Addressing the needs of caregivers of cancer patients in general practice: a complex intervention
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 care...
| Main Authors: | , , , , |
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| Format: | Journal Article |
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Radcliffe Medical Press Ltd.
2010
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| Online Access: | http://hdl.handle.net/20.500.11937/10913 |
| _version_ | 1848747664502423552 |
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| author | Jiwa, Moyez Mitchell, G. Sibbrit, D. Girgis, A. Burridge, L. |
| author_facet | Jiwa, Moyez Mitchell, G. Sibbrit, D. Girgis, A. Burridge, L. |
| author_sort | Jiwa, Moyez |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T06:52:45Z |
| format | Journal Article |
| id | curtin-20.500.11937-10913 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T06:52:45Z |
| publishDate | 2010 |
| publisher | Radcliffe Medical Press Ltd. |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-109132017-01-30T11:21:43Z Addressing the needs of caregivers of cancer patients in general practice: a complex intervention Jiwa, Moyez Mitchell, G. Sibbrit, D. Girgis, A. Burridge, L. consultation caregivers general practice innovation cancer 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. 2010 Journal Article http://hdl.handle.net/20.500.11937/10913 Radcliffe Medical Press Ltd. restricted |
| spellingShingle | consultation caregivers general practice innovation cancer Jiwa, Moyez Mitchell, G. Sibbrit, D. Girgis, A. Burridge, L. Addressing the needs of caregivers of cancer patients in general practice: a complex intervention |
| title | Addressing the needs of caregivers of cancer patients in general practice: a complex intervention |
| title_full | Addressing the needs of caregivers of cancer patients in general practice: a complex intervention |
| title_fullStr | Addressing the needs of caregivers of cancer patients in general practice: a complex intervention |
| title_full_unstemmed | Addressing the needs of caregivers of cancer patients in general practice: a complex intervention |
| title_short | Addressing the needs of caregivers of cancer patients in general practice: a complex intervention |
| title_sort | addressing the needs of caregivers of cancer patients in general practice: a complex intervention |
| topic | consultation caregivers general practice innovation cancer |
| url | http://hdl.handle.net/20.500.11937/10913 |