OBJECTIVE: This study tested the efficacy of a patient engagement intervention for older adults with multiple chronic illnesses. METHODS:Seventy-nine participants were randomly assigned to receive the intervention (Intervention Group), contacts on a different topic (Safety Group), or Usual Care. The Intervention and Safety Groups attended a 2-h workshop and participated in phone calls; one before and one after a naturally-occurring medical encounter. The Intervention Group discussed patient engagement concepts from publicly distributed content. The Safety Group discussed general safety (e.g., fire safety, identity theft). Self-report measures were gathered by telephone interview at Baseline and 6-months following Baseline. RESULTS: We did not find expected improvements in patient activation and health-related quality of life. However, the Intervention Group was the only group to show a statistically significant improvement in self-efficacy for self-management. CONCLUSION: The intervention shows promise for improving quality of life and/or health, but requires refinement to reach persons not already engaged in their healthcare and to strengthen its effects. PRACTICE IMPLICATIONS: Patient-directed skills training interventions may be a successful way to support clinicians' and others' efforts to encourage older patients to be actively involved in their care.
RCT Entities:
OBJECTIVE: This study tested the efficacy of a patient engagement intervention for older adults with multiple chronic illnesses. METHODS: Seventy-nine participants were randomly assigned to receive the intervention (Intervention Group), contacts on a different topic (Safety Group), or Usual Care. The Intervention and Safety Groups attended a 2-h workshop and participated in phone calls; one before and one after a naturally-occurring medical encounter. The Intervention Group discussed patient engagement concepts from publicly distributed content. The Safety Group discussed general safety (e.g., fire safety, identity theft). Self-report measures were gathered by telephone interview at Baseline and 6-months following Baseline. RESULTS: We did not find expected improvements in patient activation and health-related quality of life. However, the Intervention Group was the only group to show a statistically significant improvement in self-efficacy for self-management. CONCLUSION: The intervention shows promise for improving quality of life and/or health, but requires refinement to reach persons not already engaged in their healthcare and to strengthen its effects. PRACTICE IMPLICATIONS: Patient-directed skills training interventions may be a successful way to support clinicians' and others' efforts to encourage older patients to be actively involved in their care.
Authors: Karly S Geller; Ilora D Mendoza; Jasah Timbobolan; Holly L Montjoy; Claudio R Nigg Journal: Public Health Nurs Date: 2011-10-05 Impact factor: 1.462
Authors: Mark B Snowden; Lesley E Steinman; Whitney L Carlson; Kara N Mochan; Ana F Abraido-Lanza; Lucinda L Bryant; Michael Duffy; Bob G Knight; Dilip V Jeste; Katherine H Leith; Eric J Lenze; Rebecca G Logsdon; William A Satariano; Damita J Zweiback; Lynda A Anderson Journal: Front Public Health Date: 2015-04-27
Authors: Cynthia F Corbett; Kenn B Daratha; Sterling McPherson; Crystal L Smith; Michael S Wiser; Brenda K Vogrig; Sean M Murphy; Roy Cantu; Dennis G Dyck Journal: Int J Environ Res Public Health Date: 2021-05-26 Impact factor: 3.390