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Supporting primary care practitioners to promote dementia risk reduction in Australian general practice: outcomes of a cross-sectional, non-randomised implementation pilot study.
- Source :
- Australian Journal of Primary Health; 2024, Vol. 30 Issue 5, p1-11, 11p
- Publication Year :
- 2024
-
Abstract
- Background: Primary care practitioners worldwide are urged to promote dementia risk reduction as part of preventive care. To facilitate this in Australian primary care, we developed the Umbrella intervention, comprising a waiting room survey and patient information cards for use in consultations. Educational and relational strategies were employed to mitigate implementation barriers. Methods: In this cross-sectional, non-randomised implementation study within the South East Melbourne Primary Health Network, we employed mixed-methods outcome evaluation. Antecedent outcomes (acceptability, appropriateness, and feasibility) and actual outcomes (adoption, penetration, and fidelity) were assessed from the perspective of primary care practitioners and patients. Results: Five practices piloted the intervention and implementation strategies, including 16 primary care practitioners engaging with 159 patients. The Umbrella intervention was deemed acceptable, appropriate, and feasible, but penetration was limited. Approximately half of eligible primary care practitioners used the intervention, with moderate fidelity. Engagement with implementation strategies was similarly limited. While most strategies were well-received, improvements in online peer discussions and staff readiness were desired. Conclusions: The Umbrella intervention is a viable approach to promoting dementia risk reduction in Australian general practice, supported by educational and relational strategies. Stakeholder-informed refinements to enhance uptake are recommended before advancing to a definitive trial. Primary care practitioners should be promoting dementia risk reduction as part of preventive care. Using a rigorous, theory-driven, evidence-based, stakeholder-informed approach, we developed an intervention for promoting dementia risk reduction that was acceptable, appropriate, feasible, and complemented by acceptable and appropriate implementation strategies. However, preventive interventions will not be taken up widely in general practice until they are prioritised above competing demands on resources. [ABSTRACT FROM AUTHOR]
- Subjects :
- DEMENTIA risk factors
RISK assessment
HEALTH services accessibility
CROSS-sectional method
PREDICTIVE tests
FAMILY medicine
RESEARCH funding
PRIMARY health care
PILOT projects
HEALTH
FAMILY nurses
INFORMATION resources
TEACHING methods
DESCRIPTIVE statistics
HARM reduction
SURVEYS
RESEARCH methodology
ATTITUDES of medical personnel
CONCEPTUAL structures
HEALTH promotion
HEALTH outcome assessment
HEALTH facilities
WAITING rooms
INTERPERSONAL relations
LABOR incentives
DATA analysis software
DEMENTIA patients
PREVENTIVE health services
MEDICAL referrals
PATIENTS' attitudes
PAY for performance
Subjects
Details
- Language :
- English
- ISSN :
- 14487527
- Volume :
- 30
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Australian Journal of Primary Health
- Publication Type :
- Academic Journal
- Accession number :
- 180336060
- Full Text :
- https://doi.org/10.1071/PY24063