Bradley Shea, Jodie Bailie, Sally Hall Dykgraaf, Nicola Fortune, Nicholas Lennox, Ross Bailie
Access to general practice for people with intellectual disability in Australia: a systematic scoping review
BMC primary care
assessing outcomes enhanced chronic disease care patient education valuebased formulary study access 2 x 2 factorial randomized trial tested impact tailored selfmanagement education support smes program demonstrated 22 reduction adverse clinical events sought qualitatively explore participants perspectives smes intervention ways may improved selfmanagement skills used qualitative descriptive approach conducted individual semistructured interviews conducted inductive deductive thematic analysis using nvivo 12 qsr international burlington interviewed 20 participants recently completed 3year smes intervention following 3 main themes emerged data empowerment ii intervention acceptability iii suggestions improvement regarding empowerment identified subthemes health literacy selfefficacy selfmanagement active role health several participants reported empowerment promoted health behaviour change improved confidence selfmanagement regarding acceptability identified subthemes ease use presentation style participants expressed positive feelings toward intervention felt easy understand finally identified subthemes learning style content engagement strategies within theme suggestions improvement participants said messages general fully address complex health concerns results highlighted key strategies promote patient engagement selfmanagement behaviours demonstrated may used improve clinical endpoints additionally demonstrated novel use marketing principles smes interventions