Malcolm Battersby1, Melanie Harris2, David Smith2, Richard Reed3, Richard Woodman4. 1. Flinders Human Behaviour and Health Research Unit, Flinders University, Adelaide, Australia. Electronic address: malcolm.battersby@flinders.edu.au. 2. Flinders Human Behaviour and Health Research Unit, Flinders University, Adelaide, Australia. 3. Flinders Southern Adelaide Clinical School AU, General Practice, Flinders University, Adelaide, Australia. 4. Flinders Centre for Epidemiology and Biostatistics, Flinders University, Adelaide, Australia.
Abstract
OBJECTIVES: To evaluate the Flinders Program in improving self-management in common chronic conditions. To examine properties of the Partners in Health scale (PIH). METHODS: Participants were randomized to usual care or Flinders Program plus usual care. Self-management competency, quality of life, and other outcomes were measured at baseline, 6 months, and 12 months. RESULTS:Of 231 participants, 172 provided data at 6 months and 61 at 12 months. At 6 months, intention-to-treat outcomes favoured the intervention group for SF-12 physical health (p=0.043). Other pre-determined outcomes did not show significance. At 6 months intervention participants' problem severity scores reduced (p<0.001) and goal achievement scores increased (p<0.001). Only 55% of the intervention group received a Flinders Program, compromising study power. The PIH was associated with other measures at baseline and for change over time. CONCLUSION: In a pragmatic community trial, the Flinders Program improved quality of life at 6 months. Incomplete in-practice intervention delivery limited trial power. Studies are now needed on improving delivery. The PIH has potential as a generic risk screening tool and predictive measure of change in self-management and chronic condition outcomes over time. PRACTICE IMPLICATIONS: Better implementation including service integration is required for improved chronic disease management.
RCT Entities:
OBJECTIVES: To evaluate the Flinders Program in improving self-management in common chronic conditions. To examine properties of the Partners in Health scale (PIH). METHODS:Participants were randomized to usual care or Flinders Program plus usual care. Self-management competency, quality of life, and other outcomes were measured at baseline, 6 months, and 12 months. RESULTS: Of 231 participants, 172 provided data at 6 months and 61 at 12 months. At 6 months, intention-to-treat outcomes favoured the intervention group for SF-12 physical health (p=0.043). Other pre-determined outcomes did not show significance. At 6 months intervention participants' problem severity scores reduced (p<0.001) and goal achievement scores increased (p<0.001). Only 55% of the intervention group received a Flinders Program, compromising study power. The PIH was associated with other measures at baseline and for change over time. CONCLUSION: In a pragmatic community trial, the Flinders Program improved quality of life at 6 months. Incomplete in-practice intervention delivery limited trial power. Studies are now needed on improving delivery. The PIH has potential as a generic risk screening tool and predictive measure of change in self-management and chronic condition outcomes over time. PRACTICE IMPLICATIONS: Better implementation including service integration is required for improved chronic disease management.
Authors: Anke Lenferink; Tanja Effing; Peter Harvey; Malcolm Battersby; Peter Frith; Wendy van Beurden; Job van der Palen; Muirne C S Paap Journal: PLoS One Date: 2016-08-26 Impact factor: 3.240
Authors: Malcolm Battersby; Michael R Kidd; Julio Licinio; Philip Aylward; Amanda Baker; Julie Ratcliffe; Stephen Quinn; David J Castle; Sara Zabeen; A Kate Fairweather-Schmidt; Sharon Lawn Journal: Trials Date: 2018-07-11 Impact factor: 2.279