Development of an intervention to expedite cancer diagnosis through primary care: a protocol

Allbwn ymchwil: Cyfraniad at gyfnodolynErthygladolygiad gan gymheiriaid

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Dangosydd eitem ddigidol (DOI)

  • Marian Andrei Stanciu
  • Rebecca-Jane Law
  • Sadia Nafees
  • Margaret Hendry
  • Seow Tien Yeo
  • Julia Hiscock
  • Ruth Lewis
  • Rhiannon Edwards
  • Nefyn Williams
    Department of Molecular and Clinical Pharmacology, University of Liverpool
  • Katherine Brain
    School of Healthcare Sciences, Cardiff University
  • Paul Brocklehurst
  • Andrew Carson-Stevens
    Department of Molecular and Clinical Pharmacology, University of Liverpool
  • Sunil Dolwani
    School of Healthcare Sciences, Cardiff University
  • Jon Emery
    University of Melbourne
  • William Hamilton
    College of Life and Environmental Sciences, University of Exeter, Penryn Campus, Penryn, 9 TR10 9EZ, UK.
  • Zoe Hoare
  • Georgios Lyratzopoulos
    University College London
  • Greg Rubin
    University of Newcastle
  • Stephanie Smits
    School of Healthcare Sciences, Cardiff University
  • Peter Vedsted
    Aarhus University, Aarhus, Denmark
  • Fiona Walter
    Cambridge University
  • Clare Wilkinson
  • Richard Neal
    School of Geography, University of Leeds, UK
Background GPs can play an important role in achieving earlier cancer diagnosis to improve patient outcomes, for example through prompt use of the urgent suspected cancer referral pathway. Barriers to early diagnosis include individual practitioner variation in knowledge, attitudes, beliefs, professional expectations, and norms. Aim This programme of work (Wales Interventions and Cancer Knowledge about Early Diagnosis [WICKED]) will develop a behaviour change intervention to expedite diagnosis through primary care and contribute to improved cancer outcomes. Design & setting Non-experimental mixed-method study with GPs and primary care practice teams from Wales. Method Four work packages will inform the development of the behaviour change intervention. Work package 1 will identify relevant evidence-based interventions (systematic review of reviews) and will determine why interventions do or do not work, for whom, and in what circumstances (realist review). Work package 2 will assess cancer knowledge, attitudes, and behaviour of GPs, as well as primary care teams’ perspectives on cancer referral and investigation (GP survey, discrete choice experiment [DCE], interviews, and focus groups). Work package 3 will synthesise findings from earlier work packages using the behaviour change wheel as an overarching theoretical framework to guide intervention development. Work package 4 will test the feasibility and acceptability of the intervention, and determine methods for measuring costs and effects of subsequent behaviour change in a randomised feasibility trial. Results The findings will inform the design of a future effectiveness trial, with concurrent economic evaluation, aimed at earlier diagnosis. Conclusion This comprehensive, evidence-based programme will develop a complex GP behaviour change intervention to expedite the diagnosis of symptomatic cancer, and may be applicable to countries with similar healthcare systems.
Iaith wreiddiolSaesneg
Rhif yr erthyglbjgpopen18X101595
CyfnodolynBritish Journal of General Practice
Cyfrol2
Rhif y cyfnodolyn3
Dyddiad ar-lein cynnar4 Medi 2018
Dynodwyr Gwrthrych Digidol (DOIs)
StatwsCyhoeddwyd - Hyd 2018

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