Chronic Disease Clinical Trial
Official title:
Protocol for Implementation of Collaborative Self-management Services to Promote Physical Activity
Background: The growing awareness on the health burden generated by insufficient levels of
physical activity has prompted the interest for deploying community-based initiatives aiming
at fostering active healthy living. It is of note, however, that, to our knowledge, none of
the interventions evaluated so far have reached large scale adoption. The current protocol
relies on the general hypothesis that properly tailored self-management programs, fully
integrated in the patient's action plan with remote off-line professional support, may induce
sustained behavioral changes resulting in exercise health behavior. Accordingly, the current
manuscript addresses those unmet requirements, namely: i) Workflow design of the PA services
engaging both patients and health professionals; ii) Enhanced information and communication
technologies (ICT)-support; iii) Evaluation strategies including structured indicators; and,
iv) Implementation of innovative business models. The main outcome of the current protocol
will be a roadmap for large scale deployment and assessment of novel collaborative
self-management PA services in the region of Catalonia (7.5 million citizens).
Methods: The protocol has been designed as part of the regional deployment of integrated care
services in Catalonia (2016-2020). It has been conceived has a two-year (2017-2018) test bed
period.
Aims: The protocol uses a population-health approach to addresses the four aims: i)
Prehabilitation for high risk candidates to major surgery; ii) Community-based rehabilitation
for clinical stable chronic patients with moderate to severe disease; and, iii) Promotion of
physical activity and healthy lifestyles for citizens at risk and patients with mild disease.
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