Emma Glaser1, Claude Richard2, Marie-Thérèse Lussier3. 1. Primary Care Research Team: Centre Intégré de Santé et des Services Sociaux de Laval, Canada; Faculty of Medicine, Université de Montréal, Canada. Electronic address: emmaglaser@gmail.com. 2. Primary Care Research Team: Centre Intégré de Santé et des Services Sociaux de Laval, Canada. 3. Primary Care Research Team: Centre Intégré de Santé et des Services Sociaux de Laval, Canada; Family Medicine and Emergency Medicine Department, Faculty of Medicine, Université de Montréal, Canada.
Abstract
OBJECTIVE: Examine the impact of a PACE (Prepare, Ask, Check, Express) inspired web-based communication intervention alone or combined with a workshop on reaching treatment goals for patients suffering from chronic diseases (CDs), compared to usual care. METHODS: Three arm single-blind RCT in community primary care (PC) practices. PC practitioners (n=18) had a CD patient caseload, and practicing >5 years. Patients >40 years old, English speaking, computer literate, not reaching treatment goals for hypertension, type II diabetes, and/or dyslipidemia. INTERVENTIONS: (1) web-intervention and (2) web intervention and nurse facilitated workshop and (3) usual care. OUTCOME: Proportion of patients meeting all treatment suggested guidelines for the diagnoses they were enrolled for. RESULTS:Patients (n=322) were randomized, and of these 221 returned for follow up. Patients in the web group were 1.42 times more likely to meet targets compared to usual care [95% CI: 1.00-2.00], a statistical difference not seen in the combined group. Sensitivity analyses were performed to mitigate bias due to loss to follow up. CONCLUSIONS: Training patients in communication skills using a website positively affects reaching treatment goals for hypertensive, diabetic and dyslipidemic patients. PRACTICE IMPLICATIONS: Web communication interventions are an effective tool that can be used in primary care.
RCT Entities:
OBJECTIVE: Examine the impact of a PACE (Prepare, Ask, Check, Express) inspired web-based communication intervention alone or combined with a workshop on reaching treatment goals for patients suffering from chronic diseases (CDs), compared to usual care. METHODS: Three arm single-blind RCT in community primary care (PC) practices. PC practitioners (n=18) had a CDpatient caseload, and practicing >5 years. Patients >40 years old, English speaking, computer literate, not reaching treatment goals for hypertension, type II diabetes, and/or dyslipidemia. INTERVENTIONS: (1) web-intervention and (2) web intervention and nurse facilitated workshop and (3) usual care. OUTCOME: Proportion of patients meeting all treatment suggested guidelines for the diagnoses they were enrolled for. RESULTS:Patients (n=322) were randomized, and of these 221 returned for follow up. Patients in the web group were 1.42 times more likely to meet targets compared to usual care [95% CI: 1.00-2.00], a statistical difference not seen in the combined group. Sensitivity analyses were performed to mitigate bias due to loss to follow up. CONCLUSIONS: Training patients in communication skills using a website positively affects reaching treatment goals for hypertensive, diabetic and dyslipidemic patients. PRACTICE IMPLICATIONS: Web communication interventions are an effective tool that can be used in primary care.
Authors: Hannah Beks; Olivia King; Renee Clapham; Laura Alston; Kristen Glenister; Carol McKinstry; Claire Quilliam; Ian Wellwood; Catherine Williams; Anna Wong Shee Journal: J Med Internet Res Date: 2022-03-09 Impact factor: 7.076