Evaluation of the WISE approach in primary care: improving outcomes in chronic conditions through effective self-management

Conditions

Chronic obstructive pulmonary disease (COPD), diabetes or irritable bowel syndrome (IBS) Not Applicable Service delivery

David G. Thompson, S. O’Brien, Anne Kennedy, Anne Rogers, Peter J. Whorwell et al. (12 authors)

Programme Grants for Applied Research2018-03-014 citations

10.3310/pgfar06010

Implementation of self management support for long term conditions in routine primary care settings: cluster randomised controlled trial.

Kennedy A, Bower P, Reeves D, Blakeman T, Bowen R, Chew-Graham C, Eden M, Fullwood C, Gaffney H, Gardner C, Lee V, Morris R, Protheroe J, Richardson G, Sanders C, Swallow A, Thompson D, Rogers A, Salford National Institute for Health Research Gastrointestinal programme Grant Research Group.

2013-05-13165 citations

10.1136/bmj.f2882

A cluster randomised controlled trial of the clinical and cost-effectiveness of a 'whole systems' model of self-management support for the management of long- term conditions in primary care: trial protocol.

Bower P, Kennedy A, Reeves D, Rogers A, Blakeman T, Chew-Graham C, Bowen R, Eden M, Gardner C, Hann M, Lee V, Morris R, Protheroe J, Richardson G, Sanders C, Swallow A, Thompson D.

2012-01-2642 citations

10.1186/1748-5908-7-7

Interventions

The intervention is designed to encourage practices to adopt a structured and patient-centred approach in their routine management of long-term conditions, providing the practice with skills, resource

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Diagnosis of chronic obstructive pulmonary disease (COPD), diabetes or irritable bowel syndrome (IBS) (identified from the GP systems using appropriate Read codes and verified by the GP) 2. Sufficient English to be able to complete questionnaires 3. Agreement from the practice that the patient is appropriate for research assessment 4. Aged greater than or equal to 18 years, either sex

Exclusion criteria

Exclusion criteria: 1. In the palliative care stage of condition 2. Receiving management primarily from a specialist nurse rather than a practice nurse or GP 3. Mental health problems such as those which reduce capacity to consent and participate

Design outcomes

Primary

Measure	Time frame
1. Shared decision making 2. Self-efficacy 3. Empowerment 4. Health behaviour 5. Positive attitudes 6. Management options 7. Condition specific quality of life 8. Health related quality of life 9. Service utilisation Measured at baseline, 6 months and 12 months.	—

Secondary

Measure	Time frame
1. Illness perceptions 2. Health literacy 3. Social capital 4. Shared decision making 5. Self-efficacy 6. Empowerment 7. Health behaviour 8. Positive attitudes 9. Management options 10. Condition specific quality of life Measured at baseline, 6 months and 12 months.	—

Countries

United Kingdom

Outcome results

None listed