RT Journal Article
SR Electronic
T1 Changing conversations in primary care for patients living with chronic conditions: pilot and feasibility study of the ICAN Discussion Aid
JF BMJ Open
JO BMJ Open
FD British Medical Journal Publishing Group
SP e029105
DO 10.1136/bmjopen-2019-029105
VO 9
IS 9
A1 Kasey R Boehmer
A1 Claudia C Dobler
A1 Anjali Thota
A1 Megan Branda
A1 Rachel Giblon
A1 Emma Behnken
A1 Paige Organick
A1 Summer V Allen
A1 Kevin Shaw
A1 Victor M Montori
YR 2019
UL http://bmjopen.bmj.com/content/9/9/e029105.abstract
AB Purpose To pilot test the impact of the ICAN Discussion Aid on clinical encounters.Methods A pre–post study involving 11 clinicians and 100 patients was conducted at two primary care clinics within a single health system in the Midwest. The study examined clinicians’ perceptions about ICAN feasibility, patients’ and clinicians’ perceptions about encounter success, videographic differences in encounter topics, and medication adherence 6 months after an ICAN encounter.Results 39/40 control encounters and 45/60 ICAN encounters yielded usable data. Clinicians reported ICAN use was feasible. In ICAN encounters, patients discussed diet, being active and taking medications more. Clinicians scored themselves poorer regarding visit success than their patients scored them; this effect was more pronounced in ICAN encounters. ICAN did not improve 6-month medication adherence or lengthen visits.Conclusion This pilot study suggests that using ICAN in primary care is feasible, efficient and capable of modifying conversations. With lessons learned in this pilot, we are conducting a randomised trial of ICAN versus usual care in diverse clinical settings.Trial registration number NCT02390570.