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. 2020 Nov 5;10(11):e040617. doi: 10.1136/bmjopen-2020-040617

Table 3.

Prioritised list of features for the patient navigator programme

Features* Description Score†
*Delivery of education Provide basic education about CKD
Facilitate access to quality information
35
*Psychosocial support Identify social support networks (family, friends, community groups)
Identify and facilitate access to psychological and social services (counsellors, psychologists, social workers)
35
*Lifestyle modification Encourage and support behaviour change (diet, exercise) 16
*Communication and decision-making support Discuss potential questions patients/families can ask at their appointments
Clarify goals and value in making treatment decisions
15
*Facilitating care (referrals, communication, coordination) Facilitate referrals
Schedule and coordinate appointments (GP, specialist care, allied health)
Help in completing complex medical forms
Provide support (to address concerns, fears)
Provide reminders
14
*Medication Encourage and support appropriate medicine-taking 13
‡Maintaining independence and living life Assist with continuing their lifestyle. Focus on activities patients can continue to do rather than limit 5
‡Networking Connect with other patients (peer support) support mentors 5
‡Translating medical information into plain language Assist with simplifying medical terminology and jargon 5
‡Advocacy and education for family and friends Education to support family and friends 4
‘Lived experience’‡ Navigators with lived experience would act as motivators for participating in the programme 4
*Appointment schedule Schedule appointments 3
*Practical support Explain the logistics (venue, parking)
Arrange transportation
Arrange childcare as needed
Ask about the barriers and address them
1
*Cultural and language support Arrange interpretation services 1
*Accompaniment Accompany patients/caregivers at appointments 0
*Financial support Identify needs and support for financial support (completing applications) 0
‡Caregiver support Support caregivers to balance burden of care with family responsibilities 0

*Adapted from existing models and frameworks;16 26 and not mutually exclusive.

†Points calculated by adding the votes with their weighting where 1=3 points, 2=2 points and 3=1 point.

‡New features identified.

CKD, chronic kidney disease; GP, general practitioner.