked, 21.2% felt their diet could be improved, 9.3% reported high alcohol consumption, 56.4% reported less than 150 min of PA a week, and 8.2% lived in poverty. Conclusion RFIT is a user-friendly tool for the collection of patient risk behaviour information. RFIT is particularly useful for patients lacking continuity in the care they receive. Information technology can promote self-reflection while providing useful information to the primary care clinician. When combined with practical tools and resources RFIT can assist in the reduction of risk behaviours.https://doi.org/10.1186/s12875-021-01443-7Risk FactorsInformation technologyPrimary health carePrimary prevention |
| spellingShingle | Leanne Kosowan Alan Katz Gayle Halas Alexander Singer Patient perspectives on tablet-based technology to collect risk factor information in primary care BMC Family Practice Risk Factors Information technology Primary health care Primary prevention |
| title | Patient perspectives on tablet-based technology to collect risk factor information in primary care |
| title_full | Patient perspectives on tablet-based technology to collect risk factor information in primary care |
| title_fullStr | Patient perspectives on tablet-based technology to collect risk factor information in primary care |
| title_full_unstemmed | Patient perspectives on tablet-based technology to collect risk factor information in primary care |
| title_short | Patient perspectives on tablet-based technology to collect risk factor information in primary care |
| title_sort | patient perspectives on tablet based technology to collect risk factor information in primary care |
| topic | Risk Factors Information technology Primary health care Primary prevention |
| url | https://doi.org/10.1186/s12875-021-01443-7 |
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