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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Autores principales: 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
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Publicado: SAGE Publishing 2021
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Acceso en línea:https://doaj.org/article/c25f3dc8152c4409a3f270ff11e3fdd3
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spelling oai:doaj.org-article:c25f3dc8152c4409a3f270ff11e3fdd32021-11-18T22:33:22ZOne year follow-up and exploratory analysis of a patient-centered interdisciplinary care intervention for multimorbidity2235-042X10.1177/26335565211039780https://doaj.org/article/c25f3dc8152c4409a3f270ff11e3fdd32021-08-01T00:00:00Zhttps://doi.org/10.1177/26335565211039780https://doaj.org/toc/2235-042XContext 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.Martin 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, PhDSAGE PublishingarticleMedicineRENJournal of Comorbidity, Vol 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
spellingShingle Medicine
R
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
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
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
title 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_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_sort one year follow-up and exploratory analysis of a patient-centered interdisciplinary care intervention for multimorbidity
publisher SAGE Publishing
publishDate 2021
url https://doaj.org/article/c25f3dc8152c4409a3f270ff11e3fdd3
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