{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T12:19:25Z","timestamp":1788956365829,"version":"build-2803163510"},"reference-count":55,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T00:00:00Z","timestamp":1730160000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T00:00:00Z","timestamp":1730160000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Migrants to the UK face disproportionate risk of infections, non-communicable diseases, and under-immunisation compounded by healthcare access barriers. Current UK migrant screening strategies are unstandardised with poor implementation and low uptake. Health Catch-UP! is a collaboratively produced digital clinical decision support system that applies current guidelines (UKHSA and NICE) to provide primary care professionals with individualised multi-disease screening (7 infectious diseases\/blood-borne viruses, 3 chronic parasitic infections, 3 non-communicable disease or risk factors) and catch-up vaccination prompts for migrant patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We carried out a mixed-methods process evaluation of Health Catch-UP! in two urban primary healthcare practices to integrate Health Catch-UP! into the electronic health record system of primary care, using the Medical Research Council framework for complex intervention evaluation. We collected quantitative data (demographics, patients screened, disease detection and catch-up vaccination rates) and qualitative participant interviews to explore acceptability and feasibility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ninety-nine migrants were assessed by Health Catch-UP! across two sites (S1, S2). 96.0% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200997) had complete demographics coding with Asia 31.3% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200931) and Africa 25.2% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200925), the most common continents of birth (S1\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200992 [48.9% female (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200944); mean age 60.6\u00a0years (SD 14.26)]; and S2\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20097 [85.7% male (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096); mean age 39.4\u00a0years (SD16.97)]. 61.6% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200961) of participants were eligible for screening for at least one condition and uptake of screening was high 86.9% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200953). Twelve new conditions were identified (12.1% of study population) including hepatitis C (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091), hypercholesteraemia (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096), pre-diabetes (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094), and diabetes (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091). Health Catch-UP! identified that 100% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200999) of patients had no immunisations recorded; however, subsequent catch-up vaccination uptake was poor (2.0%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091). Qualitative data supported acceptability and feasibility of Health Catch-UP! from staff and patient perspectives, and recommended Health Catch-UP! integration into routine care (e.g. NHS health checks) with an implementation package including staff and patient support materials, standardised care pathways (screening and catch-up vaccination, laboratory, and management), and financial incentivisation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Clinical Decision Support Systems like Health Catch-UP! can improve disease detection and implementation of screening guidance for migrant patients but require robust testing, resourcing, and an effective implementation package to support both patients and staff.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12916-024-03713-4","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T21:01:57Z","timestamp":1730149317000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Health Catch-UP!: a realist evaluation of an innovative multi-disease screening and vaccination tool in UK primary care for at-risk migrant patients"],"prefix":"10.1186","volume":"22","author":[{"given":"Jessica","family":"Carter","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy P.","family":"Goldsmith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felicity","family":"Knights","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Deal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subash","family":"Jayakumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison F.","family":"Crawshaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farah","family":"Seedat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathaniel","family":"Aspray","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominik","family":"Zenner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippa","family":"Harris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuf","family":"Ciftci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatima","family":"Wurie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azeem","family":"Majeed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tess","family":"Harris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippa","family":"Matthews","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Hall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Requena-Mendez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Hargreaves","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,10,29]]},"reference":[{"issue":"10164","key":"3713_CR1","doi-asserted-by":"publisher","first-page":"2606","DOI":"10.1016\/S0140-6736(18)32114-7","volume":"392","author":"I Abubakar","year":"2018","unstructured":"Abubakar I, Aldridge RW, Devakumar D, Orcutt M, Burns R, Barreto ML, et al. 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