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Fidelity of the delivery of NHS Health Checks in general practice: an observational study
BACKGROUND: The NHS Health Check programme aims to reduce the risk of common preventable diseases by providing risk information and behaviour change advice. Failure to deliver the consultation appropriately could undermine its efficacy. To date, to the authors’ knowledge, there are no published data...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Royal College of General Practitioners
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7606139/ https://www.ncbi.nlm.nih.gov/pubmed/32967842 http://dx.doi.org/10.3399/bjgpopen20X101077 |
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author | Paxton, Ben Mills, Katie Usher-Smith, Juliet A |
author_facet | Paxton, Ben Mills, Katie Usher-Smith, Juliet A |
author_sort | Paxton, Ben |
collection | PubMed |
description | BACKGROUND: The NHS Health Check programme aims to reduce the risk of common preventable diseases by providing risk information and behaviour change advice. Failure to deliver the consultation appropriately could undermine its efficacy. To date, to the authors’ knowledge, there are no published data on the fidelity of delivery of NHS Health Checks. AIM: To assess the fidelity of delivery of NHS Health Checks in general practice. DESIGN & SETTING: Fidelity assessment of video and audio recordings of NHS Health Check consultations conducted in four GP practices across the East of England. METHOD: A secondary analysis of 38 NHS Health Check consultations, which were video or audio recorded as part of a pilot study of introducing discussions of cancer risk into NHS Health Checks. Using a checklist based on the NHS Health Check Best Practice Guidance, fidelity of delivery was assessed as the proportion of key elements completed during the consultations. RESULTS: The mean number of elements of the NHS Health Check completed across all consultations was 14.5/18 (80.6%), with a range of 10 to 17 (55.6% to 94.4%). The mean fidelity for risk assessment, risk communication, and risk management sections was 8.7/10 (87.0%), 4.1/5 (82.0%), and 1.7/3 (56.7%), respectively. Clinically appropriate lifestyle advice was given in 34/38 consultations. Elements with the lowest fidelity were ethnicity assessment (n = 12/38; 31.6%), family history of cardiovascular disease (CVD) assessment (n = 25/38; 65.8%), AUDIT-C communication (n = 13/38; 34.2%), and dementia risk management (n = 6/38; 15.8%). CONCLUSION: Although fidelity of delivery was high overall, important elements of the NHS Health Check were being regularly omitted. Opportunities for behaviour change, particularly relating to alcohol consumption and dementia risk management, may be being missed. |
format | Online Article Text |
id | pubmed-7606139 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Royal College of General Practitioners |
record_format | MEDLINE/PubMed |
spelling | pubmed-76061392020-11-09 Fidelity of the delivery of NHS Health Checks in general practice: an observational study Paxton, Ben Mills, Katie Usher-Smith, Juliet A BJGP Open Research BACKGROUND: The NHS Health Check programme aims to reduce the risk of common preventable diseases by providing risk information and behaviour change advice. Failure to deliver the consultation appropriately could undermine its efficacy. To date, to the authors’ knowledge, there are no published data on the fidelity of delivery of NHS Health Checks. AIM: To assess the fidelity of delivery of NHS Health Checks in general practice. DESIGN & SETTING: Fidelity assessment of video and audio recordings of NHS Health Check consultations conducted in four GP practices across the East of England. METHOD: A secondary analysis of 38 NHS Health Check consultations, which were video or audio recorded as part of a pilot study of introducing discussions of cancer risk into NHS Health Checks. Using a checklist based on the NHS Health Check Best Practice Guidance, fidelity of delivery was assessed as the proportion of key elements completed during the consultations. RESULTS: The mean number of elements of the NHS Health Check completed across all consultations was 14.5/18 (80.6%), with a range of 10 to 17 (55.6% to 94.4%). The mean fidelity for risk assessment, risk communication, and risk management sections was 8.7/10 (87.0%), 4.1/5 (82.0%), and 1.7/3 (56.7%), respectively. Clinically appropriate lifestyle advice was given in 34/38 consultations. Elements with the lowest fidelity were ethnicity assessment (n = 12/38; 31.6%), family history of cardiovascular disease (CVD) assessment (n = 25/38; 65.8%), AUDIT-C communication (n = 13/38; 34.2%), and dementia risk management (n = 6/38; 15.8%). CONCLUSION: Although fidelity of delivery was high overall, important elements of the NHS Health Check were being regularly omitted. Opportunities for behaviour change, particularly relating to alcohol consumption and dementia risk management, may be being missed. Royal College of General Practitioners 2020-09-23 /pmc/articles/PMC7606139/ /pubmed/32967842 http://dx.doi.org/10.3399/bjgpopen20X101077 Text en Copyright © 2020, The Authors https://creativecommons.org/licenses/by/4.0/ This article is Open Access: CC BY license (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | Research Paxton, Ben Mills, Katie Usher-Smith, Juliet A Fidelity of the delivery of NHS Health Checks in general practice: an observational study |
title | Fidelity of the delivery of NHS Health Checks in general practice: an observational study |
title_full | Fidelity of the delivery of NHS Health Checks in general practice: an observational study |
title_fullStr | Fidelity of the delivery of NHS Health Checks in general practice: an observational study |
title_full_unstemmed | Fidelity of the delivery of NHS Health Checks in general practice: an observational study |
title_short | Fidelity of the delivery of NHS Health Checks in general practice: an observational study |
title_sort | fidelity of the delivery of nhs health checks in general practice: an observational study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7606139/ https://www.ncbi.nlm.nih.gov/pubmed/32967842 http://dx.doi.org/10.3399/bjgpopen20X101077 |
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