One year follow-up and exploratory analysis of a patient-centered interdisciplinary care intervention for multimorbidity
Context Interventions for people with multimorbidity have obtained mixed results. We aimed to document the long-term effect of an intervention for people with multimorbidity. Methods 284 patients (18–80 years) presenting three or more chronic conditions were recruited from seven family medicine grou...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2021-08-01
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| Series: | Journal of Multimorbidity and Comorbidity |
| Online Access: | https://doi.org/10.1177/26335565211039780 |
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| author | Martin Fortin MD, MSc Moira Stewart PhD José Almirall MD, PhD Djamal Berbiche Mathieu Bélanger PhD Alan Katz MB, ChB, MSc Bridget L Ryan PhD Sabrina T Wong RN, PhD Merrick Zwarenstein MB, BCh, PhD |
| author_facet | Martin Fortin MD, MSc Moira Stewart PhD José Almirall MD, PhD Djamal Berbiche Mathieu Bélanger PhD Alan Katz MB, ChB, MSc Bridget L Ryan PhD Sabrina T Wong RN, PhD Merrick Zwarenstein MB, BCh, PhD |
| author_sort | Martin Fortin MD, MSc |
| collection | DOAJ |
| description | Context Interventions for people with multimorbidity have obtained mixed results. We aimed to document the long-term effect of an intervention for people with multimorbidity. Methods 284 patients (18–80 years) presenting three or more chronic conditions were recruited from seven family medicine groups in the Saguenay-Lac St-Jean region, Quebec, Canada. The patient-centered intervention was based on motivational approach and self-management support. Outcomes were evaluated in a one-year pre-post study design with questionnaires that included the Health Education Questionnaire (heiQ), the Self-Efficacy for Managing Chronic Diseases, the Veteran RAND-12 Health Survey (VR-12), the EuroQoL 5-Domains questionnaire, the Kessler six item Psychological Stress Scale, and measures of smoking habit, physical activity, healthy eating and alcohol consumption. Subgroup analyses by age, number of conditions, sex, and income were also conducted. Results The heiQ domain of emotional wellbeing improved significantly. Improvement was also observed for the VR-12 and the K6. Among the health behaviours, only healthy eating was improved. Subgroup analyses in this exploratory study suggest that younger patients, those with lower number of chronic conditions or higher incomes may respond better in relation to self-management, health status and health behaviours. Conclusion One year after the intervention, participants significantly improved a variety of outcomes. Subgroup analyses suggest that younger patients, those with lower number of chronic conditions or higher incomes may respond better in relation to self-management, health status and health behaviours. This suggests that future interventions should be tailored to patients’ characteristics including age, sex, income and number of conditions. |
| format | Article |
| id | doaj-art-c25f3dc8152c4409a3f270ff11e3fdd3 |
| institution | Kabale University |
| issn | 2633-5565 |
| language | English |
| publishDate | 2021-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Multimorbidity and Comorbidity |
| spelling | doaj-art-c25f3dc8152c4409a3f270ff11e3fdd32024-11-20T18:03:19ZengSAGE PublishingJournal of Multimorbidity and Comorbidity2633-55652021-08-011110.1177/26335565211039780One year follow-up and exploratory analysis of a patient-centered interdisciplinary care intervention for multimorbidityMartin Fortin MD, MScMoira Stewart PhDJosé Almirall MD, PhDDjamal BerbicheMathieu Bélanger PhDAlan Katz MB, ChB, MScBridget L Ryan PhDSabrina T Wong RN, PhDMerrick Zwarenstein MB, BCh, PhDContext Interventions for people with multimorbidity have obtained mixed results. We aimed to document the long-term effect of an intervention for people with multimorbidity. Methods 284 patients (18–80 years) presenting three or more chronic conditions were recruited from seven family medicine groups in the Saguenay-Lac St-Jean region, Quebec, Canada. The patient-centered intervention was based on motivational approach and self-management support. Outcomes were evaluated in a one-year pre-post study design with questionnaires that included the Health Education Questionnaire (heiQ), the Self-Efficacy for Managing Chronic Diseases, the Veteran RAND-12 Health Survey (VR-12), the EuroQoL 5-Domains questionnaire, the Kessler six item Psychological Stress Scale, and measures of smoking habit, physical activity, healthy eating and alcohol consumption. Subgroup analyses by age, number of conditions, sex, and income were also conducted. Results The heiQ domain of emotional wellbeing improved significantly. Improvement was also observed for the VR-12 and the K6. Among the health behaviours, only healthy eating was improved. Subgroup analyses in this exploratory study suggest that younger patients, those with lower number of chronic conditions or higher incomes may respond better in relation to self-management, health status and health behaviours. Conclusion One year after the intervention, participants significantly improved a variety of outcomes. Subgroup analyses suggest that younger patients, those with lower number of chronic conditions or higher incomes may respond better in relation to self-management, health status and health behaviours. This suggests that future interventions should be tailored to patients’ characteristics including age, sex, income and number of conditions.https://doi.org/10.1177/26335565211039780 |
| spellingShingle | Martin Fortin MD, MSc Moira Stewart PhD José Almirall MD, PhD Djamal Berbiche Mathieu Bélanger PhD Alan Katz MB, ChB, MSc Bridget L Ryan PhD Sabrina T Wong RN, PhD Merrick Zwarenstein MB, BCh, PhD One year follow-up and exploratory analysis of a patient-centered interdisciplinary care intervention for multimorbidity Journal of Multimorbidity and Comorbidity |
| title | One year follow-up and exploratory analysis of a patient-centered interdisciplinary care intervention for multimorbidity |
| title_full | One year follow-up and exploratory analysis of a patient-centered interdisciplinary care intervention for multimorbidity |
| title_fullStr | One year follow-up and exploratory analysis of a patient-centered interdisciplinary care intervention for multimorbidity |
| title_full_unstemmed | One year follow-up and exploratory analysis of a patient-centered interdisciplinary care intervention for multimorbidity |
| title_short | One year follow-up and exploratory analysis of a patient-centered interdisciplinary care intervention for multimorbidity |
| title_sort | one year follow up and exploratory analysis of a patient centered interdisciplinary care intervention for multimorbidity |
| url | https://doi.org/10.1177/26335565211039780 |
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