Abstract
| Original language | English |
|---|---|
| Journal | BMC Medicine |
| Volume | 14 |
| Issue number | 88 |
| Early online date | 22 Jun 2016 |
| DOIs | |
| Publication status | Published - Jun 2016 |
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Keywords
- multimorbidity
- complex intervention
- General Practice
- care plan
- primary care
- deprivation
- socioeconomic status
- consultation time
- mindfulness
- empathy
Cite this
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The CARE Plus study – a whole-system intervention to improve quality of life of primary care patients with multimorbidity in areas of high socioeconomic deprivation: exploratory cluster randomised controlled trial and cost-utility analysis. / Mercer , Stewart ; Fitzpatrick , Bridie ; Guthrie , Bruce ; Fenwick, Elisabeth; Grieve , Eleanor; Lawson , Kenny ; Boyer , Nicki ; McConnachie, Alex; Lloyd , Suzanne ; O'Brien, Rosaleen; Watt , Graham ; Wyke, Sally.
In: BMC Medicine, Vol. 14, No. 88, 06.2016.Research output: Contribution to journal › Article
TY - JOUR
T1 - The CARE Plus study – a whole-system intervention to improve quality of life of primary care patients with multimorbidity in areas of high socioeconomic deprivation: exploratory cluster randomised controlled trial and cost-utility analysis
AU - Mercer , Stewart
AU - Fitzpatrick , Bridie
AU - Guthrie , Bruce
AU - Fenwick, Elisabeth
AU - Grieve , Eleanor
AU - Lawson , Kenny
AU - Boyer , Nicki
AU - McConnachie, Alex
AU - Lloyd , Suzanne
AU - O'Brien, Rosaleen
AU - Watt , Graham
AU - Wyke, Sally
N1 - Acceptance date: 2-6-16 Online pub date: 22-6-16 Publisher version uploaded 22-6-16 Gold OA (BioMedCentral)
PY - 2016/6
Y1 - 2016/6
N2 - 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.
AB - 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.
KW - multimorbidity
KW - complex intervention
KW - General Practice
KW - care plan
KW - primary care
KW - deprivation
KW - socioeconomic status
KW - consultation time
KW - mindfulness
KW - empathy
U2 - 10.1186/s12916-016-0634-2
DO - 10.1186/s12916-016-0634-2
M3 - Article
VL - 14
JO - BMC Medicine
JF - BMC Medicine
SN - 1741-7015
IS - 88
ER -