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...

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Autores principales:	Danielle Rose, Emma Ray, Rachael H. Summers, Melinda Taylor, Helen Kruk, Mal North, Kate Gillett, Mike Thomas, Tom M. A. Wilkinson
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Diseases of the respiratory system RC705-779
Acceso en línea:	https://doaj.org/article/346b636a901b45d9991e2f5f76b6a5f4
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id	oai:doaj.org-article:346b636a901b45d9991e2f5f76b6a5f4
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spelling	oai:doaj.org-article:346b636a901b45d9991e2f5f76b6a5f42021-12-02T10:44:07ZCase-finding for COPD clinic acceptability to patients in GPs across Hampshire: a qualitative study10.1038/s41533-021-00216-02055-1010https://doaj.org/article/346b636a901b45d9991e2f5f76b6a5f42021-02-01T00:00:00Zhttps://doi.org/10.1038/s41533-021-00216-0https://doaj.org/toc/2055-1010Abstract 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.Danielle RoseEmma RayRachael H. SummersMelinda TaylorHelen KrukMal NorthKate GillettMike ThomasTom M. A. WilkinsonNature PortfolioarticleDiseases of the respiratory systemRC705-779ENnpj Primary Care Respiratory Medicine, Vol 31, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the respiratory system RC705-779
spellingShingle	Diseases of the respiratory system RC705-779 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
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.
format	article
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
title	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_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_sort	case-finding for copd clinic acceptability to patients in gps across hampshire: a qualitative study
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/346b636a901b45d9991e2f5f76b6a5f4
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Case-finding for COPD clinic acceptability to patients in GPs across Hampshire: a qualitative study

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