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Changing conversations in primary care for patients living with chronic conditions: pilot and feasibility study of the ICAN Discussion Aid.
Boehmer, Kasey R; Dobler, Claudia C; Thota, Anjali; Branda, Megan; Giblon, Rachel; Behnken, Emma; Organick, Paige; Allen, Summer V; Shaw, Kevin; Montori, Victor M.
Afiliación
  • Boehmer KR; Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota, USA boehmer.kasey@mayo.edu.
  • Dobler CC; Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota, USA.
  • Thota A; Evidence-Based Practice Center, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota, USA.
  • Branda M; Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota, USA.
  • Giblon R; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota, USA.
  • Behnken E; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota, USA.
  • Organick P; Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota, USA.
  • Allen SV; Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota, USA.
  • Shaw K; Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota, USA.
  • Montori VM; Department of Family Medicine, Mayo Clinic, Rochester, Minnesota, USA.
BMJ Open ; 9(9): e029105, 2019 09 03.
Article en En | MEDLINE | ID: mdl-31481553
PURPOSE: To pilot test the impact of the ICAN Discussion Aid on clinical encounters. METHODS: A pre-post study involving 11 clinicians and 100 patients was conducted at two primary care clinics within a single health system in the Midwest. The study examined clinicians' perceptions about ICAN feasibility, patients' and clinicians' perceptions about encounter success, videographic differences in encounter topics, and medication adherence 6 months after an ICAN encounter. RESULTS: 39/40 control encounters and 45/60 ICAN encounters yielded usable data. Clinicians reported ICAN use was feasible. In ICAN encounters, patients discussed diet, being active and taking medications more. Clinicians scored themselves poorer regarding visit success than their patients scored them; this effect was more pronounced in ICAN encounters. ICAN did not improve 6-month medication adherence or lengthen visits. CONCLUSION: This pilot study suggests that using ICAN in primary care is feasible, efficient and capable of modifying conversations. With lessons learned in this pilot, we are conducting a randomised trial of ICAN versus usual care in diverse clinical settings. TRIAL REGISTRATION NUMBER: NCT02390570.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Relaciones Médico-Paciente / Atención Primaria de Salud / Enfermedad Crónica Tipo de estudio: Clinical_trials Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: BMJ Open Año: 2019 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Relaciones Médico-Paciente / Atención Primaria de Salud / Enfermedad Crónica Tipo de estudio: Clinical_trials Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: BMJ Open Año: 2019 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido