None listed
Conditions
Brief summary
The aim of the trial is to address the current lack of evidence for what is arguably Australia's most widely used chronic disease self-management program, the Flinders Model. It is hypothesised that older Australians who receive the Flinders Model of Self-Management support program will experience improved health status compared to those who receive a health education package. A secondary objective of the study is to ascertain the impact of the Flinders Model on spouses (‘carers’) who care for those with complex chronic disease. It is unknown whether the Flinders Model will increase or decrease carer burden and stress.
Interventions
Participants in the intervention group will receive the Flinders Model of Self-Management (Flinders Model). The Flinders Model provides a generic set of tools that enable health professionals to undertake a structured assessment of self-management behaviours, collaborative identification of problems and goal setting leading to the development of individualised self-management care plans. The Flinders Model is generic and not disease specific.
The intervention will comprise a total of three hom
Participants in the intervention group will receive the Flinders Model of Self-Management (Flinders Model). The Flinders Model provides a generic set of tools that enable health professionals to undertake a structured assessment of self-management behaviours, collaborative identification of problems and goal setting leading to the development of individualised self-management care plans. The Flinders Model is generic and not disease specific. The intervention will comprise a total of three home visits and four follow-up phone calls conducted over a six month period by health professionals (e.g. nurses, occupational therapists, social workers, psychologists) trained in the Flinders Model. Participants in the intervention group will also receive their usual medical care throughout the trial.
Sponsors
Flinders University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Participants will be aged 60 years or older with two or more of the following types of chronic conditions: - Cardiovascular (including: ischaemic heart disease, cerebrovascular disease/stroke, peripheral vascular disease, congestive heart failure, hypertension); - Respiratory (including: asthma, chronic obstructive pulmonary disease); - Musculoskeletal (including: osteoarthritis, rheumatoid arthritis, other arthritis, osteoporosis, chronic back pain); - Psychological (including: depression, anxiety, insomnia); - Digestive (including: gastro-oesophageal reflux disease); - Kidney disease - Diabetes (Type 1 or Type 2); and - Cancer.
Exclusion criteria
Participants will not be eligible for the study if they: - Have a clinically dominant disease likely to shorten life expectancy (e.g. late stage cancer) - Are unable to comprehend English. - Suffer from significant cognitive impairment. - Are severely depressed. - Are currently actively involved in a Chronic Disease Self-Management (CDSM) program.
Outcome results
None listed