The British journal of general practice : the journal of the Royal College of General Practitioners
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Randomized Controlled Trial
Increasing bowel cancer screening using SMS in general practice: the SMARTscreen trial.
Australia has one of the highest incidences of colorectal cancer (CRC) worldwide. The Australian National Bowel Cancer Screening Program (NBCSP) is a best-practice, organised screening programme, but uptake is low (40.9%) and increasing participation could reduce morbidity and mortality associated with CRC. Endorsement by GPs is strongly associated with increasing screening uptake. ⋯ The SMS intervention increased NBCSP kit return in 50-60-year-old patients in general practice. This finding informed a larger trial - SMARTERscreen - to test this intervention in a broader Australian population.
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Randomized Controlled Trial
Complex advance care planning intervention in general practice (ACP-GP): a cluster-randomised controlled trial.
Advance care planning (ACP) is an iterative communication process about patients' preferences for future care. In general practice, there are barriers to ACP at patient, GP, and healthcare-system levels. A complex intervention may be necessary to reduce barriers. ⋯ ACP-GP did not improve patient engagement and GP self-efficacy more than usual care. Both groups showed patterns of increase from baseline. Trial procedures and the COVID-19 pandemic may have increased awareness about ACP.
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Randomized Controlled Trial
Nurse-delivered sleep restriction therapy in primary care for adults with insomnia disorder: a mixed-methods process evaluation.
Sleep restriction therapy (SRT) is a behavioural therapy for insomnia. ⋯ SRT was successfully delivered by practice nurses and was generally well received by patients, despite some difficulties delivering and applying the intervention in practice.
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Randomized Controlled Trial
E-health intervention for preventing recurrent ankle sprains: a randomised controlled trial in general practice.
Ankle sprains are frequent injuries in general practice. However, no effective treatment is available yet. ⋯ The rate of re-sprains was relatively high and an unsupervised e-health-supported neuromuscular training programme does not yield meaningful effects and does not encourage adherence in preventing re-sprains in patients in general practice. More research is necessary to indicate the best treatment modality and way of delivery for these patients.
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Randomized Controlled Trial Multicenter Study
Early detection of chronic obstructive pulmonary disease in primary care: a randomised controlled trial.
Worldwide, chronic obstructive pulmonary disease (COPD) remains largely underdiagnosed. ⋯ Interventions that can be easily implemented, such as the GOLD questions and COPD coordination, can identify new cases of COPD. Studies are needed to identify the most appropriate case-finding strategies for GPs to detect COPD in primary care for each country.