Datblygu Gwneud i bob cyswllt gyfrif yng Nghymru
Datblygu Gwneud i bob cyswllt gyfrif yng Nghymru: cynhadledd rhwydwaith a dysgu genedlaethol Developing Making Every Contact Count in Wales: A national network & learning event www. GBCG. Cymru www. MECC. Wales @GBCGCymru #GBCGCymru 2017 @MECCWales #MECCWales 2017
Fiona Mc. Allister fiona@beaufortresearch. co. uk 029 2037 0605 Behavioural change conversations research Emerging findings 7 March 2017 BBQ 01638
Background and objectives PHW commissioned Beaufort to carry out research among general population in Wales to gain a greater understanding of the health behaviour change conversations taking place - from public’s perspective Research results will inform the improvement and future development of health behaviour change conversation enabling activity in Wales Key objectives What are the volume & type of health behaviour change conversations taking place & who delivers them? What are service users’ experiences & perceptions of the health behaviour change conversations they took part in? What is the number of people that go on to make a relevant change following such a conversation? What are the characteristics of those who’ve not taken part in a conversation & are there any missed opportunities?
Stage 1 Method Quantitative telephone survey of 1, 000 adults aged 18+ representative of the Welsh population Stage 2 25 follow-up qualitative depth interviews Today’s presentation provides emerging findings from Stage 1 Results based on: • 842 interviews conducted to date • Pre-coded data only – qualitative data to follow Fieldwork period covered is 26 Jan – 27 Feb 2017 (interviewing to be completed early March)
Emerging research findings
What are the opportunities for health behaviour change conversations? 94% of sample have had an appointment, consultation or conversation with a health professional in last year % seen in last year GP Dentist Nurse at GP. . . Pharmacist Optician Hospital doctor Hospital nurse Physio / occup. . Other hospital. . . Health visitor Chiropodist /. . . Midwife Mental health. . . Dietician/. . . None of these Base: all adults (842) 79 63 48 46 44 38 28 14 12 7 6 4 4 4 6
How many health behaviour change conversations are taking place? 55% of those who’ve seen a health professional in past year have had a health behaviour change conversation; 45% have not % of population 6 53 Not had an opportunity Base: all adults (842) 42 Not had a conversation Had conversation
Who’s most likely to have had a health behaviour change conversation? Certain groups in the population are more likely to have had a conversation % of population who’ve had a conversation All adults 53 Smokers 69 Above a healthy weight 18 -64 s Women Base: all adults (842) 59 57 55
Who delivers health behaviour change conversations? Certain types of health professionals are more likely to deliver a health behaviour change conversation Midwife * Dietician/ nutritionist * Physio / occup. therapist * Mental health practitioner * Chiropodist / podiatrist * Health visitor * GP Nurse at GP surgery Hospital doctor Hospital nurse Dentist Pharmacist Optician Other hospital health prof. * 72 70 65 63 53 46 44 36 35 33 23 12 11 11 Base: adults who’ve had appointments/consultations with each type of health professional in past – small bases for some health professionals year *Caution
Who delivers health behaviour change conversations? Health professionals with highest reach are not necessarily those most likely to be delivering behaviour change conversations Midwife * Dietician/ nutritionist * Physio / occup. therapist * Mental health practitioner * Chiropodist / podiatrist * Health visitor * GP Nurse at GP surgery Hospital doctor Hospital nurse Dentist Pharmacist Optician Other hospital health prof. * 72 70 65 63 53 46 44 36 35 33 23 12 11 11 Base: adults who’ve had appointments/consultations with each type of health professional in past year *Caution – small bases for some health professionals
What are the conversations about? More adults have had conversations about smoking, physical health & wellbeing, diet and alcohol than about mental health and vaccinations % of population who’ve had a behaviour change conversation with a health professional about each topic Smoking 28 Physical health & wellbeing 28 Diet 26 Alcohol 23 Mental health & wellbeing Vaccinations Base: all adults (842) 17 13
What are the conversations about? Some indications that conversations are targeted at certain groups % of population who’ve had a behaviour change conversation with a health professional about each topic Smoking 28 Physical health & wellbeing 28 Diet 26 23 Alcohol Mental health & wellbeing Vaccinations Base: all adults (842) 17 13 Rising to 34% of 1844 s & 55% of smokers
What are the conversations about? Some indications that conversations are targeted at certain groups % of population who’ve had a behaviour change conversation with a health professional about each topic Smoking 28 Physical health & wellbeing 28 Diet 26 23 Alcohol Mental health & wellbeing Vaccinations Base: all adults (842) 17 13 Rising to 34% of those who drink alcohol almost every day/5 -6 days a week
Do the conversations come as a surprise? Just over half of behaviour change conversations were related to the individual’s reason for having the appointment, consultation or conversation with the health professional 55% of conversations were expected / 45% were not 56% of conversations with smokers were not related to reason for appointment 56% of conversations with those drinking alcohol almost every day/5 -6 days a week were not related to reason for appointment Base: all conversations (656)
Do the conversations come as a surprise? Level of ‘unexpected’ conversations differs by health professional and is highest among dentists and opticians 55% of conversations were expected / 45% were not 79% of conversations with dentist not related to reason for appointment 66% with optician not related 47% with pharmacist not related 41% with GP not related Base: all conversations (656)
How do consumers react to the conversations? Negative reactions to the conversations are low on the whole Dimension % agree % disagree Made me feel embarrassed or awkward 36% of conversations 7 90 Was handled sensitively overall resulted in the 91 4 individual Made me angry or crossmaking 5 92 Was appropriate to my circumstances 86 7 Gave me useful information 68 18 Made me think about my health 56 28 some type of change Question mark over usefulness of conversations for some, however: § Almost 2 in 10 disagree it gave them useful information § Nearly 3 in 10 disagree it made them think about their health Base: all conversations (656)
How do consumers react to the conversations? Negative reactions to the conversations are low on the whole Dimension % agree % disagree Made me feel embarrassed or awkward 36% of conversations 7 90 Was handled sensitively overall resulted in the 91 4 individual Made me angry or crossmaking 5 92 Was appropriate to my circumstances 86 7 Gave me useful information 68 18 Made me think about my health 56 28 some type of change Question mark over usefulness of conversations for some, however: § Almost 2 in 10 disagree it gave them useful information § Nearly 3 in 10 disagree it made them think about their health Base: all conversations (656)
How do consumers react to the conversations? If conversation was unexpected/not related to reason for appointment, more negativity is apparent on certain dimensions Dimension % agree % disagree 6 90 88 6 5 91 Was appropriate to my circumstances 78 10 Gave me useful information 57 24 Made me think about my health 47 36 of conversations Made me 36% feel embarrassed or awkward overall resulted in the Was handled sensitively individual making Made mesome angry type or cross of change In this situation recipients are more likely to disagree it: § Gave them useful information § Made them think about their health, and § Was appropriate for their circumstances Base: all unexpected conversations (296)
What impact are the conversations having? Impact varies by age of individual and is influenced by whether conversation was related to reason for appointment/consultation 36% of conversations resulted in individual making a change Most likely to have made a change: 45 -54 s (48%) Least likely to have made a change: 75+ (21%) 65 -74 s (27%) 29% made a change if conversation was unexpected Base: all conversations (656)
What impact are the conversations having? Impact differs too by health professional delivering the conversation Physio* Hospital nurse* 43% result in a change 73% of conversations result in a change GP Pharmacist 27% result in a change 37% result in a change Optician* 11% result in a change Base: all conversations (656) *Caution – small bases for some health professionals
Who’s least likely to have had a health behaviour change conversation? Opportunities are lower among certain groups… Rises to: § 11% smokers 6% of adults have not seen a health professional in past year § 9% men § 9% 16 -34 s Where there have been opportunities… % of population who’ve not had a conversation All adults 42 Aged 75+ Aged 65 -74 Base: all adults (842) 62 51
Would people welcome a health behaviour change conversation? Of the appointments/consultations where there are no conversations, a consultation would have been welcomed in only a minority of cases 10% said they would have liked to have had a conversation (2% definitely, 8% possibly) 88% would not Slightly higher interest among those seeing a GP – 17% saying yes Base: appointments where no conversation took place (1, 376)
Summary High levels of interaction with health professionals So plenty of opportunities for health behaviour change conversations (especially with GPs & dentists) but men & younger people less likely to have any contact Over half of all contacts with health professionals generate a conversation But varies by professional & lower among those with greatest reach The public’s reaction to the conversations is generally positive No major negativity is evident, although question marks over their usefulness for some, especially if conversations were unexpected Over a third of conversations result in a change Impact varies by health professional seen and also by factors such as age
Fiona Mc. Allister fiona@beaufortresearch. co. uk 029 2037 0605 Behavioural change conversations research Emerging findings 7 March 2017 BBQ 01638
- Slides: 24