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Article ; Online: “At the time I only wanted to relieve stress”

Kristien Coteur / Marc Van Nuland / Birgitte Schoenmakers / Kris Van den Broeck / Sibyl Anthierens

Heliyon, Vol 9, Iss 5, Pp e16215- (2023)

Exploring motivation for behaviour change in long-term hypnotic users

2023

Abstract: Background: Motivating patients to discontinue long-term benzodiazepine receptor agonist (BZRA) use for insomnia remains an important challenge in primary care because of the medication's unfavourable risk-benefit profile. Previous studies have shown ... ...

Abstract	Background: Motivating patients to discontinue long-term benzodiazepine receptor agonist (BZRA) use for insomnia remains an important challenge in primary care because of the medication's unfavourable risk-benefit profile. Previous studies have shown that understanding the complexity of patients' motivation is crucial to the primary care physician for providing effective interventions efficiently. Theoretical frameworks about behaviour change show that motivation is a multi-layered concept that interacts with other concepts, which aligns with a holistic perspective or implementation of the biopsychosocial model. Aim: Exploring primary care patients’ views and ideas on what factors helped or hindered them in discontinuing long-term BZRA use, in relation to motivation as conceptualised in the Behaviour Change Wheel, and associated domains of the Theoretical Domains Framework. Design and setting: A qualitative study with semi-structured interviews in primary care in Belgium between September 2020 and March 2021. Method: Eighteen interviews with long-term hypnotic users were audio recorded, transcribed and thematically analyzed, using the Framework Method. Results: The success of discontinuation interventions does not solely rely on patients’ spontaneous sense of striving for improvement. Reinforcement and identity were found to be important domains for motivation. Beliefs about personal capabilities, and about consequences of both BZRA intake and discontinuation, differed between previous and current users. Conclusion: Motivation is a multi-layered concept which is not fixed in time. Patient empowerment and goal setting could help long-term BZRA users to lower their intake. As well as public health interventions that might change social attitudes towards the use of hypnotic medication.
Keywords	Biopsychosocial model ; Insomnia ; Hypnotics and sedatives ; Motivation ; Primary care ; Deprescriptions ; Science (General) ; Q1-390 ; Social sciences (General) ; H1-99
Subject code	300
Language	English
Publishing date	2023-05-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The use of paracetamol for first-line treatment of acute sore throat. A descriptive generic qualitative study of GPs and patients

Kimberley De Vocht / Tycho Debie / Hilde Bastiaens / Sibyl Anthierens

European Journal of General Practice, Vol 27, Iss 1, Pp 60-

2021 Volume 67

Abstract: Background Paracetamol is recommended as first-line treatment for an acute sore throat. However, in primary care, antibiotics are still frequently prescribed as first-line management for sore throat. Objectives We aimed to explore the views and ... ...

Abstract	Background Paracetamol is recommended as first-line treatment for an acute sore throat. However, in primary care, antibiotics are still frequently prescribed as first-line management for sore throat. Objectives We aimed to explore the views and experiences of general practitioners (GPs) and patients regarding paracetamol for sore throat to understand why guidelines are often not adhered to. Methods A descriptive qualitative study with semi-structured interviews was conducted with a purposive sample of eight GPs and nine patients in Antwerp (Belgium). Data was analysed using thematic content analysis. Results The mean age of GPs was 42.4 years and of patients 51.4 years. Patients want reassurance and pain relief. Many patients do not self-manage their acute sore throat with paracetamol before consulting their GP. GPs often wrongly assume that the patient has already used pain relief without actually exploring this. Patients who do use paracetamol, do not know how to use it effectively. This leads to the perception and beliefs that it is insufficient to treat acute sore throat and when prescribed will lead to dissatisfaction. Patients generally accept the GP’s recommended treatment when given a thorough explanation, since they trust their GP’s expertise. Conclusion GPs play a major role in educating patients about paracetamol as effective pain-relieving treatment in acute sore throat. By actively exploring the patients’ ideas, concerns and expectations (ICE), patients’ satisfaction and guideline adherence could be improved.
Keywords	acute sore throat ; paracetamol ; patients ; general practitioners ; qualitative research ; Medicine (General) ; R5-920
Subject code	616
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	Taylor & Francis Group
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The Building Blocks of Implementation Frameworks and Models in Primary Care

Ine Huybrechts / Anja Declercq / Emily Verté / Peter Raeymaeckers / Sibyl Anthierens

Frontiers in Public Health, Vol

A Narrative Review

2021 Volume 9

Abstract: Background: Our aim is to identify the core building blocks of existing implementation frameworks and models, which can be used as a basis to further develop a framework for the implementation of complex interventions within primary care practices. ... ...

Abstract	Background: Our aim is to identify the core building blocks of existing implementation frameworks and models, which can be used as a basis to further develop a framework for the implementation of complex interventions within primary care practices. Within the field of implementation science, various frameworks, and models exist to support the uptake of research findings and evidence-based practices. However, these frameworks and models often are not sufficiently actionable or targeted for use by intervention designers. The objective of this research is to map the similarities and differences of various frameworks and models, in order to find key constructs that form the foundation of an implementation framework or model that is to be developed.Methods: A narrative review was conducted, searching for papers that describe a framework or model for implementation by means of various search terms, and a snowball approach. The core phases, components, or other elements of each framework or model are extracted and listed. We analyze the similarities and differences between the frameworks and models and elaborate on their core building blocks. These core building blocks form the basis of an overarching model that we will develop based upon this review and put into practice.Results: A total of 28 implementation frameworks and models are included in our analysis. Throughout 15 process models, a total of 67 phases, steps or requirements are extracted and throughout 17 determinant frameworks a total of 90 components, constructs, or elements are extracted and listed into an Excel file. They are bundled and categorized using NVivo 12© and synthesized into three core phases and three core components of an implementation process as common elements of most implementation frameworks or models. The core phases are a development phase, a translation phase, and a sustainment phase. The core components are the intended change, the context, and implementation strategies.Discussion: We have identified the core building blocks of an ...
Keywords	primary care interventions ; implementation ; implementation frameworks ; implementation models ; implementation process ; implementation science ; Public aspects of medicine ; RA1-1270
Subject code	690
Language	English
Publishing date	2021-08-01T00:00:00Z
Publisher	Frontiers Media S.A.
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Safety netting advice for respiratory tract infections in out-of-hours primary care

Annelies Colliers / Hilde Philips / Katrien Bombeke / Roy Remmen / Samuel Coenen / Sibyl Anthierens

European Journal of General Practice, Vol 28, Iss 1, Pp 87-

A qualitative analysis of consultation videos

2022 Volume 94

Abstract: Background General practitioners (GPs) use safety netting advice to communicate with patients when and how to seek further help when their condition fails to improve or deteriorate. Although many respiratory tract infections (RTI) during out-of-hours ( ... ...

Abstract	Background General practitioners (GPs) use safety netting advice to communicate with patients when and how to seek further help when their condition fails to improve or deteriorate. Although many respiratory tract infections (RTI) during out-of-hours (OOH) care are self-limiting, often antibiotics are prescribed. Providing safety netting advice could enable GPs to safely withhold an antibiotic prescription by dealing both with their uncertainty and the patients’ concerns.Objectives To explore how GPs use safety netting advice during consultations on RTIs in OOH primary care and how this advice is documented in the electronic health record.Methods We analysed video observations of 77 consultations on RTIs from 19 GPs during OOH care using qualitative framework analysis and reviewed the medical records. Videos were collected from August until November 2018 at the Antwerp city GP cooperative, Belgium.Results Safety netting advice on alarm symptoms, expected duration of illness and/or how and when to seek help is often lacking or vague. Communication of safety netting elements is scattered throughout the end phase of the consultation. The advice is seldom recorded in the medical health record. GPs give more safety netting advice when prescribing an antibiotic than when they do not prescribe an antibiotic.Conclusion We provided a better understanding of how safety netting is currently carried out in OOH primary care for RTIs. Safety netting advice during OOH primary care is limited, unspecific and not documented in the medical record.
Keywords	Video observation ; respiratory tract infections ; safety netting advice ; communication ; out-of-hours primary care ; antibiotics ; Medicine (General) ; R5-920
Subject code	650
Language	English
Publishing date	2022-12-01T00:00:00Z
Publisher	Taylor & Francis Group
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Methodological and Ethical Considerations when Conducting Qualitative Interview Research With Healthcare Professionals

Caitlin Pilbeam / Sibyl Anthierens / Samantha Vanderslott / Sarah Tonkin-Crine / Marta Wanat

International Journal of Qualitative Methods, Vol

Reflections and Recommendations as a Result of a Pandemic

2022 Volume 21

Abstract: The impacts of healthcare professionals (HCPs) being research participants are often neglected. As professionals, they tend to be perceived as ‘immune’ to many negative effects of sharing their experiences. However, in the context of an ongoing global ... ...

Abstract	The impacts of healthcare professionals (HCPs) being research participants are often neglected. As professionals, they tend to be perceived as ‘immune’ to many negative effects of sharing their experiences. However, in the context of an ongoing global pandemic such as COVID-19, these assumptions can be clearly challenged. This article draws on researchers’ experiences of conducting single and longitudinal qualitative interviews with HCPs during the COVID-19 pandemic in Europe during 2020. Reflecting on the methodological and ethical implications of doing such research during a pandemic allows researchers to surface assumptions about and question categories of ‘vulnerability’ and ‘sensitivity’. We explore these categories in relation to three issues we have identified: (i) Blurred boundaries in researcher-participant relationships; (ii) Interviews as spaces to process experiences; and (iii) Motivations to conduct and participate in research. We demonstrate that qualitative interviews during a pandemic are embedded in sense-making processes for both the interviewer and participant, and as such may play an important role in coping and resilience. We therefore argue for ethically active research that critically engages with the concepts of ‘vulnerability’ and ‘sensitivity’, and underpinning assumptions, in context over time throughout the research process for current and future research with HCPs and other groups beyond pandemic situations. We thus aim to prepare researchers for managing these potential facets during the research process. We conclude with practical implications for managing emerging ethical tensions, methodological challenges and the wide-ranging possibilities and responsibilities for research with HCPs, urging researchers to consider the issues in advance.
Keywords	Social sciences (General) ; H1-99
Subject code	170
Language	English
Publishing date	2022-02-01T00:00:00Z
Publisher	SAGE Publishing
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Series

Laura Swaithes / Laura Campbell / Sibyl Anthierens / Magdalena Skrybant / Dieuwke Schiphof / Helen French / Maarten de Wit / Steven Blackburn / Krysia Dziedzic

European Journal of General Practice, Vol 29, Iss

Public engagement with research. Part 4: Maximising the benefits of involving the public in research implementation

2023 Volume 1

Abstract: AbstractThis final article in the four-part series focuses on the often neglected yet important role of the public in implementing research in General Practice and Primary Care more broadly. Experience in implementation of findings from research with ... ...

Abstract	AbstractThis final article in the four-part series focuses on the often neglected yet important role of the public in implementing research in General Practice and Primary Care more broadly. Experience in implementation of findings from research with public engagement in Primary Care has highlighted how partnership working with patients and the public is important in transitioning from ‘what we know’ from the evidence-base to ‘what we do’ in practice. Factors related to Primary Care research that make public engagement important are highlighted e.g. implementing complex interventions, implementing interventions that increase health equity, implementing interventions in countries with different primary healthcare system strengths. Involvement of patients and public can enhance the development of modelling and simulation included in studies on systems modelling for improving health services. We draw on the emerging evidence base to describe public engagement in implementation and offer some guiding principles for engaging with the public in the implementation in General Practice and Primary Care in general. Illustrative case studies are included to support others wishing to offer meaningful engagement in implementing research evidence.
Keywords	Patient and public involvement ; implementation ; general practice ; knowledge mobilisation ; Medicine (General) ; R5-920
Subject code	360
Language	English
Publishing date	2023-12-01T00:00:00Z
Publisher	Taylor & Francis Group
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Following the science? Views from scientists on government advisory boards during the COVID-19 pandemic

Sarah Tonkin-Crine / Herman Goossens / Sibyl Anthierens / Marta Wanat / Elien Colman

BMJ Global Health, Vol 6, Iss

a qualitative interview study in five European countries

2021 Volume 9

Keywords	Medicine (General) ; R5-920 ; Infectious and parasitic diseases ; RC109-216
Language	English
Publishing date	2021-09-01T00:00:00Z
Publisher	BMJ Publishing Group
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Antibiotic Prescribing and Doctor-Patient Communication During Consultations for Respiratory Tract Infections

Annelies Colliers / Katrien Bombeke / Hilde Philips / Roy Remmen / Samuel Coenen / Sibyl Anthierens

Frontiers in Medicine, Vol

A Video Observation Study in Out-of-Hours Primary Care

2021 Volume 8

Abstract: Objective: Communication skills can reduce inappropriate antibiotic prescribing, which could help to tackle antibiotic resistance. General practitioners often overestimate patient expectations for an antibiotic. In this study, we describe how general ... ...

Abstract	Objective: Communication skills can reduce inappropriate antibiotic prescribing, which could help to tackle antibiotic resistance. General practitioners often overestimate patient expectations for an antibiotic. In this study, we describe how general practitioners and patients with respiratory tract infections (RTI) communicate about their problem, including the reason for encounter and ideas, concerns, and expectations (ICE), and how this relates to (non-)antibiotic prescribing in out-of-hours (OOH) primary care.Methods: A qualitative descriptive framework analysis of video-recorded consultations during OOH primary care focusing on doctor-patient communication.Results: We analyzed 77 videos from 19 general practitioners. General practitioners using patient-centered communication skills received more information on the perspective of the patients on the illness period. For some patients, the reason for the encounter was motivated by their belief that a general practitioner (GP) visit will alter the course of their illness. The ideas, concerns, and expectations often remained implicit, but the concerns were expressed by the choice of words, tone of voice, repetition of words, etc. Delayed prescribing was sometimes used to respond to implicit patient expectations for an antibiotic. Patients accepted a non-antibiotic management plan well.Conclusion: Not addressing the ICE of patients, or their reason to consult the GP OOH, could drive assumptions about patient expectations for antibiotics early on and antibiotic prescribing later in the consultation.
Keywords	antibiotics ; respiratory tract infections ; video observation ; reason for encounter ; communication ; primary care ; Medicine (General) ; R5-920
Language	English
Publishing date	2021-12-01T00:00:00Z
Publisher	Frontiers Media S.A.
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: "Benzodiazepines sleeping through the problem": (Eviter d') initier une benzo- diazépine en première ligne, perceptions des médecins généralistes, des patients et du personnel soignant.

Sibyl, Anthierens

Journal de pharmacie de Belgique

2009 , Issue 4, Page(s) 138–140

Title translation	Benzodiazepines sleeping through the problem: (Avoiding of) initiation of benzodiazepines in primary care, perceptions of general practitioners, patients and nurses.
MeSH term(s)	Attitude of Health Personnel ; Benzodiazepines/adverse effects ; Drug Utilization ; Family Practice ; Humans ; Nurses ; Nursing Homes ; Patients ; Physicians, Family
Chemical Substances	Benzodiazepines (12794-10-4)
Language	French
Publishing date	2009-12
Publishing country	Belgium
Document type	Journal Article
ZDB-ID	840991-2
ISSN	0047-2166
ISSN	0047-2166
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Developing evaluation capacities in integrated care projects

Nathan Charlier / Elien Colman / Lucia Alvarez Irusta / Sibyl Anthierens / Thérèse Van Durme / Jean Macq / Benoit Pétré

Frontiers in Public Health, Vol

Lessons from a scientific support mission implemented in Belgium

2022 Volume 10

Abstract: The capacity of self-assessment, to learn from experience, to make information-based decisions, and to adapt over time are essential drivers of success for any project aiming at healthcare system change. Yet, many of those projects are managed by ... ...

Abstract	The capacity of self-assessment, to learn from experience, to make information-based decisions, and to adapt over time are essential drivers of success for any project aiming at healthcare system change. Yet, many of those projects are managed by healthcare providers' teams with little evaluation capacity. In this article, we describe the support mission delivered by an interdisciplinary scientific team to 12 integrated care pilot projects in Belgium, mobilizing a set of tools and methods: a dashboard gathering population health indicators, a significant event reporting method, an annual report, and the development of a sustainable “learning community.” The article provides a reflexive return on the design and implementation of such interventions aimed at building organizational evaluation capacity. Some lessons were drawn from our experience, in comparison with the broader evaluation literature: The provided support should be adapted to the various needs and contexts of the beneficiary organizations, and it has to foster experience-based learning and requires all stakeholders to adopt a learning posture. A long-time, secure perspective should be provided for organizations, and the availability of data and other resources is an essential precondition for successful work.
Keywords	evaluation capacity ; evaluation capacity building (ECB) ; integrated care programs ; information-based approach ; scientific support ; decision making ; Public aspects of medicine ; RA1-1270
Subject code	690
Language	English
Publishing date	2022-11-01T00:00:00Z
Publisher	Frontiers Media S.A.
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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