People have two or more chronic conditions Other
Conditions
Interventions
A telehealth approach (IPOS-APP) will be tested in primary care, to better identify and address complex unmet needs of patients and families in primary care, reduce unnecessary emergency hospital admi
Sponsors
University of Birmingham
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patient participants are eligible for inclusion in the study if: 1. They are 55 years of age or older who are receiving care in the participating primary care sites 2. People have two or more chronic conditions 3. All participants have no serious self-reported cognitive impairment and are cognitively capable of participating in the study 4. Those who are able to read and speak English fluently and who have access to a smartphone Family caregivers are eligible to participate if they are 18 years old or above and currently providing support for a patient who is receiving care in one of the study sites but cannot self-report on the IPOS-APP due to disability or other reasons. Any healthcare professionals working at the participating GP sites will be eligible to take part in this project including nurses, GPs, pharmacists, and so on. Those who have experience of using the clinician portal will be invited for interviews.
Exclusion criteria
Exclusion criteria: Patient participants: 1. Patients who are outside of stated age range and outside of stated GP sites 2. Do not have multimorbidity 3. Are considered by nurses too ill to be approached 4. Those who are not able to read and speak English 5. Have no access to a smartphone Caregiver participants: 1. Family caregivers who are under 18 years old 2. Caring for patients with no multimorbidity 3. Outside of stated GP sites 4. Not able to read and speak English 5. No access to a smartphone Healthcare professionals: Those who have not got a chance to use the clinician portal will be excluded to take part in the interviews
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patients’ needs, symptoms and concerns are measured using the app version of the Integrated Patient care Outcome Measure (IPOS) at baseline, 1, 2 and 3 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Collected through interviews which will be conducted close to 3 months or soon after 3 months: 1. Emergency hospital admission captured by interviews with patients or caregivers and primary care health professionals 2. Patient experience of care captured by individual interviews with patients or family caregivers 3. Quality of primary care assessed through individual interviews with primary care nurses and other health professionals 4. Feasibility and acceptability assessed through interviews with patients or caregivers and primary care health professionals and activities on IPOS-APP | — |
Countries
England, United Kingdom
Outcome results
None listed