BATHE is a brief psychosocial intervention designed for physician use in patient consultations. The technique has gained some international recognition, but there is currently limited research evidence to demonstrate its acceptability and benefits to patient care. We conducted a pilot cluster randomised controlled trial and feasibility study to explore the use of BATHE as a key component of a person-focused intervention to improve the care of frequent attending patients in UK primary care. A nested qualitative interview study conducted within a pilot trial. The trial took place in six general practices in the South West of England. Eligible patients had been identified as being in the top 3% of attenders in the previous 12 months. General practitioners (GPs) were trained to use BATHE during a one-hour initial training session, and two top-up trainings which included feedback on implementation fidelity. GPs were asked to use BATHE with their study patients for a period of 12 months. 34 GPs were trained and documented using BATHE in a total of 577 consultations with eligible patients during the intervention period. At the end of the intervention period, GPs and study patients from the intervention practices were invited to take part in an interview. Interviews were semi-structured, audio-recorded and transcribed. Thematic analysis was used. Eleven GPs and 16 patients took part in post-intervention interviews. Benefits of using BATHE included making consultations more person-centred, challenging assumptions that the GP knew what was going on for the patient and their main concerns, and supporting self-management. Difficulties reported included changing existing consultation habits, identifying appropriate consultations in which to use BATHE, and organisational constraints. The study suggests that using BATHE is both acceptable and beneficial but also highlighted some of the difficulties GPs had incorporating BATHE into routine practice. Strategies to reduce these difficulties are needed before the extent of the potential benefits of BATHE can be fully assessed. ISRCTN62939408 Prospectively registered on 24/06/2015.

中文翻译：

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在全科医生和经常参加初级保健的患者中，BATHE技术的可接受性：一项嵌套的定性研究

BATHE是专为医师在患者咨询中使用而设计的一种简短的社会心理干预措施。该技术已获得国际认可，但目前仅有有限的研究证据来证明其可接受性和对患者护理的益处。我们进行了一项试验性集群随机对照试验和可行性研究，以探讨将BATHE用作以人为中心的干预措施的关键组成部分，以改善英国初级保健中经常出诊患者的护理。在试点试验中进行的嵌套定性访谈研究。该审判在英格兰西南部进行了六次常规检查。在过去的12个月中，符合条件的患者已被确定为参加者的前3％。全科医生（GPs）在一个小时的初始培训中接受了使用BATHE的培训，以及两次补充培训，其中包括对实施保真度的反馈。GP被要求与他们的研究患者一起使用BATHE疗程12个月。在干预期间，对符合条件的患者进行了577次咨询，其中使用BATHE对34名GP进行了培训和记录。在干预期结束时，邀请了来自全科医生和来自干预实践的研究患者参加访谈。访谈是半结构化的，录音的和转录的。使用了主题分析。11名全科医生和16名患者参加了干预后的访谈。使用BATHE的好处包括使咨询更加以人为中心，富有挑战性的假设（即GP知道患者及其主要问题的进展），并支持自我管理。报告的困难包括改变现有的咨询习惯，确定使用BATHE的适当咨询以及组织限制。这项研究表明，使用BATHE既是可接受的，也是有益的，但也强调了GP曾将BATHE纳入常规实践的一些困难。在充分评估BATHE潜在收益的程度之前，需要采取减少这些困难的策略。ISRCTN62939408于2015年6月24日正式注册。在充分评估BATHE潜在收益的程度之前，需要采取减少这些困难的策略。ISRCTN62939408于2015年6月24日正式注册。在充分评估BATHE潜在收益的程度之前，需要采取减少这些困难的策略。ISRCTN62939408于2015年6月24日正式注册。