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A cluster randomised controlled trial of the clinical and cost-effectiveness of a 'whole systems' model of self-management support for the management of long- term conditions in primary care: trial protocol

A cluster randomised controlled trial of the clinical and cost-effectiveness of a 'whole systems' model of self-management support for the management of long- term conditions in primary care: trial protocol
A cluster randomised controlled trial of the clinical and cost-effectiveness of a 'whole systems' model of self-management support for the management of long- term conditions in primary care: trial protocol
Background

Patients with long-term conditions are increasingly the focus of quality improvement activities in health services to reduce the impact of these conditions on quality of life and to reduce the burden on care utilisation. There is significant interest in the potential for self-management support to improve health and reduce utilisation in these patient populations, but little consensus concerning the optimal model that would best provide such support. We describe the implementation and evaluation of self-management support through an evidence-based 'whole systems' model involving patient support, training for primary care teams, and service re-organisation, all integrated into routine delivery within primary care.

Methods

The evaluation involves a large-scale, multi-site study of the implementation, effectiveness, and cost-effectiveness of this model of self-management support using a cluster randomised controlled trial in patients with three long-term conditions of diabetes, chronic obstructive pulmonary disease (COPD), and irritable bowel syndrome (IBS). The outcome measures include healthcare utilisation and quality of life. We describe the methods of the cluster randomised trial.

Discussion

If the 'whole systems' model proves effective and cost-effective, it will provide decision-makers with a model for the delivery of self-management support for populations with long-term conditions that can be implemented widely to maximise 'reach' across the wider patient population.

Trial registration number

ISRCTN: ISRCTN90940049
7-[13pp]
Bower, Peter
ec553157-a170-4219-8b55-2df813846e44
Kennedy, Anne
e059c1c7-d6d0-41c8-95e1-95e5273b07f8
Reeves, David
4d9f4b50-445c-4257-81fe-4d6fa73a9891
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7
Blakeman, Tom
805f6f85-5cf2-4c4b-b6b6-c94ee0e46a8e
Chew-Graham, Carolyn
530beade-2b1c-4eea-846f-1fcef0585ca5
Bowen, Robert
8a2fb064-d46c-4545-a6e5-ea07095721c5
Eden, Martin
fa1b2902-4a0a-44ee-9fb6-0f30ee5d341e
Gardner, Caroline
d99612f8-f7d7-4b42-9d4b-287202c8117c
Hann, Mark
0438c864-9e6d-4808-974f-4d8755cfe2bb
Lee, Victoria
49d81914-cd51-4e61-9cd1-cef1cb069d1e
Morris, Rebecca
bd538c3b-0048-4e59-a61d-54335a4aeac1
Protheroe, Joanne
ef666365-4f77-4c8c-9471-967b084dff81
Richardson, Gerry
95b61844-048d-4876-a38a-5df8b22eb0c8
Sanders, Caroline
1121a9ec-e719-489a-9ffd-ae8cb6e49a78
Swallow, Angela
16b2525d-21dc-4b0d-a8f4-c2056e5c6a33
Thompson, David
2c60eb1e-bdb8-4501-a2bf-e01780cc31be
Bower, Peter
ec553157-a170-4219-8b55-2df813846e44
Kennedy, Anne
e059c1c7-d6d0-41c8-95e1-95e5273b07f8
Reeves, David
4d9f4b50-445c-4257-81fe-4d6fa73a9891
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7
Blakeman, Tom
805f6f85-5cf2-4c4b-b6b6-c94ee0e46a8e
Chew-Graham, Carolyn
530beade-2b1c-4eea-846f-1fcef0585ca5
Bowen, Robert
8a2fb064-d46c-4545-a6e5-ea07095721c5
Eden, Martin
fa1b2902-4a0a-44ee-9fb6-0f30ee5d341e
Gardner, Caroline
d99612f8-f7d7-4b42-9d4b-287202c8117c
Hann, Mark
0438c864-9e6d-4808-974f-4d8755cfe2bb
Lee, Victoria
49d81914-cd51-4e61-9cd1-cef1cb069d1e
Morris, Rebecca
bd538c3b-0048-4e59-a61d-54335a4aeac1
Protheroe, Joanne
ef666365-4f77-4c8c-9471-967b084dff81
Richardson, Gerry
95b61844-048d-4876-a38a-5df8b22eb0c8
Sanders, Caroline
1121a9ec-e719-489a-9ffd-ae8cb6e49a78
Swallow, Angela
16b2525d-21dc-4b0d-a8f4-c2056e5c6a33
Thompson, David
2c60eb1e-bdb8-4501-a2bf-e01780cc31be

Bower, Peter, Kennedy, Anne, Reeves, David, Rogers, Anne, Blakeman, Tom, Chew-Graham, Carolyn, Bowen, Robert, Eden, Martin, Gardner, Caroline, Hann, Mark, Lee, Victoria, Morris, Rebecca, Protheroe, Joanne, Richardson, Gerry, Sanders, Caroline, Swallow, Angela and Thompson, David (2012) A cluster randomised controlled trial of the clinical and cost-effectiveness of a 'whole systems' model of self-management support for the management of long- term conditions in primary care: trial protocol. Implementation Science, 7, 7-[13pp]. (doi:10.1186/1748-5908-7-7). (PMID:22280501)

Record type: Article

Abstract

Background

Patients with long-term conditions are increasingly the focus of quality improvement activities in health services to reduce the impact of these conditions on quality of life and to reduce the burden on care utilisation. There is significant interest in the potential for self-management support to improve health and reduce utilisation in these patient populations, but little consensus concerning the optimal model that would best provide such support. We describe the implementation and evaluation of self-management support through an evidence-based 'whole systems' model involving patient support, training for primary care teams, and service re-organisation, all integrated into routine delivery within primary care.

Methods

The evaluation involves a large-scale, multi-site study of the implementation, effectiveness, and cost-effectiveness of this model of self-management support using a cluster randomised controlled trial in patients with three long-term conditions of diabetes, chronic obstructive pulmonary disease (COPD), and irritable bowel syndrome (IBS). The outcome measures include healthcare utilisation and quality of life. We describe the methods of the cluster randomised trial.

Discussion

If the 'whole systems' model proves effective and cost-effective, it will provide decision-makers with a model for the delivery of self-management support for populations with long-term conditions that can be implemented widely to maximise 'reach' across the wider patient population.

Trial registration number

ISRCTN: ISRCTN90940049

Full text not available from this repository.

More information

Published date: 26 January 2012
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 346120
URI: https://eprints.soton.ac.uk/id/eprint/346120
PURE UUID: 8b954c53-6703-4e9c-920b-81914c3f5e9b
ORCID for Anne Kennedy: ORCID iD orcid.org/0000-0003-4570-9104

Catalogue record

Date deposited: 14 Jan 2013 12:28
Last modified: 06 Jun 2018 12:28

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Contributors

Author: Peter Bower
Author: Anne Kennedy ORCID iD
Author: David Reeves
Author: Anne Rogers
Author: Tom Blakeman
Author: Carolyn Chew-Graham
Author: Robert Bowen
Author: Martin Eden
Author: Caroline Gardner
Author: Mark Hann
Author: Victoria Lee
Author: Rebecca Morris
Author: Joanne Protheroe
Author: Gerry Richardson
Author: Caroline Sanders
Author: Angela Swallow
Author: David Thompson

University divisions

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