Impact of a Regional Program Agir Sur Sa SantE

NCT02478853 | Active Not Recruiting

• 1 other identifier: CCER 14-15 -15
• Study Type: observational
• Target: 1,000
• Locations: 1 country
• Sites: 1

Brief Summary

The prevention and control of lifestyle-related non-communicable chronic diseases, including diabetes, obesity and cardiovascular disorders, that share common risk factors, has now become a major focus of the World Health Organization. Lifestyle modification, like improvement of diet, physical activity and tobacco cessation, is the corner stone of diabetes and cardio-metabolic chronic diseases (CMCD) prevention and management. Under the leadership of decision-makers of our regional health Agency in order to improve accessibility and quality of care, our team has collaborated to the development and implementation of an integrated care framework for the prevention and management of cardio-metabolic chronic diseases in primary care. This new care framework is currently being implemented in the context of community health centers (fall 2014) and family medicine groups (spring 2015), with the support of a Quebec Ministry of Health grant. The current research proposal aims to evaluate the implementation of this new care framework and explore its impact in the primary care context. This project is very important as it will generate knowledge on new models of care integrating preventive and management interventions in primary care settings, in continuum with specialized health care services and their implementation in an entire region.

Conditions

Diabetes Mellitus, Type 2; Obesity; Hypertension; Dyslipidemias; Cardiovascular Diseases; Smoking

Outcome Measures

Primary Outcomes (1)

• Implementation of the new care framework assessed with interviews, chart audit and questionnaires

  Investigators will assess implementation of the framework including barriers and facilitators, acceptability and perceived usefulness and the strategies used to implement

  36 months

Secondary Outcomes (10)

• Patients' satisfaction measure with questionnaire

  36 months

• Patients' health outcome measure with chart audit

  36 months

• Primary care professionals' satisfaction measure with questionnaire

  36 months

• Primary care professionals' practice measure with interviews

  36 months

• Primary care professionals' self-efficacy measure with questionnaire

  36 months

Interventions

Implementation of a new regional care framework OTHER

Integrated care framework for the prevention and management of cardio-metabolic chronic diseases in primary care

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All healthcare professionals involved in CMCD management in the targeted clinics will be invited to participate (questionnaires and group interviews). All adult patients prospectively presenting at the targeted clinics will receive an invitation letter describing the project.

You may qualify if:

• Healthcare professionals involved in CMCD management in the targeted clinics
• Eligible patients should have at least one CMCD (diabetes, pre-diabetes, obesity, cardio- or cerebrovascular disease, hypertension, dyslipidemia) or be active smokers.

You may not qualify if:

• Patients who are not able to fill out questionnaires with help

Sponsors & Collaborators

• Université de Sherbrooke: lead

Study Sites (1)

Centre de recherche du CHUS

Sherbrooke, Quebec, J1H 5N4, Canada

Location

MeSH Terms

Conditions

Diabetes Mellitus, Type 2; Obesity; Hypertension; Dyslipidemias; Cardiovascular Diseases; Smoking

Condition Hierarchy (Ancestors)

Diabetes Mellitus; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Overweight; Overnutrition; Nutrition Disorders; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Vascular Diseases; Lipid Metabolism Disorders; Behavior

Study Officials

• Marie-France Langlois, MD

  Université de Sherbrooke

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: ECOLOGIC OR COMMUNITY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 20, 2015
• First Posted: June 23, 2015
• Study Start: March 1, 2015
• Primary Completion: December 1, 2017
• Study Completion: December 1, 2025
• Last Updated: December 9, 2024

Record last verified: 2024-12

Locations

CA (1)