Carola Orrego1,2,3, Lilisbeth Perestelo-Pérez3,4, Ana Isabel González-González3,5,6, Marta Ballester-Santiago7,2,3, Débora Koatz7,2,3, Valeria Pacheco-Huergo7,8, Amado Rivero-Santana4,9, Vanesa Ramos-García9, Nuria Mora Fernández7,2, Alezandra Torres-Castaño9, Carlos Bermejo-Caja2,10. 1. Avedis Donabedian Research Institute (FAD), Barcelona, Spain corrego@fadq.org. 2. Universitat Autònoma de Barcelona, Barcelona, Spain. 3. Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Bilbao, Spain. 4. Servicio de Evaluación y Planificación del Servicio Canario de la Salud (SESCS), Tenerife, Spain. 5. Institute of General Practice, Goethe University, Frankfurt, Germany. 6. Subdirección General de Investigación Sanitaria y Documentación, Dirección General Investigación, Docencia y Documentación, Consejería de Sanidad, Madrid, Spain. 7. Avedis Donabedian Research Institute (FAD), Barcelona, Spain. 8. Centro de Atención Primaria Turó, Instituto Catalán de la Salud, Barcelona, Spain. 9. Fundación Canaria Instituto de Investigación Sanitaria de Canarias (FISC), Tenerife, Spain. 10. Unidad de Apoyo Técnico, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain.
Abstract
PURPOSE: We aimed to evaluate the effectiveness of a virtual community of practice (vCoP) in improving primary health care professionals' (HCPs') attitudes toward empowering patients with chronic disease. METHODS: We conducted a cluster randomized controlled trial. Practices were units of randomization, and primary HCPs and patients were units of analysis. Sixty-three practices in Madrid, Catalonia, and the Canary Islands were randomly allocated to the intervention or control groups. Randominzation of practices was performed after HCP and patient recruitment. The patients and statistician were anonymized to group allocation; it was not possible to anonymize HCPs. The intervention was a 12-month multicomponent tailored vCoP built on the Web 2.0 concept and focused on skills toward patient empowerment. The primary outcome was Patient-Provider Orientation Scale (PPOS) score at baseline and at 12 months. The secondary outcome was the Patient Activation Measure (PAM) score. RESULTS: A total of 321 HCPs and 1,921 patients were assessed. The intervention had a positive effect on PPOS total score (0.14 points higher in the vCoP arm; 95% CI, 0.03-0.25; P = .011) and the PPOS Sharing subscale (0.3 points higher in the vCoP arm; 95% CI, 0.15-0.44; P < .001). No effect was found for the PPOS Caring subscale, and no significant differences were found for PAM scores. CONCLUSIONS: A vCoP led to a minor increase in the PPOS Sharing component and the total score but not in the Caring component. However, considerable uncertainty remains, given the observed attrition and other limitations of the study. Further research is needed on the effectiveness of the vCoP model and on how to improve HCP engagement.VISUAL ABSTRACT.
PURPOSE: We aimed to evaluate the effectiveness of a virtual community of practice (vCoP) in improving primary health care professionals' (HCPs') attitudes toward empowering patients with chronic disease. METHODS: We conducted a cluster randomized controlled trial. Practices were units of randomization, and primary HCPs and patients were units of analysis. Sixty-three practices in Madrid, Catalonia, and the Canary Islands were randomly allocated to the intervention or control groups. Randominzation of practices was performed after HCP and patient recruitment. The patients and statistician were anonymized to group allocation; it was not possible to anonymize HCPs. The intervention was a 12-month multicomponent tailored vCoP built on the Web 2.0 concept and focused on skills toward patient empowerment. The primary outcome was Patient-Provider Orientation Scale (PPOS) score at baseline and at 12 months. The secondary outcome was the Patient Activation Measure (PAM) score. RESULTS: A total of 321 HCPs and 1,921 patients were assessed. The intervention had a positive effect on PPOS total score (0.14 points higher in the vCoP arm; 95% CI, 0.03-0.25; P = .011) and the PPOS Sharing subscale (0.3 points higher in the vCoP arm; 95% CI, 0.15-0.44; P < .001). No effect was found for the PPOS Caring subscale, and no significant differences were found for PAM scores. CONCLUSIONS: A vCoP led to a minor increase in the PPOS Sharing component and the total score but not in the Caring component. However, considerable uncertainty remains, given the observed attrition and other limitations of the study. Further research is needed on the effectiveness of the vCoP model and on how to improve HCP engagement.VISUAL ABSTRACT.
Authors: Paul Haidet; Joyce E Dains; Debora A Paterniti; Laura Hechtel; Tai Chang; Ellen Tseng; John C Rogers Journal: Med Educ Date: 2002-06 Impact factor: 6.251
Authors: Cláudia M A S Pereira; Carlos F S Amaral; Maria M F Ribeiro; Helena B M S Paro; Rogério M C Pinto; Lara E T Reis; Carlos H M Silva; Edward Krupat Journal: Patient Educ Couns Date: 2013-01-10
Authors: Ana Isabel González-González; Carola Orrego; Lilisbeth Perestelo-Perez; Carlos Jesús Bermejo-Caja; Nuria Mora; Débora Koatz; Marta Ballester; Tasmania Del Pino; Jeannet Pérez-Ramos; Ana Toledo-Chavarri; Noemí Robles; Francisco Javier Pérez-Rivas; Ana Belén Ramírez-Puerta; Yolanda Canellas-Criado; Yolanda Del Rey-Granado; Marcos José Muñoz-Balsa; Beatriz Becerril-Rojas; David Rodríguez-Morales; Luis Sánchez-Perruca; José Ramón Vázquez; Armando Aguirre Journal: Trials Date: 2017-10-30 Impact factor: 2.279
Authors: Carlos Jesús Bermejo-Caja; Débora Koatz; Carola Orrego; Lilisbeth Perestelo-Pérez; Ana Isabel González-González; Marta Ballester; Valeria Pacheco-Huergo; Yolanda Del Rey-Granado; Marcos Muñoz-Balsa; Ana Belén Ramírez-Puerta; Yolanda Canellas-Criado; Francisco Javier Pérez-Rivas; Ana Toledo-Chávarri; Mercedes Martínez-Marcos Journal: BMC Health Serv Res Date: 2019-06-20 Impact factor: 2.655