Bradford Institute for Health Research, Bradford.
Medical Examiner Office, Bradford Teaching Hospitals NHS Foundation Trust, Bradford.
Br J Gen Pract. 2022 Jul 28;72(721):e581-e591. doi: 10.3399/BJGP.2021.0476. Print 2022 Aug.
Safety netting in primary care may help diagnose cancer earlier, but it is unclear what the format and content of an acceptable safety-netting intervention would be. This project aimed to co-design a safety-netting intervention with and for primary care patients and staff.
This work sought to address how a safety-netting intervention would be implemented in practice; and, if and how a safety-netting intervention would be acceptable to all stakeholders.
Patient representatives, GPs, and nurse practitioners were invited to a series of co-design workshops. Patients who had and had not received a diagnosis of cancer and primary care practices took part in separate focus groups.
Three workshops using creative co-design processes developed the format and content of the intervention prototype. The COM-B Framework underpinned five focus groups to establish views on capability, opportunity, and motivation to use the intervention to assist with prototype refinement.
Workshops and focus groups suggested the intervention format and content should incorporate visual and written communication specifying clear timelines for monitoring symptoms and when to present back; be available in paper and electronic forms linked to existing computer systems; and be able to be delivered within a 10-minute consultation. Intervention use themes included 'building confidence through partnership', 'using familiar and current procedures and systems', and 'seeing value'.
The Shared Safety Net Action Plan (SSNAP) - a safety-netting intervention to assist the timely diagnosis of cancer in primary care, was successfully co-designed with and for patients and primary care staff.
初级保健中的安全网措施可能有助于更早地诊断癌症，但目前尚不清楚可接受的安全网干预措施的形式和内容是什么。本项目旨在与初级保健患者和医护人员共同设计一种安全网干预措施。
这项工作旨在解决安全网干预措施将如何在实践中实施的问题；以及安全网干预措施是否以及如何能被所有利益相关者接受。
邀请患者代表、全科医生和执业护师参加一系列共同设计研讨会。参加过和未参加过癌症诊断的患者以及初级保健实践参加了单独的焦点小组。
使用创意共同设计流程的三个研讨会制定了干预原型的格式和内容。COM-B 框架为五个焦点小组提供了基础，以了解使用该干预措施协助原型完善的能力、机会和动机的观点。
研讨会和焦点小组表明，干预措施的形式和内容应包括视觉和书面沟通，明确规定监测症状和何时返回的时间表；以纸质和电子形式提供，与现有计算机系统相链接；并能在 10 分钟的咨询中完成。干预使用主题包括“通过伙伴关系建立信心”、“使用熟悉和当前的程序和系统”和“看到价值”。
共同设计了“共同安全网行动计划（SSNAP）”——一种安全网干预措施，以帮助在初级保健中及时诊断癌症，该计划是与患者和初级保健医护人员共同设计的。
