Topic: Diabetes, Primary Care, Cardiovascular disease
Conditions
Interventions
The PCAM aims to provide a systematic language for the integrated assessment of a broad range of physical, mental well-being and social needs. Health and Wellbeing (covering physical health needs
impact of physical health on mental health
lifestyle behaviors
mental wellbeing), Social Environment (covering home safety and stability
daily activities
social networks
financial resources), Health Literacy and Communication (covering understanding of symptoms, self care and healthy behaviour
how engaged patient is in discussions).
These then lead to action-oriented tasks to deal with the identified problem which may include referral or signposting to other professionals or
Sponsors
University of Stirling
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Practices 1. Medium to large size practices (4+ GP partners) based in NHS Greater Glasgow and Clyde (NHSGG&C), NHS Grampian, and NHS Forth Valley (NHSFV) 2. Each practice must also be able to recruit two nurses who deliver annual health checks for LTCs (Diabetes Mellitus [DM], Coronary Heart Disease [CHD], or Chronic Obstructive Pulmonary Disease [COPD]). Patients All consecutive patients aged over 18 years attending annual reviews by participating nurses will be asked if they would be willing to complete anonymised questionnaires. Target Gender: Male & Female; Lower Age Limit: 18 years
Exclusion criteria
Exclusion criteria: Practices 1. Less than 4 GP partners 2. Unable to recruit 2 nurses 3. Nurses not engaged in conducting annual reviews of patients with long-term conditions Patients Adults aged over 18 deemed by practice nurse to be unsuitable to approach due to communication, severe health or severe mental health problems. Nurses will record reasons for exclusion and anonymised demographic details of excluded patients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recruitment (can nurses and patients be recruited to the study?) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. CARE measure; Timepoint(s): 8 weeks follow-up per cohort 2. GHQ; Timepoint(s): 8 weeks follow-up per cohort 3. Nurse referral/ signposting actions; Timepoint(s): 3 months follow-up post intervention 4. PEI; Timepoint(s): 8 weeks follow-up per cohort 5. SF12; Timepoint(s): 8 weeks follow-up per cohort 6. WEMWBS; Timepoint(s): 8 weeks follow-up per cohort | — |
Countries
United Kingdom
Outcome results
None listed