TY - JOUR
T1 - Assessment of a primary care e-support package of automated case finding, simplified treatment algorithm and decision support to increase hepatitis B treatment uptake in primary care clinics in Australia (SIMPLY-B Study)
T2 - protocol for a pilot evaluation
AU - Moussa, Dina
AU - Wallace, Jack
AU - Manski-Nankervis, Jo Anne
AU - Doyle, Joseph S.
AU - Nguyen, Long
AU - Boyle, Douglas
AU - Stoové, Mark A.
AU - Asselin, Jason
AU - Valaydon, Zina
AU - Ahad, Marvad
AU - Glasgow, Susanne
AU - New, Kate
AU - Hocking, Jane S.
AU - Sanci, Lena
AU - Thompson, Alexander
AU - Hellard, Margaret
AU - Howell, Jess
N1 - Funding Information:
JH has received investigator-initiated research funding (Gilead Australia Fellowship 2017, 2019) and speaker fees (2017) from Gilead Sciences, and speaker fees and investigator-initiated research funding from Eisai (2020, 2021).
Funding Information:
This study is currently funded by Gilead Sciences as part of their investigator-initiated TREAT HEPATITIS B program and in-kind support from Burnet Institute. JSD reports investigator-initiated research funding outside of this work from Gilead Science and AbbVie. Award/grant number: N/A.
Publisher Copyright:
© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2023/2
Y1 - 2023/2
N2 - Introduction Despite the availability of effective, subsidised hepatitis B treatment, linkage to care and treatment rates remain very low globally. In Australia, specially trained primary care physicians (general practitioner, GPs) can prescribe hepatitis B treatment, however, most hepatitis B care occurs in specialist clinics. Increasing hepatitis B management by GPs in primary care clinics is essential to achieve national hepatitis B linkage to care and treatment targets by 2030. This pilot study determines the feasibility, acceptability and effectiveness of Simply B, a novel GP hepatitis B e-support package designed to increase hepatitis B management by GPs in primary care clinics. Methods and analysis This study will be conducted in three parts: Part A: A prospective open-label pilot intervention study, comparing the proportion of people with hepatitis B who are managed by their GP in primary care clinics before, 12 months and 24 months after implementation of the Simply B electronic hepatitis B support package. Part B: A nested qualitative health services feasibility study using semistructured interviews and thematic analysis Part C: Cost-effectiveness analysis. Ethics and dissemination This study has received ethics approval by St Vincent's Hospital. Data management and analysis will be centralised through the Department of Gastroenterology, St Vincent's Hospital. Trial registration number NCT05614466.
AB - Introduction Despite the availability of effective, subsidised hepatitis B treatment, linkage to care and treatment rates remain very low globally. In Australia, specially trained primary care physicians (general practitioner, GPs) can prescribe hepatitis B treatment, however, most hepatitis B care occurs in specialist clinics. Increasing hepatitis B management by GPs in primary care clinics is essential to achieve national hepatitis B linkage to care and treatment targets by 2030. This pilot study determines the feasibility, acceptability and effectiveness of Simply B, a novel GP hepatitis B e-support package designed to increase hepatitis B management by GPs in primary care clinics. Methods and analysis This study will be conducted in three parts: Part A: A prospective open-label pilot intervention study, comparing the proportion of people with hepatitis B who are managed by their GP in primary care clinics before, 12 months and 24 months after implementation of the Simply B electronic hepatitis B support package. Part B: A nested qualitative health services feasibility study using semistructured interviews and thematic analysis Part C: Cost-effectiveness analysis. Ethics and dissemination This study has received ethics approval by St Vincent's Hospital. Data management and analysis will be centralised through the Department of Gastroenterology, St Vincent's Hospital. Trial registration number NCT05614466.
KW - Gastroenterology
KW - Hepatology
KW - Protocols & guidelines
KW - QUALITATIVE RESEARCH
UR - http://www.scopus.com/inward/record.url?scp=85150314131&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2022-070663
DO - 10.1136/bmjopen-2022-070663
M3 - Article
C2 - 36927591
AN - SCOPUS:85150314131
SN - 2044-6055
VL - 13
JO - BMJ Open
JF - BMJ Open
IS - 3
M1 - e070663
ER -