Supporting primary care practitioners to promote dementia risk reduction in Australian general practice: outcomes of a cross-sectional, non-randomised implementation pilot study.
Background: Primary care practitioners worldwide are urged to promote dementia risk reduction as part of preventive care. To facilitate this in Australian primary care, we developed the Umbrella intervention, comprising a waiting room survey and patient information cards for use in consultations. Ed...
| Publicado en: | Australian Journal of Primary Health Vol. 30; no. 5; pp. 1 - 12 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
CSIRO Publishing
2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180336060&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180336060 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14487527 1DXM jtl: Australian Journal of Primary Health issn: 14487527 maglogo: N pubinfo: dt: 2024 vid: 30 iid: 5 pid: 1568 pub: CSIRO Publishing place: Canberra ACT, <Blank> artinfo: ui: 180336060 180336060 180336060 10.1071/PY24063 180336060 ppf: 1 ppct: 11 formats: tig: atl: Supporting primary care practitioners to promote dementia risk reduction in Australian general practice: outcomes of a cross-sectional, non-randomised implementation pilot study. aug: au: Godbee, Kali Palmer, Victoria J. Gunn, Jane M. Lautenschlager, Nicola T. Francis, Jill J. affil: Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Vic, Australia. sug: subj: Primary Health Care Australia Health Personnel Dementia Risk Factors Health Promotion Methods Harm Reduction Family Practice Methods Implementation Science Risk Assessment Outcome Assessment Human Australia Adult Middle Age Aged Dementia Patients Pilot Studies Preventive Health Care Waiting Rooms Surveys Health Information Utilization Referral and Consultation Teaching Methods Interpersonal Relations Health Services Accessibility Cross Sectional Studies Multimethod Studies Attitude of Health Personnel Patient Attitudes Family Nurses Physicians, Family Conceptual Framework Predictive Research Reimbursement, Incentive Clinical Assessment Tools Descriptive Statistics Data Analysis Software Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years ab: Background: Primary care practitioners worldwide are urged to promote dementia risk reduction as part of preventive care. To facilitate this in Australian primary care, we developed the Umbrella intervention, comprising a waiting room survey and patient information cards for use in consultations. Educational and relational strategies were employed to mitigate implementation barriers. Methods: In this cross-sectional, non-randomised implementation study within the South East Melbourne Primary Health Network, we employed mixed-methods outcome evaluation. Antecedent outcomes (acceptability, appropriateness, and feasibility) and actual outcomes (adoption, penetration, and fidelity) were assessed from the perspective of primary care practitioners and patients. Results: Five practices piloted the intervention and implementation strategies, including 16 primary care practitioners engaging with 159 patients. The Umbrella intervention was deemed acceptable, appropriate, and feasible, but penetration was limited. Approximately half of eligible primary care practitioners used the intervention, with moderate fidelity. Engagement with implementation strategies was similarly limited. While most strategies were well-received, improvements in online peer discussions and staff readiness were desired. Conclusions: The Umbrella intervention is a viable approach to promoting dementia risk reduction in Australian general practice, supported by educational and relational strategies. Stakeholder-informed refinements to enhance uptake are recommended before advancing to a definitive trial. Primary care practitioners should be promoting dementia risk reduction as part of preventive care. Using a rigorous, theory-driven, evidence-based, stakeholder-informed approach, we developed an intervention for promoting dementia risk reduction that was acceptable, appropriate, feasible, and complemented by acceptable and appropriate implementation strategies. However, preventive interventions will not be taken up widely in general practice until they are prioritised above competing demands on resources. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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