Implementation of a virtual community of practice to promote the empowerment of middle-aged people with multimorbidity : study protocol of a randomised controlled trial
Campillejo, Alba (Comunidad de Madrid. Centro Municipal de Salud)
Gefaell-Larrondo, Ileana (Comunidad de Madrid. Centro Municipal de Salud)
Ramos-García, Vanesa (Servicio Canario de la Salud)
Koatz, Débora (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Santos-Álvarez, Anthea (Servicio Canario de la Salud)
Barrio-Cortes, Jaime (Comunidad de Madrid. Centro Municipal de Salud)
Gómez-Rueda, Sara (Comunidad de Madrid. Centro Municipal de Salud)
Calderón-Larrañaga, Amaia (Karolinska Institutet and Stockholm University (Stockholm, Suècia))
Cifuentes, Patricia (Comunidad de Madrid. Centro Municipal de Salud)
Company-Sancho, Consuelo (Servicio Canario de la Salud)
Domínguez-Coello, Santiago (Servicio Canario de la Salud)
García-García, Francisco Javier (Nuestra Señora de La Candelaria University Hospital)
Garrido-Elustondo, Sofía (Comunidad de Madrid. Centro Municipal de Salud)
González de León, Beatriz (Servicio Canario de la Salud)
Vázquez, José Ramón (Servicio Canario de la Salud)
Martín, Candelaria (Hospital Universitario de Canarias (La Laguna))
Suárez-Fernández, Carmen (Comunidad de Madrid. Centro Municipal de Salud)
Parra-Caballero, Pedro (Comunidad de Madrid. Centro Municipal de Salud)
Vicente-Rabaneda, Esther F. (Comunidad de Madrid. Centro Municipal de Salud)
Quiroga-Colina, Patricia (Comunidad de Madrid. Centro Municipal de Salud)
Ramírez-Puerta, Ana Belén (Comunidad de Madrid. Centro Municipal de Salud)
Ruíz-López, Marta (Comunidad de Madrid. Centro Municipal de Salud)
Tello-Bernabé, María-Eugenia (Comunidad de Madrid. Centro Municipal de Salud)
Sanchez-Gamborino, Estrella (Comunidad de Madrid. Centro Municipal de Salud)
Ugalde-Abiega, Beatriz (Comunidad de Madrid. Centro Municipal de Salud)
Vall Roqué, Helena (Research Network on Chronicity Primary Care and Prevention and Health Promotion)
Duarte-Díaz, Andrea (Fundación Canaria Instituto de Investigación Sanitaria de Canarias)
Abt-Sacks, Analía (Servicio Canario de la Salud)
Hernández-Yumar, Aránzazu (Servicio Canario de la Salud)
Torres-Castaño, Alezandra (Servicio Canario de la Salud)
Álvarez-Pérez, Yolanda (Servicio Canario de la Salud)
Muth, Christiane (University Campus Hospital Lippe (Detmold, Alemanya))
van den Akker, Marjan (Frankfurt am Main)
Montori, Victor M. (Mayo Clinic (Rochester, Estats Units d'Amèrica))
Orrego, Carola (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Perestelo-Pérez, Lilisbeth (Servicio Canario de la Salud)
González González, Ana Isabel (Hospital General Universitario Gregorio Marañón. Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM))

Data:	2024
Resum:	Empowering people living with multimorbidity (multiple chronic conditions) to gain greater confidence in managing their health can enhance their quality of life. Education focused on self-management is a key tool for fostering patient empowerment and is mostly provided on an individual basis. Virtual communities of practice (VCoP) present a unique opportunity for online education in chronic condition self-management within a social context. This research aims to evaluate the effectiveness/cost-effectiveness of individualised, online self-management education compared with VCoP among middle-aged individuals living with multiple chronic conditions. People aged 30-60, living with ≥2 chronic conditions and receiving care in primary care (PC) centres and outpatient hospital-based clinics in Madrid and Canary Islands will enrol in an 18-month parallel-design, blinded (intervention assessment and data analysts), pragmatic (adhering to the intention-to-treat principle), individually randomised trial. The trial will compare two 12-month web-based educational offers of identical content; one delivered individually (control) and the other with online social interaction (VCoP, intervention). Using repeated measures mixed linear models, with the patient as random effect and allocation groups and time per group as fixed effects, we will estimate between-arm differences in the change in Patient Activation Measure from baseline to 12 months (primary endpoint), including measurements at 6-month and 18-month follow-up. Other outcomes will include measures of depression and anxiety, treatment burden, quality of life. In addition to a process evaluation of the VCoP, we will conduct an economic evaluation estimating the relative cost-effectiveness of the VCoP from the perspectives of both the National Health System and the Community. The trial was approved by Clinical Research Ethics Committees of Gregorio Marañón University Hospital in Madrid/Nuestra Señora Candelaria University Hospital in Santa Cruz de Tenerife. The results will be disseminated through workshops, policy briefs, peer-reviewed publications and local/international conferences.
Ajuts:	Instituto de Salud Carlos III PI22/00691 Instituto de Salud Carlos III PI22/01124
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Self-Management ; Chronic Disease ; Clinical Trial ; Community-Based Participatory Research ; GENERAL MEDICINE (see Internal Medicine)
Publicat a:	BMJ open, Vol. 14 (may 2024) , ISSN 2044-6055

DOI: 10.1136/bmjopen-2024-084937
PMID: 38803252

9 p, 1.3 MB

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