Enabling patients with advanced Chronic Obstructive Pulmonary Disease to identify and express their support needs to health care professionals: a qualitative study to develop a tool

A. Carole Gardener, Gail Ewing, Morag Farquhar

Research output: Contribution to journalArticle

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Abstract

Background: Patients with advanced Chronic Obstructive Pulmonary Disease (COPD) have difficulty reporting their holistic support needs to health care professionals, undermining delivery of person-centred care. We lack tools that directly support patients with this.
Aim: To develop an evidence-based, designed-for-purpose, tool to enable patients to directly identify and express support needs to health care professionals.
Design: Two-stage qualitative study. Stage 1: domains of support need identified through a systematic review, analysis of an established qualitative dataset and patient/carer focus groups. Stage 2: draft tool developed using the identified domains of need, then refined through feedback from patients, carers, and health care professionals, ensuring acceptability and suitability.
Setting/participants: Stage 1 patients/carers recruited via four primary care practices and two patient support groups (East of England). Stage 2 health care professionals recruited via the Clinical Research Network and local community trust, and patients/carers through two further practices and two additional support groups (East of England). In total, 57 patients, carers and health care professionals participated.
Results: A comprehensive set of evidence-based support domains (e.g. overcoming boredom or loneliness, knowing what to expect in the future) were identified and formulated into questions. The resulting tool asks patients to consider whether they need more support in 15 broad areas. Patients, carers and clinical stakeholders broadly endorsed the tool’s content and wording.
Conclusions: The Support Needs Approach for Patients (SNAP) tool is a concise evidence-based tool designed to help patients with advanced COPD identify and express their support needs to enable delivery of person-centred care.

Original languageEnglish
Pages (from-to)663-675
Number of pages13
JournalPalliative Medicine
Volume33
Issue number6
Early online date5 Mar 2019
DOIs
Publication statusPublished - 1 Jun 2019

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