Enhancing Self-care in the Housebound

NCT02925897 | Completed DMC

• 1 other identifier: 15-047
• Study Type: interventional
• Target: 62
• Locations: 1 country
• Sites: 1

Brief Summary

The prevalence of people living with problems due to a long-term condition (LTC) such as heart disease, diabetes or arthritis in England exceeds 15 million, and the number of those with more than one LTC continues to grow (LTCs). This population consumes a large proportion of health service resources. Advancing age and LTCs increase the likelihood of becoming housebound, this has a detrimental effect on health and quality of life. Health policy advocates a health service model of empowerment and self-care. People who live with LTCs are often very knowledgeable about how to look after their health but find it difficult to adjust their. Motivational techniques have been demonstrated to facilitate behaviour change through changing the style of communication from directive to collaborative. The use of patient-centred conversational style of communication has been shown to elicit more willingness to change than professional-led directive consultations. Community nurses are in a unique position to influence housebound patients to play a greater part in caring for themselves, preventing complications in their long-term conditions and further ill health. This study intends to test the feasibility and acceptability of training community nurses in Understanding Behaviour Change, a communication technique which uses motivational interviewing to guide patients to change their behaviour. The opportunistic use of motivational techniques to create participatory relationships between patients, community nurses potentially represents an effective intervention to enable patients with LTCs to optimise the way they care for themselves. Motivational interviewing techniques have been widely demonstrated to bring about behaviour change but have not been studied in the context of changing the style of communication between housebound patients and the professionals caring for them.

Conditions

Chronic Illness

Outcome Measures

Primary Outcomes (1)

• Recruitment and retention to the study

  To test the feasibility of recruiting people who are housebound to a behaviour change intervention (ESC) The number of housebound patients who meet the inclusion criteria of those who is recruited to the study. The number of participants who complete the study. The reasons for not completing the study.

  12 months

Secondary Outcomes (4)

• The appropriateness of the preliminary primary outcome

  12 months

• Measurement of patient enablement

  12 months

• General self-efficacy scale

  12 months

• Quality of life

  12 months

Study Arms (2)

Intervention

EXPERIMENTAL

participants will receive their usual treatment from nurses who have had some training in behaviour change and motivational interviewing.

Behavioral: Behaviour change and motivational interviewing

Control

NO INTERVENTION

The participants will receive their usual treatment from nurses who have had no additional training in behaviour change and motivational interviewing.

Interventions

Behaviour change and motivational interviewing BEHAVIORAL

nurses will help patients to identify health behaviours that they would like to change and to explore their motivation and strengths to achieve this.

Intervention

Eligibility Criteria

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

You may qualify if:

• Patients who give informed consent
• Patients on the community nurses caseload
• Patients with long-term conditions

You may not qualify if:

• Patients who are not expected to be seen more than three times
• Less than 18 years old.
• Patients who are unable to complete the questionnaire in English.
• Patients who through physical or psychological conditions do not have the potential to contribute to their own care, as decided by the community nurse.
• Patients who are unable to give informed consent.
• Those who hold their own health budget or are part of the proactive care programme
• Patients who are at the end of life.

Sponsors & Collaborators

• King's College London: lead

Study Sites (1)

Kent Community Health Foundation Trust

Maidstone, Kent, ME16 9NT, United Kingdom

Location

MeSH Terms

Conditions

Chronic Disease

Interventions

Motivational Interviewing

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Shelley R Sage

  King's College London

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 12, 2016
• First Posted: October 6, 2016
• Study Start: May 1, 2016
• Primary Completion: June 1, 2017
• Study Completion: December 1, 2017
• Last Updated: September 20, 2019

Record last verified: 2017-02

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)