Chronic Disease
Conditions
Keywords
Patient empowerment, Patient involvement, Patient participation, Healthcare professional attitudes, Chronic diseases
Brief summary
The eMPODERA study aims to assess the effectiveness of a Community of Practice (CdP) virtual in improving attitudes of primary care professionals on the empowerment of patients with chronic diseases.
Detailed description
Main Objective: to assess the effectiveness of a Community of Practice (CdP) virtual in improving attitudes of health professionals in primary care on the empowerment of patients with chronic diseases. Methodology: Design: cluster randomised controlled. Scope: primary care centers (PCC) belonging to the Regions of Catalonia, Madrid and Canary Islands. Population: primary care health professionals (family doctors and nurses). Sample size: 270 healthcare professionals and 1382 patients. Randomization: Randomization unit: PCC; unit of analysis: primary care health professionals. 9 pairs of PCC by region will be randomly selected and randomly assigned to the intervention or control group. Randomization will be performed after the selection of professionals and patients. Intervention: the intervention group will be offered participation for 12 months in a virtual CdP based on a web 2.0 platform. The control group will receive usual training. Measurements: the primary outcome will be measured by Patient-Provider Orientation Scale (PPOS) questionnaire at baseline and 12 months. Secondary outcomes: sociodemographic of professionals; sociodemographic and clinical characteristics of patients; Patient Activation Measure (PAM) questionnaire for patient activation; outcomes regarding use of the CdP. Analysis: A linear mixed-effects regression to estimate the effect of participating in the CdP will be estimated. Additionally, an analysis of how the CdP is functioning through techniques of social network analysis and control charts will be performed.
Interventions
The intervention group will be offered participation for 12 months in a virtual CdP based on a web 2.0 platform. The control group will receive usual training.
Sponsors
Study design
Eligibility
Inclusion criteria
Clusters: * Primary Care Centres (PCC) with Electronic Record system with more than 1 year of implementation * PCC belongs to the Automonous Comunities of Canary Island, Catalonia and Madrid Healthcare professionals: * Acceptance to participate * stable contract with the Primary care centre * Physician or Nurses
Exclusion criteria
Clusters: \- Primary Care Centres where its directors do not accept to participate in the trial Healthcare professionals: * Students * Medical and Nursing residents
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from Patient-Provider Orientation Scale (PPOS) at 12 months | At baseline and 12 months | PPOS is a questionnaire administrated to healthcare professionals |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from Patient Activation Measure (PAM) at 12 months | Baseline and 12 months | PAM is validated questionnaire to measure patient activation (administrated to patients) |