Clinical Trial Details
— Status: Active, not recruiting
Administrative data
| NCT number |
NCT02992431 |
| Other study ID # |
749-1-2017 |
| Secondary ID |
|
| Status |
Active, not recruiting |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
January 2017 |
| Est. completion date |
December 2023 |
Study information
| Verified date |
March 2022 |
| Source |
Kuopio University Hospital |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
In the aging population, the prevalence of chronic diseases and multimorbidity has become
common. Therefore, the planning and coordination of care have become more important. However,
it is not known what kind of treatment plan should be and what kind of patients would benefit
most of it.
This research focuses on the participatory patient care planning in primary health care. In
general, the participatory patient care planning (PPCP) aims to engage patients in self-care,
to improve the collaboration between patients and professionals and to improve the use of
resources. The present study investigates the feasibility and effectiveness of the PPCP.
The specific research questions of the present study are: Does the PPCP have an impact on the
patient's quality of life? Does the PPCP improve the quality of care in management of chronic
diseases? Does the PPCP improve patient's commitment with self-care? Does the PPCP impact on
the use of health care services? The data consists of people aged at least 18 years living in
the municipality of Siilinjärvi with diabetes, coronary heart disease or hypertension and who
are recorded in in Siilinjärvi Health Care Center electronic patient record. The
participating patients are recruited from those who contacts SiiIinjärvi Health Care Center
in order to have a follow-up visit because of the treatment of their disease. This study aims
to recruit 700 patients.
The participants are allocated into the intervention group and into the control group
receiving usual care. Intervention consists of the PPCP. This includes the patient activation
questionnaire form, a visit to the nurse who conducts the measurements (blood pressure, waist
measurement, weight and length) and a visit to the general practitioner who discusses and
agrees with the patient about the treatment goals and follow-up resulting in the written
PPCP.
The main out-come measures are the quality of health related life measured with the 15D; the
level of patient's activity in self-care with the Patient Activation Measurement (PAM); life
satisfaction, self-rated health, a reduction in productivity with the Work Productivity and
Activity Impairment Questionnaire (WPAI: GH), and the disease specific measures (blood
pressure, HbA1C, LDL-cholesterol, body mass index and waist measurement). In addition, pain
intensity and interference (NRS 0-10), mood (BDI-21), the number of visits and phone calls
and referrals are measured.
Description:
This research focuses on the participatory patient care planning in primary health care. In
general, the participatory patient care planning (PPCP) aims to engage patients in self-care,
to improve the collaboration between patients and professionals and to improve the use of
resources. The present study investigates the feasibility and effectiveness of the PPCP.
The specific research questions of the present study are: Does the PPCP have an impact on the
patient's quality of life? Does the PPCP improve the quality of care in management of chronic
diseases? Does the PPCP improve patient's commitment with self-care? Does the PPCP impact on
the use of health care services? The data consists of people aged at least 18 years living in
the municipality of Siilinjärvi with diabetes, coronary heart disease or hypertension and who
are recorded in in Siilinjärvi Health Care Center electronic patient record. The
participating patients are recruited from those who contacts SiiIinjärvi Health Care Center
in order to have a follow-up visit because of the treatment of their disease. This study aims
to recruit 700 patients.
The participants are allocated into the intervention group and into the control group
receiving usual care. Intervention consists of the PPCP. This includes the patient activation
questionnaire form, a visit to the nurse who conducts the measurements (blood pressure, waist
measurement, weight and length) and a visit to the general practitioner who discusses and
agrees with the patient about the treatment goals and follow-up resulting in the written
PPCP.
The main out-come measures are the quality of health related life measured with the 15D; the
level of patient's activity in self-care with the Patient Activation Measurement (PAM); life
satisfaction, self-rated health, a reduction in productivity with the Work Productivity and
Activity Impairment Questionnaire (WPAI: GH), and the disease specific measures (blood
pressure, HbA1C, LDL-cholesterol, body mass index and waist measurement). In addition, pain
intensity and interference (NRS 0-10), mood (BDI-21), the number of visits and phone calls
and referrals are measured.
