Hirst, Y;
Lim, AWW;
(2018)
Acceptability of text messages for safety netting patients with low-risk cancer symptoms: a qualitative study.
British Journal of General Practice
, 68
(670)
e333-e341.
10.3399/bjgp18X695741.
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Abstract
Background: Safety netting is an important diagnostic strategy for patients presenting to primary care with potential (low-risk) cancer symptoms. Typically, this involves asking patients to return if symptoms persist. However, this relies on patients re-appraising their symptoms and making follow-up appointments, which could contribute to delays in diagnosis. Text messaging is increasingly used in primary care to communicate with patients, and could be used to improve safety netting. / Aim: To explore the acceptability and feasibility of using text messages to safety net patients presenting with low-risk cancer symptoms in GP primary care (txt-netting). / Design and setting: Qualitative focus group and interview study with London-based GPs. / Method: Participants were identified using convenience sampling methods. Five focus groups and two interviews were conducted with 22 GPs between August and December 2016. Sessions were audiorecorded, transcribed verbatim, and analysed using thematic analysis. / Results: GPs were amenable to the concept of using text messages in cancer safety netting, identifying it as an additional tool that could help manage patients and promote symptom awareness. There was wide variation in GP preferences for text message content, and a number of important potential barriers to txt-netting were identified. Concerns were raised about the difficulties of conveying complex safety netting advice within the constraints of a text message, and about confidentiality, widening inequalities, and workload implications. / Conclusion: Text messages were perceived to be an acceptable potential strategy for safety netting patients with low-risk cancer symptoms. Further work is needed to ensure it is cost-effective, user friendly, confidential, and acceptable to patients.
| Type: | Article |
|---|---|
| Title: | Acceptability of text messages for safety netting patients with low-risk cancer symptoms: a qualitative study |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.3399/bjgp18X695741 |
| Publisher version: | https://doi.org/10.3399/bjgp18X695741 |
| Language: | English |
| Additional information: | Copyright © British Journal of General Practice 2018 This article is Open Access: CC BY 4.0 licence (http://creativecommons.org/licences/by/4.0/). |
| Keywords: | early diagnosis, patient safety, primary care, qualitative research, signs and symptoms, text messaging |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10040199 |
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