Protocol for a cluster randomised trial of a goal-oriented care approach for multimorbidity patients supported by a digital platform
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2023 |
| Outros Autores: | , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10362/161168 |
Resumo: | Publisher Copyright: © 2023 Author(s). Published by BMJ. |
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Protocol for a cluster randomised trial of a goal-oriented care approach for multimorbidity patients supported by a digital platforminformation managementmedical education & trainingprimary carestatistics & research methodstelemedicineMedicine(all)SDG 3 - Good Health and Well-beingPublisher Copyright: © 2023 Author(s). Published by BMJ.Introduction Health information systems represent an opportunity to improve the care provided to people with multimorbidity. There is a pressing need to assess their impact on clinical outcomes to validate this intervention. Our study will determine whether using a digital platform (Multimorbidity Management Health Information System, METHIS) to manage multimorbidity improves health-related quality of life (HR-QoL). Methods and analysis A superiority, cluster randomised trial will be conducted at primary healthcare practices (1:1 allocation ratio). All public practices in the Lisbon and Tagus Valley (LVT) Region, Portugal, not involved in a previous pilot trial, will be eligible. At the participant level, eligible patients will be people with complex multimorbidity, aged 50 years or older, with access to an internet connection and a communication technology device. Participants who cannot sign/read/write and who do not have access to an email account will not be included in the study. The intervention combines a training programme and a customised information system (METHIS). Both are designed to help clinicians adopt a goal-oriented care model approach and to encourage patients and carers to play a more active role in autonomous healthcare. The primary outcome is HR-QoL, measured at 12 months with the physical component scale of the 12-item Short Form questionnaire (SF-12). Secondary outcomes will also be measured at 12 months and include mental health (mental component Scale SF-12, Hospital Anxiety and Depression Scale). We will also assess serious adverse events during the trial, including hospitalisation and emergency services. Finally, at 18 months, we will ask the general practitioners for any potentially missed diagnoses. Ethics and dissemination The Research and Ethics Committee (LVT Region) approved the trial protocol. Clinicians and patients will sign an informed consent. A data management officer will handle all data, and the publication of several scientific papers and presentations at relevant conferences/workshops is envisaged. Trial registration number NCT05593835.UNIDEMI - Unidade de Investigação e Desenvolvimento em Engenharia Mecânica e IndustrialDEMI - Departamento de Engenharia Mecânica e IndustrialNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Comprehensive Health Research Centre (CHRC) - pólo NMSInstituto de Higiene e Medicina Tropical (IHMT)RUNGil Conde, MargaridaPeyroteo, MarianaMaria, AnaMaia, Mélanie RaimundoGregório, JoãoPaulo, Marilia SilvaAlves, MartaPapoila, Ana LuísaLapão, Luís VelezHeleno, Bruno2023-12-12T22:51:34Z2023-11-172023-11-17T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article9application/pdfhttp://hdl.handle.net/10362/161168eng2044-6055PURE: 78180018https://doi.org/10.1136/bmjopen-2022-070044info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:43:59Zoai:run.unl.pt:10362/161168Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:58:24.039020Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Protocol for a cluster randomised trial of a goal-oriented care approach for multimorbidity patients supported by a digital platform |
| title |
Protocol for a cluster randomised trial of a goal-oriented care approach for multimorbidity patients supported by a digital platform |
| spellingShingle |
Protocol for a cluster randomised trial of a goal-oriented care approach for multimorbidity patients supported by a digital platform Gil Conde, Margarida information management medical education & training primary care statistics & research methods telemedicine Medicine(all) SDG 3 - Good Health and Well-being |
| title_short |
Protocol for a cluster randomised trial of a goal-oriented care approach for multimorbidity patients supported by a digital platform |
| title_full |
Protocol for a cluster randomised trial of a goal-oriented care approach for multimorbidity patients supported by a digital platform |
| title_fullStr |
Protocol for a cluster randomised trial of a goal-oriented care approach for multimorbidity patients supported by a digital platform |
| title_full_unstemmed |
Protocol for a cluster randomised trial of a goal-oriented care approach for multimorbidity patients supported by a digital platform |
| title_sort |
Protocol for a cluster randomised trial of a goal-oriented care approach for multimorbidity patients supported by a digital platform |
| author |
Gil Conde, Margarida |
| author_facet |
Gil Conde, Margarida Peyroteo, Mariana Maria, Ana Maia, Mélanie Raimundo Gregório, João Paulo, Marilia Silva Alves, Marta Papoila, Ana Luísa Lapão, Luís Velez Heleno, Bruno |
| author_role |
author |
| author2 |
Peyroteo, Mariana Maria, Ana Maia, Mélanie Raimundo Gregório, João Paulo, Marilia Silva Alves, Marta Papoila, Ana Luísa Lapão, Luís Velez Heleno, Bruno |
| author2_role |
author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
UNIDEMI - Unidade de Investigação e Desenvolvimento em Engenharia Mecânica e Industrial DEMI - Departamento de Engenharia Mecânica e Industrial NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) Comprehensive Health Research Centre (CHRC) - pólo NMS Instituto de Higiene e Medicina Tropical (IHMT) RUN |
| dc.contributor.author.fl_str_mv |
Gil Conde, Margarida Peyroteo, Mariana Maria, Ana Maia, Mélanie Raimundo Gregório, João Paulo, Marilia Silva Alves, Marta Papoila, Ana Luísa Lapão, Luís Velez Heleno, Bruno |
| dc.subject.por.fl_str_mv |
information management medical education & training primary care statistics & research methods telemedicine Medicine(all) SDG 3 - Good Health and Well-being |
| topic |
information management medical education & training primary care statistics & research methods telemedicine Medicine(all) SDG 3 - Good Health and Well-being |
| description |
Publisher Copyright: © 2023 Author(s). Published by BMJ. |
| publishDate |
2023 |
| dc.date.none.fl_str_mv |
2023-12-12T22:51:34Z 2023-11-17 2023-11-17T00:00:00Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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http://hdl.handle.net/10362/161168 |
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http://hdl.handle.net/10362/161168 |
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eng |
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eng |
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2044-6055 PURE: 78180018 https://doi.org/10.1136/bmjopen-2022-070044 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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9 application/pdf |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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