The person-based development and realist evaluation of a pre-consultation form for GP consultations

Background: Use of telephone, video and e-consultations is increasing. These can make consultations more transactional, potentially missing patients’ concerns. This study aimed to develop a complex intervention address concerns comprehensively in general practice test the feasibility this cluster-randomised framework. The used two technologies: a patient-completed pre-consultation form at consultation opening doctor-provided summary report provided closure. paper reports on development realist evaluation questionnaire. Methods: A person-based approach was form. An online questionnaire system designed allow patient self-completion which could be shared with GPs. tested 45 patients three rounds, iterative adjustments made based feedback after each round. Subsequently, an incorporating then framework 30 per six practices: four randomised intervention, control. embedded carried out. main results are reported elsewhere. Results: Intervention Development: 15 were recruited practice. Twelve patients, GPs administrators interviewed 32 changes iteratively rounds. Recruitment rates (proportion responding text) increased from 15% round one 50% three. Realist evaluation: most useful for people comfortable technology hidden or anxiety about consultation. It resulted issues being discussed support provided, effective use time greater satisfaction. Conclusions: successful. uncovers depth improves satisfaction certain patients. Technological improvements required before rolled out widely.