Topic: Health services and delivery research
Conditions
Interventions
1. Usual care (control): Whilst some practices deliver their LTC reviews within dedicated clinics, others provide a more ad hoc appointment system. While we won’t be asking practices involved to alter
Sponsors
University of Keele
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients due for their LTC review for asthma / COPD / hypertension or ischemic heart disease / diabetes 2. Registered with the participating GP practices during the specified trial period for that practice 3. Aged 45 years and over
Exclusion criteria
Exclusion criteria: 1. Vulnerable patients (i.e. patients on the practice register for severe enduring mental ill health (e.g. schizophrenia /bipolar), significant cognitive impairment (e.g. dementia), and/or terminal illness) 2. Patients who reside in a nursing home and have alternative arrangements for LTC care 3. Patients unable to read and speak English (cover letters, the Participant Information Sheet and questionnaires are in English. The postal questionnaires will have a contact name and telephone number that participants can call to discuss any difficulties or help required with completion of the consent form or the questionnaire. In addition, all interviews will be conducted in English)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Health outcome EQ-5D-5L; Timepoint(s): Collected at baseline, 6 weeks and 6 months via self-reported questionnaire | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Symptoms of depression PHQ-9; Timepoint(s): Collected at baseline, 6 weeks and 6 months via self-reported questionnaire 2. Symptoms of anxiety GAD-7; Timepoint(s): Collected at baseline, 6 weeks and 6 months via self-reported questionnaire 3. Pain Intensity; Timepoint(s): Collected at baseline, 6 weeks and 6 months via self-reported questionnaire 4. Bothersomeness; Timepoint(s): Collected at baseline, 6 weeks and 6 months via self-reported questionnaire 5. Pain interference; Timepoint(s): Collected at baseline, 6 weeks and 6 months via self-reported questionnaire 6. Health perceptions; Timepoint(s): Collected at baseline, 6 weeks and 6 months via self-reported questionnaire 7. Satisfaction of LTC review GPAQ Nurse Assessment; Timepoint(s): Collected at baseline via self-reported questionnaire 8. Content of LTC consultation; Timepoint(s): Collected at baseline via self-reported questionnaire Health Care Utilisation; Timepoint(s): Collected at baseline, 6 weeks and 6 months via self-reported questionnaire 9. Work performance; Timepoint(s): Collected at baseline, 6 weeks and 6 months via self-reported questionnaire | — |
Countries
England, United Kingdom
Outcome results
None listed