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Predictive factors of effects of an interdisciplinary chronic disease prevention and management intervention in primary healthcare: A correlational analysis

Sasseville Maxime, Chouinard Maud-Christine et Fortin Martin. (2016). Predictive factors of effects of an interdisciplinary chronic disease prevention and management intervention in primary healthcare: A correlational analysis. Journal of Community & Public Health Nursing, 2, (1), e1000112.

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URL officielle: http://doi.org/10.4172/2471-9846.1000112

Résumé

Background: The purpose of this research was to explore the predictive factors (patient-related and intervention-related) of effects of an interdisciplinary and patient-centered chronic disease prevention and management (CDPM) intervention in an adult population with chronic diseases seen in primary healthcare (PHC).

Methods: This work presents the secondary analysis of data from the PR1MaC project, a pragmatic randomized controlled trial of an intervention involving the integration of canadian CDPM services in PHC. The main outcomes were dichotomic substantive improvement in the eight domains of the Health Education Impact Questionnaire (heiQ) measured at baseline and three months. Included in the multivariate analysis were the independent variables related to patient characteristics: age, gender, education, family income, marital status, multimorbidity, having healthy eating habits at baseline, doing sufficient physical activity at baseline; and those related to the intervention: duration of intervention, number of health professionals involved, health professionals working in consensus and number of risk factors aimed by the intervention objectives.

Results: A group of 160 patients (84 male; mean age 52.7 ± 11.5 years) from the intervention arm was considered. Multivariate logistic regression analysis showed that being younger, being single and having a higher family income is associated with improvement in Emotional Wellbeing. Having healthy eating habits and a limited number of patient-fixed objectives is associated with improvement in the Constructive Attitudes and Approaches. Also, being younger, longer intervention duration and consensus of the professionals is associated with improvement in the Health Services Navigation. An increasing intervention duration is associated with improvement in the Positive and Active Engagement in Life. Finally, increasing number of professionals is associated with improvement in the Skills and Techniques Acquisition.

Conclusion: The results showed specific associations that could lead in improvements in CDPM delivery, contributing to the understanding of the complex mechanisms of chronic disease management and support.

Type de document:Article publié dans une revue avec comité d'évaluation
Volume:2
Numéro:1
Pages:e1000112
Version évaluée par les pairs:Oui
Date:2016
Sujets:Sciences de la santé
Sciences de la santé > Sciences infirmières
Sciences de la santé > Sciences médicales
Département, module, service et unité de recherche:Départements et modules > Département des sciences de la santé > Module des sciences infirmières
Mots-clés:Chronic disease, chronic disease prevention and management, predictive factors, logistic regression, interdisciplinarity, primary healthcare, secondary analysis, patient education intervention
Déposé le:17 avr. 2019 00:30
Dernière modification:17 avr. 2019 00:30
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