ABSTRACT Objective GPs have a complex role in obesity management due to patients' individualized experience of living with obesity, coupled the challenge deliver healthcare messages non‐stigmatizing ways. This study aimed explore who initiates topic weight and how was discussed real‐world GP‐patient consultations. Method A multi‐disciplinary team, including lived experts, undertook secondary data analysis 43 Australian video recorded consultations patient surveys from The Digital Library...

Background Approximately 500 million people worldwide live with type 2 diabetes mellitus. The UK's 'Diabetes Remission Clinical Trial' (DiRECT) is a potential novel method for care. An Australian trial of DiRECT (DiRECT-Aus) showed that 56% participants achieved remission at 12months. We explored the experiences patients, clinicians and partners involved in DiRECT-Aus to ascertain acceptability feasibility DiRECT-Aus, as well factors influencing implementation, inform recommendations...

Participant recruitment for qualitative research often offers incentives (honoraria; financial compensation) to increase participation and recognise lived expertise time involved in research. While not necessarily a new concern survey other quantitative based research, 'spam', 'bot', inauthentic forms of has rarely been an apparent issue given it involves levels interaction with potential participants prior the conduct in-depth interviews methods data generation. This is no longer case. A...

Abstract Background Language is a barrier to many patients from refugee backgrounds accessing and receiving quality primary health care. This paper examines the way general practices address these barriers how this changed following practice facilitation intervention. Methods The OPTIMISE study was stepped wedge cluster randomised trial set within 31 in three urban regions Australia with high settlement. It involved intervention addressing interpreter engagement as one of four core areas....

Abstract Aim: Any regulation of food marketing to children requires clear definitions the types foods considered inappropriate and subject restrictions. The aim this research was examine commitments made by signatory companies Australian Food Grocery Council's Responsible Marketing Children Initiative regarding appropriate for children. Methods: Nutrient criteria developed were examined comparing (i) thresholds set negative nutrients (saturated fats, added sugars sodium) total energy two...

Background Brief interventions (BIs) are effective for reducing harmful alcohol consumption, but their use in primary care is less frequent than clinically indicated. The REducing AlCohol- related Harm (REACH) project aimed to increase the delivery of BIs care. Aim To assess effectiveness REACH programme increasing general practice and explore implementation factors that improve or reduce uptake by clinicians. Design setting This article reports on a sequential, explanatory mixed-methods...

Brief interventions (BIs) delivered in primary care can reduce harmful alcohol consumption. Yet, clinicians do not routinely offer BIs to use.We explored the perspectives of and patients about use during consultations Australian care.Semi-structured interviews focus groups (face-to-face virtual) were undertaken with 34 general practitioners, eight practice nurses 17 patients. Field notes made from audio-recordings themes identified using a descriptive qualitative approach field as point data...

Alcohol is a major source of harm in Australia that disproportionately affects low-income communities. brief interventions (ABIs) combine an assessment person's alcohol use with advice to reduce health risks. Despite their effectiveness, ABIs are not routinely performed by clinicians. This article presents protocol for feasibility trial pragmatic implementation strategies and new set resources support clinicians complete Australian general practices.

Australia is one of many nations struggling with the challenges delivering quality primary health care (PHC) to increasing numbers refugees. The OPTIMISE project represents a collaboration between 12 organisations generate model integrated refugee PHC suitable for uptake throughout Australia. This paper describes methodology component; an outreach practice facilitation intervention, directed towards improving received by refugees in Australian general practices.Our mixed methods study will...

Older people who live in the community and need assistance with daily activities are a unique group of patients to treat primary care (PC) setting. This study aimed understand access-related PC needs experiences community-living over 65 years age receiving home-based through Home Community Care (HACC) program Melbourne, Australia. descriptive qualitative used thematic analysis in-depth interviews HACC clients assessment officers. Access-related were examined using patient-centred access...

To examine whether primary care outreach facilitation improves the quality of for general practice patients from refugee backgrounds.Pragmatic, cluster randomised controlled trial, with stepped wedge allocation to early or late intervention groups.31 practices in three metropolitan areas Sydney and Melbourne high levels resettlement, November 2017 - August 2019.Trained facilitators made visits over six months, using structured action plans help teams optimise routines care.Change proportion...

Background While patients from low socioeconomic (SES) backgrounds are at increased risk of developing chronic health conditions, typically managed within general practice, they report fewer positive consultation experiences with GPs than higher SES groups. To our knowledge, existing research does not provide an in-depth understanding the GP conducts that contribute to consultations. Aim identify factors perceive as essential for creating good experiences. Design & setting This...

Background A key role of general practice professionals (that is, GPs, and nurses [GPNs]) is to support patients change behaviours. Traditional approaches assisting with, learning about, behaviour have modest outcomes. Aim To explore with GPs GPNs the availability related professional development (PD) opportunities. Design & setting Multi-methods study comprising an environmental scan survey tools PD opportunities, online workshops Australian GPNs. Method Survey data were analysed using...

SMS text messages through mobile phones are a common means of interpersonal communication. message surveys gaining traction in health care and research due to their feasibility patient acceptability. However, challenges arise implementing surveys, especially when targeting marginalized populations, because barriers accessing data as well communication difficulties. In primary care, traditional (paper-based online) often face low response rates that particularly pronounced among disadvantaged...

The highly individualised experience of living with obesity, coupled the challenge for GPs to deliver healthcare messages in non-stigmatising ways, makes role a GP obesity management complex. This study aimed explore discussion strategies used real-world GP-patient consultations when discussing obesity. <h3>Method:</h3> Secondary data analysis Australia's first, and only, Digital Library video recorded was used. 47 patient post-consultation satisfaction surveys were analysed using...

Background and objectiveType 2 diabetes is one of the most common chronic conditions managed in Australian general practice.DiRECT-Aus replicating UK Diabetes Remission Clinical Trial (DiRECT) practices across NSW.The aim study will be to explore implementation DiRECT-Aus inform future scale-up sustainability. MethodsThis a cross-sectional qualitative using semi-structured interviews experiences patients, clinicians stakeholders trial.The Consolidated Framework for Implementation Research...

Objectives: To describe existing tools for screening patients unstable housing in a healthcare setting. Methods: A literature search was completed to retrieve articles published the last 10 years on Results: The current homelessness settings describes variety of administered by range providers, but all are based United States. Conclusion: studies revealed potential effective and positive engagement providers with screening. Key areas future research include innovative methods evaluation...

<sec> <title>BACKGROUND</title> SMS text messages through mobile phones are a common means of interpersonal communication. message surveys gaining traction in health care and research due to their feasibility patient acceptability. However, challenges arise implementing surveys, especially when targeting marginalized populations, because barriers accessing data as well communication difficulties. In primary care, traditional (paper-based online) often face low response rates that...