Optimising patient active role with a user-centred eHealth platform (CONCERTO+) in chronic diseases management : a study protocol for a pilot cluster randomised controlled trial

Gagnon, Marie-Pierre (Centre de Recherche sur les Soins et les Services de Première Ligne de l’Université Laval, Quebec City, QC, Canada; Faculty of Nursing Sciences, Université Laval, Quebec City, QC, Canada) ; Ndiaye, Mame Awa (Centre de Recherche sur les Soins et les Services de Première Ligne de l’Université Laval, Quebec City, QC, Canada) ; Larouche, Alain (Groupe Santé Concerto, Montréal, QC, Canada) ; Chabot, Guylaine (Groupe Santé Concerto, Montréal, QC, Canada) ; Chabot, Christian (Patient expert, Quebec City, QC, Canada) ; Buyl, Ronald (Faculty of Medicine and Pharmacy, VrjeUniversiteit, Brussel, Belgium) ; Fortin, Jean-Paul (Centre de Recherche sur les Soins et les Services de Première Ligne de l’Université Laval, Quebec City, QC, Canada; Department of Family and Emergency Medicine, Université Laval, Quebec City, QC, Canada) ; Giguère, Anik (Centre de Recherche sur les Soins et les Services de Première Ligne de l’Université Laval, Quebec City, QC, Canada; Department of Family and Emergency Medicine, Université Laval, Quebec City, QC, Canada) ; Leblanc, Annie (Centre de Recherche sur les Soins et les Services de Première Ligne de l’Université Laval, Quebec City, QC, Canada; Department of Family and Emergency Medicine, Université Laval, Quebec City, QC, Canada) ; Légaré, France (Centre de Recherche sur les Soins et les Services de Première Ligne de l’Université Laval, Quebec City, QC, Canada; Department of Family and Emergency Medicine, Université Laval, Quebec City, QC, Canada) ; Motulsky, Aude (Department of Health Management, Evaluation and Policy, School of Public Health, Université de Montréal, Montréal, QC, Canada) ; Sicotte, Claude (Department of Health Management, Evaluation and Policy, School of Public Health, Université de Montréal, Montréal, QC, Canada) ; Witteman, Holly O (Department of Family and Emergency Medicine, Université Laval, Quebec City, QC, Canada) ; Kavanagh, Eric (École de design, Université Laval, Quebec City, QC, Canada) ; Lépinay, Frédérick (École de design, Université Laval, Quebec City, QC, Canada) ; Roberge, Jacynthe (École de design, Université Laval, Quebec City, QC, Canada) ; Délétroz, Carole (HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland) ; Abbasgholizadeh-Rahimi, Samira (Department of Family Medicine, Mc Gill University, Montréal, QC, Canada)

Introduction Multimorbidity increases care needs and primary care use among people with chronic diseases. The Concerto Health Program (CHP) has been developed to optimise chronic disease management in primary care services. However, in its current version, the CHP primarily targets clinicians and does not aim to answer directly patients’ and their informal caregivers’ needs for chronic disease management. Various studies have shown that interventions that increase patient activation level are associated with better health outcomes. Furthermore, educational tools must be adapted to patients and caregivers in terms of health literacy and usability. This project aims to develop, implement and evaluate a user-centred, multifunctional and personalised eHealth platform (CONCERTO+) to promote a more active patient role in chronic disease management and decision-making. Methods and analysis This project uses a collaborative research approach, aiming at the personalisation of CHP through three phases: (1) the development of one module of an eHealth platform based on scientific evidence and user-centred design; (2) a feasibility study of CONCERTO+ through a pilot cluster randomised controlled trial where patients with chronic diseases from a primary healthcare practice will receive CONCERTO+ during 6 months and be compared to patients from a control practice receiving usual care and (3) an analysis of CONCERTO+ potential for scaling up. To do so, we will conduct two focus groups with patients and informal caregivers and individual interviews with health professionals at the two study sites, as well as health care managers, information officers and representatives of the Ministry of Health. Ethics and dissemination This study received ethical approval from Ethics Committee of Université Laval. The findings will be used to inform the effectiveness of CONCERTO+ to improve management care in chronic diseases. We will disseminate findings through presentations in scientific conferences and publication in peer-reviewed journals. Trial registration number NCT03628963; Pre-results.


Article Type:
scientifique
Faculty:
Santé
Branch:
Soins infirmiers
School:
HESAV
Institute:
Aucun institut
Subject(s):
Santé
Date:
2019-04
Pagination:
10 p.
Published in:
BMJ open
Numeration (vol. no.):
2019, vol. 9, no. 4, art. e028554
DOI:
ISSN:
2044-6055
Appears in Collection:



 Record created 2019-07-10, last modified 2019-10-15

Fulltext:
Download fulltext
PDF

Rate this document:

Rate this document:
1
2
3
 
(Not yet reviewed)