Addressing the needs of caregivers of cancer patients in general practice: A complex intervention

Jiwa, Moyez, Mitchell, Geoffrey, Sibbrit, David, Girgis, Afar and Burridge, Letitia (2010) Addressing the needs of caregivers of cancer patients in general practice: A complex intervention. Quality in Primary Care, 18 1: 9-16.

Author Jiwa, Moyez
Mitchell, Geoffrey
Sibbrit, David
Girgis, Afar
Burridge, Letitia
Title Addressing the needs of caregivers of cancer patients in general practice: A complex intervention
Journal name Quality in Primary Care   Check publisher's open access policy
ISSN 1479-1072
1479-1064
Publication date 2010
Year available 2010
Sub-type Article (original research)
Open Access Status
Volume 18
Issue 1
Start page 9
End page 16
Total pages 8
Place of publication Milton Keynes, United Kingdom
Publisher Radcliffe Publishing Ltd.
Collection year 2011
Language eng
Subject 2719 Health Policy
2739 Public Health, Environmental and Occupational Health
Abstract Background This study aimed to develop an innovation to assist general practitioners (GPs) in Australia to proactively address the needs of caregivers of people with cancer. Method Six GPs were video recorded each consulting six actor-patients in their respective practices. All cases depicted caregivers of people with cancer. The patients were instructed to complete a Needs Assessment Tool for Caregivers (NAT-C), before the consultation. Actor-patients were instructed to present the NAT-C to three of the six GPs they consulted, selected at random. Two assessors independently reviewed each consultation performance using the Leicester Assessment Package (LAP). The practitioners and actor-patients focused on the value of the NAT-C and how it could be deployed to best effect in a subsequent 'stimulated recall session'. Results Thirty-four consultations were successfully recorded. The mean duration of consultations was 13 min. 47 sec. (range 6 min. 3 sec. to 22 min. 51 sec.). GPs differed in core competencies as measured by the LAP (P<0.001), range 37-92%. However, they demonstrated no significant differences in performance (LAP scores) analysed by scenario (P = 0.99). The 'generalised estimating equation' (GEE) model identified an improved LAP score in consultations in which the NAT-C was used (average of 3.3 points; 95% CI: -3.99, 10.6), after controlling for the different GPs and scenarios, but this improvement was not statistically significant (P= 0.37). The participants felt that the NAT-C was beneficial and suggested how it could be further refined. Conclusions If this innovation had been formally tested in a randomised trial without assessing its impact on the consultation there might have been significant difficulties with administering the intervention in practice.
Keyword Cancer
Caregivers
Consultation
General practice
Innovation
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: Discipline of General Practice Publications
 
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