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Updated: Jul 5, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Factors associated with enablement in general practice: cross-sectional study using routinely-collected data.

Nicola Mead¹, Peter Bower, Martin Roland

¹National Primary Care Research and Development Centre, University of Manchester, Manchester. nicki.mead@manchester.ac.uk

The British Journal of General Practice : the Journal of the Royal College of General Practitioners

|May 17, 2008

Summary

Patient enablement in UK general practice is strongly linked to GP communication and continuity of care. Minority ethnic groups reported higher enablement, warranting further investigation into quality improvement measures.

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Last Updated: Jul 5, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Area of Science:

General Practice Research
Healthcare Quality Improvement
Patient Experience Measurement

Background:

Patient evaluations, including satisfaction and enablement, are crucial indicators of general practice quality.
Enablement measures the extent to which consultations enhance patient confidence and coping ability.
Limited evidence exists on factors influencing enablement in UK general practice.

Purpose of the Study:

To identify patient and practice characteristics associated with enablement scores.
To explore predictors of patient enablement in general practice consultations.

Main Methods:

Cross-sectional survey utilizing a large dataset of patient evaluations (190,038 responses).
Analysis included 1031 UK general practices.
Multiple regression was used to assess relationships between patient factors, care evaluations, and enablement.

Main Results:

Positive GP communication was the primary predictor of patient enablement.
Continuity of care explained a smaller proportion of the variance in enablement.
Ethnicity was a significant predictor, with minority ethnic groups reporting greater enablement when controlling for other factors.

Conclusions:

The study supports the construct validity of the enablement measure.
Further research is needed to understand mechanisms for increasing enablement and to explain higher scores among ethnic minority patients.
Qualitative research may clarify differing perceptions of enablement items among patients.