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Change in treatment burden among people with multimorbidity: a follow-up survey

Change in treatment burden among people with multimorbidity: a follow-up survey
Change in treatment burden among people with multimorbidity: a follow-up survey
Background: Treatment burden is the workload of being a patient and its impact on wellbeing. Little is known about change in treatment burden over time for people with multimorbidity. Aim: To quantify change in treatment burden, determine factors associated with this change, and evaluate a revised single-item measure for high treatment burden in older adults with multimorbidity.Design and setting: A 2.5-year follow-up of a cross-sectional postal survey via six general practices in Dorset, England. Method: GP practices identified participants of the baseline survey. Data on treatment burden (measured using the Multimorbidity Treatment Burden Questionnaire; MTBQ), sociodemographics, clinical variables, health literacy and financial resource were collected. Change in treatment burden was described, and associations assessed using regression models. Diagnostic test performance metrics evaluated the single-item measure relative to the MTBQ.RResults: In total, 301 participants were recruited (77.6% response rate). Overall, there was a 2.6% increase in treatment burden. 98 (32.6%) and 53 (17.6%) participants experienced an increase and decrease, respectively, in treatment burden category. An increase in treatment burden was associated with having more than five long-term conditions (ß:8.26 (95% CI: 4.20 to 12.32) and living >10 minutes (vs. ≤10 minutes) from the GP (aß:3.88 (95% CI: 1.32 to 6.43)), particularly for participants with limited health literacy (mean difference: aß:9.59 (95% CI: 2.17 to 17.00)). The single-item measure performed moderately- sensitivity: 56.5%; specificity: 92.5%. Conclusion: Treatment burden changes over time. Improving access to primary care, particularly for those living further away from services, and enhancing health literacy, may mitigate increases in burden.
0960-1643
Hounkpatin, Hilda
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Roderick, Paul
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Harris, Scott
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Morris, James, Edward
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Smith, Dianna
e859097c-f9f5-4fd0-8b07-59218648e726
Walsh, Bronagh
5818243e-048d-4b4b-88c5-231b0e419427
Roberts, Helen
5ea688b1-ef7a-4173-9da0-26290e18f253
Dambha-Miller, Hajira
58961db5-31aa-460e-9394-08590c4b7ba1
Tan, Qian Yue
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Watson, Forbes
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Fraser, Simon
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Hounkpatin, Hilda
5612e5b4-6286-48c8-b81f-e96d1148681d
Roderick, Paul
dbb3cd11-4c51-4844-982b-0eb30ad5085a
Harris, Scott
19ea097b-df15-4f0f-be19-8ac42c190028
Morris, James, Edward
631cdf2c-3ddf-41ef-8b74-65a1dffb1e58
Smith, Dianna
e859097c-f9f5-4fd0-8b07-59218648e726
Walsh, Bronagh
5818243e-048d-4b4b-88c5-231b0e419427
Roberts, Helen
5ea688b1-ef7a-4173-9da0-26290e18f253
Dambha-Miller, Hajira
58961db5-31aa-460e-9394-08590c4b7ba1
Tan, Qian Yue
6a31c582-c5f8-4d80-b466-b27da2700069
Watson, Forbes
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Fraser, Simon
135884b6-8737-4e8a-a98c-5d803ac7a2dc

Hounkpatin, Hilda, Roderick, Paul, Harris, Scott, Morris, James, Edward, Smith, Dianna, Walsh, Bronagh, Roberts, Helen, Dambha-Miller, Hajira, Tan, Qian Yue, Watson, Forbes and Fraser, Simon (2022) Change in treatment burden among people with multimorbidity: a follow-up survey. British Journal of General Practice, 2022, [0103].

Record type: Article

Abstract

Background: Treatment burden is the workload of being a patient and its impact on wellbeing. Little is known about change in treatment burden over time for people with multimorbidity. Aim: To quantify change in treatment burden, determine factors associated with this change, and evaluate a revised single-item measure for high treatment burden in older adults with multimorbidity.Design and setting: A 2.5-year follow-up of a cross-sectional postal survey via six general practices in Dorset, England. Method: GP practices identified participants of the baseline survey. Data on treatment burden (measured using the Multimorbidity Treatment Burden Questionnaire; MTBQ), sociodemographics, clinical variables, health literacy and financial resource were collected. Change in treatment burden was described, and associations assessed using regression models. Diagnostic test performance metrics evaluated the single-item measure relative to the MTBQ.RResults: In total, 301 participants were recruited (77.6% response rate). Overall, there was a 2.6% increase in treatment burden. 98 (32.6%) and 53 (17.6%) participants experienced an increase and decrease, respectively, in treatment burden category. An increase in treatment burden was associated with having more than five long-term conditions (ß:8.26 (95% CI: 4.20 to 12.32) and living >10 minutes (vs. ≤10 minutes) from the GP (aß:3.88 (95% CI: 1.32 to 6.43)), particularly for participants with limited health literacy (mean difference: aß:9.59 (95% CI: 2.17 to 17.00)). The single-item measure performed moderately- sensitivity: 56.5%; specificity: 92.5%. Conclusion: Treatment burden changes over time. Improving access to primary care, particularly for those living further away from services, and enhancing health literacy, may mitigate increases in burden.

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Accepted/In Press date: 29 April 2022
e-pub ahead of print date: 4 May 2022
Published date: 5 September 2022

Identifiers

Local EPrints ID: 457151
URI: http://eprints.soton.ac.uk/id/eprint/457151
ISSN: 0960-1643
PURE UUID: b466acd3-d231-4462-816f-d7610686eefa
ORCID for Hilda Hounkpatin: ORCID iD orcid.org/0000-0002-1360-1791
ORCID for Paul Roderick: ORCID iD orcid.org/0000-0001-9475-6850
ORCID for Dianna Smith: ORCID iD orcid.org/0000-0002-0650-6606
ORCID for Bronagh Walsh: ORCID iD orcid.org/0000-0003-1008-0545
ORCID for Helen Roberts: ORCID iD orcid.org/0000-0002-5291-1880
ORCID for Hajira Dambha-Miller: ORCID iD orcid.org/0000-0003-0175-443X
ORCID for Simon Fraser: ORCID iD orcid.org/0000-0002-4172-4406

Catalogue record

Date deposited: 24 May 2022 17:07
Last modified: 17 Mar 2024 03:54

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Contributors

Author: Paul Roderick ORCID iD
Author: Scott Harris
Author: James, Edward Morris
Author: Dianna Smith ORCID iD
Author: Bronagh Walsh ORCID iD
Author: Helen Roberts ORCID iD
Author: Qian Yue Tan
Author: Forbes Watson
Author: Simon Fraser ORCID iD

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