Effectiveness of a Team-based Follow-up Program in General Practice Among People With Chronic Conditions
1 other identifier
interventional
228
1 country
1
Brief Summary
The study will develop and evaluate the effectiveness of a team-based follow-up program in general practice (GP) among people with chronic conditions.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Aug 2019
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 19, 2019
CompletedFirst Submitted
Initial submission to the registry
August 26, 2019
CompletedFirst Posted
Study publicly available on registry
September 3, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2022
CompletedMarch 2, 2022
February 1, 2022
2.4 years
August 26, 2019
February 28, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
Patient Activation Measure (PAM-13)
The Patient Activation Measure instrument capture patient's knowledge, skills and confidence for self-management living with chronic conditions.It has four response categories with scores from 1 to 4: "strongly disagree" (1), "disagree" (2), "agree" (3) and "agree strongly" (4). The scale scores are transformed to a 0 to 100 scale (0 = lowest activation level, 100 = highest activation level).
12 months
Secondary Outcomes (8)
HbA1c
12 months
Problem Areas in Diabetes Scale (PAID-5)
12 months
The World Health Organization 5-item Well-Being Index (WHO-5)
12 months
Quality of Life-BREF 2-Item questionnaire
12 months
The EuroQol EQ-5D-5L
12 months
- +3 more secondary outcomes
Study Arms (2)
Team-based consultations
EXPERIMENTALGuided Self-Determination
Standard care
EXPERIMENTALStandard consultation
Interventions
Eligibility Criteria
You may qualify if:
- Aged between 20-80 years with FINDRISC score ≥15
- Body Mass Index ≥ 30
- Manifest T2DM (HbA1c ≥48 mmol/mol (6,5%))
- Positive smoking status (risk for COPD)
- Manifest COPD (spirometry value: FEV1/FVC \< 0,7).
You may not qualify if:
- Severe somatic disease (cancer, end stage renal disease)
- Severe psychiatric diagnosis or dementia
- Patients who do not understand nor speak Norwegian.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Bergen University Collegelead
- University of Bergencollaborator
- University of Stavangercollaborator
Study Sites (1)
Western Norway University of Applied Sciences
Bergen, Hordaland, 5020, Norway
Related Publications (2)
Kolltveit BH, Oftedal BF, Thorne S, Lomborg K, Graue M. Experiences of an interprofessional follow-up program in primary care practice. BMC Health Serv Res. 2024 Feb 23;24(1):238. doi: 10.1186/s12913-024-10706-9.
PMID: 38395910DERIVEDKolltveit BH, Graue M, Borge CR, Frisk B. Patients' experiences with participating in a team-based person-centred intervention for patients at risk of or diagnosed with COPD in general practice. Pilot Feasibility Stud. 2023 Sep 25;9(1):164. doi: 10.1186/s40814-023-01398-9.
PMID: 37749601DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Beate-Christin H Kolltveit, Ph.D
Western Norway University of Applied Sciences
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
August 26, 2019
First Posted
September 3, 2019
Study Start
August 19, 2019
Primary Completion
January 1, 2022
Study Completion
January 1, 2022
Last Updated
March 2, 2022
Record last verified: 2022-02
Data Sharing
- IPD Sharing
- Will not share