Effectiveness and cost-effectiveness of a virtual community of practice to improve the empowerment of patients with ischaemic heart disease: study protocol of a randomised controlled trial
| العنوان: | Effectiveness and cost-effectiveness of a virtual community of practice to improve the empowerment of patients with ischaemic heart disease: study protocol of a randomised controlled trial |
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| المؤلفون: | Yolanda del Rey-Granado, Amado Rivero-Santana, María-Eugenia Tello-Bernabé, Ana Rodríguez-Almodovar, Marcos Muñoz-Balsa, Débora Koatz, Nuria Vallejo-Camazón, Vanesa Ramos-García, Valeria Pacheco-Huergo, Ana Toledo-Chávarri, Alezandra Torres-Castaño, Luis Morales-Cobos, Marta Ballester, Josep María Bosch-Fontcuberta, Santiago Díaz-Sánchez, Javier García-García, Carola Orrego, José Carlos del Castillo, Ana Belén Ramírez-Puerta, Ana Isabel González-González, Juan Carlos Obaya-Rebollar, Lilisbeth Perestelo-Pérez, Cristina Valcárcel-Nazco, Sofía Garrido-Elustondo, Juana Mateos-Rodilla |
| المصدر: | BMJ Open, Vol 10, Iss 10 (2020) BMJ Open r-IGTP. Repositorio Institucional de Producción Científica del Instituto de Investigación Germans Trias i Pujol instname Dipòsit Digital de Documents de la UAB Universitat Autònoma de Barcelona |
| بيانات النشر: | BMJ Publishing Group, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, Cost effectiveness, Cost-Benefit Analysis, Myocardial Ischemia, Psychological intervention, Cardiovascular Medicine, law.invention, Quality of life (healthcare), Randomized controlled trial, general medicine (see internal medicine), law, adult cardiology, medicine, Humans, coronary heart disease, Randomized Controlled Trials as Topic, Geriatrics, geriatric medicine, business.industry, Medical record, General Medicine, General medicine, Patient Health Questionnaire, Clinical research ethics, Spain, Family medicine, Chronic Disease, Quality of Life, Medicine, business |
| الوصف: | IntroductionVirtual Communities of Practice (VCoP) or knowledge-sharing virtual communities offer ubiquitous access to information and exchange possibilities for people in similar situations, which might be especially valuable for the self-management of patients with chronic diseases. In view of the scarce evidence on the clinical and economic impact of these interventions on chronic conditions, we aim to evaluate the effectiveness and cost-effectiveness of a VCoP in the improvement of the activation and other patient empowerment measures in patients with ischaemic heart disease (IHD).Methods and analysisA pragmatic randomised controlled trial will be performed in Catalonia, Madrid and Canary Islands, Spain. Two hundred and fifty patients with a recent diagnosis of IHD attending the participating centres will be selected and randomised to the intervention or control group. The intervention group will be offered participation for 12 months in a VCoP based on a gamified web 2.0 platform where there is interaction with other patients and a multidisciplinary professional team. Intervention and control groups will receive usual care. The primary outcome will be measured with the Patient Activation Measure questionnaire at baseline, 6, 12 and 18 months. Secondary outcomes will include: clinical variables; knowledge (Questionnaire of Cardiovascular Risk Factors), attitudes (Self-efficacy Managing Chronic Disease Scale), adherence to the Mediterranean diet (Mediterranean Diet Questionnaire), level of physical activity (International Physical Activity Questionnaire), depression (Patient Health Questionnaire), anxiety (Hospital Anxiety Scale-A), medication adherence (Adherence to Refill Medication Scale), quality of life (EQ-5D-5L) and health resources use. Data will be collected from self-reported questionnaires and electronic medical records.Ethics and disseminationThe trial was approved by Clinical Research Ethics Committee of Gregorio Marañón University Hospital in Madrid, Nuestra Señora de Candelaria University Hospital in Santa Cruz de Tenerife and IDIAP Jordi Gol in Barcelona. The results will be disseminated through workshops, policy briefs, peer-reviewed publications, local/international conferences.Trial registration numberClinicalTrials.gov Registry (NCT03959631). Pre-results. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 2044-6055 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bfef671723703589fd37753340fea999 https://bmjopen.bmj.com/content/10/10/e037374.full |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....bfef671723703589fd37753340fea999 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20446055 |
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