Enhancing the wellbeing of patients with multimorbidity living in areas of high socio-economic deprivation: the use of qualitative research to optimise a primary care-based complex intervention: the CARE Plus Feasibility Randomised Controlled Trial (Phase 2)

Rosaleen O'Brien, Sally Wyke, Bruce Guthrie, Graham Watt , Stewart Mercer

Research output: Contribution to conferencePaper


Primary care professionals working in deprived areas of Scotland have described the "endless struggles" they face in supporting self-management of patients with multimorbidity within the existing system of care. However, there is a paucity of evidence on the kinds of interventions that might help both practitioners and patients in comparable settings. We conducted exploratory qualitative research (Year 1) to inform the design of the first iteration of a 'whole system' complex intervention that aims to provide greater support to multimorbid patients living int he top 15% most deprived areas of Scotland. This baseline study
suggested that four guiding principles for CARE Plus consultations might be beneficial: 1) establish and maintain relationships with patients (Connect), 2) focus on the "whole person" in assessing problems (Assess), 3) more time to enable practitioners to Respond to problems and 4) use approaches and tools to
Empower patients
Original languageEnglish
Number of pages1
Publication statusUnpublished - 2012



  • multimorbidity
  • primary care
  • health practitioners
  • deprivation
  • CARE
  • intervention

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