Breast Cancer Clinical Trial
Official title:
Collaborative Self-Management Support in Chronic Conditions: a Qualitative Study of Patients', Caregivers' and Health Care Professionals' Views and Experiences of Integrated Care in Asthma, Breast Cancer and Stroke
The management of chronic conditions is a challenge for health systems worldwide,
particularly in the context of an aging population, and requires urgent improvement of health
services. Integrated care and patient empowerment represent promising solutions: offering
tailored self-management support in a collaborative framework led to good results in several
clinical contexts. Yet, large scale implementation remains a challenge. An important
limitation of existing solutions is a lack of utilization of behavioural and communication
theory for identifying the dynamics of pluridisciplinary collaboration and the interactive
effects of the activities performed by several actors involved in self-management support in
a given chronic condition. A second limitation is not involving all relevant actors in the
development of health service improvement solutions, which leads to limited programme
adoption and sustainability in routine care.
This study is part of a project that proposes to address these limitations and develop and
interdisciplinary model of collaborative care in the self-management of chronic conditions
(CoSMaS) that adopts a community-based participative approach. CoSMaS-ql is a qualitative
study that will consist of semi-structured interviews with several types of stakeholders:
patients, caregivers, and health care professionals of different specialties (e.g. general
practitioners, nurses, specialist consultants, pharmacists). The main objective of the study
is to explore the experiences and of patients, caregivers, and HCPs on how self-management
support is currently delivered in asthma, cancer and stroke (content, communication,
organisation of care), their needs related to self-management support provision, and
envisaged solutions for improving current practice. Three different chronic conditions will
be targeted: asthma, breast cancer and stroke. The qualitative data will be analysed via
grounded-theory and template analysis. It will inform the development of a theoretical model
of collaborative self-management support in chronic conditions. It will also result in three
profiles describing 'real' versus 'ideal' care processes, which will represent needs
assessment stages for future health services improvement interventions in the three
conditions.
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