Chronic Illness Care Management (CICM) Study In Primary Care

Quality of Life Clinical Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00153829
• Other study ID #: T-0528-029-22-CICM
• Status: Completed
• Phase: Phase 1
• First received: September 8, 2005
• Last updated: February 20, 2015
• Start date: December 2004
• Est. completion date: February 2006

Study information

• Verified date: February 2015
• Source: Bruyere Research Institute
• Contact: n/a
• Is FDA regulated: No
• Health authority: Canada: Health Canada
• Study type: Interventional

Clinical Trial Summary

The purpose of the study is to determine whether the quality of life of patients with multiple chronic conditions cared for by primary care physicians will improve due to the introduction of a chronic illness management intervention.

Description:

There is international recognition for the need of introducing improvement in chronic illness care. However, primary care physicians face a host of challenges for providing the best possible care to their patients. One of these problems is the lack of proper administrative systems. There is evidence indicating that tailored out reach facilitation is an effective means to improve practice performance. Traditionally, the approach to care for chronically ill patients revolved mostly around the treatment of a specific chronic condition in an ad hoc basis. It is more common in family medicine for the patient to have several chronic conditions. There is also evidence showing that better health outcomes are obtained when the patients' life circumstances, desires and expectations are taken into consideration. Various models of chronic illness care have emerged that are patient center while attempting to be comprehensive. Our approach, following the Australian model, seeks to introduce systems/administrative innovations at the practice level, intended also to increase the involvement of patients with multiple chronic conditions on its own care, throw tailored out reach facilitation and care planning tools for physicians, in order to improve chronic illness management in primary care settings.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 200
• Est. completion date: February 2006
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 50 Years and older

Eligibility

Inclusion Criteria:

• Patient should suffer from any two or more chronic illnesses

• Patient should have been seen in the GP's office at least six to seven times in the previous year

• Patient should be 50 years of age or older

Exclusion Criteria:

• Suffering from dementia or a major psychiatric condition, being terminally ill, not being competent to give informed consent for participating in the study, or the doctors considers that the patient will not benefit from the intervention.

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Prevention

Related Conditions & MeSH terms

• Chronic Disease
• Chronic Illness
• Quality of Life

Intervention

Behavioral:
• Multifaceted outreach facilitation for chronic illness care

Locations

Country	Name	City	State
Canada	University of Ottawa, Institute of Population Health	Ottawa	Ontario

Sponsors (1)

Lead Sponsor	Collaborator
C. T. Lamont Primary Care Research Centre

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Difference between intervention and control groups of the average of the total SF-36 Health Survey physical and mental scores
Secondary	Difference between intervention and control groups of the average of the 'Healthy Days' Health Related Quality of Life-4 (HRQOL-4) scores