Table 1 PRECIS-2 domain (1 = very explanatory, 5 = very pragmatic)
Domain | Score | Rationale | |
|---|---|---|---|
1 | Eligibility Criteria | 4 | Inclusion and exclusion criteria (especially age and insurance law requirements) largely correspond to legal requirements and the conditions in usual care (exception: patients insured with other GPI agencies, presumably < 5%; maximum age up to standard retirement age would be feasible; sufficient knowledge of German) |
2 | Recruitment Path | 5 | Recruitment of study participants in the context of usual care visits to about 20 GP practices; possible selection bias because certain patient groups are not addressed (e.g. in acute consultations, but this would presumably also occur in usual care and would therefore not represent a deduction) or certain people tend to refuse participation (e.g. low social status, language barriers, but this would presumably also be comparable in usual care); easy recruitment, but lack of time and staff and high incidence periods of respiratory diseases in winter leads to stagnation in recruitment |
3 | Setting | 5 | Identical setting to usual care setting: primary care, where patients usually go for advice and treatment; about 20 GP practices in Berlin and Brandenburg (Germany) |
4 | Organisation intervention | 4 | Is integrated into usual practice procedures with regular staff with usual knowledge/experience and there is no change in usual care apart from intervention-related ones. However, training is provided on evaluating the "screening 45 + " and on GPI rehabilitation and, above all, prevention services, which were probably not known beforehand |
5 | Flexibility of experimental intervention—Delivery | 4 | Practices receive a schedule. Concrete implementation of the intervention is flexible and can be adapted to the individual practice procedures. The result of the "screening 45 + " is not mandatory, practices can deviate from it. Other usual care is not influenced by the study; participation in other parallel studies is also possible for patients and practices |
6 | Flexibility of experimental intervention—Adherence | 5 | Patients are approached in the usual way, the study/participation can be cancelled at any time, the intervention is very short and requires little effort from the participants, therefore adherence is easy to maintain |
7 | Follow up | 5 | No follow-up |
8 | Outcome | 5 | Outcome is important for the patient; if there is a need for prevention or rehabilitation, a corresponding therapeutic address in the form of a prevention or rehabilitation service is very relevant for the patient |
9 | Analysis | 5 | ITT no matter whether compliance |