Chronic Illness Clinical Trial
Official title:
Enhancing Self-care Through Opportunistic Motivational Techniques, Used by Community Nurses, While Caring for Housebound Patients With Long-term Conditions: a Mixed Methods Feasibility Study
NCT number | NCT02925897 |
Other study ID # | 15-047 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | May 2016 |
Est. completion date | December 2017 |
Verified date | February 2017 |
Source | King's College London |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The prevalence of people living with problems due to a long-term condition (LTC) such as
heart disease, diabetes or arthritis in England exceeds 15 million, and the number of those
with more than one LTC continues to grow (LTCs). This population consumes a large proportion
of health service resources. Advancing age and LTCs increase the likelihood of becoming
housebound, this has a detrimental effect on health and quality of life. Health policy
advocates a health service model of empowerment and self-care. People who live with LTCs are
often very knowledgeable about how to look after their health but find it difficult to adjust
their.
Motivational techniques have been demonstrated to facilitate behaviour change through
changing the style of communication from directive to collaborative. The use of
patient-centred conversational style of communication has been shown to elicit more
willingness to change than professional-led directive consultations. Community nurses are in
a unique position to influence housebound patients to play a greater part in caring for
themselves, preventing complications in their long-term conditions and further ill health.
This study intends to test the feasibility and acceptability of training community nurses in
Understanding Behaviour Change, a communication technique which uses motivational
interviewing to guide patients to change their behaviour. The opportunistic use of
motivational techniques to create participatory relationships between patients, community
nurses potentially represents an effective intervention to enable patients with LTCs to
optimise the way they care for themselves.
Motivational interviewing techniques have been widely demonstrated to bring about behaviour
change but have not been studied in the context of changing the style of communication
between housebound patients and the professionals caring for them.
Status | Completed |
Enrollment | 62 |
Est. completion date | December 2017 |
Est. primary completion date | June 2017 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Patients who give informed consent - Patients on the community nurses caseload - Patients with long-term conditions Exclusion Criteria: - Any inclusion criteria not met - Patients who are not expected to be seen more than three times - Less than 18 years old. - Patients who are unable to complete the questionnaire in English. - Patients who through physical or psychological conditions do not have the potential to contribute to their own care, as decided by the community nurse. - Patients who are unable to give informed consent. - Those who hold their own health budget or are part of the proactive care programme - Patients who are at the end of life. |
Country | Name | City | State |
---|---|---|---|
United Kingdom | Kent Community Health Foundation Trust | Maidstone | Kent |
Lead Sponsor | Collaborator |
---|---|
King's College London |
United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Recruitment and retention to the study | To test the feasibility of recruiting people who are housebound to a behaviour change intervention (ESC) The number of housebound patients who meet the inclusion criteria of those who is recruited to the study. The number of participants who complete the study. The reasons for not completing the study. |
12 months | |
Secondary | The appropriateness of the preliminary primary outcome | Patient centeredness to be collected at three months (T2) using the Consultation and relational empathy measure. This is a 10 item questionnaire with a 5 point Likert Scale 0=poor to 5=excellent. | 12 months | |
Secondary | Measurement of patient enablement | Patient enablement tool:This is a six-question instrument each of which have four possible response options much better, better, worse or the same or not applicable | 12 months | |
Secondary | General self-efficacy scale | This is a 12 item Likert scale which is used to assess patients' confidence in their ability to change health behaviours and achieve goals | 12 months | |
Secondary | Quality of life | EQ-5D which measures five dimensions of health: mobility, self-care, ability to carry out usual activities, pain or discomfort and anxiety and depression. These dimensions are each scored on five levels. | 12 months |
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