Project Lay Summary

Exploring barriers and enablers to the implementation of novel capsule sponge technology within primary care: We will explore the potential barriers and enablers for the implementation of novel capsule sponge technology in primary care on the island of Ireland, through qualitative research, informed by the AllCaN Oesophageal PPI panel members, as part of a supported MPhil project supervised by Professor Helen Coleman and Dr Helen Reid (see collaborator details for relevant expertise). Capsule sponge tests are currently being used in secondary care settings in England and Scotland, as part of an implementation pilot study, to identify suspected Barrett’s oesophagus in those patients with recurrent reflux who would otherwise be referred for endoscopy. They are also used as an adjunct to endoscopy in Barrett’s surveillance programmes. There are also ongoing trials (BEST4) for capsule sponge screening in reflux patients within a primary care setting, with a view to investigating the impact on oesophageal cancer mortality outcomes. However, to our knowledge, there has not been any research to date regarding general practitioner views on the possible use of this technology within primary care. This project will aim to explore general practitioner barriers and enablers on the potential use of capsule sponges in primary care, and how this may affect their current management pathways.