Abstract
Multimorbidity is common in deprived communities and reduces quality of life. Our aim was to evaluate a whole-system primary care-based complex intervention, called CARE Plus, to improve quality of life in multimorbid patients living in areas of very high deprivation. We used a phase 2 exploratory cluster randomised controlled trial with eight general practices in Glasgow in very deprived areas that involved multimorbid patients aged 30–65 years. The intervention comprised structured longer consultations, relationship continuity, practitioner support, and self-management support. Control practices continued treatment as usual. Primary outcomes were quality of life (EQ-5D-5L utility scores) and well-being (W-BQ12; 3 domains). Cost-effectiveness from a health service perspective, engagement, and retention were assessed. Recruitment and baseline measurements occurred prior to randomisation. Blinding post-randomisation was not possible but outcome measurement and analysis were masked. Analyses were by intention to treat.
Original language | English |
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Journal | BMC Medicine |
Volume | 14 |
Issue number | 88 |
Early online date | 22 Jun 2016 |
DOIs | |
Publication status | Published - Jun 2016 |
Keywords
- multimorbidity
- complex intervention
- General Practice
- care plan
- primary care
- deprivation
- socioeconomic status
- consultation time
- mindfulness
- empathy