Extrait

Background and study aims Long-term conditions (LTCs) are important determinants of quality of life (QoL) and healthcare costs worldwide. Osteoarthritis (OA) is the most common musculoskeletal condition in older adults and is very commonly seen in patients with other LTCs. Likewise, anxiety and depression are frequently diagnosed in the same patient with other LTCs including OA. However these conditions are seldom prioritised by patient or clinician resulting in higher levels of disability, poorer prognosis and increased health care costs. The aim of this study is to examine the feasibility and acceptability of an integrated approach to LTC management, tackling the under-diagnosis and under-management of OA-related pain and anxiety and/or depression in patients with other LTCs in primary care. Who can participate? Adults aged 45 years and older due for their LTC review (asthma/COPD/hypertension or ischemic heart disease/diabetes). What does the study involve? Four practices participate in this pilot trial. Each practice operates as both a control practice and as an intervention practice. During their control period, practices provide usual best current care for LTC reviews. During their intervention period they provide usual best current care for LTC reviews and also integrate case finding, assessment and negotiation of a management plan for anxiety / depression / joint pain. All participants are followed up at 6 weeks and 6 months. Interviews with about 20 patients and audio recordings of about 40 LTC review consultations are done with those that have received a LTC review during practice intervention periods.. What are the possible benefits and risks of participating? No risks have been identified. Where is the study run from? Four GP practices in the NIHR Clinical Research Network: West Midlands area of NHS North Staffordshire and NHS Stoke on Trent (UK). When is the study starting and how long is it expected to run for? September 2014 to December 2106 Who is funding the study? Arthritis Research UK Primary Care Centre of Excellence, a NIHR Research Professorship (NIHR-RP-2014-04-026) and the National Institute of Health Research Collaborations for Leadership in Applied Health Research and Care West Midlands (NIHR CLAHRC WM). Who is the main contact? Sarah Lawton [email protected]

Critère d'inclusion

• Topic: Health services and delivery research; Subtopic: Health services and delivery research; Disease: All Health services and delivery research

Liens

• ictrp
• isrctn