{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T19:49:15Z","timestamp":1791488955415,"version":"4.3.4"},"reference-count":41,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Particip Med"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Effective communication is essential for high-quality care, yet in walk-in clinics, patients often have limited time to prepare, and physicians face challenges in understanding patients\u2019 needs due to lack of prior contact. To address this, a consultation preparation sheet (CPS) was developed to help patients articulate their symptoms, concerns, and expectations.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to explore the implementation and perceived usefulness of a CPS designed to support patient preparation during walk-in clinic consultations.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We conducted a qualitative exploratory study using semistructured interviews and focus groups, with data collection informed by the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework and the PACE (prepare, ask, check, and express) method. The CPS was implemented over 9 months (January-October 2019) in a university-affiliated walk-in clinic in Quebec, Canada. During this period, 3115 patients received the CPS in the waiting room. Of the 23 patients who expressed interest in further participation, 12 were recruited for interviews. Additional participants included 2 physicians, 2 administrative staff, 2 nursing assistants, and 1 clinic manager. In total, 6 interviews and 5 focus groups were conducted. Data were transcribed verbatim and thematically analyzed, with AI-assisted review used as a supplementary check on data coverage.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Patients generally found the CPS helpful for organizing their thoughts, reducing stress, and avoiding omissions during consultations. It was considered particularly useful for patients with multiple concerns or communication difficulties. However, physicians rarely referred to the CPS, often preferring direct verbal exchanges. This lack of acknowledgment sometimes frustrated patients and diminished their perception of its usefulness. Organizational challenges\u2014including inconsistent distribution, lack of explanation, and an unclear workflow\u2014further hindered implementation. Participants suggested clearer communication about the CPS\u2019s original purpose, earlier access through electronic formats, and brief clinician acknowledgment when patients chose to share their priorities.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The CPS shows promise as an optional patient-preparation tool for walk-in consultations. Earlier access and a clear explanation may support its use without requiring formal clinician review; brief acknowledgment may suffice when patients choose to share their priorities. Future studies should assess improved practice implementation strategies and digital adaptations.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/83489","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T17:05:05Z","timestamp":1788887105000},"page":"e83489-e83489","source":"Crossref","is-referenced-by-count":0,"title":["Patient Preparation in Walk-in Clinics Through the Implementation of a Consultation Preparation Sheet: Qualitative Study"],"prefix":"10.2196","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-8260-8024","authenticated-orcid":false,"given":"Juliette","family":"Borges","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3104-3003","authenticated-orcid":false,"given":"Claude","family":"Richard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7764-6286","authenticated-orcid":false,"given":"Marie-H\u00e9l\u00e8ne","family":"Goulet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0236-9085","authenticated-orcid":false,"given":"Marie-Eve","family":"Lavoie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6701-8315","authenticated-orcid":false,"given":"Viviane","family":"Tran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2823-1601","authenticated-orcid":false,"given":"Clara","family":"Dallaire","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8242-9868","authenticated-orcid":false,"given":"Marie-Th\u00e9r\u00e8se","family":"Lussier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"R1","unstructured":"Le r\u00f4le du m\u00e9decin de famille en sant\u00e9 publique et capacit\u00e9 d\u2019intervention en cas d\u2019urgence document de r\u00e9flexion [Report in French]. Coll\u00e8ge des m\u00e9decins de famille du Canada; 2005. URL: https:\/\/www.cfpc.ca\/CFPC\/media\/Ressources\/Politiques-en-mati%C3%A8re-de-sant%C3%A9\/Role_Fam_Doc_Dec05_fr.pdf [Accessed 22-09-2026]"},{"key":"R2","unstructured":"Richard C Lussier MT . La Communication Professionnelle En Sant\u00e9 [Book in French]. 2nd ed. \u00c9ditions Du Renouveau P\u00e9dagogique Inc; 2016. URL: https:\/\/www.erpi.com\/fr\/bundle-communication-prof-en-sante-2e-9782761341868.html [Accessed 22-09-2026]"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.3917\/spub.150.0041","article-title":"Le \u00ab\u202fMontreal model\u202f\u00bb: enjeux du partenariat relationnel entre patients et professionnels de la sant\u00e9 [Article in French]","author":"Pomey","journal-title":"Sant\u00e9 Publique"},{"issue":"8","key":"R4","doi-asserted-by":"publisher","first-page":"823","DOI":"10.1097\/MLR.0b013e3181b17e7c","article-title":"Communication and adherence: moving from prediction to understanding","volume":"47","author":"Roter","journal-title":"Med Care"},{"issue":"11","key":"R5","doi-asserted-by":"publisher","first-page":"1096","DOI":"10.1111\/j.1525-1497.2004.30418.x","article-title":"Better physician-patient relationships are associated with higher reported adherence to antiretroviral therapy in patients with HIV infection","volume":"19","author":"Schneider","journal-title":"J Gen Intern Med"},{"issue":"4","key":"R6","doi-asserted-by":"publisher","first-page":"609","DOI":"10.1016\/s0277-9536(00)00164-7","article-title":"Predictors of patient satisfaction","volume":"52","author":"Jackson","journal-title":"Soc Sci Med"},{"issue":"4","key":"R7","doi-asserted-by":"publisher","first-page":"760","DOI":"10.1111\/hex.12515","article-title":"Communication and patient participation influencing patient recall of treatment discussions","volume":"20","author":"Richard","journal-title":"Health Expect"},{"issue":"4","key":"R8","doi-asserted-by":"publisher","first-page":"896","DOI":"10.1093\/annonc\/mdu027","article-title":"How can communication by oncologists enhance patients\u2019 trust? An experimental study","volume":"25","author":"Hillen","journal-title":"Ann Oncol"},{"issue":"4","key":"R9","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1016\/j.asjsur.2011.11.002","article-title":"Doctor-patient communication, knowledge, and question prompt lists in reducing preoperative anxiety: a randomized control study","volume":"34","author":"Lim","journal-title":"Asian J Surg"},{"issue":"3","key":"R10","doi-asserted-by":"publisher","first-page":"286","DOI":"10.1016\/j.pec.2013.05.004","article-title":"How clinician-patient communication contributes to health improvement: modeling pathways from talk to outcome","volume":"92","author":"Street","journal-title":"Patient Educ Couns"},{"issue":"1","key":"R11","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1001\/archfami.9.1.57","article-title":"The effects of patient communication skills training on compliance","volume":"9","author":"Cegala","journal-title":"Arch Fam Med"},{"issue":"5","key":"R12","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1080\/10410236.2011.552482","article-title":"An exploration of factors promoting patient participation in primary care medical interviews","volume":"26","author":"Cegala","journal-title":"Health Commun"},{"issue":"6","key":"R13","doi-asserted-by":"publisher","first-page":"2375","DOI":"10.1111\/hex.12206","article-title":"Participation of chronic patients in medical consultations: patients\u2019 perceived efficacy, barriers and interest in support","volume":"18","author":"Henselmans","journal-title":"Health Expect"},{"issue":"2","key":"R14","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1051\/pmed\/20080366","article-title":"La litt\u00e9ratie en sant\u00e9, une comp\u00e9tence en mal de traitement [Article in French]","volume":"10","author":"Richard","journal-title":"P\u00e9dagogie M\u00e9dicale"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2024.108230","article-title":"Linking patient-centered communication with cancer information avoidance: the mediating roles of patient trust and literacy","volume":"123","author":"Lu","journal-title":"Patient Educ Couns"},{"issue":"2","key":"R16","doi-asserted-by":"publisher","first-page":"E71","DOI":"10.1097\/NCC.0000000000000660","article-title":"Patients\u2019 evaluation of a preparatory online communication tool for older patients with cancer preceding chemotherapy","volume":"43","author":"Driesenaar","journal-title":"Cancer Nurs"},{"key":"R17","volume":"240","author":"Hibbard","journal-title":"Stud Health Technol Inform"},{"issue":"5","key":"R18","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.11189","article-title":"Helpfulness of question prompt sheet for patient-physician communication among patients with advanced cancer: a randomized clinical trial","volume":"6","author":"Arthur","journal-title":"JAMA Netw Open"},{"issue":"2","key":"R19","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1080\/10410230701307824","article-title":"The impact of patient participation on physicians\u2019 information provision during a primary care medical interview","volume":"21","author":"Cegala","journal-title":"Health Commun"},{"issue":"14","key":"R20","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20146414","article-title":"Patients\u2019 perspectives on the use of a newly developed \u201cPatients\u2019 Guide for Doctor\u2019s Visit\u201d: DocVISITguide","volume":"20","author":"Jaks","journal-title":"Int J Environ Res Public Health"},{"issue":"4","key":"R21","doi-asserted-by":"publisher","first-page":"1404","DOI":"10.1111\/hex.13783","article-title":"Optimizing the design and implementation of question prompt lists to support person-centred care: a scoping review","volume":"26","author":"Ramlakhan","journal-title":"Health Expect"},{"issue":"4","key":"R22","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1051\/pmed\/2018016","article-title":"Un outil web pour soutenir le partenariat patients-soignants \u2013 Discutons Sant\u00e9 [Article in French]","volume":"18","author":"Lussier","journal-title":"P\u00e9dagogie M\u00e9dicale"},{"key":"R23","unstructured":"Question builder. Healthdirect. Feb 24, 2022. URL: https:\/\/www.healthdirect.gov.au\/question-builder [Accessed 27-03-2024]"},{"issue":"4","key":"R24","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1738","article-title":"Effects of eHealth interventions on medication adherence: a systematic review of the literature","volume":"13","author":"Linn","journal-title":"J Med Internet Res"},{"issue":"2","key":"R25","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1111\/hex.13158","article-title":"I am ready to see you now, Doctor! A mixed-method study of the Let\u2019s Discuss Health website implementation in primary care","volume":"24","author":"Lussier","journal-title":"Health Expect"},{"issue":"4","key":"R26","doi-asserted-by":"publisher","first-page":"530","DOI":"10.1016\/j.pec.2015.11.007","article-title":"The impact of a primary care e-communication intervention on the participation of chronic disease patients who had not reached guideline suggested treatment goals","volume":"99","author":"Lussier","journal-title":"Patient Educ Couns"},{"key":"R27","unstructured":"Portrait num\u00e9rique des g\u00e9n\u00e9rations [Article in French]. Acad\u00e9mie de la transformation num\u00e9rique (2023). URL: https:\/\/transformation-numerique.ulaval.ca\/enquetes-et-mesures\/netendances\/portrait-numerique-des-generations-2023\/ [Accessed 11-10-2024]"},{"issue":"6","key":"R28","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1370\/afm.3181","article-title":"Health care utilization after a visit to a within-group family physician vs a walk-in clinic physician","volume":"22","author":"Salahub","journal-title":"Ann Fam Med"},{"issue":"7266","key":"R29","doi-asserted-by":"publisher","first-page":"928","DOI":"10.1136\/bmj.321.7266.928","article-title":"Walk-in primary medical care centres: lessons from Canada","volume":"321","author":"Jones","journal-title":"BMJ"},{"issue":"2","key":"R30","doi-asserted-by":"publisher","first-page":"E345","DOI":"10.9778\/cmajo.20220095","article-title":"Walk-in clinic patient characteristics and utilization patterns in Ontario, Canada: a cross-sectional study","volume":"11","author":"Lapointe-Shaw","journal-title":"CMAJ Open"},{"issue":"5","key":"R31","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0303107","article-title":"A shifting terrain: understanding the perspectives of walk-in physicians on their roles amid worsening primary care access in Ontario, Canada","volume":"19","author":"Terpou","journal-title":"PLoS One"},{"key":"R32","doi-asserted-by":"publisher","DOI":"10.3238\/arztebl.m2023.0127","article-title":"Synergism of an urgent care walk-in clinic with an emergency department","volume":"120","author":"Bessert","journal-title":"Dtsch Arztebl Int"},{"issue":"6","key":"R33","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated Criteria for Reporting Qualitative Research (COREQ): a 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","journal-title":"Int J Qual Health Care"},{"issue":"9","key":"R34","doi-asserted-by":"publisher","first-page":"1322","DOI":"10.2105\/ajph.89.9.1322","article-title":"Evaluating the public health impact of health promotion interventions: the RE-AIM framework","volume":"89","author":"Glasgow","journal-title":"Am J Public Health"},{"issue":"1","key":"R35","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1037\/qup0000196","article-title":"Conceptual and design thinking for thematic analysis","volume":"9","author":"Braun","journal-title":"Qual Psychol"},{"key":"R36","doi-asserted-by":"crossref","unstructured":"Braun V Clarke V . Thematic analysis. In: Cooper H Camic PM Long DL Panter AT Rindskopf D Sher KJ , editors. APA Handbook of Research Methods in Psychology, Vol 2: Research Designs: Quantitative, Qualitative, Neuropsychological, and Biological. American Psychological Association; 57-71. [doi: 10.1037\/13620-004]","DOI":"10.1037\/13620-004"},{"issue":"9","key":"R37","doi-asserted-by":"publisher","first-page":"951","DOI":"10.1177\/10497323241244669","article-title":"Prompts, pearls, imperfections: comparing ChatGPT and a human researcher in qualitative data analysis","volume":"35","author":"Wachinger","journal-title":"Qual Health Res"},{"key":"R38","unstructured":"Zhang H Wu C Xie J Lyu Y Cai J Carroll JM . Redefining qualitative analysis in the AI era: utilizing chatgpt for efficient thematic analysis. arXiv. Preprint posted online on Sep 19, 2023. [doi: 10.48550\/arXiv.2309.10771]"},{"key":"R39","doi-asserted-by":"publisher","DOI":"10.2196\/71521","article-title":"Evaluating ChatGPT in qualitative thematic analysis with human researchers in the Japanese clinical context and its cultural interpretation challenges: comparative qualitative study","volume":"27","author":"Sakaguchi","journal-title":"J Med Internet Res"},{"issue":"10","key":"R40","doi-asserted-by":"publisher","first-page":"2101","DOI":"10.3390\/healthcare10102101","article-title":"Mutual role expectations by patients and general practitioners-a mixed methods study on complementarity","volume":"10","author":"Plagg","journal-title":"Healthcare (Basel)"},{"key":"R41","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-016-0396-4","article-title":"Achieving change in primary care\u2014causes of the evidence to practice gap: systematic reviews of reviews","volume":"11","author":"Lau","journal-title":"Implementation Sci"}],"container-title":["Journal of Participatory Medicine"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T18:51:17Z","timestamp":1791485477000},"score":1,"resource":{"primary":{"URL":"https:\/\/jopm.jmir.org\/2026\/1\/e83489"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,8]]},"references-count":41,"URL":"https:\/\/doi.org\/10.2196\/83489","relation":{},"ISSN":["2152-7202"],"issn-type":[{"value":"2152-7202","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,8]]},"article-number":"v18i8e83489"}}