Background Many guidelines recommend non-drug interventions(NDIs)for managing common conditions in primary care.However,compared with drug interventions,NDIs are less widely known,promoted and used.We aim to(1)examine...Background Many guidelines recommend non-drug interventions(NDIs)for managing common conditions in primary care.However,compared with drug interventions,NDIs are less widely known,promoted and used.We aim to(1)examine general practitioners’(GPs’)knowledge,attitudes and practices for NDIs,including their use of the Royal Australian College of General Practitioners(RACGP)Handbook of Non-Drug Interventions(HANDI),and(2)identify factors influencing their use of NDIs and HANDI.Methods We conducted a web-based cross-sectional survey of practicing GP members in Australia during October-November 2022.The survey contained five sections:characteristics of GP;knowledge and use of NDIs;attitudes towards NDIs;barriers and enablers to using HANDI;and suggestions of NDIs and ideas to improve the uptake of NDIs in primary care.Results Of the 366 GPs who completed the survey,242(66%)were female,and 248(74%)were≥45 years old.One in three GPs reported that they regularly(‘always’)recommend NDIs to their patients when appropriate(34%),whereas one-third of GPs were unaware of HANDI(39%).GPs identified several factors that improve the uptake of HANDI,including‘access and integration of HANDI in clinical practice’,‘content and support to use in practice’and‘awareness and training’.Conclusions While many GPs are aware of the effectiveness of NDIs and often endorse their use,obstacles still prevent widespread adoption in primary care.The results of this survey can serve as a foundation for developing implementation strategies to improve the uptake of effective evidence-based NDIs in primary care.展开更多
在报告评估研究时,我们缺乏关于描述人口健康和政策(population health and policy,PHP)干预措施方面的指南。PHP干预措施包括法律、财政、结构、组织、环境和政策方面的干预,例如对不健康商品的监管、卫生服务的重组、福利政策的调整...在报告评估研究时,我们缺乏关于描述人口健康和政策(population health and policy,PHP)干预措施方面的指南。PHP干预措施包括法律、财政、结构、组织、环境和政策方面的干预,例如对不健康商品的监管、卫生服务的重组、福利政策的调整和社区改善计划。许多PHP干预措施具有的一些特征,对其实施和成功至关重要,但在原来的干预描述和复制模板(Template for Intervention Description and Replication, TIDieR)清单中没有充分体现出来。本文介绍了PHP干预报告模板(TIDieR-PHP)的开发,并给出了项目清单和示例。展开更多
基金Australian National Health and Medical Research Council(NHMRC)Investigator Grant(2008379).
文摘Background Many guidelines recommend non-drug interventions(NDIs)for managing common conditions in primary care.However,compared with drug interventions,NDIs are less widely known,promoted and used.We aim to(1)examine general practitioners’(GPs’)knowledge,attitudes and practices for NDIs,including their use of the Royal Australian College of General Practitioners(RACGP)Handbook of Non-Drug Interventions(HANDI),and(2)identify factors influencing their use of NDIs and HANDI.Methods We conducted a web-based cross-sectional survey of practicing GP members in Australia during October-November 2022.The survey contained five sections:characteristics of GP;knowledge and use of NDIs;attitudes towards NDIs;barriers and enablers to using HANDI;and suggestions of NDIs and ideas to improve the uptake of NDIs in primary care.Results Of the 366 GPs who completed the survey,242(66%)were female,and 248(74%)were≥45 years old.One in three GPs reported that they regularly(‘always’)recommend NDIs to their patients when appropriate(34%),whereas one-third of GPs were unaware of HANDI(39%).GPs identified several factors that improve the uptake of HANDI,including‘access and integration of HANDI in clinical practice’,‘content and support to use in practice’and‘awareness and training’.Conclusions While many GPs are aware of the effectiveness of NDIs and often endorse their use,obstacles still prevent widespread adoption in primary care.The results of this survey can serve as a foundation for developing implementation strategies to improve the uptake of effective evidence-based NDIs in primary care.
基金There was no funding for the development of TIDieR-PHPMC and PC are supported by the UK Medical Research Council/Chief Scientist Office Informing Healthy Public Policy programme(MC_UU_12017-15 and SPHSU15)+1 种基金SVK is supported by an NHS Research Scotland Scottish Senior Clinical Fellowship(SCAF/15/02)RAis supported by the Jack Brockhoff Child Health and Wellbeing Program.
文摘在报告评估研究时,我们缺乏关于描述人口健康和政策(population health and policy,PHP)干预措施方面的指南。PHP干预措施包括法律、财政、结构、组织、环境和政策方面的干预,例如对不健康商品的监管、卫生服务的重组、福利政策的调整和社区改善计划。许多PHP干预措施具有的一些特征,对其实施和成功至关重要,但在原来的干预描述和复制模板(Template for Intervention Description and Replication, TIDieR)清单中没有充分体现出来。本文介绍了PHP干预报告模板(TIDieR-PHP)的开发,并给出了项目清单和示例。
