Enhancing self-management of multiple conditions in primary care
| ISRCTN | ISRCTN70201320 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN70201320 |
| Protocol serial number | N/A |
| Sponsor | HRB Centre for Primary Care Research (Ireland) |
| Funder | Investigator initiated and funded (Ireland) |
- Submission date
- 25/03/2011
- Registration date
- 28/04/2011
- Last edited
- 13/11/2013
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Other
Plain English summary of protocol
Not provided at time of registration
Contact information
Scientific
Department of General Practice
Royal College of surgeons
Beaux Lane Huose
Mercer Street
Dubin
2
Ireland
| Phone | +35(0)3 1402 2306 |
|---|---|
| susansmith@rcsi.ie |
Study information
| Primary study design | Interventional |
|---|---|
| Study design | Prospective exploratory trial |
| Secondary study design | Other |
| Study type | Participant information sheet |
| Scientific title | A feasibility study of a chronic disease self-management intervention designed to improve occupational performance and outcomes for people with multimorbidity in primary care |
| Study acronym | Multimorbidity self-management |
| Study objectives | An occupational therapy group-based chronic disease self-management intervention may improve outcomes for individuals with multimorbidity living in the community. |
| Ethics approval(s) | Irish College of General Practitioners, Research Ethics Committee approved in December 2010 |
| Health condition(s) or problem(s) studied | Multimorbidity |
| Intervention | Participants will attend a weekly chronic disease self management group (CDSM) over a six week period facilitated by the occupational therapy (OT) researcher. Each session will last two and a half hours with a tea and coffee break in the middle. The location selected for the group is Trinity Centre for Health Sciences, St. Jamess Hospital. This location has been chosen in an effort to minimise inconvenience to participants as it is easily accessible and has regular public transport and is the usual centre for specialist care for patients of the participating general practice. The content of the intervention is based on interventions delivered in the previous study (ICGP), program content of chronic disease self management groups, and the priorities and difficulties experienced by people with multimorbidity as documented in literature. Each session was divided into two halves one to address the educational topic and the second half to address participants individual goals. This group structure was chosen as self management programs with the greatest health impact are those with an individualised flexible approach to both delivery and content. Although generic self-management programs are effective they may not adequately address all of the concerns of complex patients with multimorbidity. Educational topics chosen for each group session are as follows: fatigue management, anxiety management, medicine management, physical activity, communication. The format of this half of the session will include both group discussions and group activities. This second half of the session, individual goal setting, will involve the OT researcher and participant reviewing and setting identified goals, progress and addressing any perceived barriers to goal achievement. All participants will complete a Canadian Occupational Performance Score (COPM) as part of baseline assessment, this can be used as the basis for the weekly goal setting in which individuals address personal goals in occupational performance that may not be addressed in educational topics. |
| Intervention type | Other |
| Primary outcome measure(s) |
1.The Canadian Occupational Performance Measure (COPM) is a client-centered outcome measure designed for use by occupational therapists to detect change in a client's self-perception of occupational performance over time. The COPM is a standardsed instrument administered in a semi-structured interview format at the beginning and end of OT intervention. Areas assessed using the COPM include the clients most important problems in occupational performance, perceptions of their performance in these activities and their level of satisfaction with their performance. |
| Key secondary outcome measure(s) |
No secondary outcome measures |
| Completion date | 30/08/2011 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Sex | All |
| Target sample size at registration | 30 |
| Key inclusion criteria | Patients aged over 18, with multimorbididty (defined as having two or more chronic conditions) and their general practitioner (GP) identifies that they may benefit from the study |
| Key exclusion criteria | 1. Patients will be excluded if they have a significant physical or mental illness which is likely to impair capacity to participate in the programme 2. Any patient currently participating in any other study will be excluded |
| Date of first enrolment | 12/12/2010 |
| Date of final enrolment | 30/08/2011 |
Locations
Countries of recruitment
- Ireland
Study participating centre
2
Ireland
Results and Publications
| Individual participant data (IPD) Intention to share | No |
|---|---|
| IPD sharing plan summary | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | results | 01/02/2013 | Yes | No | |
| Participant information sheet | Participant information sheet | 11/11/2025 | 11/11/2025 | No | Yes |