A pragmatic randomized controlled trial of the Flinders Program of chronic condition management in community health care services.

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.

journal_name

Patient Educ Couns

authors

Battersby M,Harris M,Smith D,Reed R,Woodman R

doi

10.1016/j.pec.2015.06.003

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

1367-75

issue

11

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(15)00276-1

journal_volume

98

pub_type

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