An intervention to promote patient participation and self-management in long term conditions: development and feasibility testing.

BMC Health Services Research
Joanne ProtheroeAnne Kennedy

Abstract

There is worldwide interest in managing the global burden of long-term conditions. Current health policy places emphasis on self-management and supporting patient participation as ways of improving patient outcomes and reducing costs. However, achieving genuine participation is difficult. This paper describes the development of an intervention designed to promote participation in the consultation and facilitate self-management in long-term conditions. In line with current guidance on the development of complex interventions, our aim was to develop and refine the initial intervention using qualitative methods, prior to more formal evaluation. We based the intervention on published evidence on effective ways of improving participation. The intervention was developed, piloted and evaluated using a range of qualitative methods. Firstly, focus groups with stakeholders (5 patients and 3 clinicians) were held to introduce the prototype and elucidate how it could be improved. Then individual 'think aloud' and qualitative interviews (n = 10) were used to explore how patients responded to and understood the form and provide further refinement. The literature highlighted that effective methods of increasing participation include the use o...Continue Reading

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Citations

Feb 3, 2011·Current Opinion in Psychiatry·Vivien Kemp
May 15, 2013·BMJ : British Medical Journal·Anne KennedyUNKNOWN Salford National Institute for Health Research Gastrointestinal programme Grant Research Group
Jul 23, 2013·BMC Family Practice·Carolyn A Chew-GrahamPeter Salmon
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Dec 8, 2015·Journal of Biomedical Informatics·Mattias Georgsson, Nancy Staggers
Jun 19, 2014·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Ann Catrine EldhMargareta Ehnfors
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Mar 4, 2015·The Cochrane Database of Systematic Reviews·Angela CoulterRafael Perera
May 1, 2019·Healthcare·Alan LevitonTobias Loddenkemper
Nov 1, 2012·Current Opinion in Supportive and Palliative Care·Isobel DavidsonRosemary Richardson
Nov 4, 2020·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Rebecca L MorrisStephen Campbell
Apr 30, 2015·JMIR Rehabilitation and Assistive Technologies·Edward Mark GiesbrechtJanice J Eng

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