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					Preference Elicitation and Assessment of Technologies
(PEAT) Programme
Project No:               B2.13                                                Projects in progress

Project Title:            How do people choose between self-care, supported self-care and GP
                          consultation in minor illness?

Grant Applicants /        Porteous, T., Bond, C. (Centre of Academic Primary Care, University of
Principal Investigators   Aberdeen), Ryan, M. (HERU), and Francis, J. (HSRU, University of
(place of work):          Aberdeen)

HERU Investigators:       Ryan, M.

HERU Research Theme:      Preference Elicitation

Source of Funding and     MRC/ESRC Post Doctoral Fellowship, £121,809
Total Awarded:

Amount of HERU            University of Aberdeen

Objectives:               To assess how people choose between self-care, supported self-care and
                          GP consultation in minor illness?

Outline:                  Increasing demand for health services in the UK means that traditional
                          methods of supplying health care may no longer be appropriate.
                          Government policies place increasing emphasis on self-care by
                          individuals. It is, therefore, important to understand how people choose
                          between self-care and consulting a health professional. Dr Porteous’ PhD
                          investigated decision-making in the management of minor illness, using a
                          mixed-methods approach. A discrete choice experiment was employed
                          alongside interviews and a survey. Results suggested that whilst most
                          people liked to use self-care to manage symptoms of minor illness
                          associated with analgesic use, the relationship between self-care behaviour
                          and factors influencing it is complex. Further, interventions that aim to
                          improve self-care should focus on providing flexible support for those
                          who need it. As part of the Fellowship the generalisability of the DCE
                          results, applied initially to flu-like symptoms, will be investigated with
                          respect to other clinical conditions. Symptoms often severe but self-
                          limiting in nature (such as back pain) and potentially serious conditions
                          (e.g. rectal bleeding) will be used.

Outcome & Translation:    The research will identify patterns or differences in peoples’ preferences
                          for symptom management. Understanding how preferences, and thus
                          behaviour, might vary across different groups will be important when
                          developing new services to support self-care and complement traditional
                          services like GP consultations.

Start Date:               October 2008
Duration of Project:      3 years
Project Phase:

Publications:         -

Other Dissemination   -