Stroke Clinical Trial
— PACEinMM-QCOfficial title:
Patient-Centred Innovations for Persons With Multimorbidity - Quebec
Verified date | November 2022 |
Source | Université de Sherbrooke |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The aim of Patient-Centred Innovations for Persons With Multimorbidity (PACE in MM) study is to reorient the health care system from a single disease focus to a multimorbidity focus; centre on not only disease but also the patient in context; and realign the health care system from separate silos to coordinated collaborations in care. PACE in MM will propose multifaceted innovations in Chronic Disease Prevention and Management (CDPM) that will be grounded in current realities (i.e. Chronic Care Models including Self-Management Programs), that are linked to Primary Care (PC) reform efforts. The study will build on this firm foundation, will design and test promising innovations and will achieve transformation by creating structures to sustain relationships among researchers, decision-makers, practitioners, and patients. The Team will conduct inter-jurisdictional comparisons and is mainly a Quebec (QC) - Ontario (ON) collaboration with participation from 3 other provinces: British Columbia (BC); Manitoba (MB); and Nova Scotia (NS). The Team's objectives are: 1) to identify factors responsible for success or failure of current CDPM programs linked to the PC reform, by conducting a realist synthesis of their quantitative and qualitative evaluations; 2) to transform consenting CDPM programs identified in Objective 1, by aligning them to promising interventions on patient-centred care for multimorbidity patients, and to test these new innovations' in at least two jurisdictions and compare among jurisdictions; and 3) to foster the scaling-up of innovations informed by Objective 1 and tested/proven in Objective 2, and to conduct research on different approaches to scaling-up. This registration for Clinical Trials only pertains to Objective 2 of the study.
Status | Completed |
Enrollment | 284 |
Est. completion date | November 1, 2022 |
Est. primary completion date | November 1, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 80 Years |
Eligibility | PATIENTS (Studies 2.1 & 2.2): Inclusion Criteria: - 3+ Chronic Conditions - 18 to 80 years of age - Eligible for DIMAC02 intervention Exclusion Criteria: - Unable to reasonably respond to questionnaires or provide informed consent (ie. cognitive impairment or language barrier) - Deemed by provider to be too fragile CAREGIVERS (Study 2.1): - Close family member (wife/husband, parent, son/daughter, brother/sister) and/or caregiver to a patient that has received DIMAC02 intervention (first component) - Sharing time with the patient (before, during and after the intervention) - French speaking DECISION-MAKERS (Study 2.1): - FMG Physician-Manager, FMG Coordinators, Decision-Makers/Managers - Involved/Familiar with DIMAC02 program DIMAC02 INTERDISCIPLINARY team (Study 2.1): - Nurse, Nutritionist, Kinesiologist, Social Worker, Psychologist - Has delivered DIMAC02 intervention to at least one patient REFERRAL PROFESSIONALS (Study 2.1): - Family physician or nurse/nurse practitioner |
Country | Name | City | State |
---|---|---|---|
Canada | CIUSSS du Sageunay-Lac-Saint-Jean | Chicoutimi | Quebec |
Canada | Université de Sherbrooke | Chicoutimi | Quebec |
Lead Sponsor | Collaborator |
---|---|
Université de Sherbrooke | Agence de la Sante et des Services Sociaux du Saguenay-Lac-Saint-Jean, Canadian Institutes of Health Research (CIHR), Western University, Canada |
Canada,
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* Note: There are 20 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Evaluation of Intervention Effectiveness - Change in Self-Management outcomes | Health Education Impact Questionnaire (HeiQ). Score: Reliable improvement | T1: Initial evaluation; T2: after 4 months; T3: one year after T2; T4: one year after T3 | |
Secondary | Evaluation of Intervention Effectiveness - Change in Chronic Diseases | Multimorbidity/Chronic Disease (MM-21): Score: number of Chronic diseases | T1: Initial evaluation; T2: after 4 months; T3: one year after T2; T4: one year after T3 | |
Secondary | Evaluation of Intervention Effectiveness - Change in Health Status | Health Status (VR-12): Score: Physical Component Summary (PCS) and the Mental Component Summary (MCS) | T1: Initial evaluation; T2: after 4 months; T3: one year after T2; T4: one year after T3 | |
Secondary | Evaluation of Intervention Effectiveness - Change in Quality of Life | Quality of Life (EQ5D-5L): Score: mean | T1: Initial evaluation; T2: after 4 months; T3: one year after T2; T4: one year after T3 | |
Secondary | Evaluation of Intervention Effectiveness - Change in Psychological Well-being | Psychological Well-being (Kessler 6 Scale).Score: mean | T1: Initial evaluation; T2: after 4 months; T3: one year after T2; T4: one year after T3 | |
Secondary | Evaluation of Intervention Effectiveness - Change in Lifestyle/Health Behaviours | Lifestyle/Health Behaviours Questionnaire. Score: mean | T1: Initial evaluation; T2: after 4 months; T3: one year after T2; T4: one year after T3 | |
Secondary | Evaluation of Intervention Effectiveness - Equity | T1: Baseline | ||
Secondary | Demographics | T1: Baseline | ||
Secondary | Evaluation of Intervention Effectiveness - Change in Transitions of Care | Patient Perception of Transitions of Care. Score: Mean | T1: Initial evaluation; T2: after 4 months; T3: one year after T2; T4: one year after T3 | |
Secondary | Evaluation of Intervention Effectiveness - Change in Self-Efficacy | Self-Efficacy for Managing Chronic Disease Scale (SEM-CD). Score: mean | T1: Initial evaluation; T2: after 4 months; T3: one year after T2; T4: one year after T3 | |
Secondary | Evaluation of Intervention Effectiveness - Change in Patient-Centredness | Patient Perception of Patient-Centredness (PPPC). Score: Mean | T1: Initial evaluation; T2: after 4 months; T3: one year after T2; T4: one year after T3 |
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