Article Figures & Data
Figures
- Figure 1 CONSORT flowchart: all eligible patients
- Figure 2 CONSORT flowchart: questionnaire study. aIn the larger practices, study invitations were only sent to half the eligible patients in order to avoid over-recruitment. RUQ = resource use questionnaire.
Tables
BATHE is an acronym pertaining to a series of four linked questions and a closing statement as given below:
B = Background
Question 1. What is going on in your life?
A = Affect
Question 2. How do you feel about that?
T = Trouble
Question 3. What about the situation troubles you the most?
H = Handling
Question 4. How are you handling that?
E = Empathy
Closing Statement. That must be difficult for you (or something of an appropriately similar nature).Intervention, % (n) Control, % (n) Total patients 63 33 Mean age, years (SD) [range] 62.39 (20.57) [25–95] 57.75 (17.54) [20– 84] Proportion male 28.57 (18) 36.36 (12) Ethnicity proportion White/ White British 92.06 (58) 96.97 (32) Other 6.35 (4) 0.00 (0) Not recorded 1.59 (1) 3.03 (1) Living situation Alone 33.33 (21) 24.24 (8) With someone 63.49 (40) 60.61 (20) Not reported 3.17 (2) 15.15 (5) Patients in each quintile of IMD
(lower quintile = more deprived)Quintile 1 15.87 (10) 21.21 (7) Quintile 2 15.87 (10) 30.30 (10) Quintile 3 22.22 (14) 33.33 (11) Quintile 4 19.05 (12) 15.15 (5) Quintile 5 25.39 (16) 0.00 (0) Not recorded 1.59 (1) 0.00 (0) Patients with different numbers of QOF conditions Number of QOF conditions 0 42.86 (27) 36.36 (12) 1 28.57 (18) 24.24 (8) 2 17.46 (11) 21.21 (7) 3 9.52 (6) 9.09 (3) 4 1.59 (1) 3.03 (1) 5 0.00 (0) 3.03 (1) Missing 0.00 (0) 3.03 (1) IMD = Index of Multiple Deprivation. QOF = Quality Outcomes Framework.
The average number of QOF conditions per study patient across both groups was 1.07. Most common conditions: depression/schizophrenia (n = 20), anxiety/panic (n = 13), high blood pressure (n = 13), asthma (n = 12), COPD (n = 12).
Total consultations, n Patients, n Total patient years of follow-up Mean consultation rate 95% CI Rate ratio (95% CI based
on a negative binomial regression)Practice 2 2160 153 145.72 15.51 (13.77 to 17.47) Practice 3 528 33 30.97 17.37 (13.67 to 22.06) Practice 4 2239 164 153.76 15.56 (13.67 to 17.72) Practice 5 1024 63 61.34 18.53 (15.64 to 21.95) Practice 1 661 38 36.42 18.26 (14.30 to 23.32) Practice 6 1735 110 103.97 16.70 (14.33 to 19.47) Intervention 5951 413 391.78 16.14 (14.97 to 17.40) 0.944
(0.814 to 1.094)Control 2396 148 140.39 17.10 (15.01 to 19.48) CI = confidence intervals.
Total, n
(n = 413)Practice 2, n
(n = 153)Practice 3, n
(n = 33)Practice 4, n
(n = 164)Practice 5, n
(n = 63)Eligible patients consulting with named GP, n (%) 0 times 102 (24.7) 17 (11.11) 3 (9.09) 73 (44.51) 9 (14.29) ≥1 times 311 (75.3) 136 (88.89) 30 (90.91) 91 (55.49) 54 (85.71) Eligible patients consulting by telephone, n (%) 0 times 82 (19.85) 39 (25.49) 3 (9.09) 36 (21.95) 4 (6.35) ≥1 times 331 (80.15) 114 (74.51) 30 (90.91) 128 (78.05) 59 (93.65) Eligible patients exposed to BATHE, n (%) 0 times 206 (49.88) 79 (51.63) 21 (63.64) 96 (58.54) 10 (15.87) ≥1 times 207 (50.12) 74 (48.37) 12 (36.36) 68 (41.46) 53 (84.13) Frequency of eligible patients exposed to BATHE, n (%) Proportion of consultations 0% 206 (49.88) 79 (51.63) 21 (63.64) 96 (58.54) 10 (15.87) 0.1–10.0% 54 (13.08) 22 (14.38) 3 (9.09) 26 (15.85) 3 (4.76) 10.1–20.0% 70 (16.95) 23 (15.03) 5 (15.15) 21 (12.8) 21 (33.33) 20.1–30.0% 40 (9.69) 15 (9.8) 2 (6.06) 6 (3.66) 17 (26.98) 30.1–40.0% 21 (5.08) 8 (5.23) 1 (3.03) 5 (3.05) 7 (11.11) ≥40.1% 22 (5.33) 6 (3.92) 1 (3.03) 10 (6.1) 5 (7.94) - Table 3b Proportion of matched and telephone consultations with eligible patients across groups
Using consultation data Before, % After, % Difference, % Proportion of consultations with named GP Intervention 28.14 33.64 5.50 Control 21.91 22.93 1.02 Proportion of telephone consultations Intervention 29.87 33.37 3.50 Control 44.34 48.93 4.59
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A consultation-level intervention to improve care of frequently attending patients: a cluster randomised controlled feasibility trial
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