Patients suffering from chronic conditions, including astma, COPD, diabetes mellitus, and people with (an increased risk of) cardiovascular diseases (CVR).
Conditions
Interventions
The intervention will be delivered on cluster level in the primary care practice. The intervention consists of personalizing self management support using the results of the SeMaS questionnaire. The r
Sponsors
Radboud University Nijmegen Medical Centre, IQ healthcare, Nijmegen, The Netherlands
De Ondernemende Huisarts (DOH), Eindhoven, The Netherlands
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age: 18 or older; 2. Sex: male or female; 3. Having at least one chronic condition, including astma, COPD, diabetes mellitus, increased cardiovascular risk; 4. Having a check up appointment with the practice nurse in the primary practice in the inclusion period.
Exclusion criteria
Exclusion criteria: 1. Age: below 18 years old; 2. Not able to communicate in Dutch.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The difference in the level of patient activation after six months compared between the intervention and control arm, measured with the PAM-13 questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| The difference in these variables when comparing intervention to the control arm: 1. Number of completed individual care plans at t=6m; 2. The number of referrals to self management interventions (group courses and internet coaches) in the study period; 3. Adherence to these interventions in the study period; 4. The number of referrals to informative websites in the study period; 5. The number of consultations in the general practice and emergency care in the study period; 6. Rapid assessment of physical activity (RAPA) at t=0 and t=6m; 7. Rapid eating assessment for participants – short version (REAP-S) at t=0 and t=6m; 8. 10-item behavior change consortium questionnaire (smoking) at t=0 and t=6m; 9. S-TOFHLA (health literacy) at t=0 and t=6m; 10. Number and type of psychosocial factors from the SeMaS that is discussed with the patient at the planned check-up appointment at t=0. | — |
Contacts
Public ContactN. Eikelenboom
UMC St Radboud PO Box 9101
Outcome results
None listed