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A randomised trial assessing the acceptability and effectiveness of providing generic versus tailored feedback about health risks for a high need primary care sample.

Noble N, Paul C, Carey M, Blunden S, Turner N - BMC Fam Pract (2015)

Bottom Line: The aims of this study were to examine the acceptability and effectiveness of providing generic compared to tailored feedback on self-reported health risk behaviours among a high need sample of people attending an Aboriginal Community Controlled Health Service (ACCHS).The exit survey asked about feedback acceptability and effectiveness.Future work to rigorously evaluate the longer-term effectiveness of the provision of tailored health risk feedback for Aboriginal Australians, as well as other high need groups, is still needed.

View Article: PubMed Central - PubMed

Affiliation: Priority Research Centre for Health Behaviour and School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, 2308, Australia. Natasha.Noble@newcastle.edu.au.

ABSTRACT

Background: Tailored feedback has been shown to be effective for modifying health risk behaviours and may aid the provision of preventive care by general practitioners (GPs). However, provision of tailored patient feedback for vulnerable or socially disadvantaged groups is not well explored. The aims of this study were to examine the acceptability and effectiveness of providing generic compared to tailored feedback on self-reported health risk behaviours among a high need sample of people attending an Aboriginal Community Controlled Health Service (ACCHS).

Methods: Participants attending two ACCHSs in regional New South Wales completed a touch screen health risk survey and received either generic or tailored health risk feedback. Participants were asked to complete an exit survey after their appointment. The exit survey asked about feedback acceptability and effectiveness. Self-reported ease of understanding, relevance and whether the generic versus tailored feedback helped patients talk to their GP was compared using Chi-square analysis; The mean number of survey health risks talked about or for which additional actions were undertaken (such as provision of lifestyle advice or referral) was compared using t-tests.

Results: Eighty seven participants (36 % consent rate) completed the exit survey. Tailored feedback was rated as more relevant and was more likely to be shown to the participant's GP than generic feedback. There was no difference in the mean number of health risk topics discussed or number of additional actions taken by the GP by type of feedback.

Conclusions: Tailored and generic feedback showed no difference in effectiveness, and little difference in acceptability, among this socially disadvantaged population. Completing a health risk survey and receiving any type of feedback may have overwhelmed more subtle differences in outcomes between the generic and the tailored feedback. Future work to rigorously evaluate the longer-term effectiveness of the provision of tailored health risk feedback for Aboriginal Australians, as well as other high need groups, is still needed.

Trial registration: Australian New Zealand Clinical Trials Registry ANZCTRN12614001205628. Registered 11 November 2014.

No MeSH data available.


Assessment of the generic and tailored feedback (% who responded ‘yes’ to acceptability statements; n = 87)
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Fig2: Assessment of the generic and tailored feedback (% who responded ‘yes’ to acceptability statements; n = 87)

Mentions: The percentage of participants agreeing with statements assessing the two types of feedback (i.e., those responding ‘yes’) are shown in Fig. 2. Participants were significantly more likely to agree that the tailored feedback was ‘relevant to me’ compared to the generic feedback, Fisher’s exact: χ2(1, N = 87) = 5.22, p = .03, while agreement did not differ for the other statements (ps > .05).Fig. 2


A randomised trial assessing the acceptability and effectiveness of providing generic versus tailored feedback about health risks for a high need primary care sample.

Noble N, Paul C, Carey M, Blunden S, Turner N - BMC Fam Pract (2015)

Assessment of the generic and tailored feedback (% who responded ‘yes’ to acceptability statements; n = 87)
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4525725&req=5

Fig2: Assessment of the generic and tailored feedback (% who responded ‘yes’ to acceptability statements; n = 87)
Mentions: The percentage of participants agreeing with statements assessing the two types of feedback (i.e., those responding ‘yes’) are shown in Fig. 2. Participants were significantly more likely to agree that the tailored feedback was ‘relevant to me’ compared to the generic feedback, Fisher’s exact: χ2(1, N = 87) = 5.22, p = .03, while agreement did not differ for the other statements (ps > .05).Fig. 2

Bottom Line: The aims of this study were to examine the acceptability and effectiveness of providing generic compared to tailored feedback on self-reported health risk behaviours among a high need sample of people attending an Aboriginal Community Controlled Health Service (ACCHS).The exit survey asked about feedback acceptability and effectiveness.Future work to rigorously evaluate the longer-term effectiveness of the provision of tailored health risk feedback for Aboriginal Australians, as well as other high need groups, is still needed.

View Article: PubMed Central - PubMed

Affiliation: Priority Research Centre for Health Behaviour and School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, 2308, Australia. Natasha.Noble@newcastle.edu.au.

ABSTRACT

Background: Tailored feedback has been shown to be effective for modifying health risk behaviours and may aid the provision of preventive care by general practitioners (GPs). However, provision of tailored patient feedback for vulnerable or socially disadvantaged groups is not well explored. The aims of this study were to examine the acceptability and effectiveness of providing generic compared to tailored feedback on self-reported health risk behaviours among a high need sample of people attending an Aboriginal Community Controlled Health Service (ACCHS).

Methods: Participants attending two ACCHSs in regional New South Wales completed a touch screen health risk survey and received either generic or tailored health risk feedback. Participants were asked to complete an exit survey after their appointment. The exit survey asked about feedback acceptability and effectiveness. Self-reported ease of understanding, relevance and whether the generic versus tailored feedback helped patients talk to their GP was compared using Chi-square analysis; The mean number of survey health risks talked about or for which additional actions were undertaken (such as provision of lifestyle advice or referral) was compared using t-tests.

Results: Eighty seven participants (36 % consent rate) completed the exit survey. Tailored feedback was rated as more relevant and was more likely to be shown to the participant's GP than generic feedback. There was no difference in the mean number of health risk topics discussed or number of additional actions taken by the GP by type of feedback.

Conclusions: Tailored and generic feedback showed no difference in effectiveness, and little difference in acceptability, among this socially disadvantaged population. Completing a health risk survey and receiving any type of feedback may have overwhelmed more subtle differences in outcomes between the generic and the tailored feedback. Future work to rigorously evaluate the longer-term effectiveness of the provision of tailored health risk feedback for Aboriginal Australians, as well as other high need groups, is still needed.

Trial registration: Australian New Zealand Clinical Trials Registry ANZCTRN12614001205628. Registered 11 November 2014.

No MeSH data available.